Somerset Learning Disabilities Profile 2013 Profile for Somerset … · Tartan Rugs. Population....

Learning Disabilities Profile 2013

SomersetIntroductionHealth profiles are numbers which help people who plan health services.

They come as reports for local areas. Our health profiles are for the areas of Local Authorities that run Adult Social Services. They are used by plannersin health services and social services. They are also interesting for self-advocates and family carers.

They try to show

How many people have learning disabilities,How healthy they are,How much health care they get,How well social services are looking out for them.

They show how your area compares with others.

Good numbers for all these things are hard to find. The numbers on the website are our best attempt. Please tell us if you think have any suggestions toimprove either the numbers or the way we show them.

Do you think there are better numbers we could show?How could we display them more clearly?

Please send them by e-mail to [email protected]

Bridgwater

Wincanton

Wellington

Watchet

Taunton

Somerton

Minehead

Ilminster

Frome

Crewkerne

Cowbridge

Chard

Burnham-on-Sea

Yeovil

© Crown copyright and database rights 2013 Ordnance Survey 100016969© OpenStreetMap contributors ODbL

www.ihal.org.uk/profilesLearning Disability Profiles are produced by Public Health England.

Write to: Improving Health & Lives: Learning Disabilities ObservatoryPublic Health England, IPH, University Forvie Site, Robinson Way,Cambridge, CB2 0SR

Email: [email protected]

ContentsSpine chartsPopulation Page 3Health Page 3Accommodation & social care Page 3Coordination and local planning Page 3

Tartan RugsPopulation Page 4Health Page 4Accommodation & social care Page 5Coordination and local planning Page 5

Detailed Indicators and MapsPopulation Page 6Health Page 13Accommodation & social care Page 18Coordination and local planning Page 28

1www.ihal.org.uk/profilesE10000027-40 Somerset

Copyright © 2012-13, Public Health England.

mailto:[email protected]://www.improvinghealthandlives.org.uk/profiles/index.php?view=E10000027

Learning Disabilities Profile

Somerset

Revisions to Profiles

Since last year, there have been a number of changes to the Learning Disabilities Profiles.

Firstly, we removed the following indicators:

11. Admission rate for psychiatric ambulatory care sensitive conditions in people with LD14. Identifying people with learning disability in psychiatric in-patient statistics15. Persons admitted psychiatric specialty for challenging behaviour

While the data does not identify individuals, some areas had low numbers that were not appropriate to use. We know from the [A&T and other specialistinpatient care for people with LD in the Count-Me-In census] (http://www.improvinghealthandlives.org.uk/gsf.php5?f=16342&fv=17542) that manyadmissions occur in the independent sector. As such, the small numbers taken from hospital episode statistics could have potentially misleadingresults.

Secondly, due to the administrative changes in accessing hospital episode statistics we are unable to update the following indicators at present:

10. Emergency hospital admissions as % of total12. Admission rate for non-psychiatric ambulatory care sensitive conditions in people with LD13. Identifying people with learning disability in general hospital statistics

We anticipate updating these indicators later in the year.

2www.ihal.org.uk/profiles E10000027-40 Somerset



Somerset

Spine Charts

PopulationPeriod Local

valueEng.

valueEng.

lowest RangeEng.

highest1 Adults with learning disability known to GPs 2011-12 5.19 4.54 2.08 7.66

2 Adults (18 to 64) with learning disability known to LocalAuthorities

2011-12 5.13 4.27 2.36 8.63

3 Children with autistic spectrum known to schools Jan2012 4.38 8.17 2.36 19.71

4 Children with moderate learning difficulties known toschools

Jan2012 7.98 19.65 6.50 51.36

5 Children with severe learning difficulties known toschools

Jan2012 3.77 3.65 1.09 7.53

6 Children with profound and multiple learning difficultiesknown to schools

Jan2012 0.92 1.23 0.00 4.02

7 Children with learning difficulties known to schools Jan2012 12.66 24.53 9.57 58.31

HealthPeriod Local

valueEng.

valueEng.

