Appendix 1.pdf

Adult Short Breaks Activity

Cumulative 12 month position
(April 15 - March 16)

(Updated Report September 2016)

1

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.

Note: The tables on Page 7 an 15 shows the number of adult carers as at March 16, as it is not possible to accurately report the number of
carers who received an adult short break during the year, without double counting and inflating the figures.

In addition, a number of Trusts have submitted refinements to previous returns during 2015/16, these amendments have been reflected in the
tables to follow.
3

Total Hours of Short Break Adults Receive, April 15 – March 16

Hours of Short Break
Total hours of short break
Mental
Learning
Physical
Elderly
Trust
Health
Disability
Disability
Total
1,800,000
1,629,816
(POC 4)
(POC 5)
(POC 6)
(POC 7)
1,600,000
1,400,000
Belfast
  5
  52,620
   1
  ,772
  2
  63,172
  1
  43,297
9
  60,860
1,200,000
Northern
  1
  ,112,273
6
  8,284
  3
  37,026
  1
  12,233
   1
  ,629,816
960,860
994,242
1,000,000
South Eastern
  3
  96,218
   4
  ,032
  2
  76,247
  1
  08,397
7
  84,893
784,893
800,000
Southern
  5
  64,326
4
  5,791
  3
  01,052
8
  3,073
9
  94,242
600,000
385,432
Western
  1
  41,873
5
  8,948
  1
  10,486
7
  4,125
3
  85,432
400,000
Total
  2
  ,767,310
1
  78,827
  1
  ,287,982
  5
  21,125
   4
  ,755,243
200,000
-
South
Belfast
Northern
Southern
Western

Eastern

Total
960,860
1,629,816
784,893
994,242
385,432


% Hours of Short Break
  Regionally, adults received, in totality, 4,755,243 hours of
Mental
Learning
Physical
Elderly
short break during the year April 15 to March 16.
Trust
Health
Disability
Disability
Total
(POC 4) %
  Adults in the NHSCT recorded the highest number of short
(POC 5) %
(POC 6) %
(POC 7) %
break hours at 1,629,816 (34.3%).  WHSCT the lowest at
Belfast
20%
1%
20%
27%
20%
385,432 (8.1%).
Northern
40%
38%
26%
22%
34%
  Of the 4,755,243 hours, over 2.75 million, 58%, were to
South Eastern
14%
2%
21%
21%
17%
older people whilst adults within POC5 (Mental Health)
Southern
received just below 180,000 of the hours (4%).
20%
26%
23%
16%
21%

Western
5%
33%
9%
14%
8%
*Please note, figures may not add up due to rounding.
Total
100%
100%
100%
100%
100%

4

Total Hours by Type of Short Break Adults Receive, April 15 – March 16

Type of short break Adults Receive
Residential
Nursing Home
Domiciliary
Direct

Trust
Hospital
Day Care
Other
Total
Home Care
Care
short break
Payments

Belfast
2
  42,694
2
  08,485
  -

   7
  7,014
2
  81,559
   8
  9,469
   6
  1,640
9
  60,860

Northern
5
  30,990
2
  96,736
  1
  ,344
4
  02,419
1
  25,978
   1
  42,920
1
  29,429
   1
  ,629,816

South Eastern
2
  97,523
1
  78,312
   4
  5,360
1
  20,890
1
  14,130
   2
  1,695
   6
  ,984
7
  84,893

Southern
2
  13,768
3
  37,176
  7
  ,152
2
  54,230
   6
  ,896
   1
  36,679
   3
  8,341
9
  94,242

Western
1
  30,163
1
  01,928
   1
  3,104
   2
  6,482
   7
  5,716
   7
  ,289
   3
  0,750
3
  85,432

Total
   1
  ,415,138
   1
  ,122,637
   6
  6,960
8
  81,034
6
  04,279
   3
  98,052
2
  67,144
   4
  ,755,243

29.8%
23.6%
1.4%
18.5%
12.7%
8.4%
5.6%
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%
19%
0%
9%
47%
22%
23%
20%

Northern
38%
26%
2%
46%
21%
36%
48%
34%

South Eastern
21%
16%
68%
14%
19%
5%
3%
17%

Southern
15%
30%
11%
29%
1%
34%
14%
21%

Western
9%
9%
20%
3%
13%
2%
12%
8%

Total
100%
100%
100%
100%
100%
100%
100%
100%

  Of the 4.755 million hours, the highest reported was for
Total hours of short break - by Trust

Residential Home Care at 29.8%. The highest percentage
1,800,000
was in the NHSCT at 38% compared to the WHSCT at 9%.

