Adult Social Care - Key information in public interest

The request was successful.

Dear Norfolk County Council,

1. How much was spent in total in adult social care in the financial year 2010-2011, 2011-12 and 2012-13?

2. Please provide a breakdown of the adult social care spending 2012-13 by locality and by service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Locality spending will be available as each team utilises a different budget code.

3. Please provide a copy (Word document if possible) of the adult social care assessment and care/support plan (general/older people applicable if multiple types of assessment available) currently in use.

4. Please provide a breakdown of the resource allocation (RAS) questions used to determine the indicative personal budget for an adult being assessed in social care (if different RAS calculators in use please provide the answers applicable to older people).

5. Please specify the number of points per RAS question and option.

6. Please specify the monetary value (£) of each RAS point. It is in the public interest to disclose these details as it directly affects the general public and is a foundation of local government's willingness to be open and accountable.

7. Please state the local authority's current eligibility level (moderate, substantial or critical) for adult social care. Has this changed since April 2010? If so - how?

8. Please state any policy conditions or alterations to the national eligibility framework when applied to adult social care (e.g. whether the eligibility is met in a global way or identified per area of care such as personal care, domestic routines, transport, carers needs, health deterioration and abuse/neglect).

9. Please state the funding bands and monetary value (£) of each band for residential and nursing placements for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

10. Please state the standard funding rate (£) of each band for day services (also known as day care) for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

11. Please state the standard funding rate (£) of each band for domiciliary care services (also known as home care) for each service user group (physical disability, learning disability, older people, sensory, mental health, other if applicable - please specify). Has this changed since April 2010? If so - how?

12. Does the local authority operate funding panels (also known as scrutiny, risk and validation panels) for the approval of adult social care funding requests by social workers and associated social care workers? How often do these meet? Who sits on these panels (mix of professionals and seniority)? Do they only deal with specific types of requests (e.g. residential and nursing placements only)? If there is no panel who approves funding requests? If the panel does not approval all funding requests (e.g. only placements) who approves the other requests?

13. Does adult social care operate an electronic social care record (ESCR) system such as carefirst or AIS? What system(s) is in use? Does the local authority maintain paper files for adult social care service users in addition to the electronic system? Are there any plans to change this system before May 2015? If so to what system and at what estimated cost?

14. How many qualified adult social care staff are currently in post (please provide all figures as full time equivalents FTE if possible)? What changes have occurred in the number of adult social care social workers since April 2010? If this precise information is not available please give an indication of the changes in the adult social care workforce in an appropriate period which is available. Are any changes planned or in progress regarding the number of qualified adult social care front line staff - if so, what?

15. How many non-qualified adult social care staff are currently in post (please provide all figures as full time equivalents FTE if possible)? What changes have occurred in the number of adult social care non-qualified front line staff (assistant social workers, community care officers, social care facilitators) since April 2010? If this precise information is not available please give an indication of the changes in the adult social care workforce in an appropriate period which is available. Are any changes planned or in progress regarding the number of non-qualified adult social care front line staff - if so, what?

16. What percentage of older people service users currently have a personal budget (indicative amount)?

17. What percentage of older people service users currently have a direct payment (also known as cash budget or self-managed budget)?

18. What service/support does the local authority provide to assist people with direct payments to effectively manage their budget (e.g. is an external organisation contracted to provide managed accounts? If so - who and at what annual cost?)

19. How many referrals for older people are currently pending (not yet allocated to a front line worker to carry out an assessment in the next few weeks)? This information will be available as each local authority maintains a waiting list (by whatever name) in order that pending referrals are not lost. As this changes on a daily basis this can be provided as a reliable estimate or snap shot.

20. How many adult social care assessments and reviews were completed in 2012? This figure should be available as each intervention will be recorded on the central reporting system with an outcome for audit purposes. If possible please provide a breakdown according to service user group.

21. What was the total local authority budget for 2010-11? What percentage of the budget was allocated for adult social care?

22. What is the total local authority budget for 2013-14? What percentage of the budget has been allocated for adult social care?

Yours faithfully,

M Jones

Information Management, Norfolk County Council

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Freedom of Information Act 2000

Dear M Jones,

I am writing to confirm that Norfolk County Council has now completed its
search for the information you requested in your correspondence received
on 20 May 2013. In accordance with the provisions of the Freedom of
Information Act 2000, I have now processed your request.