worst England RangeEng.best

8 Proportion of eligible adults with a learning disabilityhaving a GP health check

2011-12 71.01 52.73 13.37 100.00

9 Median age at death 2008-11 61.00 56.00 1.00 69.50

10 Emergency hospital admissions as % of total 2008-09 55.98 49.96 75.27 12.59

12 Admission rate for non-psychiatric ambulatory caresensitive conditions in people with LD

2005/06 -2008/09

23.77 23.27 89.59 5.57

13 Identifying people with learning disability in generalhospital statistics

2008-09 30.20 27.12 5.75 45.40

Accommodation & social care

16 Living in settled accommodation 2011-12 79.25 68.94 1.27 93.59

17 Living in non-settled accommodation 2011-12 20.44 22.36 40.32 1.27

18 Accommodation status unknown to LA 2011-12 0.31 9.10 97.45 0.00

19 Accommodation severely unsatisfactory 2011-12 0.31 0.13 1.85 0.00

20 Adults (age 18-64) using day services 2011-12 238.99 347.20 38.83 681.96

21 Adults(age 18-64) receiving community services 2011-12 839.62 749.71 438.46 1,064.22

22 Adults with learning disability in paid employment 2011-12 1.26 6.12 0.28 20.39

23 Adults (age 18-64) receiving direct payments 2011-12 17.23 - 6.35 98.33

24 Gross current expenidture for residential personal socialservices per 1,000 people known to LAs with LD

2011-12 9.60 21.52 5.07 43.03

25 Rates of referral for abuse of vulnerable person 2011-12 135.22 111.90 0.00 383.56

Coordination and local planning

26 Comparison of LA and QOF prevalence estimates 2011-12 1.22 6.16 0.42 88.84

Key

Regional average

Not significant

Significance Not Tested

Where perceived polarity:

Significantly worse Significantly better

England worst England bestEngland average

25th percentile 75th percentile

Where no perceived polarity:

Significantly lower Significantly higher

England lowest England highestEngland value

25th percentile 75th percentile




Somerset

Tartan RugsPopulation

Indicator Period Engl

and

Bath

and

Nor

th E

ast S

omer

set

Bour

nem

outh

Bris

tol

Cor

nwal

l

Dev

on

Dor

set

Glo

uces

ters

hire

Isle

s of

Sci

lly

Nor

th S

omer

set

Plym

outh

Pool

e

Som

erse

t

Sout

h G

louc

este

rshi

reSw

indo

n

Torb

ay

Wilt

shire

1 Adults with learning disability known to GPs 2011-12 4.54 4.43 4.73 4.95 5.49 5.43 4.40 5.94 - 4.77 5.70 4.73 5.19 4.15 4.15 6.07 4.39

2 Adults (18 to 64) with learning disability known to LocalAuthorities

2011-12 4.27 3.92 3.11 3.62 5.61 4.81 4.15 4.73 - 3.54 5.96 5.09 5.13 4.30 4.03 5.45 4.22

3 Children with autistic spectrum known to schools Jan2012 8.17 7.81 7.13 7.06 8.05 7.84 11.69 4.51 - 5.07 12.18 7.00 4.38 6.53 7.13 6.07 8.64

4 Children with moderate learning difficulties known to schools Jan2012 19.65 13.29 8.44 8.91 14.71 12.30 13.06 9.37 - 6.93 13.96 10.78 7.98 9.74 21.17 20.69 12.70

5 Children with severe learning difficulties known to schools Jan2012 3.65 3.36 3.02 3.18 3.90 3.32 2.16 5.14 - 3.79 4.00 5.64 3.77 3.10 4.33 4.88 2.92

6 Children with profound and multiple learning difficulties knownto schools

Jan2012 1.23 0.86 1.04 1.68 0.88 1.24 0.68 1.89 - 0.71 0.70 2.92 0.92 1.06 1.65 2.28 0.93

7 Children with learning difficulties known to schools Jan2012 24.53 17.50 12.50 13.77 19.49 16.87 15.90 16.40 - 11.43 18.66 19.34 12.66 13.90 27.15 27.85 16.54

Health

8 Proportion of eligible adults with a learning disability having aGP health check

2011-12 52.73 81.52 78.37 60.38 61.45 71.87 68.96 73.39 - 72.00 67.94 78.37 71.01 82.73 54.53 78.92 53.76

9 Median age at death 2008-11 56.00 54.50 51.00 58.00 55.50 58.00 57.00 56.50 - 64.00 55.50 55.00 61.00 60.50 36.00 61.50 51.50

