Saturday 21 April 2018
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Small fall in real terms spend on adult social care

Spending on adult social care services by local authorities in England fell by one per cent last year in real terms.

Gross current expenditure in 2010-11 was £17.0 billion compared to £16.8 billion in 2009-10. Although this a one per cent rise in cash terms, it represents a one per cent fall in real terms and is the first year-on-year real terms fall in a 10 year time series from 2000-01, according to Personal Social Services Expenditure and Unit Costs - England 2010-11 - Final release.

Older people aged 65 and over, who account for just over half of money spent on such services, saw the biggest absolute expenditure fall between the two years. Spending on this and most other groups, including physically disabled adults and adults with mental health needs, fell by about two per cent. The only group to see a rise was adults with learning disabilities.

The report also shows overall spending on residential and nursing care also fell between 2009-10 and 2010-11, while overall expenditure increased on day and domiciliary care and Direct Payments to carers and users.

Real terms expenditure (referred to throughout this news release) removes the effect of inflation and allows time series information to be compared on a like-for-like basis.5Figures, in 2010-11 prices, show:

  • Total expenditure in 2010-11 increased by four per cent compared to 2005-06.
  • The biggest expenditure fall for any service user group between 2009-10 and 2010-11 was for older people aged 65 and over; falling from £9.64 billion to £9.44 billion. Older people now account for 55 per cent of total adult social care expenditure, compared to 56 per cent in 2009-10 and 58 per cent in 2005-06.
  • The only group where expenditure rose between 2009-10 and 2010-11 was adults with learning disabilities, where there was a two per cent rise from £4.12 billion to £4.19 billion. This group now accounts for a quarter of total expenditure, compared to 24 per cent in 2009-10 and 22 per cent in 2005-06.
  • Expenditure on residential care fell from £7.5 billion in 2009-10 to £7.2 billion in 2010-11. This service now accounts for 42 per cent of total adult social care expenditure, a decrease from 43 per cent in 2009-10 and 47 per cent in 2005-06.
  • Expenditure on day and domiciliary care rose from £7.7 billion in 2009-10 to £7.8 billion in 2010-11. This service now accounts for 46 per cent of total adult social care expenditure, an increase from 45 per cent in 2009-10 and 41 per cent in 2005-06.
  • Expenditure on Direct Payments rose from £810 million in 2009-10 to £960 million in 2010-11. This now accounts for six per cent of total adult social care expenditure, an increase from five per cent in 2009-10 and two per cent in 2005-06.

Health and Social Care Information Centre chief executive Tim Straughan said: "Today's figures show spending on adult social care services in England fell by one per cent last year, when the effect of inflation is removed; the only year-on-year fall in the report's 10 year time series.

"Today's report shows that £17 billion was spent on adult social care by councils in England in 2010-11. Information included within the report, such as spending on day and domiciliary care versus residential care, is vital to gaining an understanding of how this significant area of social care is funded and how this is changing over time."

Today's report is published today alongside a report about social services workforce;Personal Social Services: Staff of social services departments - as at Sept 2011.

View the expenditure report at: www.ic.nhs.uk/pubs/pssexpcosts1011

View the workforce report at: www.ic.nhs.uk/pubs/pssstaffsept11

The HSCIC has also published two other social care reports this week; relating to activity of social services departments and also the National Indicator Set, which met the then government's commitment to introduce a clear set of national outcomes and a single set of national indicators by which to measure them.

View: Community Care Statistics: Social Services Activity 2010-11; final release:www.ic.nhs.uk/pubs/finalcarestats1011ssa

View: Social Care and Mental Health Indicators from the National Indicator Set 2010-11;www.ic.nhs.uk/pubs/finalsocmhi1011