Measures from the Adult Social Care Outcomes Framework - England, 2011-12, Final
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. The purpose of the ASCOF is two-fold:
Nationally, the ASCOF report will give an indication of the strengths of social care and success in delivering better outcomes for people who use services.
Locally, one of the key uses of the ASCOF is for ‘benchmarking’ and comparison between areas, enabling councils to compare their results with others.
It will also support the “local account” of social care in an area by providing high-level information to underpin the narrative of these accounts.
Final results from the 2011-12 Adult Social Care Outcomes Framework. This report contains the final figures for the 2011-12 ASCOF measures for England and supersedes the provisional ASCOF release in September 2012. The data that are used in the report are also available in CSV format and can be accessed on NASCIS.
Notice: Omission in Durham’s data for ASCOF Measure 1G It has come to our attention that the data for ASCOF Measure 1G (Proportion of adults with learning disabilities who live in their own home or with family) was omitted from the 2011-12 ASCOF report annexes for Durham Local Authority. The Aggregated Measures, Disaggregated Measures and csv file have been updated accordingly.
Notice: Provisional data shown as final in Table 1 (‘All ASCOF measures for 2010-11 and 2011-12’) of the Tables and Charts Provisional data were incorrectly shown for four measures in the Overview chart of the Final 2011-12 ASCOF, final 2011-12 Measures 2Ai, 2Aii, 2Ci and 2Cii. The Tables and Charts annex has now been corrected.
Notice (4 July 2013): The annex file Measures from the Adult Social Care Outcomes Framework - England, 2011-12, Final: Aggregated measures has been updated to correct the data in columns BO-BT (adjusted figures for outcome 2A). The CSV file has also been updated.
• The measure of social care related quality of life is calculated from responses to 8 questions in the Adult Social Care Survey (ASCS). A service user’s answers to each question are given a score between 0 and 3 which relates to the level of needs they say they have across 8 different social care domains. Therefore the maximum score is 24 and the minimum is 0. In 2011-12, the average score was 18.7 which is the same as 2010-11 . (Measure 1A).
• The proportion of service users and carers who received self-directed support was 43.0 per cent in 2011-12 compared to 29.2 per cent in 2010-11. It was highest for those service users aged 18-64 with a learning disability (58.8 per cent) and lowest for those aged 18-64 with a mental health problem (14.6 per cent). The proportion for older adults aged 65 or over was 45.2 per cent and the figure for carers of all ages was 44.6 per cent. (Measure 1Ci.)
• When this is restricted to service users and carers just receiving a direct payment then the proportion is reduced to 13.7 per cent in 2011-12 compared to 11.7 per cent in 2010-11. The figure for those aged 18-64 with a learning disability changes to 25.0 per cent and the figure for carers of all ages is 34.7 per cent (Measure 1Cii).
• There were 696 permanent admissions to residential care or nursing homes per 100,000 population for adults aged 65 or over in 2011-12. The equivalent number for adults aged 18-64 was 19. (Measure 2Ai and ii).
• The proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services was 82.7 per cent in 2011-12 which was an increase of less than1 percentage point from 82.0 per cent in 2010-11. It was higher for females (84.0 per cent) than males (80.4 per cent), and higher for adults aged 65-74 (87.3 per cent) than 75-84 (84.2 per cent) and 85+ (79.8 per cent) (Measure 2Bi).
• The proportion of older people (65 and over) discharged from hospital into reablement/rehabilitation services with the clear intention that they will move on/back to their own home out of all those discharged from hospital was 3.2 per cent in 2011-12 which is similar to 2010-11. This was higher for females (4.1 per cent) than males (2.3 per cent), and higher for adults aged 85 or more (7.7 per cent) than 75-84 (3.3 per cent) and 65-74 (1.2 per cent) (Measure 2Bii).
• The proportion of service users who said they were extremely or very satisfied with their care and support was 62.8 per cent in 2011-12 which was similar to 2010-11 . It was slightly higher for those aged 18-64 (64.8 per cent) than those aged 65 or more (61.8 per cent). (Measure 3A).
Safeguarding people whose circumstances make them vulnerable and protecting from avoidable harm
• The proportion of service users who said they felt safe was 63.8 per cent in 2011-12 which was an increase from 62.4 per cent in 2010-11. This was higher for those aged 65 or more (65.6 per cent) than for those aged 18-64 (60.6 per cent). (Measure 4A).