Personal Social Services: Expenditure and Unit Costs, England - 2012-13, Provisional release [NS]
This summary provides information about the money spent on adult social care by the social services departments of Councils with Adult Social Services Responsibilities (CASSRs) in England. It contains information taken from CASSR administrative systems used to record personal social services expenditure and income. The data are used by central government for public accountability, policy monitoring and national accounts, and by local authorities to assess their performance in relation to their peers.
This report combines provisional data from 152 CASSRs provided via the Personal Social Services: Expenditure and Unit Costs return (PSS-EX1) and relates to the period 1 April 2012 to 31 March 2013. Final data for 2012-13 are due to be published in December 2013; since submitting the provisional data underlying this report CASSRs have had an opportunity to update their data in response to validation queries from the Health and Social Care Information Centre which assess the integrity of the data.
Gross current expenditure has been quoted within this summary unless otherwise stated. National level information is provided by client and service type in this summary. Trends are generally shown over a five year period where broadly comparable and a ten year comparison is made in relation to gross current expenditure. Data on grants and unit costs are broadly comparable over a three year period only. Due to changes in the composition of social care funding and expenditure over time, caution should be exercised when considering long-term trends. For further information see Appendix B. In order to account for some of these changes information about expenditure on adult social care between 2007-08 and 2012-13, from sources including CASSRs and the NHS, is provided in Appendix C.
Data at a regional and CASSR level are available via the National Adult Social Care Intelligence Service (NASCIS). NASCIS provides a set of analytical, querying and reporting tools.
Based on the provisional data, gross current expenditure by CASSRs on adult social care in England in 2012-13 was £17.1 billion. This is a one per cent decrease in cash terms (two per cent in real terms) compared to £17.2 billion in the previous year (2011-12). Over the five year period from 2007-08, when the figure was £15.3 billion, expenditure increased by 12 per cent in cash terms (a decrease of one per cent in real terms). Over the ten year period from 2002-03, when the figure was £11.3 billion, expenditure increased by 51 per cent in cash terms (19 per cent in real terms).
51 per cent (£8.8 billion) of expenditure in 2012-13 was on older people (those aged 65 and over), compared to 52 per cent in 2011-12. Expenditure on people aged 18-64 with learning disabilities accounted for 30 per cent (£5.2 billion), people aged 18-64 with physical disabilities was nine per cent (£1.6 billion), and people aged 18-64 with mental health needs was seven per cent (£1.1 billion). Other adult services accounted for two per cent (£310 million) and less than one per cent was spent on asylum seekers (£10 million) and service strategy (£50 million).
Expenditure on Direct Payments for adults was £1.3 billion in 2012-13 compared to £1.1 billion in 2011-12; an increase of around 15 per cent in cash terms (13 per cent in real terms). This was an increase of 179 per cent in cash terms (148 per cent in real terms) compared to the £450 million spent five years previously (2007-08). The percentage of expenditure used for Direct Payments for adults continued to increase and equated to 7 per cent of gross current expenditure in 2012-13 compared to 6 per cent in 2011-12 and just under 3 per cent in 2007-08.
Grants for adults (excluding carers) amounted to £290 million in 2012-13; a decrease of four per cent in cash terms (six per cent in real terms) from £300 million in 2011-12, and a decrease of seven per cent in cash terms (11 per cent in real terms) from £310 million in 2010-11. Grants as a proportion of “provision by others” remained unchanged at two per cent over this period.
The average cost per adult aged 18 and over supported in residential care, nursing care or intensively in their own home was £599 per week in 2012-13; a decrease of one per cent in cash terms (three per cent in real terms) from £608 in 2011-12, and four per cent in cash terms (seven per cent in real terms) from £623 in 2010-11.