Your Request and Our Response:

1. How much was spent in total in adult social care in the financial year
2010-2011, 2011-12 and 2012-13?

 The total amount spent in Adult care in the financial years 2010-2011,
2011-2012 and 2012-2013 are in the table below:

┌───────────────────────────────────────────────────────┐
│Question 1 (Total Adult Social Care - Purchase of Care)│
├─────────────────┬─────────┬─────────────┬─────────────┤
│Financial Year │Gross │Income │Net │
│ │£m │£m │£m │
├─────────────────┼─────────┼─────────────┼─────────────┤
│2010/11 │180.458 │-45,990,175 │134,468,376 │
├─────────────────┼─────────┼─────────────┼─────────────┤
│2011/12 │191.309 │-66,306,703 │125,001,826 │
├─────────────────┼─────────┼─────────────┼─────────────┤
│ 2012/13 │195.804 │-67,259,098 │-67,258,902 │
└─────────────────┴─────────┴─────────────┴─────────────┘

    

2. Please provide a breakdown of the adult social care spending 2012-13 by
locality and by service user group (physical disability  learning
disability, older people, sensory, mental health, other if applicable -
please specify). Locality spending will be available as each team utilises
a different budget code.

The table below provides a breakdown of the adult social care spending
2012-13 by locality and by service user group:

┌──────────────────────────────────────────────────────┬─────────┬───────┐
│Question 2 (Total Adult Social Care - Purchase of │ │ │
│Care) 2012/13 │ │ │
├───────────┬──────┬──────────┬─────────────────┬──────┼─────────┼───────┤
│Locality/ │Older │Physical │Learning │Mental│Substance│Total │
│Specialism │People│Disability│Difficulties │Health│Misuse │ │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│West │24.637│5.572 │12.617 │1.688 │0.000 │44.514 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│North │22.208│4.160 │22.941 │2.822 │0.000 │52.131 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│East │10.282│2.069 │7.572 │1.150 │0.000 │21.073 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│ │16.637│4.357 │8.457 │3.973 │0.000 │33.424 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│South │20.522│4.016 │19.246 │2.021 │0.000 │45.805 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│County │-0.367│0.009 │-0.553 │-0.436│0.205 │-1.142 │
├───────────┼──────┼──────────┼─────────────────┼──────┼─────────┼───────┤
│Total │93.919│20.183 │70.280 │11.218│0.205 │195.805│
└───────────┴──────┴──────────┴─────────────────┴──────┴─────────┴───────┘

   

3. Please provide a copy (Word document if possible) of the adult social
care assessment and care/support plan (general/older people applicable if
multiple types of assessment available) currently in use.

Please see attachments named Q3 Assessment Review v2.0 181212 and Q3
PB) Summary Support Plan template - 1 Nov12 for a copy of the adult
social care assessment and care/support plan currently in use.

    

4. Please provide a breakdown of the resource allocation (RAS) questions
used to determine the indicative personal budget for an adult being
assessed in social care (if different RAS calculators in use please
provide the answers applicable to older people).

There is only one RAS calculator for service users, regardless of category
(Older People, People with learning difficulties etc). Please see
attachment names Q4 PBQ for copy of questions used.

    

5. Please specify the number of points per RAS question and option.

Please see attachment named Q5 RAS 2013-14 for specific number of points
per RAS question and option.

       

 6. Please specify the monetary value (£) of each RAS point. It is in the
public interest to disclose these details as it directly affects the
general public and is a foundation of local government's willingness to be
open and accountable.

    

The monetary value per RAS point is £144.23 per point (in 2013-14).

          

7. Please state the local authority's current eligibility level (moderate,
substantial or critical) for adult social care. Has this changed since
April 2010? If so - how?   

The local authority's current eligibility level is Critical and
Substantial. This has not changed since April 2010. 

8. Please state any policy conditions or alterations to the national
eligibility framework when applied to adult social care (e.g. whether the
eligibility is met in a global way or identified per area of care such as
personal care, domestic routines, transport, carers needs, health
deterioration and abuse/neglect).

    

There are no policy conditions or alterations to the national eligibility
framework when applied to adult social care.