10 Emergency hospital admissions as % of total 2008-09 49.96 18.32 61.86 41.77 36.75 49.85 55.52 29.38 - 43.61 52.54 62.64 55.98 50.70 52.94 66.67 56.56

12 Admission rate for non-psychiatric ambulatory care sensitiveconditions in people with LD

2005/06 -2008/09

23.27 20.00 28.97 18.92 19.17 14.51 12.40 13.33 - 18.86 21.17 21.34 23.77 21.40 8.68 24.71 18.90

13 Identifying people with learning disability in general hospitalstatistics

2008-09 27.12 12.97 21.96 28.31 28.94 24.53 25.75 24.61 - 38.82 36.43 26.35 30.20 35.93 19.03 26.59 33.14

Key: Compared to England: Significantly Worse Not significantly different Significantly Better Significantly Lower Significantly Higher Not compared




Somerset


Indicator Period Engl

and

Bath

and

Nor

th E

ast S

omer

set

Bour

nem

outh

Bris

tol

Cor

nwal

l

Dev

on

Dor

set

Glo

uces

ters

hire

Isle

s of

Sci

lly

Nor

th S

omer

set

Plym

outh

Pool

e

Som

erse

t

Sout

h G

louc

este

rshi

reSw

indo

n

Torb

ay

Wilt

shire

16 Living in settled accommodation 2011-12 68.94 62.79 56.76 53.40 59.21 68.41 67.71 64.53 - 59.52 68.21 72.22 79.25 66.91 55.56 69.51 60.83

17 Living in non-settled accommodation 2011-12 22.36 32.56 25.68 36.41 25.50 24.94 22.40 26.45 - 39.29 21.54 13.33 20.44 33.09 17.59 29.27 39.58

18 Accommodation status unknown to LA 2011-12 9.10 4.65 17.57 10.19 15.30 6.65 9.90 9.01 - 1.19 10.26 14.44 0.31 0.00 26.85 1.22 0.00

19 Accommodation severely unsatisfactory 2011-12 0.13 0.00 0.00 0.00 0.28 0.00 0.00 0.00 - 0.00 0.00 0.00 0.31 0.00 0.00 0.00 0.00

20 Adults (age 18-64) using day services 2011-12 347.20 337.21 445.95 296.12 433.43 527.32 312.50 235.47 - 464.29 282.05 388.89 238.99 424.46 379.63 378.05 391.67

21 Adults(age 18-64) receiving community services 2011-12 749.71 639.53 716.22 616.50 892.35 738.72 697.92 671.51 - 583.33 815.38 733.33 839.62 618.71 768.52 670.73 633.33

22 Adults with learning disability in paid employment 2011-12 6.12 6.98 4.05 6.31 0.28 6.41 3.13 6.10 - 9.52 4.62 8.89 1.26 11.51 3.70 2.44 12.08

23 Adults (age 18-64) receiving direct payments 2011-12 - 29.09 35.85 15.75 6.35 23.15 33.58 16.88 - 32.65 20.13 31.82 17.23 34.88 13.25 40.00 18.42

24 Gross current expenidture for residential personal socialservices per 1,000 people known to LAs with LD

2011-12 21.52 26.13 22.48 34.67 21.54 11.64 27.67 21.31 - 34.68 18.69 12.91 9.60 32.93 25.20 11.72 20.01

25 Rates of referral for abuse of vulnerable person 2011-12 111.90 93.02 229.73 169.90 90.65 40.38 26.04 81.40 - 107.14 82.05 44.44 135.22 151.08 64.81 97.56 62.50


26 Comparison of LA and QOF prevalence estimates 2011-12 6.16 13.20 52.18 36.71 2.18 12.82 6.06 25.59 - 34.72 4.23 7.02 1.22 3.54 2.93 11.28 4.08

Key: Compared to England: Significantly Worse Not significantly different Significantly Better Significantly Lower Significantly Higher Not compared




Somerset

Population

1. Adults with learning disability known to GPs

Each year GPs are asked how many of the adults ontheir practice list have learning disability. These numbersare reported for health service areas-(primary care trustsor 'PCTs'). The indicator shows the number of people inevery thousand that GPs identify.