  Nursing Care accounted for 23.6% of hours.
1,600,000
  Domiciliary Care represents 18.5% of total hours delivered.
1,400,000
Of this only 3% in WHSCT.
1,200,000
  Day Care represented 12.7% (604,279) of the total hours
1,000,000
adults receive. Of this, 47% were in the BHSCT compared
to 1% in SHSCT.
800,000
  Direct Payments and the ‘Other’ category combined,
600,000
represented 14% of total hours.
400,000
  1.4% of short break hours delivered via a hospital setting.
200,000
  The ‘Other’ Category includes Caring Breaks and Families
Matter (BHSCT); Share the Care, Day Sitting Service and
-
Group Recreational (NHSCT); Alzheimer’s Association and
Belfast
Northern
South Eastern
Southern
Western
Evening Respite (SEHSCT); Activity Clubs, Shared Care
Residential Home Care
Nursing Home Care
Hospital
and Enable (SHSCT); Flexicare, Host Carers and Wrap
5
Domiciliary short break
Day Care
Direct Payments
Around (WHSCT).

Total hours of short break - Residential
  1,415,138 hours provided, of this, 38% in Northern
600,000
Trust.
530,990
500,000

400,000

297,523
300,000
242,694
213,768
200,000
130,163
100,000
-
South
Belfast
Northern
Southern
Western
Eastern
Residential Home Care
242,694
530,990
297,523
213,768
130,163
Total hours of short break - Nursing
  1,122,637 hours provided, of this, 30% in
400,000
Southern Trust.
337,176
350,000
296,736
300,000
250,000
208,485
200,000
178,312
150,000
101,928
100,000
50,000
-
South
Belfast
Northern
Southern
Western
Eastern
Nursing Home Care
208,485
296,736
178,312
337,176
101,928
Total hours of short break - Hospital
  66,960 hours provided, of this, 68% in South
50,000
Eastern Trust (Thompson House).
45,360
45,000
40,000
35,000
30,000
25,000
20,000
13,104
15,000
10,000
7,152
5,000
-
1,344
-
6
South
Belfast
Northern
Southern
Western
Eastern

Hospital
-
1,344
45,360
7,152
13,104

Total hours of short break - Domiciliary
  881,034 hours provided, of this, 46% in
450,000
402,419
Northern Trust.

400,000

350,000
300,000
254,230
250,000
200,000
150,000
120,890
100,000
77,014
50,000
26,482
-
South
Belfast
Northern
Southern
Western
Eastern
Domiciliary short break
77,014
402,419
120,890
254,230
26,482
Total hours of short break - Day Care
  604,279 hours provided, of this, 47% in Belfast
300,000
281,559
Trust.
250,000
200,000
150,000
125,978
114,130
100,000
75,716
50,000
6,896
-
South
Belfast
Northern
Southern
Western
Eastern
Day Care
281,559
125,978
114,130
6,896
75,716
Total hours of short break - Direct Payments
  398,052 hours provided.  Of this, 36% in
160,000
142,920
Northern Trust.
136,679
140,000

120,000
100,000
89,469
80,000
60,000
40,000
21,695
20,000
7,289
-
South
Belfast
Northern
Southern
Western
7
Eastern
Direct Payments
89,469
142,920
21,695
136,679
7,289

Total hours of short break - Other
  267,144 hours provided.  Of this, 48% in
Northern Trust.
140,000
129,429
  See overleaf for breakdown of the total hours of
120,000
‘other’ short breaks.
100,000
80,000
61,640
60,000
38,341
40,000
30,750

20,000

6,984

-
Belfast
Northern
South Eastern
Southern
Western

Other
61,640
129,429
6,984
38,341
30,750

2016/17 Commissioning Plan Direction – Community Based Short Break Hours

The 2016/17 Commissioning Plan indicates that by ‘March 2017, 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.’  During 2015/16, 45% of short break hours were delivered in
non-residential settings, i.e. domiciliary care, day care, direct payments and other 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
  -
  -
   5
  2,992
   -
  5
  2,992
BHSCT
Adult Family Placement
  -
  -
  -

   -
  -
BHSCT
Families Matter
  -
  -
   8
  ,648
   -
  8
  ,648
Total
-
-
   6
  1,640
  -
  6
  1,640
NHSCT
Share the Care
  -
  -
   8
  9,045
   2
  ,368
  9
  1,413
NHSCT
Residential Home Care Day Sitting (< full day/overnight)
  1
  0,696
  -
  -

   -
  1
  0,696
NHSCT
Nursing Home Care Day Sitting (< full day/overnight)
  7
  ,095
  -
  -

   -
  7
  ,095
NHSCT
Group Recreational
  1
  7,256
  -
  -

   2
  ,969
  2
  0,225
Total
  3
  5,047
-
   8
  9,045
   5
  ,337
   1
  29,429
SEHSCT
Other (by sub heading if material)
  -
  -
  -

   -
  -
SEHSCT
by Alzheimers association for client and carer
  3
  ,408
  -
  -

   -
  3
  ,408
SEHSCT
Group Respite Sessions
  -
  -
  -

   -
  -
SEHSCT
Caring Breaks
  -
  -
  -

   -
  -
SEHSCT
Evening Respite (Centre Based)
  -
  -
   3
  ,576
   -
  3
  ,576
Total
  3
  ,408
-
  3
  ,576
  -
  6
  ,984
SHSCT
Activity Clubs
  1
  ,267
  -
  -

