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Social Services: Elderly

Volume 489: debated on Tuesday 10 March 2009

To ask the Secretary of State for Health what proportion of total net expenditure by local authorities was spent on (a) residential and nursing home places for older people and (b) domiciliary care for older people in each of the last 10 years. (261492)

Data on expenditure by councils with adult social services responsibilities (CASSRs) on residential and nursing home places and domiciliary care for older people (aged 65 and over) are collected and published by the NHS Information Centre for health and social care. The publication, “Personal Social Services Expenditure and Unit Costs: England 2007-08”, is available on the Information Centre website at

www.ic.nhs.uk/pubs/pssexpcosts0708

and a copy has been placed in the Library.

Information on net current expenditure by CASSRs on residential and nursing home places and domiciliary care for adults aged 65 and over between 1998-99 and 2007-08 in cash and real terms is shown in the following tables.

Information on total net expenditure by local authorities is the responsibility of the Department for Communities and Local Government.

Table 1: Net current expenditure by CASSRs on adults aged 65 and over between 1998-99 and 2007-08 in cash terms, England

£ million

1998-99

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

Residential and nursing care home places

2,080

2,210

2,200

2,290

2,710

2,880

3,170

3,280

3,330

3,340

Domiciliary care

1,390

1,490

1,570

1,650

1,740

2,130

2,350

2,560

2,660

2,710

of which:

Supporting People grant

190

170

150

140

150

Notes:

1. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return.

2. Data from 2003-04 onwards include expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure.

3. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return.

Table 2:Net current expenditure by CASSRs on adults aged 65 and over between 1998-99 and 2007-08 in real terms, England

£ million

1998-99

1999-00

2000-01

2001-02

2002-03

2003-04

2004-05

2005-06

2006-07

2007-08

Residential and nursing care home places

2,590

2,690

2,650

2,700

3,090

3,200

3,420

3,470

3,420

3,340

Domiciliary care

1,730

1,810

1,890

1,940

1,990

2,370

2,540

2,710

2,730

2,710

of which:

Supporting People grant

220

190

160

140

150

Notes:

1. Converted from cash terms using the gross domestic product deflator.

2. From the 2000-01 financial year, the data was collected on a different basis when the PSS EX1 replaced the R03 return.

3. Data from 2003-04 onwards include expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure.

4. From the 2000-01 financial year, the data were collected on a different basis when the PSS EX1 replaced the R03 return.

Notes to all tables:

Net current expenditure excludes income from client contributions and income items which count as expenditure from elsewhere in the public sector, such as contributions from primary care trusts.

Residential and nursing care includes traditional residential and nursing care homes as well as supported and other accommodation. Supported and other accommodation includes other forms of registered accommodation where clients receive an element of both board and personal care, unstaffed (group) homes and adult placements/fostering.

Domiciliary care has been defined as services helping the client to live at home, including direct payments, home care, day care, equipment and adaptations, meals and other non residential services. It also includes expenditure funded from the Supporting People grant that councils have classified as social services expenditure rather than housing expenditure.

The information provided is derived from data collected annually on social services expenditure from CASSRs on the form PSS EX1. This collection has been the responsibility of the Information Centre since April 2005. Prior to this date, data was collected by the Department of Health.

From the 2000-01 financial year, the PSS EX1 replaced both the Chartered Institute of Public Finance and Accountancy Actuals return, which was discontinued after 1999-2000, and the detailed analysis previously collected by the Office of the Deputy Prime Minister on the R03 expenditure return (this was reduced to a summary return with effect from 2000-01).