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National Statistics
Publication, Part of

Adult Social Care Activity and Finance Report, England - 2018-19 [PAS]

National statistics, Official statistics
Publication Date:
Geographic Coverage:
Geographical Granularity:
Country, Regions, Councils with Adult Social Services Responsibilities (CASSRs), Local Authorities
Date Range:
01 Apr 2018 to 31 Mar 2019

5. Carers

Local authorities report information relating to carers in both the activity and finance returns. This information includes the number of carers being supported, and the costs associated with providing this support, as well as those that have been assessed or reviewed by the local authority but received no support in the year. Data on carers relates to unpaid carers of all ages who provide a substantial amount of care on a regular basis for someone aged 18 or over.

Please Note: Local authorities noted a variety of data quality issues relating to their carer data. For example, some local authorities have difficulties obtaining data from third parties, or some case management systems can only record carers and cared-for clients on a one to one basis. Full details of the data quality issues can be found in the accompanying data quality report. It should also be noted that a number of local authorities advised us of continued data cleansing and as such year-on-year trends may be a result of this rather than service provision. This should be considered when examining the data relating to this area, and particularly when considering local trends.

In 2018-19 345,850 carers were either supported or assessed by the local authorities during the year. This represents a decrease of 4.0% from the 360,310 carers supported in 2017-18. The change from last year varied regionally from a 13.7% decrease in the South East to an 7.1% increase in the North West region.

Gross current expenditure on social support: support to carers was £163 million in 2018-19, a 5.5% increase from £154 million in 2017-18. Previously, local authorities advised that expenditure related to carers could sometimes be captured within a different category in ASC-FR and so this expenditure should not be directly compared with the activity data.

Whilst over half (53.0%) of local authority supported carers are aged 18 to 64, 4,975 or 1.4% are aged under 18, and almost one in ten (30,585) are aged 85 and over.

The South West region has the highest proportion of supported carers under 18 at 5.6% (1,785 carers). London has the highest proportion of carers aged 18-25 at 2.3% as well as those aged 26 to 64 (59.5%). The West Midlands has the highest proportion of carers aged 85 and over (10.7%)

Support Received

Figure 22: Overview of support provided to carers in the year, 2018-19

Figure 22
Source: SALT Collection, 2018-19, NHS Digital - See Table 45 in Reference Data Tables

Of the total 345,850 carers supported in 2018-19, 86.0% (297,295) received Direct Support, which includes Direct Payments, Part Direct Payments, Local Authority Managed Personal Budgets, Local Authority Commissioned Support and the provision of Information Advice and other Universal Services or Signposting. This is a slight increase from the previous year where 85.5% of carers received Direct Support.

The most common support for carers consisted of Information, Advice and other Universal Services or Signposting, with 187,320 carers receiving this as the most intensive form of support[26] during the year. This accounted for 54.2% of carers receiving support in 2018-19, down from 55.3% last year).

In addition, 42,300 (12.2%) carers received respite or other forms of carer support delivered to the cared-for person in 2018-19 compared to 12.3% in 2017-18. The most common example of respite is care arranged by the local authority which might involve the client being placed in a residential setting in order to give the carer a break from their caring responsibilities.


[26]A hierarchy is used to avoid double counting. Those carers who received Direct Payments, Part direct payments, LA managed personal budgets or LA commissioned support may also have received Information advice and other universal services or signposting.

Last edited: 17 October 2019 12:30 pm