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Learning Disability: Adults

Volume 474: debated on Thursday 3 April 2008

To ask the Secretary of State for Health (1) how much his Department spent on each category of services for adults with learning disabilities in each year since 2001-02; (197088)

(2) how much and what proportion of the (a) adult social care and (b) NHS budget was spent on people with a learning disability in each of the last four years.

The information available is shown as follows.

Table 1 shows how much was spent by adult social services departments in England on each category of services for adults aged 18-64 with learning disabilities in each year since 2001-02 to 2006-07. Adults aged 65 or over with learning disabilities cannot be separately identified. This information would have been recorded in the older people client group.

Table 2 shows how much was spent on all adults (including older people) and the proportion of expenditure on adults with learning disabilities aged 18-64 through adult social services in England each year since 2003-04 to 2006-07. Adults aged 65 or over with learning disabilities cannot be separately identified. This expenditure would have been recorded in the older people client group.

Table 3 shows the estimated expenditure on learning disabilities through national health service specialised learning disability services each year since 2003-04 to 2006-07. We do not hold a breakdown of this expenditure on each category of services for adults with learning disabilities within the NHS.

It is for individual local authorities and NHS trusts to determine the level of funding available from their general allocations for the needs of people with learning disabilities, taking into consideration locally identified needs and assessments of individuals.

Table 1: Gross current expenditure on adults aged 18-64 with learning disabilities, 2001-02 to 2006-07

£000

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

Assessment and care management

116,666

136,821

152,659

176,183

205,392

201,293

Nursing home placements

135,358

69,362

63,167

74,216

77,098

72,506

Residential care home placements

2935,917

1,161,765

1,174,039

1,293,325

1,393,556

1,459,134

Supported and other accommodation

139,678

153,734

163,464

181,996

191,179

228,296

Direct Payments

4,877

8,303

14,368

27,530

42,181

60,799

Home care

127,663

138,671

175,347

216,098

288,125

349,107

Day care

474,416

516,568

558,586

572,359

620,478

638,879

Equipment and adaptations

1,483

1,020

808

727

799

937

Meals

573

789

1,488

734

1,306

950

Other services to adults with learning disabilities

67,360

66,449

66,616

97,990

93,502

109,199

Total (excluding Supporting People)

1,903,991

2,253,481

2,370,541

2,641,158

2,913,618

3,121,100

Supporting People3

238,899

209,066

196,708

171,182

Total (including Supporting People)

2,609,441

2,850,224

3,110,326

3,292,281

1 From 2002-03 onwards data includes expenditure related to clients formerly in receipt of preserved rights.

2 From 2002-03 onwards data includes expenditure related to clients formerly in receipt of preserved rights.

3 Supporting People programme started in April 2003.

Source:

PSSEX1

Table 2: Adult social services and learning disability gross current expenditure 2003-04 to 2006-07

2003-04

2004-05

2005-06

2006-07

Adult social services expenditure (£000)

12,775,914

13,696,392

14,494,908

15,014,838

Learning Disability (aged 18-64) expenditure (£000)

2,609,441

2,850,224

3,110,326

3,292,281

Learning Disability as a proportion of total adult expenditure (percentage)

20.4

20.8

21.5

21.9

Source:

PSSEX1

Table 3: Net estimated aggregate expenditure on learning disability for primary care trusts in England from 2003-04 to 2006-07

Financial year

Net expenditure (£000)

2003-04

1,851,427

2004-05

2,067,667

2005-06

2,195,942

2006-07

2,334,321

Notes:

1. Data for 2006-07 may not be comparable with previous years due to changes in data definitions.

2. Learning disability is defined as ‘patients where the primary issue is the problem of learning disability’.

Source:

Programme Budgeting Data, Department of Health