Adult Short Breaks Activity
Quarter: July 17 – September 17
1
link to page 4 link to page 5 link to page 9 link to page 10 link to page 12 link to page 12 link to page 17
Table of Contents
Total Hours of Short Break Adults Receive, July 17 – September 17 ............................................................................................4
Total Hours by Type of Short Break Adults Receive, July 17 – September 17 .............................................................................5
Total Hours of Short Break – ‘Other’ ................................................................................................................................................9
Total Number of Adult Carers, QE September 17 .......................................................................................................................... 10
Analysis of Average hours delivered at QE September 17 by Client by Type by Trust ............................................................. 12
Analysis of Hours of Short Break delivered by POC/ Type of Care (3 year period) ................................................................... 13
High Level Analysis – Number of Adult Carers at QE September 16 v QE September 17 ......................................................... 17
2
Introduction
This report provides details on
all the adult short break activity that Trusts provide in respect of all programmes of care. Activity will be
recorded separately by Programme of Care on the
number of adults receiving short breaks and the
hours of short break provided.
Short Break Care – Short break care is defined as the provision of regular, occasional or emergency but time limited breaks to those who are
caring for others. It is any activity or service of limited duration designed to provide a break for the persons cared for and their carer from the
usual commitment. Such a break can be provided on a regular basis over a long term.
The activity or service seeks to ensure a positive experience for both parties and can be provided on a planned or emergency basis. The
distinctive feature of short break care is that it provides time-limited breaks for families and other unpaid care givers in order to support and
maintain the primary care giving relationship.
Short break care comes in different forms that are suitable for various needs. The needs of those who access short break are often complex
and varied. It is crucial that these needs, together with the reasonable wishes/choices of those who use it, are catered for if the service is to
derive maximum benefit from the available funding.
Short Break Care Duration – The duration of short break care depends on individual circumstances and can vary depending on the form of
short break care and the setting in which it is provided. Short break care is usually short term and may extend from a few hours to a few
weeks, however in some circumstances short break care can be provided on a longer term basis, e.g. weekly sitting services for short term
purposes on a longer term basis. For the purposes of reporting on all the short break services provided by Trusts for carers, short break care
regardless of where it is provided will be measured in a currency of
hours and the Trust should report all hours of short break provided.
Although both the person cared for and the carer will benefit from the experience of short break care, only the hours of short break care
received by the carer should be counted.
The hours of short break counted can be for one or many episodes, for any length of time and for one or more individuals.
Please Note:
Trusts find the reporting requirements of Short Breaks activity challenging because of their reliance upon a range of reporting
systems (including manual systems), as a means of capturing activity around new or developing models of carer support.
3
Total Hours of Short Break Adults Receive, July 17 – September 17
Hours of Short Break
Total hours of short break
Learning
Physical
Elderly
Mental Health
Trust
Disability
Disability
Total
600,000
(POC 4)
(POC 5)
521,765
(POC 6)
(POC 7)
500,000
Belfast
1
76,718
3
,012
7
3,400
2
9,696
2
82,826
400,000
Northern
3
70,966
1
7,051
1
03,484
3
0,264
5
21,765
339,271
282,826
South Eastern
1
16,959
2
,106
6
9,547
2
1,614
2
10,226
300,000
Southern
2
13,032
9
,925
9
4,969
2
1,345
3
39,271
210,226
200,000
147,524
Western
8
1,749
1
5,408
3
2,393
1
7,974
1
47,524
Total
9
59,424
4
7,502
3
73,793
1
20,893
1
,501,611
100,000
-
South
Belfast
Northern
Southern
Western
Eastern
Total
282,826
521,765
210,226
339,271
147,524
% Hours of Short Break
Learning
Physical
Regionally, adults received, in totality, 1,501,611 hours of
Elderly
Mental Health
Trust
Disability
Disability
Total
short break at QE September 17.
(POC 4) %
(POC 5) %
(POC 6) %
(POC 7) %
Adults in the NHSCT recorded the highest number of short
Belfast
18%
6%
20%
25%
19%
break hours at 521,765 (35%). WHSCT the lowest at
Northern
39%
36%
28%
25%
35%
147,524 (10%).
