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Benchmarking

New requests for adult social care

During 2023-2024 there was an increase in the number of new requests for support compared with the previous year:

  • 2022-2023: 44,262 new requests for adult social care
  • 2023-2024: 49,642 new requests for adult social care

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.

This is not the full range of ASCOF measures but a selection of the key metrics that will be updated in 2024/25 once the information is available. The data that has been shared is to provide wider context on key performance that does have an impact on demand for social care services.

This section reflects the most recent available data (2023/24) at the time of publication. We are expecting the 2024/25 data to be released early 2026.

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:

  • 2021-2022: 25.3%
  • 2022-2023: 22.8%
  • 2023-2024: 20.9%

East of England:

  • 2021-2022: 25.5%
  • 2022-2023: 24.3%
  • 2023-2024: 22.8%

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:

  • 2021-2022: 53.8%
  • 2022-2023: 12.4%
  • 2023-2024: 19.4%

East of England:

  • 2021-2022: 71%
  • 2022-2023: 67.9%
  • 2023-2024: 68.4%

How well we are doing

The reduction reflects Norfolk's move to deliver carer support through the country's first carers social impact bond. This model provides more preventative, community-based support in line with our connecting communities ambitions. Carers supported through this approach are not currently included in national ASCOF measures, so while the figures appear lower, they reflect a broader and more preventative offer rather than reduced support.

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%
  • 2022-2023: 5.1%

East of England:

  • 2020-2021: 5.2%
  • 2021-2022: 5.2%
  • 2022-2023: 4.9%

How well we are doing

The 2023 figure shows an improved position compared to the previous year and is slightly higher than the regional 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:

  • 2021-2022: 75.6%
  • 2022-2023: 79.9%
  • 2023-2024: 78.9%

East of England:

  • 2021-2022: 73.3%
  • 2022-2023: 80.7%
  • 2023-2024: 83%

How well we are doing

Lower than the previous year and the current regional 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:

  • 2021-2022: 24.2
  • 2022-2023: 16.7
  • 2023-2024: 18.4

East of England:

  • 2021-2022: 11.9
  • 2022-2023: 10.5
  • 2023-2024: 12.1

How well we are doing

Higher than the previous year and 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:

  • 2021-2022: 574.2
  • 2022-2023: 566
  • 2023-2024: 568

East of England:

  • 2021-2022: 467.9
  • 2022-2023: 479.2
  • 2023-2024: 476.6

How well we are doing

The 2024 position has increased slightly and remains significantly higher than the regional position. Comparable with the national average.

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:

  • 2021-2022: 85.9%
  • 2022-2023: 85.7% 
  • 2023-2024: 82.7%

East of England:

  • 2021-2022: 82.9%
  • 2022-2023: 84.1%
  • 2023-2024: 83.9%

How well we are doing

Lower than the previous year, and lower than 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:

  • 2021-2022: 76.3%
  • 2022-2023: 80.4%
  • 2023-2024: 74.9%

East of England:

  • 2021-2022: 73.6%
  • 2022-2023: 74.5%
  • 2023-2024: 75.6%

How well we are doing

Lower than the previous year, and the regional and national average.

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