Linking Demand And Overall Spend


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Linking Demand And Overall Spend

  1. 1. Linking Demand and Overall spend The gross expenditure for Barnet Adult Social Services as shown in the chart below has increased above inflation levels reflecting the Council’s commitment to the corporate plan priority of ‘Supporting the Vulnerable.’ The gross spend on Barnet Adult Social Services has increased by 25% over the five year period 2003/04 to 2007/08, an actual gross spend increase of over £22 million. The actual increase on demand for a social care service in the same period was a 32.5% increase. Sum of Gross Spend £000 70,000 60,000 50,000 Service Type Asylum Seekers 40,000 Learning Difficulties <65 Mental Health <65 Older Adults 30,000 Other Services Physical & Sensory Impairment <65 20,000 10,000 - 2003/04 2004/05 2005/06 2006/07 2007/08 Year The breakdown of this total spend for Barnet Adult Social Services in Barnet over the 5 year period reflects the changes to the pattern of care provisions with a significant decrease in the proportion of expenditure on registered care and increasing spend on community based services. This increased spend is partially explained through increased number of community packages, but is also linked to the costs of meeting more complex needs in the community. This trend of increased costs of community packages has been influenced further through personalisation as older people are receiving more intensive home care packages as an alternative to residential care. It is important to note that social care and support is met by a range of services and the picture of spend presented here does not include the cost to individuals of privately funded health or social care. There are a wide range of costs which include transport, some of which is met by social services, some of which is met by corporate services and other sectors. Work has been undertaken to project the future costs for adult social care based on current patterns of demand and spend and population growth. This has been estimated as being £43 million over the next 10 year period over and above standard increases for inflation if patterns of service delivery remain unchanged. In the context of a difficult economic climate across the United Kingdom and the challenge for social care funding given the worsening dependency ratio as set out in the Government’s consultation on the future of social care, this level of
  2. 2. funding increase cannot be sustained. The responsibility between the state, citizen and family in the provision of social care over the next 10 years will need to be fundamentally redefined. Sum of Gross Spend £000 100% 90% 80% 70% Area 2 60% Residential & Nurising Care placements Other Services Home care 50% Direct Payments Day Care 40% Assessment and care management 30% 20% 10% 0% 2003/04 2004/05 2005/06 2006/07 2007/08 Year