Adult social care support and funding

1.How many working-age adults (aged 18-64) with a learning disability had the care and support hours allocated in their care package reduced in: 

Year Decreased hours No change Increased hours Unique clients Total changes +/-
2014 – 2015 195 1148 299 1503 1642 104
2015 – 2016 230 777 324 1161 1331 94
2016 – 2017 277 922 283 1295 1482 6
2017 – 2018 349 1037 267 1497 1653 -82
2018 – 2019 247 872 227 1200 1346 -20
Unique clients 1024 2665 1130 2998 106
Total 1298 4756 1400 7454

Please include in your answers both those who are part and fully local authority funded. Please include in your answer care and support hour reductions where the reduction relates to a reduction in the care worker ratio (e.g. where 1:1 hours have been changed to shared hours). Please exclude those who stopped receiving a package for the reason ‘deceased’.

In order to answer this question we have looked at Learning Disability clients total planned hours of care being delivered at the point of review and then assessed how this has changed in a time period. Each occurrence has been reported, so a client may appear multiple times within the different outcomes. E.g. a client may have three reviews within a year, the first may result in an increase in their needs and therefore an increase in hours, the second may result in no change and the final contact may result in a decrease in hours. This client would be counted three times in that year, but only once in the Unique Clients column.

2. How many working-age adults (aged 18-64) with a learning disability had the monetary value of their care package reduced in:

Please include in your answers both those who are part and fully local authority funded. Please exclude those who stopped receiving a package for the reason ‘deceased’.

Year Decreased cost No change Increased cost Unique clients Total changes +/-
2014 – 2015 209 1066 393 1503 1668 184
2015 – 2016 233 632 496 1161 1361 263
2016 – 2017 348 773 396 1295 1517 48
2017 – 2018 382 877 412 1497 1671 30
2018 – 2019 270 749 362 1200 1381 92
Unique clients 1137 2509 1515 2998 378
Total 1442 4097 2059 7598

To compile this information we have identified learning disability clients  total planned cost of care being delivered at the point of review and then assessed how that changed in a time period. The figures provided indicate each occurrence, an individual client may appear the same number of times they have a review, for example, a client may have three reviews in a year, the first may result in an increase in their needs and therefore an increase in costs, the second may result in no change and the final contact may result in a decrease in costs. This client would be counted three times in that year, but only once in the Unique Clients column.

3. How many working age adults (aged 18-64) had the care and support hours allocated in their care package reduced in:

Please include in your answers both those who are part and fully local authority funded. Please include in your answer care and support hour reductions where the reduction relates to a reduction in the care worker ratio (e.g. where 1:1 hours have been changed to shared hours). Please exclude those who stopped receiving a package for the reason ‘deceased’.

Year Decreased hours No change Increased hours Unique clients Total changes +/-
2014 – 2015 278 2399 527 2878 3204 249
2015 – 2016 383 2267 567 2790 3217 184
2016 – 2017 357 2371 484 2855 3212 127
2017 – 2018 383 2166 428 2688 2977 45
2018 – 2019 373 2268 479 2804 3120 106
Unique clients 1364 8124 1928 8799 564
Total 1774 11471 2485 15730

To compile this information we identified all clients other than learning disability clients total planned cost of care being delivered at the point of review and then assessed how that changed in a time period. The figures provided indicate each occurrence, an individual client may appear the same number of times they have a review, for example, a client may have three reviews in a year, the first may result in an increase in their needs and therefore an increase in costs, the second may result in no change and the final contact may result in a decrease in costs. This client would be counted three times in that year, but only once in the Unique Clients column.

4.How many working-age adults (aged 18-64) had the monetary value of their care package reduced in:

Please include in your answers both those who are part and fully local authority funded. Please exclude those who stopped receiving a package for the reason ‘deceased’.

Year Decreased cost No change Increased cost Unique clients Total changes +/-
2014 – 2015 327 2293 612 2878 3232 285
2015 – 2016 424 2113 687 2790 3224 263
2016 – 2017 385 2227 613 2855 3225 228
2017 – 2018 441 1900 647 2688 2988 206
2018 – 2019 402 1897 861 2804 3160 459
Unique clients 1512 7736 2473 8799 961
Total 1979 10430 3420 15829

5. How many complaints about adult social care for people with a learning disability has the council received in the following years?

Year Number of complaints
2014 – 2015 27
2015 – 2016 19
2016 – 2017 7
2017 – 2018 65
2018 – 2019 39

There is also a previous response that may provide additional information.

6. How many complaints about adult social care has the council received in the following years?

Year Number of complaints – these are the complaints formally recorded by the Customer Relations Team and include the numbers provided in the table for Q5.
2014 – 2015 171
2015 – 2016 222
2016 – 2017 216
2017 – 2018 223
2018 – 2019 171

There is also a previous response that may provide additional information.

7. Has the council made any cuts to the funding of social care services for adults with a learning disability in the following years? If so, for each year please tell us the how much funding has been cut by.

No. Net expenditure is provided in the table below:

Year Net expenditure
2013 – 2014 £60,686
2014 – 2015 £61,353
2015 – 2016 £64,474
2016 – 2017 £74,286
2018 – 2019 £76, 904

No 

8. How many safeguarding concerns has the council received in the following years about adults with a learning disability? 

Year Number of concerns
2014 -2015 189
2015 – 2016 365
2016 – 2017 232
2017 – 2018 267
2018 – 2019 365
Total 1418

The figure for 2014 – 2015 is also provided in the table for Q9 – this is because in that year figures for concerns and enquiries cannot be separated.

9. How many safeguarding enquiries (including, but not limited to, Section 42 enquiries) has the council received in the following years about adults with a learning disability? 

Year Number of enquiries
2014 – 2016 189
2015 – 2016 97
2016 – 2017 75
2017 – 2018 78
2018 – 2019 133
Total 472