   

9. Please state the funding bands and monetary value (£) of each band for
residential and nursing placements for each service user group (physical
disability, learning disability, older people, sensory, mental health,
other if applicable - please specify). Has this changed since April 2010?
If so - how?

   

Please see information below which states the funding bands and monetary
value (£) of each band NCC pays for residential and nursing placements for
each service user group.

Questions 9-11, answered on the assumption that you are asking for the
funding bands NCC pays for care i.e. fee levels

Weekly Payment Levels 2013/14 - Older People

┌────────────────────────────────────────────────┬───────────┬───────────┐
│BANDING │SHARED ROOM│SINGLE ROOM│
├────────────────────────────────────────────────┼───────────┼───────────┤
│Care Homes │ │ │
├────────────────────────────────────────────────┼───────────┼───────────┤
│1 Older people and other (including physically│£305.84 │£321.33 │
│disabled pension age) │ │ │
├────────────────────────────────────────────────┼───────────┼───────────┤
│2 Very dependent or blind older people │£366.80 │£382.30 │
├────────────────────────────────────────────────┼───────────┼───────────┤
│3 Very highly dependent older people with │£427.76 │£443.26 │
│mental health problems │ │ │
├────────────────────────────────────────────────┼───────────┴───────────┤
│4 Mentally ill │See separate chart │
├────────────────────────────────────────────────┼───────────┬───────────┤
│5 Suffering from drug or alcohol dependency │£323.37 │£343.77 │
├────────────────────────────────────────────────┼───────────┴───────────┤
│6 Learning difficulties │See separate chart │
├────────────────────────────────────────────────┼───────────┬───────────┤
│7 Physically disabled and disablement began │£407.02 │£427.42 │
│under pension age │ │ │
├────────────────────────────────────────────────┼───────────┼───────────┤
│8 Other │£301.95 │£317.25 │
├────────────────────────────────────────────────┼───────────┼───────────┤
│Care Homes With Nursing │ │ │
├────────────────────────────────────────────────┼───────────┼───────────┤
│9 Older people and other (including physically│£495.18 │£510.68 │
│disabled pension age) │ │ │
├────────────────────────────────────────────────┼───────────┼───────────┤
│10 Very highly dependent older people with │£556.15 │£571.64 │
│mental health problems │ │ │
├────────────────────────────────────────────────┼───────────┴───────────┤
│11 Mentally ill │See separate chart │
├────────────────────────────────────────────────┼───────────┬───────────┤
│12 Suffering from drug or alcohol dependency │£469.89 │£490.29 │
├────────────────────────────────────────────────┼───────────┴───────────┤
│13 Learning difficulties │See separate chart │
├────────────────────────────────────────────────┼───────────┬───────────┤
│14 Physically disabled and disablement began │£519.87 │£540.27 │
│under pension age │ │ │
└────────────────────────────────────────────────┴───────────┴───────────┘

 

 

Notes:

• Banding 3 and 10 above only apply to placements in homes that meet the
requirements of the specification for Older People with Mental Health
Problems
• In 2013-14 prices for Care Homes with Nursing includes the element for
Free Nursing Care which the Council will be paying on behalf of
health.