Of the total no. of hours, approx. 960,000, 64%, were to
South Eastern
12%
4%
19%
18%
14%
older people whilst adults within POC5 (Mental Health)
Southern
22%
21%
25%
18%
23%
received just below 50,000 of the hours (3%).
Western
9%
32%
9%
15%
10%
Total
100%
100%
100%
100%
100%
*Please note, figures may not add up due to rounding.
**BHSCT included over 13,000 hours associated with 275 Adult Carers receiving Cash Grants (Elderly and Mental Health POC’s) during QE
Sept 17. These hours have been excluded due to current definitions. No other Trust reports hourly activity for a Cash Grant.
4
Total Hours by Type of Short Break Adults Receive, July 17 – September 17
Type of short break Adults Receive
Residential
Nursing Home
Domiciliary
Direct
Trust
Hospital
Day Care
Other
Total
Home Care
Care
short break
Payments
Belfast
7
7,208
5
6,928
-
1
5,059
9
3,421
2
1,590
1
8,620
2
82,826
Northern
1
60,945
1
24,728
-
1
28,541
3
9,423
4
0,199
2
7,929
5
21,765
South Eastern
7
7,445
4
3,203
7
,128
3
1,169
4
0,125
9
,854
1
,302
2
10,226
Southern
8
2,410
1
26,840
3
,120
7
7,650
2
,185
3
8,004
9
,062
3
39,271
Western
5
4,063
5
1,624
7
,536
8
,511
1
4,620
5
,889
5
,281
1
47,524
Total
4
52,071
4
03,323
1
7,784
2
60,930
1
89,774
1
15,536
6
2,194
1
,501,611
30.1%
26.9%
1.2%
17.4%
12.6%
7.7%
4.1%
100.0%
Type of short break Adults Receive
Residential
Nursing Home
Domiciliary
Direct
Trust
Hospital
Day Care
Other
Total
Home Care
Care
short break
Payments
Belfast
17%
14%
0%
6%
49%
19%
30%
19%
Northern
36%
31%
0%
49%
21%
35%
45%
35%
South Eastern
17%
11%
40%
12%
21%
9%
2%
14%
Southern
18%
31%
18%
30%
1%
33%
15%
23%
Western
12%
13%
42%
3%
8%
5%
8%
10%
Total
100%
100%
100%
100%
100%
100%
100%
100%
Of the 1.5 million hours, the highest reported was for
Total hours of short break - by Trust
Residential Home Care at 30.1%. The highest percentage
was in the NHSCT at 36% compared to the WHSCT at 12%.
600,000
Nursing Care accounted for 26.9% of hours.
Domiciliary Care represents 17.4% of total hours delivered.
500,000
Of this, 49% of the hours in NHSCT and only 3% in
WHSCT.
400,000
Day Care represented 12.6% of the total hours adults
receive. Of this, 49% were in the BHSCT compared to 1%
300,000
in SHSCT.
Direct Payments and the ‘Other’ category combined,
200,000
represented 11.8% of total hours.
1.2% of short break hours delivered via a hospital setting.
100,000
The ‘Other’ Category includes Caring Breaks, Families
Matter, Mertoun Park Emergency Bed and Praxis (BHSCT);
-
Share the Care, Day Sitting Service and Group Recreational
Belfast
Northern
South Eastern
Southern
Western
(NHSCT); Alzheimer’s Association and Caring Breaks
5
Residential Home Care
Nursing Home Care
Hospital
(SEHSCT); Shared Care, Enable and Forensic – Day Opps
Domiciliary short break
Day Care
Direct Payments
(SHSCT); Flexicare and Host Carers (WHSCT).
Total hours of short break - Residential
452,071 hours provided, of this, 36% in Northern
Trust.
180,000
160,945
160,000
140,000
120,000
100,000
77,208
77,445
82,410
80,000
54,063
60,000
40,000
20,000
-
South
Belfast
Northern
Southern
Western
Eastern
Residential Home Care
77,208
160,945
77,445
82,410
54,063
Total hours of short break - Nursing
403,323 hours provided, of this, 31% in both
140,000
126,840
Northern and Southern Trusts.
124,728
120,000
100,000
80,000
56,928
60,000
51,624
43,203
40,000
20,000
-
South
Belfast
Northern
Southern
Western
Eastern
Nursing Home
56,928
124,728
43,203
126,840
51,624
Care
Total hours of short break - Hospital
17,784 hours provided, of this, 42% in Western
8,000
7,536
7,128
Trust.
