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Current Chapter

Current chapter – Guidance on measures STS001


Numbers of requests for support received from NEW CLIENTS, broken down by the different sequels to that request

Period 01/04/2021 – 31/03/2022 (Tables 1a and 1b) Period 01/10/2020 – 31/03/2022 (Tables 2a and 2b).


General description and business case

This captures the number of requests received by the local authority from those clients not currently in receipt of long term support. The numbers of requests captured will be shaped by the local authority’s arrangements for handling client contacts such as centralised call centres, outsourced arrangements etc. The method of recording client contacts will also influence results, for example whether contact centre calls are recorded directly into the social care database or a different system. Tracked over time the data will reflect changes in levels of demand, contact handling and decisions made in response to requests. This might help local authorities plan staffing and commissioning arrangements.

Clients previously in receipt of short term services intended to maximise their independence (which locally may be termed ‘reablement’) who return with further requests for service are also captured within a period of 6 months (even if this occurred in the previous year). This will help determine (in conjunction with measures STS002a and STS002b) whether ‘reablement’ type interventions help prevent further demands on social care services and gives basic details of the nature of ongoing support required.

The information is important for aligning costs with activity, to establish the balance between short term interventions and long term services (alongside the ‘LTS’ measures) and to identify the cohort offered short term services.

STS001 also collects data relating to social care provision to prisoners. In all relevant tables, requests from prisoners should be counted under the route of access ‘Prison’ where there is a prison in the area.


Changes for 2021-22

Non identified. 


Who to include/exclude?

The intention is to count the sequels of requests for support (contacts from new clients or their representatives, or someone acting on their behalf) being made in relation to the provision of adult social care services, excepting ‘casual contacts’ where no client details are captured (see ASC Data Dictionary) and matters relating to adult safeguarding procedures and Deprivation of Liberty Safeguards, which are dealt with by the SAC and DoLS collections respectively.

Sequels are the substantive actions taken in relation to the request for support. What actually happens in response to a request may be complex and representing this in a sequel is necessarily a simplification. As far as possible the sequel should be recorded based on what actually happened in response to the request rather than a ‘best guess’ or expected outcome at the time of contact. Any issues locally with the identification of sequels or requests for support should be highlighted in the Supplementary Information at the bottom of the worksheet and in response to any validation errors triggered.

For clients to be included in STS001 the following criteria must apply:

  • STS001 is concerned with numbers of requests for support, not numbers of clients
  • Requests may come from, or be made on behalf of, new clients (those not in receipt of long term support at the time of request). Requests from existing clients are NOT counted in this measure
  • Requests for support are included only where the sequel to that request has been determined during the year (1 April –  31 March).

The measure includes work done in a contact centre where staff are handling the initial requests for access to services. Local authorities will need to ensure that any data captured by a contact centre can be reported in SALT.

Although this measure is about requests for support, the sequels for these clients may not be known until weeks or even months later. It may require a full assessment and commissioning of a suitable long term care package before the sequel is known. This may mean clients with a request made in one reporting year only have a sequel identified and reported in the following year. Clients that have requested support but where the response to that request is not determined by 31 March should therefore be included in the following year’s return.

This measure only includes requests for support relating to new clients. For SALT the definition of ‘new’ is that the client is not in receipt of any long term support at the time the contact was made. For a fuller definition of ‘long term support’ see the ASC Data Dictionary and guidance for the Long Term Support measures (LTS001-004) later in this document.

Note that a person who previously received long term support which ceased before the request was made, is considered a new client and should be included.

All requests for support relating to social care needs should be included even if these come from someone other than the client (e.g. a carer or family member) and where no action is taken in response to the request. Local authorities do need to identify whether a particular request is for social care needs or carer support needs. Carer support is captured in measure LTS003. Local authorities should only include requests for support here that relate to social care needs.

If multiple requests for support are made within a short period of time for the same client and presenting issue, then only one request should be counted. If subsequent requests relating to a different need are received for that client, then they may be included as long as the sequels to those requests occur in the current year (1 April – 31 March). It is recognised that determining whether a client contact is for the same or a different presenting issue may be difficult and technical solutions to this will vary between authorities.

Comments on any local rules used to handle multiple requests should be given in the ‘Supplementary Information’ section at the bottom of the STS001 worksheet. If your authority hasn’t been able to collect the data in the way intended, please also give details here. This will help with the interpretation of the data and help ensure the correct conclusions are drawn.


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 aged 65 and over should appear in Table 1b.

Total Clients in table

There is a count of total clients in table which compares the number of requests for support made and the number of people making those requests (because more than one request may be made by any client during the year).

 


Route of access

Planned entry (transition table 1a only)

These are requests for clients moving from children’s social care into potential support from adults. Transition cases must be reported whether or not councils opt to report the additional voluntary data on transition in Table 1c.