┌────────────────────────────────────────────────────────────────────────┐
│ 2013/2014 Core Rates per Person per Week - People with Mental Health │
│ problems │
│ │
│ (See tables overleaf for Descriptors of Need) │
├────────────────────────────────────────────────────────────────────────┤
│Note: Where additional 1:1 hours exceed 12 per day on average in bands 2│
│and 3, the resident may be placed on the next band up and subject to │
│that rate for the remainder of the placement or until the next review of│
│care determines otherwise. │
├───────────────────┬──────────────────────────┬─────────────────────────┤
│These rates apply │Number of clients Home is │Number of clients Home is│
│to all new │Registered for (CQC) │ │
│placements from │ │Registered for (CQC) │
│commencement of │ │ │
│this contract │ │ │
├───────────────────┼──────────────────────────┼─────────────────────────┤
│ │ 1 to 6 │ 7 + │
├───────────────────┼──────────────┬───────────┼─────────────┬───────────┤
│Banding / Level of │Staff: service│Price per │Staff: │Price per │
│Need │user ratio │person per │service user │person per │
│ │ │week │ratio │week │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│LEVEL 3 - INTENSIVE│2:3 │£816.08 │2:3 │£790.58 │
│ ├──────────────┤ ├─────────────┤ │
│High level support │3:5 │ │3:5 │ │
│ needs. ├──────────────┤ ├─────────────┤ │
│ │1:2 │ │1:2 │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│LEVEL 2 ENHANCED │2:5 │£612.06 │2:5 │£586.56 │
│ ├──────────────┤ ├─────────────┤ │
│Substantial support│1:3 │ │1:3 │ │
│ needs. ├──────────────┤ ├─────────────┤ │
│ │1:4 │ │1:4 │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│LEVEL 1 STANDARD │1:3 │£459.05 │1:4 │£433.54 │
│ │ │ ├─────────────┤ │
│Appreciable support│ │ │1:5 │ │
│ needs. ├──────────────┤ ├─────────────┤ │
│ │1:4 │ │1:6 │ │
│ ├──────────────┤ ├─────────────┤ │
│ │1:5 │ │1:7 │ │
│ ├──────────────┤ ├─────────────┤ │
│ │1:6 │ │1:8 │ │
│ ├──────────────┤ ├─────────────┤ │
│ │ │ │1:10 │ │
├───────────────────┴──────────────┴───────────┴─────────────┴───────────┤
│Notes: │
│ │
│1.      The above rates include sleep-in staff.  The number of staff to │
│cover a sleep in must be sufficient to meet the needs of the service │
│users.  However if the core service level for the home is to provide a │
│waking night member of staff then a payment of £70.70 per night will be │
│added to the appropriate rate, divided between the number of service │
│users who share each waking night member of staff. │
│ │
│2.      Where a sleep in member of staff is provided as part of the core│
│service, this member of staff is available to be woken up to three times│
│a night to provide any part of the Service. │
│ │
│3.      The above rates apply for 52 weeks of the year.  There will be │
│no additional charge for bank holidays │
│ │
│4.      The above rates include the provision of appropriate activities │
│during the day, seven days a week, to meet the outcomes identified in │
│Service Users care plans as specified by the Care Manager. │
│ │
│5.      An additional £109.79 per person per week will be added to the │
│above for a nursing care placement. │
│ │
│6.      Ratios are presented as staff : service users │
└────────────────────────────────────────────────────────────────────────┘

┌────────────────────────────────────────────────────────────────────────┐
│Additional service elements │
│ │
│Where additional service elements are The following rates will apply │
│where the Care Manager has specified the need for additional service │
│elements in order to meet the needs identified in a Service User s care │
│plan where these are over and above that expected from within the core │
│service.  The rate for an additional service element will be shared │
│between all the Service Users using it.  These additional service │
│elements will be subject to ongoing monitoring. │
│ │
│Convert sleep-in to waking night: £71.41 per staff member │
│ │
│Additional waking night: £102.01 per staff member │
│ │
│Additional sleep-in: £30.60 per staff member │
│ │
│1:1 support: £10.20 per hour │
│ │
│2:1 support: £20.40 per hour │
│ │
│These rates apply 52 weeks of the year. There will be no additional │
│payment for weekends or bank holidays etc. │
└────────────────────────────────────────────────────────────────────────┘