Period England Average South West Somerset Number of Adults2007-08 3.40 3.98 3.68 1,564.002008-09 3.74 4.53 4.06 1,743.002009-10 4.13 4.79 4.50 1,935.002010-11 4.33 4.93 5.17 2,236.002011-12 4.54 5.08 5.19 2,263.00

Significantly higher than England

0

2

4

6

8

Somerset

England

South West

Key South West value and confidence interval South West LAs: Lower Similar Higher

England value and confidence interval Other LAs: Lower Similar Higher

0

2

4

2007-08 2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON

KeySignificantly lower thanEngland (55)

Not significantly different toEngland (40)

Significantly higher thanEngland (55)

No data (2)




Somerset

Population

2. Adults (18 to 64) with learning disability known to Local Authorities

Awareness of the numbers of people with learningdisability in the local authority area is fundamental toplanning. Comparison with similar areas suggestswhether reported value is surprisingly low or high.

Period England Average South West Somerset Number of adults2008-09 4.14 4.49 4.68 1,430.002009-10 4.21 4.61 4.81 1,460.002010-11 4.27 4.48 4.86 1,470.002011-12 4.27 4.61 5.13 1,590.00


0

2

4

6

8

Somerset

England

South West



0

2

4

2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON




No data (2)




Somerset

Population

3. Children with autistic spectrum known to schools

Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. This indicator shows thenumber of children in every thousand who have autisticspectrum disorders. These children have a combinationof difficulties with verbal communication, interacting withother children or adults. They often also have particularfocus on specific interests and find it difficult to engage inother subjects. The school census covers all pupilsenrolled in state-funded primary, secondary or specialschools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in datafrom medical sources.

Period England Average South West Somerset Number of pupilsJan2008 5.84 5.18 3.31 257.00Jan2009 6.30 5.60 3.50 266.00Jan2010 6.90 6.20 3.60 275.00Jan2011 7.60 6.90 3.90 295.00Jan2012 8.17 7.37 4.38 334.00

Significantly lower than England

0

5

10

15

20

Somerset

England

South West



0

2

4

6

8

Jan2008 Jan2009 Jan2010 Jan2011 Jan2012

Somerset

South West

England

LONDON




No data (2)




Somerset

Population

4. Children with moderate learning difficulties known to schools

Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needsthe children have. There are four levels of learningdifficulties: specific difficulties (like dyslexia), moderatelearning difficulties, severe learning difficulties andprofound and multiple learning difficulties. The indicatorshows the number of children in every thousand whohave moderate learning difficulty. These children havedifficulty in all areas of learning. They may have speechand language delay. The school census covers all pupilsenrolled in state-funded primary, secondary or specialschools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in datafrom medical sources.



0

10

20

30

40

50

Somerset

England

South West



0

5

10

15

20


Somerset

South West

England

LONDON




No data (2)




Somerset

Population

5. Children with severe learning difficulties known to schools

Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needs thechildren have. There are four levels of learning difficulties:specific difficulties (like dyslexia), moderate learningdifficulties, severe learning difficulties and profound andmultiple learning difficulties. The indicator shows the numberof children in every thousand who have severe learningdifficulty. These children have serious difficulty inparticipating in ordinary school programs without support.Many have limited communications and self help skills. Theschool census covers all pupils enrolled in state-fundedprimary, secondary or special schools. A formal medicaldiagnosis is not required,as such these numbers may notreflect those seen in data from medical sources.


Not significantly different to England

0

2

4

6

8

Somerset

England South West



0

2

4


Somerset

South West

England

LONDON




No data (2)




Somerset

Population

6. Children with profound and multiple learning difficulties known to schools

Schools are very aware of children who have particulardifficulties in learning. Every term they report to the Departmentfor education about all children who have special educationalneeds. They say what sort of needs the children have. Thereare four levels of learning difficulties: specific difficulties (likedyslexia), moderate learning difficulties, severe learningdifficulties and profound and multiple learning difficulties. Theindicator shows the number of children in every thousand whohave profound multiple learning difficulties. These children havevery severe difficulty in learning combined with physical orsensory disabilities. They require a high level of adult supportfor both learning and personal care needs. The school censuscovers all pupils enrolled in state-funded primary, secondary orspecial schools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in data frommedical sources.