   -
  1
  ,267
SHSCT
Aldergrove (Supported Living)
  -
  -
  -

   -
  -
SHSCT
Flexible
  -
  -
708

   -
   708

SHSCT
Shared Care
  -
  -
   1
  7,160
   -
  1
  7,160
SHSCT
Enable
  -
  -
   1
  9,206
   -
  1
  9,206
SHSCT
Woodlawn
  -
  -
  -

   -
  -
Total
  1
  ,267
-
   3
  7,074
  -
  3
  8,341
WHSCT
Host Carers
  -
  -
   1
  1,816
   -
  1
  1,816
WHSCT
Flexicare
  1
  8,284
  -
  -

   -
  1
  8,284
WHSCT
Sitting Service
  -
  -
  -

   -
  -
WHSCT
Alzheimer's Sitting Service
  -
  -
  -

   -
  -
WHSCT
Floating Support
  -
  -
  -

   -
  -
WHSCT
Wrap Around
  -
  -
  -

  650

   650

WHSCT
Carers' Support
  -
  -
  -

   -
  -
Total
  1
  8,284
-
   1
  1,816
  650

  3
  0,750
Regional TOTAL
  5
  8,006
  -
   2
  03,151
   5
  ,987
   2
  67,144
9

Total Number of Adult Carers, QE March 16
Number of Adult Carers
Total number of adult carers - by Trust/ POC
Learning
Physical
Elderly
Mental Health
Trust
Disability
Disability
Total
3,500
(POC 4)
(POC 5)
(POC 6)
(POC 7)
3,000
Belfast
694

13

442

416

1
    ,565
Northern
2
    ,443
44

537

135

3
    ,159
2,500
South Eastern
1
    ,319
6

402

156

1
    ,883
Southern
758

169

442

102

1
    ,471
2,000
Western
244

291

182

77

794

1,500
Total
5
    ,458
523

2
   ,005
886

8
    ,872
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 March 16, 8,872 adult carers received a
-
Belfast
Northern
South Eastern
Southern
Western
short break.
  Adult carers caring for the Elderly (POC4) account for 62% of all carers,
Elderly (POC 4)
Mental Health (POC 5)
with 45% of these being in the NHSCT.
Learning Disability (POC 6)
Physical Disability (POC 7)

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
266

165

  -
251

   521

   150

   99

  113

  1
  ,565
2,500
Northern
549

270

   1

  1
  ,179      384

   244

   14

  518

  3
  ,159
South Eastern
290

105

   27

572

   342

   81

   82

  384

  1
  ,883
2,000
Southern
181

171

   4

576

   35

   190

   215

  99

  1
  ,471
Western
177

   54

   24

   75

   318

   38

   81

  27

  794

1,500
Total
  1
  ,463   765

   56

  2
  ,653     1 ,600      703

   491

1 ,141     8
  ,872
1,000


  Of the 8,872 adult carers who received a short break, 30% received

domiciliary care.
500


  25% chose residential or nursing home care for their short break.


  18% (1,600) chose Day Care as a short break option.
-
  13.5% of adult carers received a direct payment (703) or a cash
Residential
Nursing
Hospital Domiciliary Day Care
Direct
Cash
Other
Home Care Home Care
short break
Payments
Gr 10
ants
grant (491).

  13% received ‘other’ forms of short break.
Belfast
Northern
South Eastern
Southern
Western

Rate per 1000 of Adult Carers/ 18+ Population (2015 MYEs)
Rate per 1000 of Adult Carers / Population (2015 MYEs)
Learning
Physical
Elderly
Mental Health
10.00
Trust
Disability
Disability
(POC 4)
(POC 5)
9.00
(POC 6)
(POC 7)
8.00
Belfast
2.50
0.05
1.59
1.50
7.00
Northern
6.74
0.12
1.48
0.37
6.00
South Eastern
4.82
0.02
1.47
0.57
5.00
Southern
2.73
0.61
1.59
0.37
4.00
Western
1.08
1.29
0.81
0.34
3.00
Region
3.85
0.37
1.41
0.63
2.00
1.00
  In an attempt to establish the number of carers in receipt of Adult Short
0.00
Breaks, the table above presents the number of carers as a rate per
Belfast
Northern
South Eastern
Southern
Western
Region
1000 of the 18+ population. This is a proxy estimate in the absence of
Elderly (POC 4)
Mental Health (POC 5)
carer’s age not known.
Learning Disability (POC 6)
Physical Disability (POC 7)

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 1.08 in the WHSCT
  Mental Health – applying an 18+ population to the number of carers, the WHSCT rate is 1.29 compared to 0.02 in the SEHSCT.
  Learning Disability; the highest rate is within the BHSCT and SHSCT at 1.59, falling to 0.81 in the WHSCT.
  Within Physical Disability, the rate ranges from 1.50 in BHSCT to 0.34 in WHSCT.

