Information Services Division Insights into Social Care in Scotland Support provided or funded by health and social care partnerships in Scotland 2017/18 Publication date 11 June 2019 An Official Statistics publication for Scotland (Experimental) Information Services Division This is an Experimental Statistics publication Experimental statistics are official statistics which are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. It is important that users understand that limitations may apply to the interpretation of this data, further details of which are presented in this report. All official statistics should comply with the UK Statistics Authority’s Code of Practice which promotes the production and dissemination of official statistics that inform decision making. Once the evaluation is completed and an enhanced report is developed that meets the needs of users and stakeholders, the Experimental label will be removed. Find out more about the Code of Practice at: https://www.statisticsauthority.gov.uk/osr/code-of-practice/ Find out more about Experimental Statistics at: https://www.statisticsauthority.gov.uk/wp-content/uploads/2010/12/images- assessmentanddesignationofexperimentalstatistic_tcm97-44327-1.pdf 1 Information Services Division Contents Contents ................................................................................................................................. 2 Introduction ............................................................................................................................ 3 Main Points ............................................................................................................................ 7 Results and Commentary ....................................................................................................... 8 Section 1. Social care support and services summary information .................................... 8 Section 2. Self-directed support (SDS) ............................................................................. 14 Section 3. Home Care ...................................................................................................... 21 Section 4. People supported in care homes ..................................................................... 34 Section 5. Community alarms and telecare ...................................................................... 40 Glossary ............................................................................................................................... 42 List of Tables ........................................................................................................................ 45 Contacts ............................................................................................................................... 46 Further Information .............................................................................................................. 46 Rate this publication ............................................................................................................. 46 Appendices .......................................................................................................................... 47 Appendix 1 – Background and Methods ........................................................................... 47 Appendix 2 – Publication Metadata .................................................................................. 62 Appendix 3 – Early access details .................................................................................... 64 Appendix 4 – ISD and Official Statistics ........................................................................... 65 2 Information Services Division Introduction This report and its companion dashboard of statistics provide a digest of information and analyses on people receiving social care in Scotland. The content covers many aspects of social care (and some related healthcare topics), some of which is published for the first time, and is likely to be of interest to anyone concerned with the delivery and planning of health and social care. The companion dashboard, accessible through the ISD website is interactive and offers more detail than presented in this report. The information shown comes mainly from data gathered within Scotland’s 32 local authorities and is a by-product of many thousands of individual needs assessments carried out, personal choices made and care plans prepared and delivered. Some of the new analyses included have been possible through the linkage of the social care data to key health related data (e.g. hospital admissions) allowing for a broader perspective on care and support provided in different care settings to people who have health and social care needs. This is the first published report following a decision taken in 2017 by the Scottish Government and Information Services Division (ISD) to transfer responsibility for key social care information to ISD. Previously these data and the published figures were the responsibility of the Scottish Government’s health and social care analytical team. Alongside the new collection arrangements, some modifications have been made to the detail collected nationally and this is reflected in the analyses presented. Top level figures matching those published in previous years have been included to provide trend analyses for year on year comparative purposes. Differences in definition that might affect trends have been noted in the companion dashboard. Refinement of the published outputs is expected to continue in future years as the insights available from the data become clearer. The Scottish Government reports are available here. Context: Health and Social Care Integration As referred to earlier, local authorities are the source of the social care information used in this report. The benefits of aligning social care data with health care data have been recognised for some time. The formal integration of health and social care as approved in 2015 by an Act of the Scottish Parliament provided an important strategic impetus to enable this to happen. Local authorities are one of the strategic partners in Health and Social Care along with Health Boards and Integration Authorities. For presentational reasons the label health and social care partnership is used throughout this report (rather than local authority). Note: Reflecting variation across Scotland in the way partnership working occurs the Stirling and Clackmannanshire Council analyses are shown separately although there is a single partnership involving both local authorities. 3 Information Services Division Statistical content The figures in this report are mainly shown at Scotland level, but also include some examples of analyses at partnership level. More detailed figures at partnership level are provided in the companion dashboard. In this edition much of the content is similar to that published in previous years by the Scottish Government. Understanding trends over time is important and some of the longitudinal analyses presented in the previous series of Scottish Government publications are included here for continuity. Due to some changes in the data specification, in a few examples, it has been necessary to estimate figures to make them comparable with earlier data. This report also offers an opportunity to show ways that linkage of data delivers insights that are not visible from the data collected from the individual services that make up the care system. For example a new analysis presented in this release brings together social care and emergency hospital admission information, quantifying the overlap in the people using these two distinct types of support. Whilst the linked analyses in this report and in the companion dashboard are hopefully useful in their own right, they are also included as an early demonstration of the wider potential for using linked data to understand pathways of care, the whole care system & support and the measurement of outcomes. Main topics included in this publication This report is organised to show statistics covering the broad topics described below: • Self-directed support: the mainstream approach to social care in Scotland. Self- directed support means that everyone eligible for social care support and services has the right to make informed choices about what their support looks like and how it is delivered, making it possible to meet agreed personal outcomes. Note that some clients such as those receiving reablement or crisis care support may not be able to make choices regarding their services or support. See the glossary for more detail. This report also presents detailed information on the following service types: • Home care. • Community alarms/telecare. • Care home residents. For service types all information shown relates to services and support where a local authority has an involvement, such as providing the care and support directly or by commissioning the care and support from other service providers. Data on care and support that is paid for and organised entirely by people themselves (i.e. “self-funded”) are not available and are excluded from all the analyses. 4 Information Services Division Time periods In future years the published social care figures will relate to the full year on each topic presented. For this first year of the new social care data however there is some variation in the time periods (‘reference periods’) presented according to