This summary provides information about the money spent on adult social care by the social services departments of Councils with Adult Social Services Responsibilities (CASSRs) in England. This report contains final data from 152 CASSRs and relates to the period 1 April 2014 to 31 March 2015; this report supersedes the provisional publication which was based on an earlier cut of the data and it should be noted that the figures within this report do differ from those reported in the provisional publication. These data are used by central government for public accountability, policy monitoring and national accounts, and by local authorities to assess their performance in relation to their peers.
The data for this adult social care expenditure report has been sourced from a new collection; the Adult Social Care Finance Return (ASC-FR) has replaced the previous finance return (PSS-EX1) and reflects important aspects of the principles underpinning the transformation of social care. This is one of several collections which have changed as a result of proposals from the Zero Based Review (ZBR) and which draws on the new Equalities and Classifications Framework (EQ-CL).
This is the first year of the new ASC-FR collection and all 152 councils made a submission; although the impact of the change in data source and the introduction of the new Equalities and Classification framework have meant that many councils have experienced difficulties in completing parts of their returns. Challenges reported by councils have included: accurately aligning expenditure and activity to the new primary support reasons and apportioning expenditure and activity to the new sections of the return. Further information (including council details) on these and other data quality items can be found in Appendix B of this report and caution should be exercised when evaluating the findings from this report.
Gross current expenditure has been quoted within this summary unless otherwise stated. National level information is provided by primary support reason, service area, care type and support setting in this summary.
Primary Support Reason has replaced Primary Client Groups from the previous PSS-EX1 return and will allow the service to better define the reasons why people need help or support.
A Client Group records the health condition that may result in the client having support needs, but does not describe the type of support required by the client. For example:
• An older person may have mild learning difficulties, but due to increasing frailty their primary support need may be for personal care support.
• Someone with a long term physical disability may develop mental health needs.
A Client Group puts those individuals into one, inflexible box for counting and monitoring purposes, and someone (usually the social worker) has to make decisions as to which one.
The new approach is that the Primary Support Reason is determined through assessment. As a client's support needs may change over time, the Primary Support Reason should be re-examined and, if required, updated as part of the client review process. The five PSRs within the return are:
• Physical Support
• Sensory Support
• Support with Memory and cognition
• Learning Disability Support
• Mental Health Support
A five year and ten year comparison is made in relation to gross current expenditure. However, changes in the financial reporting framework mean it is not possible to make direct comparisons between 2014-15 and previous years for the primary support reasons and service provision, with the exception of those items included in the bridging year data. Further information is provided in the introduction of this report.
Note: A new comparator file was added to this report on 05/07/2016.