11

Analysis of Average hours delivered in 2015/16 by Client by Type by Trust
Average Hours per Client by Trust/ Type of Care
Average hours per client
8,000
Residential
Nursing
Domiciliary
Direct
Trust
Hospital
Day Care
Other
Total
7,000
Home Care
Home Care
short break
Payments
6,000
Belfast
  912

   1
  ,264
  307

  540

596

   545

   655

5,000
Northern
  967

   1
  ,099     1
  ,344     341

  328

586

   250

   518

4,000
3,000
South Eastern
1
  ,026      1
  ,698     1
  ,680     211

  334

268

   18

   436

2,000
Southern
1
  ,181      1
  ,972     1
  ,788     441

  197

719

   387

   792

1,000
Western
  735

   1
  ,888      546

  353

  238

192

  1
  ,139      541

-
Belfast
Northern
South Eastern
Southern
Western
Total
  967

   1
  ,467     1
  ,196     332

  378

566

   234

   567

Residential Home Care
Nursing Home Care
Hospital
Domiciliary short break
Day Care
Direct Payments
Other

Residential Home
Domiciliary short
Nursing Home Care
Hospital
Day Care
Direct Payments
Other
Total
Care
break
Trust
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Hours
Clients
Belfast
  2
  42,694
266

   2
  08,485
  165

  -

-

  7
  7,014
  251

2
  81,559
  521

  8
  9,469
  150

   6
  1,640
  113

   9
  60,860
1
  ,466
Northern
  5
  30,990
549

   2
  96,736
  270

  1
  ,344
1

4
  02,419
   1
  ,179
1
  25,978
  384

1
  42,920
  244

1
  29,429
  518

1
  ,629,816
3
  ,145
South Eastern
  2
  97,523
290

   1
  78,312
  105

4
  5,360
  27

1
  20,890
  572

1
  14,130
  342

  2
  1,695
   81

  6
  ,984
  384

   7
  84,893
1
  ,801
Southern
  2
  13,768
181

   3
  37,176
  171

  7
  ,152
4

2
  54,230
  576

  6
  ,896
   35

1
  36,679
  190

   3
  8,341
99

   9
  94,242
1
  ,256
Western
  1
  30,163
177

   1
  01,928
   54

1
  3,104
  24

  2
  6,482
   75

   7
  5,716
  318

  7
  ,289
   38

   3
  0,750
27

   3
  85,432
  713

Total
  1
  ,415,138
  1
  ,463
  1
  ,122,637
  765

6
  6,960
   56

8
  81,034
   2
  ,653
6
  04,279
   1
  ,600
3
  98,052
  703

2
  67,144
  1
  ,141
4
  ,755,243
8
  ,381
Note: Table excludes clients receiving a cash grant (491).
  The following assumptions are based on hours delivered in 15/16 and number of clients at March 16.


  Regionally, on average, 1,463 clients in a Residential Home (as a form of short break) received 967 hours (40 days, based on

24hrs overnight stay) of care during the year April 15 – March 16.  This ranges from 1,181 in SHSCT to 735 in WHSCT.

  Of the 765 clients in a Nursing Home who availed of a short break, received approx. 1,500 hours of care (equates to 61 days,
based on 24hrs overnight stay). 270 clients in the NHSCT received approximately 1,100 hours per client whereas SHSCT

reporting an average of approx. 2,000 hours per client.
  2,653 clients received an average of 332 hours of Domiciliary Care.  The highest average number of hours/ client was recorded
in the SHSCT (441) compared to 211 hours in SEHSCT.
  1,600 clients received approximately 400 hours of Day Care.  The highest average number of hours/ client was recorded in the
BHSCT (540) whereas the SHSCT had the lowest average hours (197).
  On average for the region, 566 hours per client was delivered via direct payment, this ranged from 192 hours per client in the
12
Western Trust to 719 in the Southern Trust.

High Level Analysis – Hours of Short Break delivered (3 year period)
April 13 - March 14
Hours of Short Break by POC
April 13 - March 14
Type of short break Adults Receive
Mental
Learning
Physical
Elderly
Residential
Nursing
Domiciliary
Direct
Trust
Health
Disability
Disability
Total
Trust
Hospital
Day Care
Other
Total
(POC 4)
Home Care
Home Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
  5
  26,826
  432

  1
  60,094
8
  0,924
  7
  68,276 # Belfast
1
  95,722
1
  77,786
   9
  3,898
  1
  98,801
   8
  1,058
   2
  1,011
  7
  68,276
Northern
  1
  ,091,655
4
  5,066
  2
  70,966
  1
  40,018
1
  ,547,705 # Northern
5
  70,080
2
  99,880
3
  52,080
  9
  9,247
   9
  7,415
   1
  29,003
1
  ,547,705
South Eastern
  4
  66,024
  -
  2
  25,729
7
  5,402
  7
  67,155 # South Eastern
2
  94,286
1
  43,347
1
  27,713
  1
  11,064
   3
  3,552
   5
  7,193
  7
  67,155
Southern
  6
  51,687
4
  1,753
  2
  76,328
8
  3,605
1
  ,053,373 # Southern
2
  03,277
3
  74,448
2
  77,071
  5
  ,525
1
  37,207
   5
  5,845
1
  ,053,373
Western
  2
  21,497
5
  8,317
  1
  38,098
7
  1,501
  4
  89,413 # Western
2
  06,631
1
  62,744
   2
  3,873
  4
  3,569
   5
  ,438
   4
  7,158
  4
  89,413
Total
  2
  ,957,688
1
  45,568
  1
  ,071,215
  4
  51,450
4
  ,625,921 # Total
   1
  ,469,996
   1
  ,158,205
   -