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

┌────────────────────────────────────────────────────────────────────────┐
│ 2013/2014 Core Rates per Person per Week - People with Learning │
│ Difficulties │
│ │
│ (See tables overleaf for Descriptors of Need) │
├────────────────────────────────────────────────────────────────────────┤
│Note: Where additional 1:1 hours exceed 12 per day on average in bands 2│
│and 3, the resident may be placed on the next band up and subject to │
│that rate for the remainder of the placement or until the next review of│
│care determines otherwise. │
├───────────────────┬──────────────────────────┬─────────────────────────┤
│These rates apply │Number of clients Home is │Number of clients Home is│
│to all new │Registered for (CQC) │ │
│placements from │ │Registered for (CQC) │
│commencement of │ │ │
│this contract │ │ │
├───────────────────┼──────────────────────────┼─────────────────────────┤
│ │ 1 to 6 │ 7 + │
├───────────────────┼──────────────┬───────────┼─────────────┬───────────┤
│Banding / Level of │Staff: service│Price per │Staff: │Price per │
│Need │user ratio │person per │service user │person per │
│ │ │week │ratio │week │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│ BAND 1 │2:1 x 7 days │£2621.66 │2:1 x 7 days │£2596.15 │
│ │ │ │ │ │
│Very intensive for │ │ │ │ │
│ high level very │ │ │ │ │
│ complex needs │ │ │ │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│ BAND 2 │1:1 x 7 days │£1693.37 │1:1 x 7 days │£1667.86 │
│ │ │ │ │ │
│Very intensive for │ │ │ │ │
│ high level very │ │ │ │ │
│ complex needs. │ │ │ │ │
│ │ │ │ │ │
│ If the client │ │ │ │ │
│ requires by │ │ │ │ │
│exception more than│ │ │ │ │
│ 12 hours 2:1 per │ │ │ │ │
│ day on average, │ │ │ │ │
│then move to Band 1│ │ │ │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│ BAND 3 │2:3 │£816.08 │2:3 │£790.58 │
│ │ │ │ │ │
│Intensive for high │ │ │ │ │
│ level needs. ├──────────────┤ ├─────────────┤ │
│ │3:5 │ │3:5 │ │
│ If the client │ │ │ │ │
│ requires by │ │ │ │ │
│exception more than├──────────────┤ ├─────────────┤ │
│ 12 hours 1:1 per │1:2 │ │1:2 │ │
│ day on average, │ │ │ │ │
│then move to Band 2│ │ │ │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│ BAND 4 │2:5 │£612.06 │2:5 │£586.56 │
│ ├──────────────┤ ├─────────────┤ │
│ Medium for │1:3 │ │1:3 │ │
│ substantial needs ├──────────────┤ ├─────────────┤ │
│ │1:4 │ │1:4 │ │
├───────────────────┼──────────────┼───────────┼─────────────┼───────────┤
│ BAND 5 │1:3 │£459.05 │1:4 │£433.54 │
│ │ │ ├─────────────┤ │
│ Moderate for │ │ │1:5 │ │
│appreciable support├──────────────┤ ├─────────────┤ │
│ needs and small │1:4 │ │1:6 │ │
│ homes (registered ├──────────────┤ ├─────────────┤ │
│for up to 4 people)│1:5 │ │1:7 │ │
│ ├──────────────┤ ├─────────────┤ │
│ │1:6 │ │1:8 │ │
│ ├──────────────┤ ├─────────────┤ │
│ │ │ │1:10 │ │
├───────────────────┴──────────────┴───────────┴─────────────┴───────────┤
│Notes: │
│ │
│7.      The above rates include sleep-in staff.  The number of staff to │
│cover a sleep in must be sufficient to meet the needs of the service │
│users.  However if the core service level for the home is to provide a │
│waking night member of staff then a payment of £70.70 per night will be │
│added to the appropriate rate, divided between the number of service │
│users who share each waking night member of staff. │
│ │
│8.      Where a sleep in member of staff is provided as part of the core│
│service, this member of staff is available to be woken up to three times│
│a night to provide any part of the Service. │
│ │
│9.      The above rates apply for 52 weeks of the year.  There will be │
│no additional charge for bank holidays │
│ │
│10. The above rates include the provision of appropriate activities │
│during the day, seven days a week, to meet the outcomes identified in │
│Service Users care plans as specified by the Care Manager. │
│ │
│11. An additional £109.79 per person per week will be added to the │
│above for a nursing care placement. │
│ │
│12. Ratios are presented as staff : service users │
└────────────────────────────────────────────────────────────────────────┘

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There have been two increases to providers of older people residential and
nursing placements since April 2010:  1% increase in April 2012; and 2.3%
in April 2013. 

 

For other providers of residential and nursing care there have been two
increases: 1% in April 2012; and 1% in April 2013. 

 

Also previously all residential providers were paid according to their old
CQC rating, ie there were different fee levels for 0 star, 1 star, 2 star
and 3 star homes - with the aim of improving the quality of care provided.
In April 2013 the 'base' rate for all homes was increased to the three
star rating fee level - before the inflationary uplift was applied.

 10. Please state the standard funding rate (£) of each band for day
services (also known as day care) for each service user group (physical
disability, learning disability, older people, sensory, mental health,
other if applicable - please specify). Has this changed since April 2010?
If so - how?

