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B23964 SWSI Cover + 15Mm Spine Growth and Development Growth and Development ST SOCIAL WORK SERVICES FOR THE 21 SOCIAL WORK SERVICES FOR THE 21 CENTURY The Report of the Chief Inspector of Social Work Services for Scotland 2002 ST CENTURY Further copies are available from the Stationery Office Bookshop 71 Lothian Road · Edinburgh EH3 9AZ I SBN 0-7559- 0394- 3 Tel 0870 606 55 66 Astron B23964 11/02 The text pages of this document are produced from 100% Elemental Chlorine Free, environmentally preferred material and is 100% recyclable. 9 780755 903948 www.scotland.gov.uk Making it work together Growth and Development SOCIAL WORK SERVICES FOR THE 21ST CENTURY The Report of the Chief Inspector of Social Work Services for Scotland Laid before the Scottish Parliament by the Scottish Ministers, November 2002. SE/2002/304 1 2 Introduction The Local Reports Growth and Development – Social Work Services for the 21st Century, is the second annual report prepared by the Chief Social Work Inspector. Completed in 2002, it includes a national overview of social work services and short reviews of services in each of the 32 councils. This report contains the reviews of social work services in each of the 32 local authorities with the national overview contained in a separate document. The individual reports are based on an analysis of demographic information, statistical returns to the Scottish Executive and Accounts Commission (Audit Scotland), information provided on visits to the local authorities and other written information provided by them. The introductory section of each report covers the demographic and social features of the area. The description of each authority is followed by subsequent sections on: • Community Care • Children and Families • Criminal Justice • Finance • Staffing • Modernising services • The Future The 32 local authorities in Scotland range from large cities such as Glasgow through to small island authorities such as Eilean Siar. Differences between authorities in terms of geography and demographic, social and economic characteristics and their effects on service provision are highlighted throughout the report. This year, we have included more statistical information, including figures from previous years and Scottish figures. As part of this process, some figures have been presented as quartiles. Appendix 1 details the source of the statistics and includes an explanatory note on our use of quartiles. The individual local authorities were given an opportunity to comment on their particular section of the report. In many instances, the local authorities commented on the statistics included in the reports, and offered us more up to date figures than the ones we have used or provided data that they use locally. For the sake of comparison, the latest available figures from local authority returns to the Scottish Executive or Accounts Commission have been used in the reports but it is acknowledged these statistics do not necessarily present the most up-to- date or accurate account of social work activity and that more informative figures may be available. This exercise has again reinforced the need to improve the social work information systems and the robustness of the statistical information. Further appendices on national statistical information and population figures are also included. 3 Contents Page The Local Reports 1 Map of Scotland showing the 32 local authorities 4 Aberdeen City 5 Aberdeenshire 15 Angus 23 Argyll and Bute 31 Clackmannanshire 39 Dumfries and Galloway 45 Dundee City 53 East Ayrshire 61 East Dunbartonshire 69 East Lothian 77 East Renfrewshire 85 Edinburgh, City of 93 Eilean Siar (in English) 101 Eilean Siar (in Gaelic) 109 Falkirk 117 Fife 125 Glasgow City 133 Highland 141 Inverclyde 151 Midlothian 159 Moray 167 North Ayrshire 175 4 Contents Page North Lanarkshire 183 Orkney Isles 191 Perth and Kinross 199 Renfrewshire 207 Scottish Borders 215 Shetland 223 South Ayrshire 231 South Lanarkshire 239 Stirling 249 West Dunbartonshire 257 West Lothian 265 Appendix 1 Notes on statistics used in the local reports 271 Appendix 2 National statistical information 274 Appendix 3 2000 based population projections for 2000 and 2016, by local authority 279 Glossary 281 5 Council Areas (as defined in the Local Government etc (Scotland) Act 1994) Numbered Areas ORKNEY 1. WEST DUNBARTONSHIRE ISLANDS 2. EAST DUNBARTONSHIRE 3. NORTH LANARKSHIRE 4. GLASGOW CITY 5. EAST RENFREWSHIRE 6. RENFREWSHIRE 7. INVERCLYDE 8. CLACKMANNANSHIRE WESTERN ISLES SHETLAND ISLANDS MORAY HIGHLAND ABERDEENSHIRE ABERDEEN CITY ANGUS PERTH AND KINROSS DUNDEE CITY ARGYLL AND BUTE STIRLING FIFE 8 1 FALKIRK 2 CITY OF EAST 7 WEST EDINBURGH 3 LOTHIAN 6 4 LOTHIAN MIDLOTHIAN NORTH 5 AYRSHIRE SOUTH LANARKSHIRE SCOTTISH BORDERS EAST AYRSHIRE SOUTH AYRSHIRE DUMFRIES AND GALLOWAY 01020304050Miles 01020304050607080Kilometres The Stationery Office Cartographic Centre J12187 5/97 6 1. Profile at 2002 With an estimated population of 211,300 Aberdeen is the third largest city in Scotland. By 2016, the population is expected to fall by 11%. The older population is to rise but by less than the national average. The number of pre-school children is to fall by over a quarter. The number of 45 to 60 year olds will rise by over a quarter. Whilst unemployment in the area is low (2% at January 2002), there are a number of areas within Aberdeen City where there are particular issues regarding poverty and deprivation. Aberdeen has the third highest rate of drug misuse in Scotland (3% of 15-54 year olds). 