8
  74,635
  4
  58,206
3
  54,670
   3
  10,210
4
  ,625,921
April 14 - March 15
Hours of Short Break by POC
April 14 - March 15
Type of short break Adults Receive
Mental
Learning
Physical
Elderly
Residential
Nursing
Domiciliary
Direct
Trust
Health
Disability
Disability
Total
Trust
Hospital
Day Care
Other
Total
(POC 4)
Home Care
Home Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
  5
  67,642
   2
  ,592
  2
  50,135
  1
  30,606
  9
  50,974 # Belfast
2
  13,661
1
  80,030
1
  07,366
  2
  76,853
1
  12,125
   6
  0,940
  9
  50,974
Northern
  1
  ,182,270
8
  2,574
  3
  11,873
  1
  75,196
1
  ,751,913 # Northern
6
  27,634
3
  55,632
4
  01,165
  1
  16,519
1
  40,059
   1
  10,904
1
  ,751,913
South Eastern
  4
  09,346
   2
  ,721
  2
  39,590
9
  9,984
  7
  51,641 # South Eastern
2
  62,294
1
  55,467
1
  30,816
  1
  11,929
   2
  8,046
   6
  3,089
  7
  51,641
Southern
  6
  29,637
5
  6,691
  3
  02,287
8
  5,353
1
  ,073,968 # Southern
1
  95,144
4
  14,528
2
  75,126
  8
  ,354
1
  33,188
   4
  7,628
1
  ,073,968
Western
  2
  08,511
8
  4,015
  1
  30,972
5
  0,625
  4
  74,123 # Western
1
  70,635
1
  38,408
   2
  2,234
  9
  1,641
   4
  ,650
   4
  6,555
  4
  74,123
Total
  2
  ,997,406
2
  28,593
  1
  ,234,856
  5
  41,763
5
  ,002,619 # Total
   1
  ,469,368
   1
  ,244,065
   -

9
  36,707
  6
  05,296
4
  18,067
   3
  29,115
5
  ,002,619
April 15 - March 16
Hours of Short Break by POC
April 15 - March 16
Type of short break Adults Receive
Mental
Learning
Physical
Elderly
Residential
Nursing
Domiciliary
Direct
Trust
Health
Disability
Disability
Total
Trust
Hospital
Day Care
Other
Total
(POC 4)
Home Care
Home Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
  5
  52,620
   1
  ,772
  2
  63,172
  1
  43,297
  9
  60,860 # Belfast
2
  42,694
2
  08,485
   -

   7
  7,014
  2
  81,559
   8
  9,469
   6
  1,640
  9
  60,860
Northern
  1
  ,112,273
6
  8,284
  3
  37,026
  1
  12,233
1
  ,629,816 # Northern
5
  30,990
2
  96,736
  1
  ,344
4
  02,419
  1
  25,978
1
  42,920
   1
  29,429
1
  ,629,816
South Eastern
  3
  96,218
   4
  ,032
  2
  76,247
  1
  08,397
  7
  84,893 # South Eastern
2
  97,523
1
  78,312
  4
  5,360
1
  20,890
  1
  14,130
   2
  1,695
   6
  ,984
  7
  84,893
Southern
  5
  64,326
4
  5,791
  3
  01,052
8
  3,073
  9
  94,242 # Southern
2
  13,768
3
  37,176
  7
  ,152
2
  54,230
  6
  ,896
1
  36,679
   3
  8,341
  9
  94,242
Western
  1
  41,873
5
  8,948
  1
  10,486
7
  4,125
  3
  85,432 # Western
1
  30,163
1
  01,928
  1
  3,104
   2
  6,482
  7
  5,716
   7
  ,289
   3
  0,750
  3
  85,432
Total
  2
  ,767,310
1
  78,827
  1
  ,287,982
  5
  21,125
4
  ,755,243 # Total
   1
  ,415,138
   1
  ,122,637
  6
  6,960
8
  81,034
  6
  04,279
3
  98,052
   2
  67,144
4
  ,755,243
  Regionally, adults received 4,755,243 hours of short break during the year 15/16, a 3% increase from 13/14 and a 5% decrease from 14/15.

Compared to last year, BHSCT (1%) and SEHSCT (4%) recorded increases in activity, while activity fell within the other 3 remaining Trusts for the same period.
Compared to 13/14 outturn, BHSCT recorded an increase of 25% whereas the WHSCT fell by approx. 20%.

Regionally, compared to last year, hours have decreased within 3 out of 4 POCs (Elderly, Mental Health and Physical Disability). Learning Disability POC showing the
only increase in activity at 4%. Over the 3 years, hours have increased within 3 out of 4 POCs. Elderly recording the only decrease at 6%.

Residential and Nursing Home Care recorded decreases in hours over the 2 and 3 year period.  Day Care hours showing an increase of over 30% from 13/14, a slight
dip in 15/16 of approx. 1000 hours compared to 14/15.

Overall, the number of hours by POC and by type of short break, have fluctuated over the 3 year period from 13/14 to 15/16.