0

2

4

Somerset

England South West



0Jan2008 Jan2009 Jan2010 Jan2011 Jan2012

Somerset

South West

England

LONDON




No data (2)




Somerset

Population

7. Children with learning difficulties known to schools

Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needsthe children have. There are four levels of learningdifficulties: specific difficulties (like dyslexia), moderatelearning difficulties, severe learning difficulties andprofound and multiple learning difficulties. The indicatorshows the number of children in every thousand whoeither moderate, severe or profound multiple learningdifficulties. The school census covers all pupils enrolledin state-funded primary, secondary or special schools. Aformal medical diagnosis is not required,as such thesenumbers may not reflect those seen in data from medicalsources.

Period England Average South West Somerset Number of pupilsJan2008 25.94 17.99 11.75 912.00Jan2009 26.00 18.00 12.50 962.00Jan2010 25.50 17.60 12.60 963.00Jan2011 24.61 17.30 13.20 1,006.00Jan2012 24.53 16.67 12.66 965.00


0

10

20

30

40

50

60

Somerset

England

South West



0

5

10

15

20

25


Somerset

South West

England

LONDON




No data (2)




Somerset

Health

8. Proportion of eligible adults with a learning disability having a GP health check

People with learning disability have more difficulty thanothers in recognising ordinary health problems andgetting treatment for them. Each year GPs are supposedto offer regular health checks to make sure importantproblems are identified and treated. PCTs report to theDepartment of Health how many people there are on GPpractice lists known both to their GP and the local socialservices department to have a learning disability. Theyshow how many of these have had a health check in thelast year.

Period EnglandAverage

SouthWest

Somerset Receivedhealth checks

Not receivedhealth

checks2008-09 22.83 29.78 0.00 0.00 1,650.002009-10 40.66 55.37 19.32 372.00 1,553.002010-11 48.64 64.70 57.11 1,277.00 959.002011-12 52.73 68.58 71.01 1,607.00 656.00

Significantly better than England

0

50

100

Somerset

England

South West

Key South West value and confidence interval South West LAs: Better Similar Worse

England value and confidence interval Other LAs: Better Similar Worse

0

10

20

30

40

50

60

70

2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON

KeySignificantly better thanEngland (73)


Significantly worse thanEngland (56)

No data (4)




Somerset

Health

9. Median age at death

People with learning disabilities die at younger ages thanother people. This indicator shows the midpoint of theages of all of the people who have died and whose deathcertificates show that they had learning disabilities. It is alittle incomplete because often, doctors do not recordlearning disabilities on death certificates if they consider ithad no relationship to the person's death.

Period England Average South West Somerset2006-10 55.00 58.00 58.002008-11 56.00 58.00 61.00


0

10

20

30

40

50

60

70

80

90

Somerset

England

South West



0

10

20

30

40

50

60

2006-10 2008-11

Somerset

South West

England

LONDON




No data (2)




Somerset

Health

10. Emergency hospital admissions as % of total

Ideally, people who need treatment in hospital should beadmitted before their illness reaches a critical stagewhere they have to be admitted as an emergency. Whereillnesses are left to a late stage, this often involves moresuffering on the part of the patient and poorer outcomesof treatment. Emergency admissions are also lesssatisfactory as less advance planning is possible andpatients are commonly seen by more junior staff. Lack ofadvance planning is particularly relevant for people withlearning disability where it is helpful if staff can makereasonable adjustments in anticipation.


SouthWest

Somerset Emergencyadmissions

Plannedadmissions

2005-06 50.74 48.55 55.05 300.00 245.002006-07 49.13 44.99 51.27 403.00 383.002007-08 48.62 42.24 52.46 331.00 300.002008-09 49.96 43.50 55.98 398.00 313.00

Significantly worse than England

0

10

20

30

40

50

60

70

Somerset

England

South West



0

10

20

30

40

50

2005-06 2006-07 2007-08 2008-09

Somerset

South West

England

LONDON




No data (2)




Somerset

Health

12. Admission rate for non-psychiatric ambulatory care sensitive conditions in peoplewith LDFor some types of illness, once a diagnosis is clear, carecan usually be managed without patients going intohospital. Hospitalisation is usually unpleasant for patientsand expensive for services. Three types of physicalhealth condition common in people with learningdisabilities are more likely to cause admission to hospitalif ordinary care is not provided well. These are gastric-oesophageal reflux disorder (GORD), epilepsy andconstipation.