1,329 crimes were recorded per 10,000 population in 2001. Although the rate has fallen since 2000, it is the second highest recorded rate in Scotland. The Council is implementing a major programme of change, under the banner heading of aberdeenfutures, which includes the Community Plan, the introduction of the Accord Card, the introduction of one stop customer service centres, work which is about to commence with a strategic partner to look at improvements to systems and processes within the Council and an internal service restructuring. To date, the major impact on social work services has been through the Departmental restructuring. Strategic social work services have joined with strategic housing services to become Community Services. Operational Social Work services are now managed through three Neighbourhood directorates, with services currently being managed on an interim basis by their existing managers. In the longer term, it is proposed that services will be delivered on a multi-disciplinary team basis. Expected % change in population, 2000-2016, local and national comparisons by age band 30 20 10 0 -10 -20 Percent -30 -40 -50 -60 Under 5 5-14 15-29 30-44 45-59 60-74 75+ Age Scotland Aberdeen City 7 2. Performance: Community Care 1999 1999 2000 2000 Quartile Quartile Balance of care (aged 65+) actual per 1,000 actual per 1,000 Older people in residential care homes 604 19 2 551 17 2 Older people in private nursing homes 841 26 2 737 23 3 Older people receiving home care 4,389 138 1 3,383 106 1 Older people in special needs housing 4,269 134.2 2 4,261 134 1 People receiving a community 1999-2000 1999-2000 2000-2001 2000-2001 care service actual per 1,000 Quartile actual per 1,000 Quartile Older people (aged 65+) 5,088 160 4 6,221 195.6 3 For mental health problems/dementia 118 0.8 4 920 6.8 1 (aged 18-64) For physical disabilities (aged 18-64) 1,494 11.0 3 1,546 11.3 3 For learning disabilities (aged 18-64) 299 2.2 4 321 2.4 4 For drug/alcohol abuse problems 41 0.3 3 105 0.8 3 (aged 18-64) In 2000 more older people received a home care service than in many other authorities but they were less likely to receive more than 10 hours of home care than in many other authorities. Aberdeen has a relatively high number of special needs housing places. In May 2002, 172 people were awaiting discharge from hospital: 53 people were awaiting funding for homes and 30 were awaiting nursing home places. Under an “Ageing with Confidence” joint strategy for older people launched by Aberdeen City Council and NHS Grampian, community care teams are aligned with GP practices. Features of joint care services are: • an out-of-hours home care service, co-located with the Night Nursing Service; • a Rapid Response Team operating 7 days a week and providing support for up to 4 weeks; • a joint hospital admissions and discharge planning team; and • a Rehabilitation and Assessment Pilot Scheme (RAPS) at Croft House, a residential home, where a multi-disciplinary team carries out assessments and arranges and co-ordinates activities and resources; most older people return to the community after their spell in Croft House. Expansions are proposed for sheltered housing, the Crossroads attendant scheme and Care and Repair. At the centre of Aberdeen, Aberdeenshire, Moray Council and the Health Board’s plans to improve learning disability and mental health services is the closure of Woodlands and Ladysbridge, but immediate practical problems are transitional services and housing. A housing procurement group is looking at support models. The Change Fund has provided resources to improve local area co-ordination, develop autism services, introduce direct payments and restructure day services. 8 Aberdeen The three councils and health partners have a joint executive group to manage change and a joint project group for implementation. Specific changes introduced are: • joint training, with a Grampian-wide training co-ordinator; • creation of a community learning disability team; and • involvement of users and carers in the commissioning process. Between 1999-2000 and 2000-2001 there was a massive increase in the number of people who were receiving a community care service for mental illness. A Mental Health Framework Group is working on improvements in accommodation, employment, carers, service users, dementia/ old age psychiatry, and monitoring and evaluation.
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