Note: In previous years, Hospital activity would have been included within ‘other’. This is now shown as a distinct category in 2015/16.
13

Analysis of Hours of Short Break delivered by POC/ Type of Care (3 year period)

Hours of Short Break (Elderly ONLY)

400,000

350,000

Residential Home

300,000
Care

Nursing Home Care

250,000

Hospital

200,000
Domiciliary short

break

150,000
Day Care

100,000
Direct Payments

50,000

-

13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16

BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT

Changes since 2013/14:

  Regionally, a 6% decrease over the 3 year period from 13/14 to 15/16, to carers caring for older people.  WHSCT activity fell by 36%.
  Residential Home Care hours fell by 11% - WHSCT showing the biggest decrease at 47%. BHSCT up by 36%.
  Nursing Home Care hours fell by 7% - 4 out of 5 Trusts showing a decrease in activity with WHSCT the biggest at 42%.  BHSCT up by 43%.
  Domiciliary Care hours down by 4% - 4 out of 5 Trusts showing a decrease in activity with BHSCT the biggest at 34%. NHSCT up by 18%.
  Day Care hours up 6% - 4 out of 5 Trusts showing an increase in activity with NHSCT the biggest (28%).
  Direct Payments hours decreased by 15% - SEHSCT down by almost 50%. WHSCT up by approx. 120% (small numbers).
  ‘Other’ short breaks down by 15% - NHSCT the biggest fall at approx. 30%. SEHSCT up by 42% (small numbers).
14

Hours of Short Break (Mental Health ONLY)

90,000

80,000

Residential Home

70,000

Care

Nursing Home Care

60,000

Hospital

50,000

Domiciliary short

40,000
break

Day Care

30,000

Direct Payments

20,000

10,000

-

13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16 13/14 14/15 15/16

BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT

Changes since 2013/14:



Regionally, a 23% increase from 13/14 in adult short break hours, to carers caring for people within the Mental Health POC. However,

activity from last year has fallen by 22%


Residential Home Care hours have fluctuated each year from 13/14 to 15/16. Activity increased in 14/15 by 20% but fell by 23% in 15/16.

  Nursing Home Care up by almost 100% from 13/14 to 15/16- WHSCT up by approx. 350% and NHSCT up by almost 200%.

  Domiciliary Care hours up 20% for the 3 year period – BHSCT (small numbers) and SHSCT up by 650% and 40% respectively.

  Day Care – WHSCT the only Trust showing significant activity with hours increasing in 14/15 by 128% and then falling by 47% in 15/16.

  Direct Payments hours increased by almost 50% over 3 years - SHSCT up by 21% and NHSCT reporting over 1000% increase (small

numbers)

15

Hours of Short Break (Learning Disability ONLY)
250,000
Residential Home
200,000
Care
Nursing Home Care
150,000
Hospital
Domiciliary short
break
100,000
Day Care
Direct Payments
50,000
-
13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16
BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT

Changes since 2013/14:




Regionally over the 3 year period, activity has shown a year on year increase in hours, to carers caring for people with a Learning Disability.
This is evident within almost every type of short break.
  Residential Home Care hours up by 9% from 13/14 - SEHSCT up by 23% and WHSCT down by 21%.

  Nursing Home Care hours up by 16% from 13/14 but down by 6% from 14/15 – WHSCT recorded the biggest increase over the 3 year period
at 44%.
  Domiciliary Care hours up by 30% from 13/14 – All 5 Trusts showing an increase.

  Direct Payments hours increased by 90% from 13/14 – BHSCT have increased significantly by 46,000 hours (465%).

  ‘Other’ short breaks up by 22% from 13/14 - BHSCT increased significantly by 40,000 hours (almost 200%). WHSCT down by 50%.

16

Hours of Short Break (Physical Disability ONLY)

140,000

120,000
Residential Home

Care

100,000
Nursing Home Care

Hospital

80,000

Domiciliary short

60,000
break

Day Care

40,000
Direct Payments

20,000

-

13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16
13/14
14/15
15/16

BHSCT
NHSCT
SEHSCT
SHSCT
WHSCT

Changes since 2013/14:




Regionally, a 15% increase in adult short break hours, to carers caring for people with a Physical and Sensory Disability. BHSCT up by 77%
and NHSCT activity down by 20%
  Residential Home Care hours fluctuated over the 3 years. Activity up by 24% in 14/15 but fell by 30% in 15/16.
  Nursing Home Care hours down by 21% over the 3 years - BHSCT and WHSCT down significantly by 77% and 60% respectively.  SEHSCT
up by over 300%.
  Domiciliary Care hours up by 8% - SEHSCT hours up by over 150%. NHSCT down by 46%.
  Day Care hours increased by a significant 115,000 hours, almost all in BHSCT and WHSCT.
  Direct Payments hours decreased by 7% - BHSCT down by 88%. NHSCT up by 58%
  ‘Other’ short breaks down significantly by 92% - This is mainly due to hours moved to a stand-alone ‘Hospital’ category in 15/16. Activity in
the Hospital has accounted for more than 65,000 hours this year.
17