7,000
6,000
5,000
4,000
3,120
3,000
2,000
1,000
-
-
-
South
6
Belfast
Northern
Southern
Western
Eastern
Hospital
-
-
7,128
3,120
7,536
Total hours of short break - Domiciliary
260,930 hours provided, of this, 49% in Northern
140,000
128,541
Trust.
120,000
100,000
77,650
80,000
60,000
40,000
31,169
15,059
20,000
8,511
-
South
Belfast
Northern
Southern
Western
Eastern
Domiciliary short break
15,059
128,541
31,169
77,650
8,511
Total hours of short break - Day Care
189,774 hours provided, of this, 49% in Belfast
100,000
93,421
Trust.
90,000
80,000
70,000
60,000
50,000
39,423
40,125
40,000
30,000
20,000
14,620
10,000
2,185
-
South
Belfast
Northern
Southern
Western
Eastern
Day Care
93,421
39,423
40,125
2,185
14,620
Total hours of short break - Direct Payments
115,536 hours provided. Of this, 35% in Northern
45,000
Trust.
40,199
40,000
38,004
35,000
30,000
25,000
21,590
20,000
15,000
9,854
10,000
5,889
5,000
-
South
Belfast
Northern
Southern
Western
7
Eastern
Direct Payments
21,590
40,199
9,854
38,004
5,889
Total hours of short break - Other
62,194 hours provided. Of this, 45% in Northern
Trust.
30,000
27,929
See overleaf for breakdown of the total hours of
25,000
‘other’ short breaks.
20,000
18,620
15,000
9,062
10,000
5,281
5,000
1,302
-
Belfast
Northern
South Eastern
Southern
Western
Other
18,620
27,929
1,302
9,062
5,281
2017/18 Commissioning Plan Direction – Community Based Short Break Hours
The 2017/18 Commissioning Plan indicates that by ‘March 2018, secure a 5% increase in the number of community based short break hours
(i.e. non-residential respite) received by adults across all programmes of care.’ At QE September 17, 42% of short break hours were delivered
in non-residential settings, i.e. domiciliary care, day care, direct payments and other settings. In 2016/17, 44% of short breaks were delivered in
non-residential settings.
8
Total Hours of Short Break – ‘Other’
Hours of Short Break
Learning
Physical
Elderly
Mental Health
Trust
Type of short break Adults Receive
Disability
Disability
Total
(POC 4)
(POC 5)
(POC 6)
(POC 7)
BHSCT
Caring Breaks Scheme - respite leisure provision
-
-
1
3,248
-
1
3,248
BHSCT
Adult Family Placement
-
-
-
-
-
BHSCT
Families Matter
-
-
1
,354
-
1
,354
BHSCT
Therapies
217
72
-
-
289
BHSCT
CAUSE
-
45
-
-
45
BHSCT
PRAXIS
-
1
,476
-
-
1
,476
BHSCT
Mertoun Park Emergency Bed
-
-
2
,208
-
2
,208
Total
217
1
,593
1
6,810
-
1
8,620
NHSCT
Share the Care
-
-
1
6,315
168
1
6,483
NHSCT
Residential Home Care Day Sitting (< full day/overnight)
5
,062
-
-
-
5
,062
NHSCT
Nursing Home Care Day Sitting (< full day/overnight)
1
,416
-
-
-
1
,416
NHSCT
Group Recreational
4
,104
-
-
864
4
,968
Total
1
0,582
-
1
6,315
1
,032
2
7,929
SEHSCT
Other (by sub heading if material)
-
-
-
-
-
SEHSCT
by Alzheimers association for client and carer
1
,026
-
-
-
1
,026
SEHSCT
Group Respite Sessions
-
-
-
-
-
SEHSCT
Caring Breaks
-
-
276
-
276
SEHSCT
Evening Respite (Centre Based)
-
-
-
-
-
SEHSCT
Tea Service
-
-
-
-
-
Total
1
,026
-
276
-
1
,302
SHSCT
Activity Clubs
331
-
-
-
331
SHSCT
Aldergrove (Supported Living)
-
-
-
-
-
SHSCT
Flexible
-
-
-
-
-
SHSCT
Shared Care
-
-
2
,872
-
2
,872
SHSCT
Enable
-
-
4
,758
-
4
,758
SHSCT
Woodlawn
-
-
18
-
18
SHSCT
Forensic - Day Opps
-
-
1
,083
-
1
,083
