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Benchmarking

New requests for adult social care

During 2021-2022 there was a slight increase in the number of new requests for support compared with the previous year:

  • 2020-2021: 41,410 new requests for adult social care
  • 2021-2022: 41,665 new requests for adult social care

This comprised a small increase in the number of new requests from the 18-64 year old cohort from 12,005 in 2020-2021 to 12,835 in 2021-2022.

For older adults there was a small decrease in the number of requests from 29,405 in 2020-2021 down to 28,820 in 2021-2022.

Adult social care outcomes framework

Adult social care outcomes framework (ASCOF) is used both locally, regionally, and nationally to measure progress against key priorities and strengthen transparency and accountability. Importantly, it measures how well care and support services achieve the outcomes that matter most to people and to identify the priorities for making improvements.

Local authorities can use ASCOF to inform commissioning models, to inform strategic planning and the leadership role for local authorities.

Measuring progress in Norfolk

Benchmarking ASCOF

People accessing long-term support who were receiving a direct payment

Proportion of people accessing long-term support at the year-end who were receiving a direct payment:

Norfolk:

  • 2020-2021: 24.4%
  • 2021-2022: 25.3%
  • January 2023: 24.9%

East of England:

  • 2020-2021: 25.5%
  • 2021-2022: 25.5%

How well we are doing:

  • We are seeing a downwards trajectory relating to this target

 

Carers receiving carer-specific services who received a direct payment

Proportion of carers receiving carer-specific services in a year who received a direct payment:

Norfolk:

  • 2020-2021: 94.9%
  • 2021-2022: 53.8%
  • January 2023: 48.7%

East of England:

  • 2020-2021: 71.2%
  • 2021-2022: 77.6%

How well we are doing:

  • This measure has continued to reduce significantly since 2020-1021. We outsource work with carers to a third party and are successfully reaching significantly more carers in a more preventative way. The commissioned provider currently submits data via spreadsheet which impacts the percentage.

 

Adults with a learning disability in paid employment

Proportion of adults with a learning disability in paid employment:

Norfolk:

  • 2020-2021: 4.6%
  • 2021-2022: 3.7%
  • March 2023: 2.52%

East of England:

  • 2020-2021: 5.2%
  • 2021-2022: 4.8%

How well we are doing:

  • The March 2023 position is significantly lower than the previous year's, and lower than both the regional and national average

 

People with a learning disability who live in their own home or with their family

Proportion of people with a learning disability who live in their own home or with their family:

Norfolk:

  • 2020-2021: 74.5%
  • 2021-2022: 75.6%
  • January 2023: 76%

East of England:

  • 2020-2021: 73.3%
  • 2021-2022: 78.8%

How well we are doing:

  • Higher than the previous year and the current regional average. Slightly lower than the national average.

 

Adults of working age with secondary mental health needs living independently

Proportion of adults of working age with secondary mental health needs living independently:

Norfolk:

  • 2020-2021: 71%
  • 2021-2022: 42%
  • 2023: 42%

East of England:

  • 2020-2021: 39%
  • 2021-2022: 26%

How well we are doing:

  • Significantly lower than the previous year, but higher than both the regional and national average

 

Long term support needs of working age adults

Long term support needs of working age adults (18-64) met by admission to residential and nursing care homes, per 100,000 population:

Norfolk:

  • 2020-2021: 16.1
  • 2021-2022: 24.2
  • March 2023: 17

East of England:

  • 2020-2021: 11.9
  • 2021-2022: 13.9

How well we are doing:

  • Lower than the previous year, but still significantly above both the regional and national scores. We are aiming for a lower score.

 

Long term support needs of older adults

Long term support needs of older adults (65+) met by admission to residential and nursing care homes, per 100,000 population:

Norfolk:

  • 2020-2021: 553.8
  • 2021-2022: 574.2
  • March 2023: 505.01

East of England:

  • 2020-2021: 467.9
  • 2021-2022: 538.5

How well we are doing:

  • The March 2023 position has improved and although this is above the East of England average it is below the England average and is a considerable improvement on the 2021-2022 position

 

Older adults who were still at home 91 days after discharge from hospital into reablement or rehabilitation services

Proportion of older adults (65+) who were still at home 91 days after discharge from hospital into reablement or rehabilitation services:

Norfolk:

  • 2020-2021: 84.4%
  • 2021-2022: 85.9%
  • January 2023: 86%

East of England:

  • 2020-2021: 82.9%
  • 2021-2022: 81.8%

How well we are doing:

  • Higher than the previous year, and both the regional and national average

 

People receiving a short-term service who were discharged successfully

Proportion of those receiving a short-term service who were discharged successfully (no further care, or to a lower level of care):

Norfolk:

  • 2020-2021: 71.5%
  • 2021-2022: 76.3%
  • January 2023: 77%

East of England:

  • 2020-2021: 73.6%
  • 2021-2022: 77.6%

How well we are doing:

  • Higher than the previous year, and the regional average. Comparable with the national average.