 

There is not a standard fee level set by NCC for day services.  The cost
to the authority of day services is set in negotiation with the providers
of day services.  Since April 2010 there have been two increases to the
amount providers of day services are paid, separate to any individual
negotiations:  1% increase in April 2012; and 1% increase in April 2013.

  

11. Please state the standard funding rate (£) of each band for
domiciliary care services (also known as home care) for each service user
group (physical disability, learning disability, older people, sensory,
mental health, other if applicable - please specify). Has this changed
since April 2010? If so - how?

 

There is no standard fee level set by NCC for domiciliary care services. 
These services are tendered and therefore the price is set by the market. 
As for day services, separate to any tenders, there have been two
increases to the amount providers are paid, separate to any individual
negotiations:  1% increase in April 2012; and 1% increase in April 2013.

  

12. Does the local authority operate funding panels (also known as
scrutiny, risk and validation panels) for the approval of adult social
care funding requests by social workers and associated social care
workers? How often do these meet? Who sits on these panels (mix of
professionals and seniority)? Do they only deal with specific types of
requests (e.g. residential and nursing placements only)? If there is no
panel who approves funding requests? If the panel does not approval all
funding requests (e.g. only placements) who approves the other requests?

The local authority does not operate funding panels.

 

13. Does adult social care operate an electronic social care record (ESCR)
system such as carefirst or AIS? What system(s) is in use? Does the local
authority maintain paper files for adult social care service users in
addition to the electronic system? Are there any plans to change this
system before May 2015? If so to what system and at what estimated cost?

 

The authority uses CareFirst as its main social care electronic case
recording system for children and adults and has done so since 2007. The
authority does keep paper files in parallel for documents containing, for
example, signatures and/or where an original hard copy needs to be kept.
There are no identified plans at present to change this system before
2015.

   

14. How many qualified adult social care staff are currently in post
(please provide all figures as full time equivalents FTE if possible)?
What changes have occurred in the number of adult social care social
workers since April 2010? If this precise information is not available
please give an indication of the changes in the adult social care
workforce in an appropriate period which is available. Are any changes
planned or in progress regarding the number of qualified adult social care
front line staff - if so, what?

The number of qualified adult social care staff is below. It is not
possible to identify which of those posts are frontline as this
information is not recorded.

1 April 2010               264.20fte

31 March 2013          237.92fte

We are in the process of reviewing future health integration, however it
is too early to provide any details as this is still in the reviewing
stages.

  

15. How many non-qualified adult social care staff are currently in post
(please provide all figures as full time equivalents FTE if possible)?
What changes have occurred in the number of adult social care
non-qualified front line staff (assistant social workers, community care
officers, social care facilitators) since April 2010? If this precise
information is not available please give an indication of the changes in
the adult social care workforce in an appropriate period which is
available. Are any changes planned or in progress regarding the number of
non-qualified adult social care front line staff - if so, what?

It is not possible to readily identify which Adult Social Care employees
are front line and which are other unqualified staff as this information
is not recorded.

    

16. What percentage of older people service users currently have a
personal budget (indicative amount)?

For the reporting period 1st April 2012 to 31st March 2013, 57.6% people
of eligible service users (i.e. those in a community based service) aged
65 and over received a personal budget through the self-directed support
process. (Source: Referrals, Assessments and Packages of Care (RAP) annual
return 2012/13)

   

17. What percentage of older people service users currently have a direct
payment (also known as cash budget or self-managed budget)?

 

For the reporting period 1st April 2012 to 31st March 2013, 13.9% people
of eligible service users (i.e. those in a community based service) aged
65 and over received some or all of their services as a direct payment,
whether or not this was provided through the self-directed support
process. (Source: RAP return 2012/13)

   

18. What service/support does the local authority provide to assist people
with direct payments to effectively manage their budget (e.g. is an
external organisation contracted to provide managed accounts? If so - who
and at what annual cost?)

Norfolk County Council currently contracts with Equal Lives, an
independent external voluntary organisation to provide a service which
assists people with direct payments to effectively manage their budget. It
is not possible to provide an annual amount NCC pay Equal Lives to assist
people with direct payments as this same contract also provides practical
support with employment, payroll and supported accounts.