Total
331
-
8
,731
-
9
,062
WHSCT
Host Carers
-
-
2
,274
-
2
,274
WHSCT
Flexicare
2
,615
-
-
-
2
,615
WHSCT
Sitting Service
-
-
-
-
-
WHSCT
Alzheimer's Sitting Service
-
-
-
-
-
WHSCT
Floating Support
-
-
-
-
-
WHSCT
Wrap Around
-
-
-
392
392
WHSCT
Carers' Support
-
-
-
-
-
Total
2
,615
-
2
,274
392
5
,281
Regional TOTAL
1
4,771
1
,593
4
4,406
1
,424
6
2,194
9
Total Number of Adult Carers, QE September 17
Number of Adult Carers
Total number of adult carers - by Trust/ POC
Learning
Physical
Elderly
M
e
n
t al Health
Trust
Disability
Disability
Total
3,500
(POC 4)
(POC 5)
(POC 6)
(POC 7)
3,000
Belfast
789
292
455
377
1
,913
Northern
2
,455
89
405
176
3
,125
2,500
South Eastern
1
,548
58
506
151
2
,263
Southern
1
,030
106
624
80
1
,840
2,000
Western
614
249
227
113
1
,203
1,500
Total
6
,436
794
2
,217
897
1
0,344
Please note that the Total figures given are for control purposes only, as there is an
1,000
element of double and over counting in these figures as carers can get more than 1 form
of short break during the period.
500
-
Given the above proviso, at QE September 17, 10,344 adult carers
Belfast
Northern
South Eastern
Southern
Western
received a short break.
Elderly (POC 4)
Mental Health (POC 5)
Adult carers caring for the Elderly (POC4) account for 62% of all carers,
Learning Disability (POC 6)
Physical Disability (POC 7)
with 38% of these being in the NHSCT.
Adults Receiving Short Break
Total number of adult carers - by Type
Residential
Nursing
Domiciliary
Direct
Cash
Trust
Hospital
Day Care
Other
Total
Home Care Home Care
short break
Payments Grants
3,000
Belfast
228
51
-
167
571
165
387
344
1
,913
Northern
294
230
-
1
,290
470
250
34
557
3
,125
2,500
South Eastern
326
137
23
389
543
96
213
536
2
,263
Southern
267
295
3
670
67
226
176
136
1
,840
2,000
Western
281
146
32
92
249
72
177
154
1
,203
1,500
Total
1
,396
859
58
2
,608
1
,900
809
987
1
,727
1
0,344
1,000
Of the total no. of adult carers who received a short break, 25.2%
received domiciliary care.
500
21.8% chose residential or nursing home care for their short break.
18.4% (1,900) chose Day Care as a short break option.
-
17.4% of adult carers received a direct payment (809) or a cash
Residential
Nursing
Hospital Domiciliary Day Care
Direct
Cash
Other
grant (987).
Home Care Home Care
short break
Payments
Grants
10
16.7% received ‘other’ forms of short break.
Belfast
Northern
South Eastern
Southern
Western
Rate per 1000 of Adult Carers/ 18+ Population (2016 MYEs)
Rate per 1000 of Adult Carers / Population (2016 MYEs)
Learning
Physical
10.00
Elderly
Mental Health
Trust
Disability
Disability
9.00
(POC 4)
(POC 5)
(POC 6)
(POC 7)
8.00
Belfast
2.83
1.05
1.63
1.35
7.00
Northern
6.74
0.24
1.11
0.48
6.00
South Eastern
5.62
0.21
1.84
0.55
5.00
4.00
Southern
3.67
0.38
2.22
0.28
3.00
Western
2.70
1.10
1.00
0.50
2.00
Region
4.51
0.56
1.55
0.63
1.00
0.00
In an attempt to establish the number of carers in receipt of Adult Short
Belfast
Northern
South Eastern
Southern
Western
Region
Elderly (POC 4)
Mental Health (POC 5)
Breaks, the table above presents the number of carers as a rate per
Learning Disability (POC 6)
Physical Disability (POC 7)
1000 of the 18+ population. This is a proxy estimate in the absence of
carer’s age not known.
