Experiencing Adult Social Care and Support Services
This section sets out an overview of the joint health and social care needs of the adult
population of Barnet. It adds to the health information already presented in section 2.
Together with section 4, it focuses on the needs of the population of Barnet who will often
require a joined up service response from health and social care. There is a strong economic
argument to justify making the needs of this group a priority for Barnet. Health and social care
needs of the adults identified within these sections cost approximately 70% of the total health
and social care spend in England.
Longer term estimates indicate that this figure is set to rise dramatically. By 2022 public
expenditure on social care alone will rise by 94% to £15.9 billion. Such is the financial pressure
of the changing demographic of need for the groups of people identified in this section, the
government has called for a review of how long term care is funded, as the current
arrangements will not be sufficient to respond to the significant increase in need.
Understanding the term social care
The term social care is used to describe support and services whose aim is to help people
overcome difficulties related to physical, mental, environmental or lifestyle problems at any
stage in their lives. It includes staff in both professional and non-professional roles who support
vulnerable people living in the community and in registered care settings and covers a huge
variety of services from carers support; direct payments; day opportunities; home care through
to nursing homes and protecting the most vulnerable through safeguarding.
Partnership working between health and social care services are integral in order to ensure that
people of all ages receive health and social care support, which promotes their recovery,
independence, inclusion, health and well-being. When receiving social care, individuals should
have the opportunity to exercise choice and control, developing their own solutions and support
to shape their lives and the services they require. All social care services should be of high
quality and ensure personal safety.
This section of the JSNA summarises the key needs and demand data relating to the care and
support services being used by adults in Barnet and follows on from the user experience set
out in the previous section.
Access to social care services is determined through the assessment of needs against
nationally published eligibility criteria which assess need and risk. Over the last 5 years
eligibility for services has been somewhat tightened as a means of managing demand and
costs. Currently, only those who meet ‘substantial and critical’ criteria receive services which
are directly funded by the council.
Barnet will be experiencing significant population growth over the next 10 year period of 14%.
We can expect that people living with long term conditions will be ever more common and that
the percentage of elderly frail in the population will increase. The significant increase in the
adult population is likely therefore to result in increased demand for care and support services.
A range of demographic and resource factors have an impact on the demand for care and
support services which are set out in each of the individual care group commissioning
strategies. As a diverse borough both ethnically and religiously this influences demand and
patterns of service delivery for social care both in terms of access, prevention and models of
care. We also know that most people receive care and support through informal arrangements
and growth in demand is expected to impact on more and more families with a resulting risk for
their own well-being and the viability of informal care arrangements.
The epidemiological and clinical data set out in section 2 will help to inform the basis of future
estimates of the impact and potential of demand for social care and support services in the
medium and longer term.