Measures from the Adult Social Care Outcomes Framework, England - 2013-14, Provisional release
On 31 March 2011, Transparency in outcomes: a framework for adult social care announced the first Adult Social Care Outcomes Framework (ASCOF), covering the year 2011-12. On 30 March 2012, the ASCOF for 2012-13 was published by the Department of Health. The purpose of the ASCOF is three-fold:
- Nationally, the ASCOF aims to give an indication of the strengths and weaknesses of social care in delivering better outcomes for people who use services.
- Locally, one of the key intended uses of the ASCOF is to support councils to improve the services they provide. The framework attempts to support meaningful comparisons between councils, based on the outcomes they deliver for local people and to help stimulate the sharing of learning and discussions on best practice.
- It is intended that the ASCOF will foster greater transparency in the delivery of adult social care, supporting local people to hold their council to account for the quality of the services they provide.
The ASCOF encompasses four domains. These are:
- Enhancing quality of life for people with care and support needs.
- Delaying and reducing the need for care and support.
- Ensuring people have a positive experience of care and support.
- Safeguarding people whose circumstances make them vulnerable and protecting from avoidable harm.
This report contains the provisional figures for the 2013-14 ASCOF measures for England. It will be superseded by a final set of figures for 2013-14 later in the year.
A selection of ASCOF measures is commented on in this executive summary. The 2013-14 national values for all the measures are shown in a table in the following Overview section along with comparisons with 2012-13, 2011-12 and 2010-11 where available. Council level data for 2013-14, 2012-13 and 2011-12 are available on the website of the Health and Social Care Information Centre and through the National Adult Social Care Intelligence Service (NASCIS). The latest ASCOF data can also be found via the HSCIC ASCOF website. Links to NASCIS and the ASCOF website are provided in the resources section of this web page.
2013-14 is the first year to include measure 1I (proportion of people who use services and their carers who reported that they had as much social contact as they would like); data for this measure are already collected as part of the Adult Social Care Survey and Carers’ Survey and figures have been published prior to 2013-14 in those reports.
Update, 11 July 2014: The report outlines some data quality issues identified in advance of publication. In addition, Leeds City Council has since informed us of some data quality issues with their Adult Social Care Survey data submission. Users are advised to view their results with caution (Outcomes 1A, 1B, 3A, 3B, 3C, 3D, 4A, and 4B) as some may be inaccurate.
- In 2013-14, the social care related quality of life score (where the most positive score is 24) was 19.0, compared to 18.8 in 2012-13 and 18.7 in both 2011-12 and 2010-11 (Measure 1A).
- The proportion of people using social care who received self-directed support continued to increase year on year from 29.2 per cent in 2010-11 to 43.0 per cent in 2011-12 to 56.2 per cent in 2012-13 and to 62.1 per cent in 2013-14. The proportion of people using social care who receive direct payments has increased each year, 2013-14 was 19.1 per cent compared to 11.7 per cent in 2010-11 (Measures 1C(1) and 1C(2)).
- The proportion of adults with a learning disability who live in their own home or with their family was 74.8 per cent for 2013-14, compared to 73.5 per cent in 2012-13 (Measure 1G).
- In 2013-14, 44.2 per cent of people who used services reported that they have as much social contact as they would like, compared to 43.2 per cent in 2012-13, 42.3 per cent in 2011-12 and 41.9 per cent in 2010-117 (Measure 1I(1)).
- Permanent admissions to residential and nursing care homes for older adults, per 100,000 population, decreased from 697.2 in 2012-13 to 668.4 for 2013-14 (Measure 2A(2)).
- In 2013-14, 66.0 per cent of people who used services felt as safe as they wanted, whereas this proportion was 65.1 per cent in 2012-13. The proportion of people who used services who said that those services have made them feel safe and secure was 79.2 per cent in 2013-14, compared to 78.1 per cent in 2012-13 and 75.5 per cent in 2011-12 7(Measures 4A and 4B).