Period England Average South West Somerset Admissions2005/06 - 2008/09 23.27 18.15 23.77 184.00


0

50

100

Somerset

England

South West



LONDON




No data (2)




Somerset

Health

13. Identifying people with learning disability in general hospital statistics

Hospitals can only make appropriate reasonableadjustments for people with learning disability if theyknow they need to. Learning disability is alwaysimportant, as adjustments will always be required tomake sure these patients understand fully what ishappening and what they are consenting to, and thatdoctors and nurses take their learning disability intoaccount in assessing symptoms and progress. Recordingthis statistically is also important to the hospital first so itcan check reasonable adjustments are being made andsecond because in many cases hospitals get paid morefor treating people who have a learning disability, asmore care is needed.


SouthWest

Somerset Episodes LDidentified

Episodes LDnot identified

2005-06 22.50 23.51 24.77 274.00 832.002006-07 23.63 28.03 32.79 484.00 992.002007-08 24.58 24.75 22.42 306.00 1,059.002008-09 27.12 27.17 30.20 399.00 922.00


0

5

10

15

20

25

30

35

40

45

Somerset

England South West



0

5

10

15

20

25

30

35

2005-06 2006-07 2007-08 2008-09

Somerset

South West

England

LONDON




No data (2)




Somerset


16. Living in settled accommodation

Arranging where they live poses difficulties for manypeople with learning disability. Local authority socialservice departments commonly help here.Accommodation can be divided into settledaccommodation, where the person can reasonablyexpect to stay as long as they want and unsettledaccommodation which is either unsatisfactory or, where,like in residential care homes, residents do not havesecurity of tenure. Local authorities are asked each yearabout the sort of accommodation the working age adultswith learning disability they know are living in. Categoriesof 'settled accommodation' include:


South West Somerset Number settledaccommodation

2008-09 33.27 30.93 23.08 330.002009-10 60.55 50.86 63.36 925.002010-11 58.98 44.48 49.66 730.002011-12 68.94 65.18 79.25 1,260.00


0

50

100

Somerset

England

South West



0

10

20

30

40

50

60

70

80

2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON




No data (3)




Somerset


17. Living in non-settled accommodation

Arranging where they live poses difficulties for manypeople with learning disability. Local authority socialservice departments commonly help here.Accommodation can be divided into settledaccommodation, where the person can reasonablyexpect to stay as long as they want and unsettledaccommodation which is either unsatisfactory or, where,like in residential care homes, residents do not havesecurity of tenure. Local authorities are asked each yearabout the sort of accommodation the working age adultswith learning disability they know are living in. Categoriesof 'non-settled accommodation' include:


South West Somerset Number non-settledaccommodation

2008-09 14.43 14.41 7.34 210.002009-10 21.83 24.31 15.41 225.002010-11 20.14 21.21 14.29 210.002011-12 22.36 26.84 20.44 325.00


0

5

10

15

20

25

30

35

40

45

Somerset

England

South West



0

5

10

15

20

25

2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON




No data (3)




Somerset


18. Accommodation status unknown to LA

Looking at local authority figures for types ofaccommodation for working age adults with learningdisability, it is apparent that social services departmentsdo not know about everyone.

Period England Average South West Somerset Number unknown2008-09 52.30 54.67 69.58 995.002009-10 17.62 24.83 21.23 310.002010-11 20.88 34.31 36.05 530.002011-12 9.10 8.02 0.31 5.00


0

50

100

Somerset

England

South West



0

10

20

30

40

50

60

70

2008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON




No data (2)




Somerset


19. Accommodation severely unsatisfactory

A small number of types of accommodation could beseen as serious emergency situations for people withlearning disability. These situations are undesirable foranybody, but for people particularly likely to be vulnerableto abuse or exploitation, or in need of particular supportthey are especially serious. They include:


South West Somerset Unsatsifactoryaccomodation

2008-09 0.14 0.11 0.35 5.002009-10 0.24 0.17 0.34 5.002010-11 0.21 0.14 0.68 10.002011-12 0.13 0.07 0.31 5.00

0

2

4

Somerset

England

South West



02008-09 2009-10 2010-11 2011-12

Somerset

South West

England

LONDON

KeyNo data (152)




Somerset


20. Adults (age 18-64) using day services

This indicator shows the extent to which Local Authoritiesare providing day care services for people with learningdisabilities known to them. To be included in thedenominator data people must have had a review in thelast 12 months, whereas to be in the numerator theyneed only be using services. All people who are usingcouncil services should have had a review, however theymay not all have received their review before the datacollection period started and so were not counted, insome cases this has resulted in LAs having morenumbers of people using services than are known (orhave had their review). In 2011-12 the system wasaltered so that people who are eligilbe for their reviewduring the collection period by included in thedenominator counts, whether they have received theirreview or not.