Discharge from hospital

These are requests relating to clients who are being referred for support following a planned or an emergency admission to hospital.

Diversion from hospital

These are requests relating to clients who are being referred for support as a means of preventing admission to hospital. Diversion may result in clients receiving some kinds of falls prevention and response services, as well as reablement services. The request may be made by a health professional wanting to access a particular prevention pathway. However it should pick up all those requests made specifically to prevent admission to hospital, capturing the intention in making the request rather than the types of support provided. Presenting needs may be similar to a request for support made for a client who is not at risk of hospital admission, due to differences in family/carer support available etc.

Self-funder with depleted funds of which previously provided with 12- week disregard or deferred payment (since 1st April 2014)

This was a new mandatory category in 2017-18.

When a self-funding client in residential, nursing care or the community approaches the local authority for support because of diminished savings below the threshold, this route of access applies.

This route of access has a sub-category to capture clients who are requesting financial support for residential or nursing care who were previously funded by the local authority through a 12-week disregard or a deferred payment agreement since 1st April 2014.

Community / other route

These are requests from or on behalf of clients based in the community, or any other route of access not listed above. Where self-funding, these clients may be based in residential or nursing.

Prison

This route of access was made mandatory in 2017-18. Not all councils in England have a prison within their area. For those councils where there is no prison in the area, the cells should be left blank.

These are requests relating to clients who are detained in prison. Requests for support relating to individuals who are leaving prison and returning to the community should not be reported in this category, the most appropriate alternative route of access should be selected.


Sequel to request for support

This is the response made to the client in terms of any type of support provided. This includes decisions to provide short term interventions or long term services, as well as issuing equipment or signposting to universal or voluntary sector services.

Each request for support can only have one sequel counted. Because SALT is built around tracking client ‘journeys’ through social care, there is a need to choose the most relevant sequel.

 

 

When working out how to count a new client’s request, consider first whether they went on to receive short term support to maximise their independence (this may occur in any setting such as the client’s own home, or even a residential home). If so, record this sequel. The client would then be captured again in SALT measure STS002a, recording the outcome of that short term support.


If not offering Short Term Support to Maximise Independence, check to see whether the response was to provide long term support. This may occur only after considerable assessment and commissioning activity.

In 2017-18 two previously voluntary sequels became mandatory in order to better capture two scenarios following a new request for support:

  • when a client dies before the response to the request can be actioned (e.g. while they are being assessed for eligibility, or before a care home placement is finalised)
  • when a client’s care (100% of funding) is taken on by the NHS through continuing care (CHC) or admission to hospital. This may occur during or following an assessment of need, after a sudden deterioration in health, etc

Hierarchy of sequels

One of the outcomes should be selected from the following table, choosing the first which applies according to the order in which they appear, from top to bottom.

 

ST-Max

Includes all episodes of support provided that are intended to be time limited, with the intention of maximising the independence of the individual and reducing / eliminating their need for ongoing support by the local authority. At the end of the support a review or assessment for ongoing care will take place to determine what will follow.

Note that there is no requirement to know what will follow ST-Max at this stage, in order to be counted under this sequel.

While episodes of respite care may also be ‘time limited’, respite is usually provided as part of a longer term support package and commissioned only due to the existence of a carer who needs that support. In SALT this is considered a carers’ service and not counted as ST-Max. Emergency support (i.e. a crisis support service) should be included in the Short Term Support (Other) category.


Long Term Support (eligible services)

Long Term support encompasses any service or support which is provided with the intention of maintaining quality of life for an individual on an ongoing basis. It will be allocated on the basis of national eligibility criteria following an assessment of need and be subject to regular review. This category is further broken down by the primary setting in which an individual receives services:

Nursing will apply to those clients who live in registered care homes where nursing services are also provided, including ‘funded nursing care’ (FNC).

Note that the categories ‘residential’ and ‘nursing’ should be used for placements that are intended to be long term. Trial placements for a fixed period in order to assess suitability are included in this, as the expectation would be for clients to remain in long term care home support, but short term temporary stays in which the client has a planned return to a community setting are not and should be counted in the ‘Community’ category.

Residential will apply to those clients who live in registered care homes, even if they are also in receipt of some community based services (e.g. day services).

Community will apply to those who live independently (including those in small group homes, sheltered housing or warden supported accommodation) who receive home or community based services.

Prison applies to those individuals detained in a prison setting.


100% NHS funded care

If the local authority will have no further responsibility for clients whose support is being 100% funded by the NHS, then this category will apply.


End of life

End of Life (EOL) care is considered to be any episode of social care support provided as part of palliative care, and which is intended to support the individual until the care is no longer required. While the period of this support may be short, SALT captures it as a distinct sequel from short term support. 


