Social Care

Adult social care users

The number of contacts made to social services for support over the past year has decreased with 4,515 requests for support made in 2020-21, which is slightly above the national average of 4,310 per 100,000 but below our comparator authorities average of 5,265 per 100,000.

The proportion of people using services who received self-directed support was 100% in 2020-21. This is the same as last year and higher than our comparator authorities average (96.7%) and is higher than the national average (92.2%).

The proportion of people using services who received direct payments was 39.5% in 2020-21. This is lower than last year (43%) and higher than our comparator authorities’ average (30.9%) and substantially higher than the national average (26.6%).

In 2020-21, Derby had a rate of 19.4 younger adults (aged 18-64) per 100,000 population whose long-term support needs were met by admission to residential or nursing care homes. This is lower than the rate for 2019-20 (21.9). It is higher than the 2020-21 average for our comparator authorities’ (14.7) and higher than the national rate in 2020-21 (13.3). The equivalent measure for older adults (aged 65 or over) per 100,000 population for Derby in 2020-21 was 620.9. This is higher than the rate for 2019-20 (587.5). It is lower than the average 2020-21 rate for our comparator authorities’ (608.3) and higher than the national average (498.2).

In 2020-21, the proportion of older people (aged 65 or over) who were still at home 91 days after discharge from hospital into reablement / rehabilitation services was 77.4% for Derby. This is 5.4% higher than last year (72%). It is slightly lower than both the 2020-21 average for our comparator authorities’ (78.5%) and the national average (79.1%).

In 2020-21, the proportion of older people (aged 65 or over) who received reablement / rehabilitation services after discharge from hospital was 3.9% for Derby, compared to 2.2% in 2019-20. The 2020-21 proportion for Derby is lower than the 2020-21 average for our comparator authorities’ (4%) and slightly higher than the national average (3.1%).

The proportion of new service users that received a short-term service during the year where the sequel to service was either no ongoing support or support of a lower level was 60.9% for Derby City Council in 2020-21. This is a 5.6% increase from the 2019-20 proportion (55.3%). It is lower than the 2020-21 average for our comparator authorities’ (70%) and significantly lower than the national average (74.9%).

From the annual adult social care user survey commissioned by NHS Digital, a number of quality of life indicators are derived to support the Adult Social Care Outcomes Framework. The main points from the 2019-20 survey are:

• The Quality of Life rate for Derby is 18.9, this is less than last year which was 19.0 and is lower than the national average (19.1) and our comparator authorities’ average (19.2).
• 80.2% of respondents felt that they had control over their daily lives. This was slightly lower than last year (80.3%) but higher than the national average (77.4%) and our comparator authorities’ average (77.9%). For the past 6 years, we have performed better on this measure than most local authorities.
• In Derby, 58.5% of service users sampled reported they were “Extremely” or “Very satisfied” with the care and support they received. This is lower than last year (62.4%) and is lower than the national average (64.2%) and our comparator authorities’ average (63.5%).
• More than two thirds (68.8%) of service users reported feeling as safe as they would want. This is higher than last year (64.9%) but lower than the national average (70.2%) and lower than our comparator authorities’ average (71.1%).

Information about Home First – Short Term Rapid Response Care & Enablement.