Adult Social Care - Key information in public interest

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Dear East Sussex 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

Freedom of Information, East Sussex County Council

 

 

Dear M Jones

 

FOI Request ref:  2437 / Jones / Adult Social Care - Key information in
public interest

 

Thank you for your request for information about the above. Your request
was received on 20/5/2013 and I am dealing with it under the terms of the
Freedom of Information Act 2000.

We always aim to respond as quickly as possible, and in this case will do
so no later than 17/6/2013, which is the 20 working day deadline. The
deadline is counted from the first working day we receive it, not the date
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Please quote the above reference number in any communication regarding
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Yours sincerely

 

 

 

Jeremy Coleman

Freedom of Information Advisor

East Sussex County Council

Governance and Community Services Department

C3F, County Hall

St Anne’s Crescent

Lewes

East Sussex BN7 1UE

 

Phone: 01273 482913
Fax: 01273 481208

email: [1][East Sussex County Council request email]   web: [2]www.eastsussex.gov.uk/foi

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Freedom of Information, East Sussex County Council

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Dear M Jones

 

FOI Request ref:  2437 / Jones / Adult Social Care - Key information in
public interest

Thank you for your request for information about the above, which has been
dealt with under the terms of the Freedom of Information Act 2000. Your
request and our response are set out below. Please note that the
information is provided subject to the copyright and reuse of information
terms and conditions set out at the bottom of this email.

 

Request and our response:

       
Q1      How much was spent in total in adult social care in the financial
year 2010-2011, 2011-12 and 2012-13? 
Answer  2010-11 £170.189m; 2011-12 £163.311m; 2012-13 £162.127m
Q2      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.  
Answer  Information is not available per team:

Older People                    £51.503m

Physical Disabilities           £13.123m

Learning Disabilities           £28.033m

Mental Health           £6.993m

Substance Misuse                £0.260m
        Q3      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.
Answer  <<support plan July 2012.doc>>

<<BICA.doc>>

<<Overview Assessment V 6.doc>>

Currently the standard social care assessment use is the FACE Background
Information and Contact Assessment (BICA) this is used for the majority of
our cases. If it is felt a more comprehensive assessment is required for
clients with the need of input from multi – disciplinary support and
needs, the FACE overview needs assessment is used. More specialist
assessment tools are available for sensory impairment, Occupational
Therapy and Mental Health, as required.

We use the same support plan template for all our client groups.

       
Q4      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). 
Answer  The needs profile is a scoring matrix for the RAS related
questions. The only questions on the FACE needs profile which do not
impact on the RAS are ‘The current living situation’ as the needs profile
uses the intended living situation to set the budget according to where
support will be delivered. ‘The numbers sharing the intended living
situation’ has no impact on the calculations for Older people and ‘caring
for others’ has no allocation in terms of budgets, as this is addressed
though a separate carers process.

<<FACE Needs Profile Excel Version.xls>>      
Q5      Please specify the number of points per RAS question and
option.       
Answer  Please attached RAS guidance documents

[1]Acrobat Document [2]Microsoft Office Word 97-2003 Document

       
Q6      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.    
Answer  See guidance documents provided in Q5.  The East Sussex RAS is
populated with standard local unit costs; which are extrapolated to
provide individual client indicative budgets.       
Q7      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?
Answer  substantial and critical – no change since April 2010  
Q8      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).      
Answer  The East Sussex eligibility criteria is informed by the national
eligibility criteria which it identifies different domains of need within
each banding and within each of these domains ESCC has guidelines over how
these should be used when assessing  individuals. People who are assessed
are assessed against each of the different domains.    
Q9      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?  
Answer  There are no funding bands: each client receives an indicative
personal budget which is then care managed to produce a person specific
approved care plan.     
Q10     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?  
Answer  There are no funding bands: each client receives an indicative
personal budget which is then care managed to produce a person specific
approved care plan.     
Q11     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?    
Answer  There are no funding bands: each client receives an indicative
personal budget which is then care managed to produce a person specific
approved care plan.     
Q12     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?    
Answer  The scheme of delegation (attached) sets out how the LA agrees
funding for care packages. An appeal process has been introduced for
people who wish to challenge their budget allocation.

  [3]Microsoft Office Word 97-2003 Document

       
Q13     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?    
Answer  Yes.

Carefirst.

We don’t hold paper files as well.