The above findings reveal that within the:
Elderly POC, the NHSCT has the highest rate per 1000 of adult carers at 6.74 compared to 2.7 in the WHSCT
Mental Health – applying an 18+ population to the number of carers, the WHSCT rate is 1.1 compared to 0.21 in the SEHSCT.
Learning Disability; the highest rate is within the SHSCT at 2.22, falling to 1 in the WHSCT.
Within Physical Disability, the rate ranges from 1.35 in BHSCT to 0.28 in SHSCT.
11
Analysis of Average hours delivered at QE September 17 by Client by Type by Trust
Average Hours per Client by Trust/ Type of Care
Average hours per client
2,500
Residential
Nursing
Domiciliary
Direct
Trust
Hospital
Day Care
Other
Total
2,000
Home Care
Home Care
short break
Payments
Belfast
339
1
,116
90
164
131
54
185
1,500
Northern
547
542
100
84
161
50
169
1,000
South Eastern
238
315
310
80
74
103
2
103
500
Southern
309
430
1
,040
116
33
168
67
204
-
Belfast
Northern
South Eastern
Southern
Western
Western
192
354
236
93
59
82
34
144
Residential Home Care
Nursing Home Care
Hospital
Domiciliary short break
Day Care
Direct Payments
Other
Total
324
470
307
100
100
143
36
160
Residential Home
Nursing Home
Domiciliary short
Hospital
Day Care
Direct Payments
Other
Total
Care
Care
break
Trust
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Belfast
7
7,208
228
5
6,928
51
-
-
1
5,059
167
9
3,421
571
2
1,590
165
1
8,620
344
2
82,826
1
,526
Northern
1
60,945
294
1
24,728
230
-
-
1
28,541
1
,290
3
9,423
470
4
0,199
250
2
7,929
557
5
21,765
3
,091
South Eastern
7
7,445
326
4
3,203
137
7
,128
23
3
1,169
389
4
0,125
543
9
,854
96
1
,302
536
2
10,226
2
,050
Southern
8
2,410
267
1
26,840
295
3
,120
3
7
7,650
670
2
,185
67
3
8,004
226
9
,062
136
3
39,271
1
,664
Western
5
4,063
281
5
1,624
146
7
,536
32
8
,511
92
1
4,620
249
5
,889
72
5
,281
154
1
47,524
1
,026
Total
4
52,071
1
,396
4
03,323
859
1
7,784
58
2
60,930
2
,608
1
89,774
1
,900
1
15,536
809
6
2,194
1
,727
1
,501,611
9
,357
Note: Table excludes clients receiving a cash grant (987).
The following assumptions are based on hours delivered and number of clients at September 17.
Regionally, on average, 1,396 clients in a Residential Home (as a form of short break) received 324 hours (13 days, based on
24hrs overnight stay) of care. This ranges from 547 in NHSCT to 192 in WHSCT.
859 clients in a Nursing Home who availed of a short break, received 470 hours of care (equates to approx.19 days, based on
24hrs overnight stay). 51 clients in the BHSCT received over 1,100 hours per client whereas SHSCT reporting an average of 430
hours for each of their 295 clients.
2,608 clients received an average of 100 hours of Domiciliary Care. The average number of hours/ client ranged from 80 hours
to 100 hours between 5 Trusts.
1,900 clients received 100 hours of Day Care. The highest average number of hours/ client was recorded in the BHSCT (164)
whereas the SHSCT had the lowest average hours (33).
On average for the region, 143 hours per client was delivered via direct payment, this ranged from 82 hours per client in the
Western Trust to 168 in the Southern Trust.
12
Analysis of Hours of Short Break delivered by POC/ Type of Care (3 year period)
Hours of Short Break (Elderly ONLY)
120,000
100,000
Residential Home
Care
Nursing Home Care
80,000
Hospital
60,000
Domiciliary short
break
Day Care
40,000
Direct Payments
20,000
Cash Grants (one off
payment)
Other
-
QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept
15
16
17
15
16
17
15
16
17
15
16
17
15
16
17
BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT
Changes since QE September 15:
Regionally, a 28% increase in activity to carers caring for older people. All 5 Trusts reporting an increase with WHSCT the biggest at 329%
followed by SHSCT at 32%.
