LTS002b

Those clients receiving long term support for more than 12 months at the year-end (LTS001c), for whom an unplanned or planned review of care needs took place during the year and the sequel to that review.

Period: 01/04/2021 – 31/03/2022 (all tables).

None identified.

Review activity is seen to be of renewed importance in delivering the personalisation agenda. ‘Sequel to review’ is a proxy for outcomes for those people who have a long term support need.

By making a distinction between planned and unplanned reviews it will be possible for local authorities to better understand the consequences of events both within and outside its control. For example, a high proportion of planned reviews relative to unplanned reviews may represent proactive risk management of those clients in long term support, although it may also suggest that ‘screening’ of contacts from existing clients is too robust. There may be other reasons and the data provides the starting point for further investigation. The data should assist with business planning / resource allocation.

This measure focuses on those clients who have been in receipt of long term support for more than 12 months. It will also allow benchmarking and analysis by sequel - e.g. some councils may report very few changes to support provision after review, which may prompt a check of the quality of reviews being carried out.

The rationale for this measure is similar to that of LTS002a except that it only looks at clients who have been receiving long term support for more than a year. Both planned and unplanned reviews are captured.

For clients to be included in LTS002b, the following criteria must apply:

• the return is for adults aged 18 and over only who have been counted in LTS001c
• only clients with reviews of long term support needs should be included – ‘reablement reviews’ or other reviews or checks of preventative low-level services such as equipment, should be excluded
• each review with a known sequel should be included, with more than one review in a year possible

The sequel to review must be known during the year (1st April to 31st March) even though service provision or other arrangements might not yet have been set up. There should be one sequel for each review counted. 

Tables 1a (i), 1a (ii) and 1b (i), 1b (ii)

Unplanned reviews were discussed in measure LTS002a and the definition here is the same.

The separation of long term support settings (‘prison’, ‘nursing and residential settings’ etc.) is the same as for LTS002a and the Significant Events work in an identical way. The total clients in a prison setting must be added for tables 1a (i) and 1b (i). Enter zero if there were no clients reviewed in prison by your local authority. For those councils where there is no prison in the area, the cells should be left blank.

All unplanned reviews and their sequels captured in this measure are therefore also recorded in LTS002a - this measure is a subset of the client captured in LTS002a. This means no new analysis needs to take place for these tables as the clients with more than 12 months of continuous long term support have already been identified in LTS001c. The data can therefore be ‘reused’. Please see the guidance for that measure for details.

Because clients can have more than one review during the year, a total number of clients should also be calculated and entered at the bottom of the table, within the cell labelled ‘Total clients in table’. This is required for all the review tables in SALT.

Tables 2a, 2b

Planned Reviews

Planned reviews are those that happen routinely, usually at regular intervals, as distinct from unplanned reviews that are triggered by significant events. The local authority should be able to distinguish between planned and unplanned reviews from their client database, and report only planned reviews here.

Because there are no significant events for planned reviews, both age bands (18 to 64 and 65 and over) are captured in the same table. The separation of long term support settings (‘prison’, ‘nursing and residential settings’ etc.) is the same as for LTS002a. The sequels are identical to those outlined in measure LTS002a (please see the guidance for that measure for details).

Table 3

Table 3 requires a check on which clients have received both planned and unplanned reviews during the year. Combined with the client totals counted in the other tables of this measure, an analysis can be made of what proportion of clients with more than 12 months of long term support were reviewed during the year, which might be useful for service performance management purposes.