Adult social care
Leicester Joint Strategic Needs Assessment (JSNA). Health and social care needs associated with the Adult Social Care service, 2016.
Who’s at risk and why?
Support available from Adult Social Care (ASC) can be offered to any adult over 18 years, who is assessed as having an eligible need. As people eligible to receive ASC services will have a need for extra support, those most likely to receive provision include: older people (65+); people with physical and/or sensory disabilities; people with learning disabilities; people with mental health difficulties; people with HIV/AIDS; people with drug or alcohol problems; people with a long-term or terminal illness; and, those caring for people who are in any of these groups.
The level of need in the population
During 2014/15, ASC received 14,733 completed requests for support from new clients. A total of 6,300 people accessed Long Term Support and a total of 5,063 people were receiving long term support as at 31st March 2015. Of the 5,063 people, 2,993 were female and 2,070 male. 2,111 were aged between 18 and 64 years old.
In terms of ethnic profile, 3,170 were White British, 1,568 were Asian or Asian British, with 313 from other ethnic groups and 12 did not state their ethnic origin. In terms of the primary reason for needing support, 701 required physical support; 487 had mental health issues; 750 had learning disabilities, 42 required sensory support, 14 required support with memory and cognition and a further 117 required social support, for example having substance misuse issues, requiring asylum support, experiencing social isolation or other issues. 2,952 of the 5,063 were aged 65 or over.
As regards the primary reason for needing support, 1,776 required physical support; 478 had mental health issues; 126 had learning disabilities, 62 required sensory support, 356 required support with memory and cognition and a further 154 required social support.
Current services in relation to need
Data would suggest that Leicester has the following features in relation to people using the adult social care services: a relatively high number of people receiving self-directed support and direct payments, with a learning disability in paid employment, and with a delayed transfer of care out of hospital; and a relatively low number of people in contact with mental health services in paid employment, people using services who feel safe, people who have control over their daily life and have as much social contact as they would like, people aged 18-64 admitted to residential or nursing care people, who find it easy to find information about services and who are satisfied overall with their care and support.
Projected services use and outcomes in 3-5 years and 5-10 years
Leicester’s adult population is set to increase over the next 10 years. This is the case for the population overall and those that may need support from ASC. Like many areas across the country, the city council will need to manage this increased need (and therefore predicted increased demand for services) with decreasing budgets available to fund services. Projections for the number of over 18-64s in Leicester are: 2015 – 217,600; 2020 – 219,100; and 2025 – 219,900. Projections for the number of over 65s in Leicester are: 2015 - 40,200; 2020 - 44,700; and 2025 - 50,700.
Unmet needs and service gaps
It is important to understand that there is a distinction between having a social care need, for example, having difficulty bathing or climbing stairs and being eligible for support from Adult Social Care.
ASC will carry out an assessment to determine whether or not someone is eligible for services.
Until April 2015, councils were free to determine the threshold for eligibility. From April 2015, a national eligibility criteria has been established through the Care Act 2014. All councils are now obliged to apply the same criteria for eligibility for services.
If an adult who needs care and support or a carer meet the criteria, services will be arranged by ASC. People who are not eligible to receive ASC services will be provided with advice and information about how they can get support in the community that will help them to remain independent. Having determined eligibility for support, a financial assessment will then be carried out to establish whether support will be provided free of charge, whether a contribution towards the cost of support will be charged or whether the full cost of support will have to be charged.
Recommendations for consideration by commissioners
The predicted growth in people needing ASC support into the future, coupled with the reduction in funds available to local authorities, presents a major challenge. Commissioners will therefore need to support people in making positive choices about how they live their lives, in order to remain healthy and able for as long as possible and to find new ways of supporting them when they need some extra help. It is expected that more people will be supported to live at home into the future and services will increasingly be focused on helping them to remain independent and to gain or retain life skills and links with their local community. Encouraging and support families and the wider community to help provide care and support for those in need, will become increasingly important.
- Adults Social Care in the Health and Social Care Information Centre
- POPPI: Projecting Older People Population Information
- PANSI: Projecting Adult Needs and Service Information
- Leicester Health and Wellbeing Survey 2015