Residential Home Care hours increased by 25% - 4 out of 5 Trusts showing an increase with WHSCT the biggest at 700%. SEHSCT down
by 15%.
Nursing Home Care hours up by 45% - All 5 Trusts showing an increase with WHSCT the biggest at 327%.
Domiciliary Care hours up 22% - WHSCT the biggest increase at over 100%. BHSCT down by 40%.
Day Care hours up by 23% - SEHSCT and SHSCT biggest increase at 35% and 34% respectively. BHSCT up by 29% and no significant
change in NHSCT. WHSCT did not report activity.
13
Direct Payments hours up by 4% - WHSCT reporting an increase of approx. 450% (small numbers). BHSCT down by 39%.
‘Other’ short breaks up by 26% - 4 out of 5 Trusts showing an increase in activity with WHSCT the biggest at 49%.
Hours of Short Break (Mental Health ONLY)
20,000
18,000
16,000
Residential Home
Care
14,000
Nursing Home Care
12,000
Hospital
10,000
Domiciliary short
break
8,000
Day Care
6,000
Direct Payments
4,000
Cash Grants (one off
2,000
payment)
Other
-
QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept
15
16
17
15
16
17
15
16
17
15
16
17
15
16
17
BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT
Changes since QE September 15:
Regionally, a 10% decrease from QE September 15 in adult short break hours, to carers caring for people within the Mental Health POC.
SHSCT down by 34% and BHSCT reporting a significant increase of almost 1400%.
Residential Home Care hours down by 36%. NHSCT reporting the biggest fall in activity of 45%.
Nursing Home Care down by 29% - SHSCT is down by significantly by 64%. SEHSCT up by 20% (small numbers). No activity in
BHSCT.
Domiciliary Care hours up slightly by 2% – BHSCT (small numbers) up 580%. NHSCT (small numbers) down by 70%.
Day Care – WHSCT the only Trust showing significant activity and hours have increased by 84%.
Direct Payments hours decreased by 18% - NHSCT down by 89%. BHSCT up by 700% (small numbers).
14
Hours of Short Break (Learning Disability ONLY)
60,000
Residential Home
50,000
Care
Nursing Home Care
40,000
Hospital
Domiciliary short
30,000
break
Day Care
20,000
Direct Payments
Cash Grants (one off
10,000
payment)
Other
-
QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept
15
16
17
15
16
17
15
16
17
15
16
17
15
16
17
BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT
Changes since QE September 15:
Regionally, activity has shown a 11% increase in hours, to carers caring for people with a Learning Disability since QE September 15.
Residential Home Care hours up by 16% - 4 out of 5 Trusts showing an increase in activity with WHSCT the biggest at 56%. SEHSCT
down by 5%.
Nursing Home Care hours up by 14% – NHSCT recorded the biggest increase at 48% and WHSCT the biggest decrease at 75%.
Domiciliary Care hours up by 5% – WHSCT (small numbers) up by 340% and SHSCT reporting the biggest decrease at 7%.
Direct Payments hours increased by 23% – All 5 Trusts reporting an increase in activity. WHSCT the biggest at 268%.
‘Other’ short breaks down by 15% - SEHSCT reporting a 74% decrease in activity (small numbers) followed by NHSCT at 35% and
WHSCT at 27%. BHSCT and SHSCT up by 12% and 11% respectively.
15
Hours of Short Break (Physical Disability ONLY)
30,000
25,000
Residential Home
Care
Nursing Home Care
20,000
Hospital
15,000
Domiciliary short
break
Day Care
10,000
Direct Payments
Cash Grants (one off
5,000
payment)
Other
-
QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept QE Sept
15
16
17
15
16
17
15
16
17
15
16
17
15
16
17
BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT
Changes since QE September 15:
Regionally, a 10% decrease in adult short break hours, to carers caring for people with a Physical and Sensory Disability. NHSCT and
SHSCT the only Trusts reporting an increase at 27% and 6% respectively.