Ongoing low level support


Short term support (other)

Includes all episodes of support that are intended to be time limited without intending to maximise independence / reduce the need for ongoing support. An example of this might be a short term intervention for a younger adult with impaired mobility following an operation but expected to make a full recovery without any long term intervention.

Emergency support provided for all new clients should be included in this category, while emergency support provided to existing clients should be excluded.


Universal services / signposted to other support

A ‘universal service’ is any service or support (other than those above) for which national eligibility criteria (following Care Act) are not relevant. It includes the provision of information and advice.

‘Signposting’ indicates that the client will not be supported by the local authority and there is no universal service which will help them. Details are therefore given of other organisations (for example. in the voluntary sector) that might be able to provide assistance.

No services provided (deceased)

The client may have low-level needs which cannot be supported by the council and there is no universal service or obvious third party which could help them.

If for some reason the process of assessing needs is terminated then this sequel applies (N.B. if temporarily suspended, wait until the assessment process has re-started and reached a conclusion before determining the sequel).

This sequel should also be chosen in cases where the client will become self-funding, which does not include 12-week disregard or deferred payments arrangements or ‘full-cost’ clients, whose support is considered ‘on the books’ for SALT purposes.


Any clients whose request was made in the previous reporting year but where the response was only determined this year, should be included. Clients who have requested support but where the response to that request was not determined before 31 March must be included next year.

Arrangements vary between local authorities as to the means by which clients can access short and long term support at the point of contact. Regardless of the process and eligibility criteria applied, local authorities should be able to identify the appropriate sequel to the request for support, although this may require tracking of case files over time (perhaps several weeks).


Table 2a and 2b - prior requests for support

For each request in Tables 1a and 1b with a sequel of Long Term Support or ST-Max (sequels are shaded green in the data return) count any prior requests from those clients up to six months previously that resulted in Short Term Support to Maximise Independence. The local authorities should count as many relevant instances as there are for each entry in Table 1a/b – see below.

Prior requests are only relevant if the sequel to those requests occurred within 6 months of the sequels captured in Tables 1a and 1b. Because Tables 1a and 1b reflect the sequels to requests, the 6 month check has to be applied to the sequels, rather than the dates of contact. Responses to requests made in the previous year (i.e. before 1st April) should also be included if they fall within the 6 month window. Therefore prior requests should fall into the time period of 1 October 2020 to 31 March 2022.

In all cases these checks are only relevant for new clients (i.e. at the time of request, the client was not in receipt of long term support). Therefore, all entries in tables 2a and 2b will also appear in Tables 1a and 1b, in either this or the previous year.

Please see the table below for some examples of how these rules work in practice. Many other combinations are possible, but this should give a clearer understanding of how to handle potential combinations of support requests. The table that follows shows some examples - prior responses to requests that are underlined are those included in SALT table 2a/2b, whilst the prior responses to requests shown in bold should not be captured in SALT table 2a/2b.


Most recent request response date Most recent request (response)

Prior request

response date

Prior request

response

 

Earlier request (response)

 

Earlier request response

date

Request last year response date Request last year (response) What to count Table 1a/b

What to count 

Table 2a/b

25/03/22 Long term support 04/01/2022 ST-Max         Both requests Prior request (within 6 months of the most recent request)
25/03/2022 Long term support 04/01/2022 ST-Max 05/05/21 ST-Max     All 3 requests

Prior request only

(within 6 months of the most recent request)
25/03/22 Long term support 04/01/22 ST-Max 09/07/2021 ST-Max     All 3 requests Prior and earlier requests (the earlier request response occurs less than 6 months before the prior request response, and the prior request response occurs within 6 months of the most recent response date)
25/03/22 Long term support 04/01/2022 ST-Max 09/11/2021 Short term support (OTHER)     All 3 requests Prior request only (because the earlier request did not result in short term support to maximise independence)
25/03/2022 Long term support 04/01/2022 Signposted to other services 09/11/2021 No Services Provided - other reason     All 3 requests Nothing (the prior and earlier requests were within 6 months but neither had a sequel of short term support to maximise independence)
25/03/2022 Long term support 19/08/2021 ST-Max 15/06/2021 ST-Max 16/03/2021 Universal services Most recent, prior and earlier requests only Earlier request only (this occurred less than 6 months before the prior request. The most recent request was a long time afterwards and outside of the 6 months window)
25/03/2022 Long term support 19/08/2021 Signposting 27/05/2021 ST-Max 16/03/2021 ST-Max Most recent, prior and earlier requests only Request from last year only (this occurred within 6 months of the earlier request that resulted in ST-Max)

 

Last edited: 11 May 2022 9:21 am