There are plans to replace the information system which is a long term
project – the capital programme has an approved budget of £4m to fund
system replacement.       
Q14     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?
Answer  At the end of April 2013 there were 257 FTE professionally
qualified staff in Assessment & Care Management Services (i.e. social work
or occupational therapy qualified) and in 2010 there were 211 FTE
professionally qualified staff.  This is an increase in such
professionally qualified staff of 46 FTE. There are no strategic plans to
change the number of qualified front-line staff. The figures provided are
snapshots of numbers at the specified date and will vary with turnover
during the year.                               

       
Q15     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?  
Answer  At the end of April 2013 there were 182 FTE non-professionally
qualified staff in Assessment & Care Management Services and at the same
date in 2010 there were 219 non-professionally qualified staff in those
services. This is a reduction of 37 FTE. Please note that many of these
staff will have National Vocational Qualifications (NVQs) at different
levels, but not a SW or OT professional qualification.  There are no
strategic changes planned in numbers. The figures provided are snapshots
of numbers at the specified date and will vary with turnover during the
year.     
Q16     What percentage of older people service users currently have a
personal budget (indicative amount)?    
Answer  73%    
Q17     What percentage of older people service users currently have a
direct payment (also known as cash budget or self-managed budget)?      
Answer  9%     
Q18     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?) 
Answer  ESCC contract with a company called A4e to provide support to
Direct Payments recipients.  This includes drawing up a detailed budget
with those clients who choose to use Direct Payments to employ their own
staff (and those using agency care only where necessary). This service is
free to clients.

 

The same company also provides a managed account service which is free to
clients using Direct Payments to purchase agency services only.  The local
authority pays for this service on the client’s behalf at a cost of £10.50
per calendar month for every active account.

 

Where clients have more complicated use of Direct Payments to meet their
support needs they may elect to purchase a third party managed account
service – either from A4e or another provider.  The ball park figure for a
purchased managed account if £6.58 per week but will vary depending which
provider is chosen.    

       
Q19     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. 
Answer  76     
Q20     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.   
Answer  The figures below reflect individual numbers of clients assessed
between January and December 2012

Physical / Sensory / Frailty     6,559

Mental Health Needs              982

Learning Disability                  47

Substance Misuse                  98

Other vulnerable person         272

Unknown                                163

The figures below reflect individual numbers of clients reviewed between
January and December 2012

Physical / Sensory / Frailty     10,600

Mental Health Needs              1,644

Learning Disability                  1,125

Substance Misuse                  85

Other vulnerable person         244

Unknown                                53

The figures below reflect individual numbers of carers assessed or
reviewed between January and December 2012

Carers                                    4,750

       
Q21     What was the total local authority budget for 2010-11? What
percentage of the budget was allocated for adult social care?      
Answer  2010/11 total net budget        £337.208m

2010/11 ASC                     £170.768m

ASC as a percentage of budget – 50.6%  
Q22     What is the total local authority budget for 2013-14? What
percentage of the budget has been allocated for adult social care?  
Answer  2013/14 total net budget        £379.649m

2013/14 ASC                     £174.292m

ASC as a percentage of budget – 45.9%  
 

 

I hope that this answers your enquiry. If you believe that the County
Council has not complied with the FOI Act in responding to your request,
you may ask for an internal review. If you wish to do so, please set out
the grounds of your appeal in writing to:

 

Philip Baker, Assistant Director, Legal and Democratic Services, East
Sussex County Council, County Hall, St Anne’s Crescent, Lewes, East
Sussex. BN7 1UE.

or by email to him at [4][email address]

 

Please quote the FOI reference number in any communication regarding this
particular request.

 

If you are not content with the outcome of the internal review, you then
have the right to apply directly to the Information Commissioner for a
decision. Generally, the Information Commissioner cannot make a decision
unless you have exhausted the County Council’s internal review procedure
as described in the previous paragraph. The Commissioner can be contacted
at: Information Commissioner's Office, Wycliffe House, Water Lane,
Wilmslow, Cheshire, SK9 5AF. Tel: 0303 123 1113.  [5]www.ico.gov.uk

 

Yours sincerely

 

 

 

Daniel Ellis

Freedom of Information Officer

 

East Sussex County Council

Governance and Community Services Department

C3F, County Hall

St Anne’s Crescent

Lewes

East Sussex BN7 1UE

 

Phone: 01273 482913
Fax: 01273 481208

email: [6][East Sussex County Council request email]   web: [7]www.eastsussex.gov.uk/foi

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