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Current chapter – LTS001b


Of the clients in LTS001a, the number of people accessing long term support at the year-end (31 March) by Primary Support Reason, Age Band, Support from Carer, Gender, Ethnicity, Support Setting and Mechanism of Service Delivery.

Period 31/03/2022.


General description and business case

This  is a snapshot measure of supported clients at the year-end where the support is ‘long term’. Long Term support encompasses services provided with the intention of maintaining quality of life for an individual on an ongoing basis, and which have been allocated on the basis of eligibility criteria / policies (i.e. an assessment of need has taken place) and are subject to regular review. Breakdowns by Primary Support Reason and age band allow for analysis of these specific groups.

Support from carer status gives some idea of the impact of informal carers in the cohort.

Mechanisms of service delivery will allow investigation of the differing ways that personal budgets are being delivered while Support Setting gives information on the balance of residential and community based services.

The information is important for aligning costs with activity, to establish the balance between short term interventions (covered in the ‘STS’ short term measures) and long term services and to help identify the cohort for whom personalised services could be delivered.


Changes for 2021-22

None identified. 


Who to include/exclude?

For clients to be included in LTS001b the following criteria must apply.

  • the support is provided or commissioned by social services or an NHS health partner under Section 75 Agreements and must be part of a care / support plan following an assessment.
  • this return is confined to adults aged 18 and over who were ‘on the books’ to receive long term support on the last day of the period, 31 March

 


On the books

A client is deemed to have been 'on the books' for LTS001b if there was an allocation of services for that client on 31 March of the reporting year, provided on the basis of eligibility criteria / policies (i.e. an assessment of need had taken place) and subject to regular review. A person who previously received services which had ceased by March 31 would not be considered to be 'on the books' and should not be recorded here.

It is recognised that social services provide other preventative services to people in the community, for example through grants or service agreements. In the LTS measures, only those clients who have been assessed by the local authority or by a legally delegated NHS health partner under section 75 Agreements and receive support specified in their care / support plan can be included in the long term (LTS) measures.

Note that some forms of support which may be in place over a long period or which recur periodically do not count in the LTS measures. This includes all provision of equipment and adaptations. Three types of service to be aware of are:

Service type Do not count in LTS001 but if provided as a sequel to a request for support (STS001) count as:
Equipment and adaptions Ongoing Low level support
Professional support Ongoing Low Level Support or Short term Support (other) depending on nature of provision. Exceptionally, could count as long term support (eligible services). This would likely be most relevant to clients receiving mental health support (see below).
Short term residential support (not respite) Short Term support (other) 

 

Double counting

There should be no double counting of individuals - people should be counted only once, i.e. the sum of rows and columns equals the number of clients in that row / column (except tables 2a and 2b where multiple health conditions can be recorded for each person). Further detailed guidance is provided below.

Full-cost and self-funding clients

Clients who pay the full costs of their care are included if they decide to remain in contact or work with the local authority during the planning and commissioning of their support and afterwards are reviewed on an ongoing basis. Such ‘full-cost’ clients are still being supported by the council, and there is obviously an interest and mechanism (the annual review etc.) for determining whether good social care outcomes are being achieved. Self-funded clients are excluded from the collection (see below).


Detailed guidance for data tables

Tables 1a and 1b

Individuals aged 18 to 64 on 31 March should be included in Table 1a. Older clients should appear in Table 1b.

Support setting / delivery mechanism

The table given in LTS001a has full explanations of each support setting / delivery mechanism. These are the same in all LTS001 measures but the key issue for LTS001b is to consider the package as at 31 March.

As for LTS001a, this should be worked out for each client as it appears in the hierarchy (shown from top to bottom in the table for LTS001a and left to right on the collection table). The first support setting / category that applies should be chosen.

For example, if a client is supported in either residential or nursing care (not including short term placements) at the end of the year should be counted in the residential or nursing columns, regardless of any additional services received in the community. In other words, the clients who appear in the Community columns should be in receipt of only community- based services on 31March (a temporary stay in residential or nursing care in place on 31 March can be disregarded, see ‘Moves between settings’ below).

If a group of people are living together independently with a shared tenancy agreement on 31 March should be classified as community-based.

Moves between settings

The way moves between settings are treated differs between LTS001b/c and LTS001a. This is because LTS001b/c is only concerned with long term support being provided on March 31.

A client may be receiving community-based services for part of the year and then move into residential / nursing care, or vice-versa. For LTS001b the client should be counted in whichever setting applies on 31 March. The only exception is where placements are temporary (e.g. to provide respite to a carer) and the client will move back to a community setting at the end of a pre-defined period. In such cases, they should be regarded as being in a community setting for SALT purposes.

When a residential/nursing home is deregistered during the year, clients still resident on 31st March should be counted as community based.

If a person moves between residential and nursing care during the year (in either direction) then they should be counted in whichever setting applies on 31 March.

Changes in type of support during the year

If a client based in the community during the year with their support initially comprising direct payments then moves to council arranged support (i.e. from ‘direct payment’ to ‘CASSR Commissioned Support only’) then they should be counted in LTS001b as ‘CASSR Commissioned Support only’, if that support remains in place on 31 March.

If the client is detained in a prison setting, then the guidance provided for LTS001a in regard to prisoners also applies here.

Examples of how moves between settings and support mechanisms are applied across LTS001a, b and c

Move from (from 1 April) Move to (as at 31 March)

LTS001a

Setting/Mechanism to count
LTS001b/c Setting/Mechanism to count
Residential Nursing Nursing Nursing
Nursing Residential Nursing Residential
Community Residential Residential Residential
Residential Community – Direct payment only Residential Community – Direct payment only
Community – Direct payment only Community – Part payment only Community – Direct payment only Community – Part payment only

 

Table 2

Support Setting / Delivery Mechanism As for LTS001a.

Tables 3a and 3b and 3c

Table 3c added to capture on a voluntary basis the number of clients who do not identify as male or female. No breakdown by ethnicity or support setting/delivery mechanism is requested at this stage.

Support Setting / Delivery Mechanism

As for LTS001a.

Last edited: 11 May 2022 9:48 am