High Level Analysis – Number of Adult Carers at QE March 15 v QE March 16
QE Mar 15
Number of Adult Carers
QE Mar 15
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
639

16

470

372

  1
  ,497
Belfast
   271

  146

246

   523

   174

  -

  137

  1
  ,497
Northern
   2
  ,619
55

563

183

  3
  ,420
Northern
   716

  412

   1
  ,119
   383

   239

   19

  532

  3
  ,420
South Eastern
   1
  ,243
18

406

127

  1
  ,794
South Eastern
   287

  83

618

   307

   49

   105

  345

  1
  ,794
Southern
767

86

515

102

  1
  ,470
Southern
   164

  251

563

   49

   173

   148

  122

  1
  ,470
Western
262

253

177

71

  763

Western
   173

  99

   68

   273

   17

   18

  115

   763

Total
   5
  ,530
428

   2
  ,131
855

  8
  ,944
Total
  1
  ,611
  991

  -

   2
  ,614
  1
  ,535
   652

   290

1
  ,251
  8
  ,944
62%
5%
24%
10%
100%
18%
11%
0%
29%
17%
7%
3%
14%
100%
QE Mar 16
Number of Adult Carers
QE Mar 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
694

13

442

416

  1
  ,565
Belfast
   266

  165

  -

251

   521

   150

   99

  113

  1
  ,565
Northern
   2
  ,443
44

537

135

  3
  ,159
Northern
   549

  270

   1

   1
  ,179
   384

   244

   14

  518

  3
  ,159
South Eastern
   1
  ,319
   6

402

156

  1
  ,883
South Eastern
   290

  105

   27

572

   342

   81

   82

  384

  1
  ,883
Southern
758

169

442

102

  1
  ,471
Southern
   181

  171

   4

576

   35

   190

   215

  99

  1
  ,471
Western
244

291

182

77

  794

Western
   177

  54

   24

   75

   318

   38

   81

  27

   794

Total
   5
  ,458
523

   2
  ,005
886

  8
  ,872
Total
  1
  ,463
  765

   56

   2
  ,653
  1
  ,600
   703

   491

1
  ,141
  8
  ,872

  Regionally, 8,872 adult carers received a short break at QE March 16, a 1% decrease compared to QE March 15.
  BHSCT (5%) SEHSCT (5%) and WHSCT (4%) recorded an increase in the number of carers, while there was a decrease within NHSCT (8%) and no
significant change in SHSCT.
  Regionally, the number of carers has fallen within Learning Disability (6%) and Elderly (1%), while Mental Health (22%) and Physical Disability (4%)
showed an increase.
  The number of carers that chose Nursing and Residential Home Care has fallen by 23% and 9% respectively
  The number of carers that chose Domiciliary Care for their short break has increased slightly by 1% at QE March 16 compared to QE March 15.
  For the same period, increases also occurred within Cash Grants (69%), Direct Payments (8%) and Day Care (4%).

Note: The above figures warrant investigation with Trusts to ascertain reason(s).

18

Appendices

Please see below activity by quarter end for the year 15/16.

QE June 15
Hours of Short Break
Type of short break Adults Receive
Mental
Learning
Physical
Residential  Nursing Home
Domiciliary
Direct
Elderly
Trust
Hospital
Day Care
Other
Total
Trust
Health
Disability
Disability
Total
(POC 4)
Home Care
Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
   6
  1,824      5
  4,432     -
   1
  8,832      8
  2,345      2
  4,314      1
  5,504   2 57,251
Belfast
  1
  54,513
  344

  6
  2,713
3
  9,681
2
  57,251
Northern
1 22,982      5
  7,048     -
   9
  6,146      3
  1,647      3
  4,809      3
  2,811   3 75,443
Northern
  2
  51,084
   9
  ,382
  7
  0,832
4
  4,145
3
  75,443
South Eastern
   6
  5,254      3
  8,327     1
  6,344      2
  8,270      2
  8,036     4
  ,593      1
  ,141   1 81,965
South Eastern
  9
  1,262
  216

  6
  1,569
2
  8,918
1
  81,965
Southern
Southern
   4
  8,432      8
  4,336     1 ,824      6
  3,282      1
  ,760      3
  4,385      1
  2,451   2 46,470
  1
  28,287
1
  0,183
  8
  2,919
2
  5,081
2
  46,470
Western
  3
  4,649
1
  7,216
  2
  9,518
1
  6,889
9
  8,272
Western
   3
  7,159      2
  7,432      192

   6
  ,718      2
  1,588     1
  ,487      3
  ,696      9
  8,272
Total
  6
  59,795
3
  7,340
  3
  07,551
  1
  54,714
   1
  ,159,400
Total
3 35,651   2 61,575     1
  8,360   2 13,247   1 65,376      9
  9,588      6
  5,603     1
  ,159,400

QE September 15
Hours of Short Break
Type of short break Adults Receive
Mental
Learning
Physical
Residential  Nursing Home
Domiciliary
Direct
Elderly
Trust
Hospital
Day Care
Other
Total
Trust
Health
Disability
Disability
Total
(POC 4)
Home Care
Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
   6
  3,336      5
  1,960     -
   2
  3,165      8
  0,428      2
  4,550      1
  5,020   2 58,459
Belfast
  1
  51,947
  204

