Gross current expenditure in 2010-11 was £17.0 billion in 2010-11 compared to £16.8 billion in 2009-10. This was a 1 per cent rise in cash terms but a decrease of 1 per cent in real terms. Over a longer period, expenditure has increased by 4 per cent in real terms since 2005-06 and 39 per cent since 2000-01.
Type of Service User
Expenditure on Older People (aged 65 and over) continues to make up the majority of the total adult expenditure although the percentage has decreased from 58 per cent in 2005-06 to 55 per cent in 2010-11. Of the remaining expenditure, 25 per cent was on people aged 18-64 with a learning disability, 10 per cent was on people aged 18-64 with a physical disability, 7 per cent on people aged 18-64 with mental health needs, 3 per cent was spent on other adult services and the remaining 1 per cent was spent on asylum seekers and service strategy.
Type of Service
The percentage of expenditure on residential care has decreased in recent years while the proportion of expenditure on day and domiciliary care has increased. In 2010-11, 46 per cent of adult expenditure was on day and domiciliary services compared to 41 per cent in 2005-06. The percentage of expenditure on residential provision has decreased from 47 per cent to 42 per cent over the same period. The remaining 12 per cent of expenditure in both years was on assessment and care management.
Expenditure on Direct Payments for adults was £960 million in 2010-11 compared to £810 million in 2009-10. This is an increase of 18 per cent in cash terms and 15 per cent in real terms from 2009-10. The percentage of gross current expenditure used for direct payments for adults is increasing and equates to 6 per cent of the overall gross current expenditure in 2010-11 compared to 5 per cent in 2009-10.
The average cost per adult aged 18 and over supported in residential care, nursing care or intensively in their own home was £623 in 2010-11, an increase of 2 per cent in cash terms from £609 in 2009-10, but a slight decrease (less than 1%) in real terms. Grants
Grants for adults (excluding carers) amounted to £310 million in 2010-11 which was an increase of 6 per cent in cash terms and 3 per cent in real terms since 2009-10. Grants as a proportion of "provision by others" remained unchanged at 2 per cent.