Residential Home Care hours up by 10%. 4 out of 5 Trusts showing an increase with WHSCT the biggest rise at 158% (small numbers).
NHSCT down by 22%.
Nursing Home Care hours down by 31% - BHSCT the biggest fall at 93%. WHSCT up by 19%.
Domiciliary Care hours down by 38% - 4 Trusts all showing decreases with WHSCT the biggest fall at 89%. NHSCT up by 120%.
Day Care hours decreased by 6% - WHSCT the biggest fall at 67%. NHSCT reporting over 6000 hours as opposed to ‘no activity’ in QE
September 15 and 16.
Direct Payments hours increased by 27% - 4 out of 5 Trusts showing an increase. SHSCT down by 4%.
‘Other’ short breaks down by 38% - This is mainly due to hours moved to a stand-alone ‘Hospital’ category in 15/16. Activity in the
16
Hospital has accounted for almost 18,000 hours this quarter.
High Level Analysis – Number of Adult Carers at QE September 16 v QE September 17
QE Sept 16
Number of Adult Carers
QE Sept 16
Adults Receiving Short Break
Mental
Learning
Physical
Elderly
Residential
Nursing
Domiciliary
Direct
Cash
Trust
Health
Disability
Disability
Total
Trust
Hospital
Day Care
Other
Total
(POC 4)
Home Care
Home Care
short break
Payments
Grants
(POC 5)
(POC 6)
(POC 7)
Belfast
752
13
462
407
1
,634
Belfast
242
80
-
234
583
182
196
117
1
,634
Northern
2
,634
57
567
179
3
,437
Northern
642
240
1
1
,345
363
263
50
533
3
,437
South Eastern
1
,528
29
460
143
2
,160
South Eastern
346
131
27
568
371
90
152
475
2
,160
Southern
821
45
580
71
1
,517
Southern
231
295
3
557
25
183
100
123
1
,517
Western
396
273
243
108
1
,020
Western
252
115
24
84
273
53
177
42
1
,020
Total
6
,131
417
2
,312
908
9
,768
Total
1
,713
861
55
2
,788
1
,615
771
675
1
,290
9
,768
63%
4%
24%
9%
100%
18%
9%
1%
29%
17%
8%
7%
13%
100%
QE Sept 17
Number of Adult Carers
QE Sept 17
Adults Receiving Short Break
Mental
Learning
Physical
Elderly
Residential
Nursing
Domiciliary
Direct
Cash
Trust
Health
Disability
Disability
Total
Trust
Hospital
Day Care
Other
Total
(POC 4)
Home Care
Home Care
short break
Payments
Grants
(POC 5)
(POC 6)
(POC 7)
Belfast
789
292
455
377
1
,913
Belfast
228
51
-
167
571
165
387
344
1
,913
Northern
2
,455
89
405
176
3
,125
Northern
294
230
-
1
,290
470
250
34
557
3
,125
South Eastern
1
,548
58
506
151
2
,263
South Eastern
326
137
23
389
543
96
213
536
2
,263
Southern
1
,030
106
624
80
1
,840
Southern
267
295
3
670
67
226
176
136
1
,840
Western
614
249
227
113
1
,203
Western
281
146
32
92
249
72
177
154
1
,203
Total
6
,436
794
2
,217
897
1
0,344
Total
1
,396
859
58
2
,608
1
,900
809
987
1
,727
1
0,344
Regionally, 10,344 adult carers received a short break at QE September 17, a 6% increase compared to QE September 16.
SHSCT (21%) recorded the biggest increases in the number of carers, followed by WHSCT (18%) and BHSCT (17%). SEHSCT showed a slight
increase at 5%. NHSCT decreased by 9%.
Regionally, the number of carers has risen significantly within Mental Health (90%) while Elderly has also increased by 5%. Learning Disability and
Physical Disability have fallen marginally by 4% and 1% respectively.
The number of carers that chose Residential Care has fallen by 19%. Domiciliary Care (6%) has also decreased while no significant change within
Nursing.
The number of carers that chose a Hospital for their short break has increased slightly by 5%
For the same period, increases also occurred within Cash Grants (46%) and Day Care (18%). Direct Payments up by 5%.
The ‘Other’ category has reported an increase at 34%.
Note: The above figures warrant investigation with Trusts to ascertain reason(s).
17