Period England Average South West Somerset Using day services2008-09 406.14 387.11 363.64 520.002009-10 364.47 375.51 349.32 510.002010-11 352.42 348.76 329.93 485.002011-12 347.20 364.60 238.99 380.00


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No data (2)




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21. Adults(age 18-64) receiving community services

This indicator shows the extent to which Local Authoritiesare providing community services for people with learningdisabilities known to them. To be included in thedenominator data people must have had a review in thelast 12 months, whereas to be in the numerator theyneed only be using services. All people who are usingcouncil services should have had a review, however theymay not all have received their review before the datacollection period started and so were not counted, insome cases this has resulted in LAs having morenumbers of people using services than are known (orhave had their review). In 2011-12 the system wasaltered so that people who are eligilbe for their reviewduring the collection period by included in thedenominator counts, whether they have received theirreview or not.


South West Somerset Receivingcommunity

services2008-09 827.48 808.03 1,000.00 1,430.002009-10 814.92 814.81 996.58 1,455.002010-11 807.26 813.53 993.20 1,460.002011-12 749.71 730.90 839.62 1,335.00


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22. Adults with learning disability in paid employment

Paid work provides recognition of a valued social role,useful day time occupation, important socialopportunities, and in a few cases a helpful level offinancial reward. Government policy has emphasised theimportance of maximising work opportunities for peoplewith learning disabilities since the publication of ValuingPeople (2001). This indicator is the same as the formerNational Indicator 146.

Period England Average South West Somerset In paid employment2008-09 3.21 3.21 1.40 20.002009-10 6.12 5.42 2.40 35.002010-11 6.27 5.43 2.04 30.002011-12 6.12 5.35 1.26 20.00


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23. Adults (age 18-64) receiving direct payments

Government policy emphasises the use of personalbudgets and/or direct payments to maximise the capacityof service users and their carers to tailor servicepackages to personal requirements and tastes. Thisindicator shows the extent of progress with PersonalBudgets. Following consultation it appears that adifferently scoped indicator to include personal budgetsas well would be preferable. We will be revising theindicator in light of this advice.


South West Somerset Receiving directpayments

2010-11 24.01 17.06 12.67 185.002011-12 0.00 17.23 230.00


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24. Gross current expenidture for residential personal social services per 1,000 peopleknown to LAs with LDThis indicator shows the spend per head by localauthority department of adult social care on people withlearning disabilities.

Period England Average South West Somerset Expenditure (000s)2008-09 16.09 16.04 8.83 12,627.002009-10 16.25 15.50 9.38 13,700.002010-11 16.21 16.63 10.16 14,937.002011-12 21.52 20.48 9.60 15,259.00


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No data (2)




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25. Rates of referral for abuse of vulnerable person

The Minister for Care Services mandated that data becollected in 2010-11 on the number of alerts and referralsto adult social care safeguarding teams. The informationpresented here shows the number of completed referralsregarding concerns about alleged abuse of vulnerableadults; for the purpose of these health profiles this is onlylooking at persons known to have learning disabilities.This is a new collection of data, having been piloted in2009-10.

Period England Average South West Somerset Completed referrals2010-11 103.31 75.36 105.44 155.002011-12 111.90 90.38 135.22 215.00


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26. Comparison of LA and QOF prevalence estimates

The difference between the prevalence of people withlearning disability known to local authorities and theprevalence of people with learning disability on GPpractice lists, ideally the numbers should be the same orsimilar as there is a slight discrepancy in age profiles ofthe lists.

Period England Average South West Somerset2008-09 9.33 0.87 13.272009-10 0.26 5.69 5.152010-11 1.57 10.03 6.482011-12 6.16 10.22 1.22


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No data (2)



Somerset Learning Disabilities Profile 2013 Profile for Somerset … · Tartan Rugs. Population....

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