19. How many referrals for older people are currently pending (not yet
allocated to a front line worker to carry out an assessment in the next
few weeks)? This information will be available as each local authority
maintains a waiting list (by whatever name) in order that pending
referrals are not lost. As this changes on a daily basis this can be
provided as a reliable estimate or snap shot.

We are currently unable to provide how many referrals for older people are
currently pending, due to a review in the Assessment & Care Management
Service. We are in the process of introducing a revised allocation system.

   

20. How many adult social care assessments and reviews were completed in
2012? This figure should be available as each intervention will be
recorded on the central reporting system with an outcome for audit
purposes. If possible please provide a breakdown according to service user
group.

 

The number of adult social care assessments and reviews that were
completed in 2012 broken down into service user groups is below:

A total of 35,100 assessments (not people assessed) were completed for
adults aged 18 and over between 1st April 2012 and 31st March 2013. By
client group:
27,283 - Physical or Sensory Disability
6,271 - Mental Health needs
670 - Learning Disability
144 - Substance Misuse
732 - Other Vulnerable People
(Source: Data collected for RAP return 2012/13)

 

A total of 26,884 reviews (not people reviewed) were completed for adults
aged 18 and over between 1st April 2012 and 31st March 2013. By client
group:
16,014 - Physical or Sensory Disability
8,273  - Mental Health needs
2,303 - Learning Disability
26 - Substance Misuse
268 - Other Vulnerable People
(Source: Data collected for RAP return 2012/13)

   

21. What was the total local authority budget for 2010-11? What percentage
of the budget was allocated for adult social care?

The total local authority budget for 2010-11 and percentage of the budget
allocated for adult social care is provided in the table below:

┌────────────────────────────────────────────────────────────────────────┐
│Question 21 & 22 (Total Authority Gross budget) │
├──────────────┬────────────────┬─────────────────┬──────────────────────┤
│Financial Year│NCC Gross Budget│Adult Social Care│% Gross Budget on │
│ │ │Gross Budget │Adult Social Care │
├──────────────┼────────────────┼─────────────────┼──────────────────────┤
│  │£m │£m │% │
├──────────────┼────────────────┼─────────────────┼──────────────────────┤
│2010-11 │1581.854 │390.15 │24.7 │
└──────────────┴────────────────┴─────────────────┴──────────────────────┘

    

22. What is the total local authority budget for 2013-14? What percentage
of the budget has been allocated for adult social care?

The total local authority budget for 2013-14 and percentage of the budget
allocated for adult social care is provided in the table below:

┌────────────────────────────────────────────────────────────────────────┐
│Question 21 & 22 (Total Authority Gross budget) │
├──────────────┬────────────────┬─────────────────┬──────────────────────┤
│Financial Year│NCC Gross Budget│Adult Social Care│% Gross Budget on │
│ │ │Gross Budget │Adult Social Care │
├──────────────┼────────────────┼─────────────────┼──────────────────────┤
│  │£m │£m │% │
├──────────────┼────────────────┼─────────────────┼──────────────────────┤
│2013-14 │1473.545 │343.769 │23.3 │
└──────────────┴────────────────┴─────────────────┴──────────────────────┘

If you are dissatisfied with our handling of your request you have the
right of appeal through the Council's internal complaints procedure by
setting out the grounds of your appeal in writing to:

The Compliments and Complaints Manager
FREEPOST 1H 2076
NR1 2BR
E-mail: [email address]

An appeal should be submitted within 40 working days of the date of this
notice and should be identified as "FOI Appeal".

If you are dissatisfied after pursuing the complaints procedure, you may
apply to the Information Commissioner under Section 50 of the Act for a
decision whether your request for information has been dealt with in
accordance with the requirements of Part I of the Act. Contact details as
follows:-

First Contact Team
Information Commissioner's
Wilmslow
SK9 5AF
E-mail: [email address]
[1]http://www.ico.gov.uk

 

This response will be published without identifying any personal data on
the Norfolk County Council Freedom of Information website
[2]http://www.norfolk.gov.uk/Council_and_de...

 

Yours Sincerely,

 
Sharon
 
Sharon Revell
Information Compliance Officer
Norfolk County Council
Room B31
County Hall
Norwich
NR1 2DH
Direct Line: 01603 222170
 
Information Management Shared Service
[3]www.norfolk.gov.uk
 
 

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