  6
  8,785
3
  7,523
2
  58,459
Northern
1 55,852      8
  8,824      336

1 02,978      3
  2,377      3
  6,932      3
  6,367   4 53,666
Northern
  3
  09,841
2
  5,419
  9
  4,665
2
  3,741
4
  53,666
South Eastern
   8
  1,157      5
  2,056     1
  0,320      2
  9,521      2
  8,072     5
  ,907      1
  ,811   2 08,844
South Eastern
  1
  06,624
  840

  7
  0,837
3
  0,543
2
  08,844
Southern
Southern
   6
  1,320   1 02,744     1 ,848      6
  3,632      1
  ,905      3
  3,593      8
  ,178   2 73,220
  1
  61,076
1
  4,962
  7
  7,097
2
  0,085
2
  73,220
Western
  1
  9,042
1
  1,534
  2
  4,869
2
  2,750
7
  8,195
Western
   2
  1,875      2
  1,888     3 ,792      9
  ,991      1
  4,174     1
  ,618      4
  ,857      7
  8,195
Total
  7
  48,530
5
  2,959
  3
  36,253
  1
  34,642
   1
  ,272,383
Total
3 83,540   3 17,472     1
  6,296   2 29,287   1 56,956      1
  02,599      6
  6,233     1
  ,272,383

19

QE December 15
Hours of Short Break
Type of short break Adults Receive
Mental
Learning
Physical
Residential  Nursing Home
Domiciliary
Direct
Elderly
Trust
Hospital
Day Care
Other
Total
Trust
Health
Disability
Disability
Total
(POC 4)
Home Care
Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
   5
  9,976      5
  1,840     -
   1
  4,527      4
  9,744      1
  9,167      1
  6,432   2 11,686
Belfast
  1
  05,451
  909

  6
  7,232
3
  8,093
2
  11,686
Northern
1 32,096      7
  6,992      504

   9
  8,018      3
  0,612      3
  5,540      3
  2,502   4 06,264
Northern
  2
  74,442
1
  8,374
  8
  9,530
2
  3,918
4
  06,264
South Eastern
   7
  3,221      4
  8,851     9 ,144      3
  0,751      2
  8,936     5
  ,459      1
  ,992   1 98,354
South Eastern
  1
  00,702
  792

  6
  7,663
2
  9,197
1
  98,354
Southern
Southern
   5
  2,824      9
  2,784     1 ,872      6
  2,792      1
  ,414      3
  4,606      9
  ,308   2 55,600
  1
  39,569
1
  2,636
  8
  3,360
2
  0,035
2
  55,600
Western
  5
  1,898
1
  7,141
  2
  8,466
1
  7,477
1
  14,982
Western
   3
  9,621      3
  8,952     4 ,056      5
  ,455      2
  0,795     1
  ,634      4
  ,469   1 14,982
Total
  6
  72,062
4
  9,852
  3
  36,251
  1
  28,720
   1
  ,186,885
Total
3 57,738   3 09,419     1
  5,576   2 11,542   1 31,501      9
  6,406      6
  4,703     1
  ,186,885

QE March 16
Hours of Short Break
Type of short break Adults Receive
Mental
Learning
Physical
Residential  Nursing Home
Domiciliary
Direct
Elderly
Trust
Hospital
Day Care
Other
Total
Trust
Health
Disability
Disability
Total
(POC 4)
Home Care
Care
short break
Payments
(POC 5)
(POC 6)
(POC 7)
Belfast
   5
  7,558      5
  0,253     -
   2
  0,491      6
  9,042      2
  1,438      1
  4,684   2 33,466
Belfast
  1
  40,709
  315

  6
  4,442
2
  8,000
2
  33,466
Northern
1 20,060      7
  3,872      504

1 05,277      3
  1,342      3
  5,639      2
  7,749   3 94,443
Northern
  2
  76,906
1
  5,109
  8
  1,999
2
  0,429
3
  94,443
South Eastern
   7
  7,891      3
  9,078     9 ,552      3
  2,349      2
  9,086     5
  ,736      2
  ,040   1 95,732
South Eastern
  9
  7,631
   2
  ,184
  7
  6,178
1
  9,739
1
  95,732
Southern
Southern
   5
  1,192      5
  7,312     1 ,608      6
  4,524      1
  ,817      3
  4,096      8
  ,404   2 18,953
  1
  35,393
   8
  ,011
  5
  7,674
1
  7,874
2
  18,953
Western
  3
  6,284
1
  3,057
  2
  7,633
1
  7,009
9
  3,983
Western
   3
  1,508      1
  3,656     5 ,064      4
  ,318      1
  9,159     2
  ,550      1
  7,728      9
  3,983
Total
  6
  86,923
3
  8,676
  3
  07,926
  1
  03,050
   1
  ,136,576
Total
3 38,209   2 34,171     1
  6,728   2 26,959   1 50,446      9
  9,459      7
  0,605     1
  ,136,576

20