Learning Disabilities Profile for Redcar and Cleveland

Adults with learning disability known to GPs per 1,000 population

GG

18+

Persons

Number of persons aged 18+ on GP practice lists with a learning disability

Total number of persons aged 18+ on GP practice lists

QOF Age specific prevalence worksheets for PCTs, www.ic.nhs.uk/webfiles/publications/002_Audits/QOF_2010-11/Prevalence_Tables/QOF1011_PCTs_Prevalence.xls, www.ic.nhs.uk/webfiles/QOF/2009-10/Prevalence%20tables/QOF0910_PCTs_Prevalence_Aug_2011.xls, www.ic.nhs.uk/webfiles/QOF/2008-09/Prevalence%20tables/QOF0809_PCTs_Prevalence.xls and www.ic.nhs.uk/webfiles/QOF/2007-08/Data%20tables/Practice/Domain%20level%20Spreadsheets/LR/QOF0708_Pracs_Prevalence.xls (in the 2007-08 publications, key figures were only published at practice level).

As denominator

None

2007-08, 2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)x1000

Persons aged 18 and over with learning disability per 1,000 registered with GPs

Byar 95% confidence intervals applied to numerator

None

Each year GPs are asked how many of the adults on their practice list have learning disability. These numbers are reported for health service areas-(primary care trusts or 'PCTs'). The indicator shows the number of people in every thousand that GPs identify.

Adults (18 to 64) with learning disability known to Local Authorities per 1,000 population

GG

18-64 years

Persons

Number of adults (18 to 64) known to Local Authority with client type 'Learning disability'.

Contemporary mid-year population estimate

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

Mid year population estimates for specified age group.

None

2008-09, 2009-10

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)x1000

Persons aged 18-64 with learning disability per 1,000 total population

Byar 95% confidence intervals applied to numerator

Source numerator data are rounded to nearest 5

Awareness of the numbers of people with learning disability in the local authority area is fundamental to planning. Comparison with similar areas suggests whether reported value is surprisingly low or high.

Children with Autism known to schools per 1,000 pupils

AC

School ages

Persons

Pupils with Autistic Spectrum Disorder at School Action Plus or Statement level, as primary special educational need in Spring term school census.

All pupils

Department for Education, Special Educational Needs in England (January 2011) Statistical First Release, Local authority tables spreadsheet, sum of Autistic Spectrum Disorder columns (G) in tables 23, 24 and 25. www.education.gov.uk/rsgateway/DB/SFR/s001007/sfr14-2011la.xls and www.education.gov.uk/rsgateway/DB/SFR/s000939/sfr19-2010la.xls (accessed 23/1/2012).

As numerator, but using Table 15a, total pupils columns.

None

Jan2008, Jan2009, Jan2010, Jan2011

England by upper tier Local Authorities and Government Office Region

(Numerator/Denominator)x1000

Pupils with autistic spectrum disorder per 1,000 pupils

95% - Wilson's method

Values of 1 or 2 for supressed in raw data, regional and national figures rounded to the nearest 10, values for Bedforshire and Cheshire have been excluded at local authority levels due to boundary changes in 2009 for 2009 and 2008 data

Schools are very aware of children who have particular difficulties in learning. Every term they report to the Department for education about all children who have special educational needs. This indicator shows the number of children in every thousand who have autistic spectrum disorders. These children have a combination of difficulties with verbal communication, interacting with other children or adults. They often also have particular focus on specific interests and find it difficult to engage in other subjects. The school census covers all pupils enrolled in state-funded primary, secondary or special schools. A formal medical diagnosis is not required,as such these numbers may not reflect those seen in data from medical sources.

Children with Moderate Learning Difficulties known to schools per 1,000 pupils

AC

School ages

Persons

Pupils with Moderate Learning Difficulties at School Action Plus or Statement level, as primary special educational need in Spring term school census.

All pupils

Department for Education, Special Educational Needs in England (January 2011) Statistical First Release, Local authority tables spreadsheet, sum of Moderate Learning Difficulties columns (G) in tables 23, 24 and 25. www.education.gov.uk/rsgateway/DB/SFR/s001007/sfr14-2011la.xls and www.education.gov.uk/rsgateway/DB/SFR/s000939/sfr19-2010la.xls (accessed 23/1/2012).

As numerator, but using Table 15a, total pupils columns.

None

Jan2008, Jan2009, Jan2010, Jan2011

England by upper tier Local Authorities and Government Office Region

(Numerator/Denominator)x1000

Pupils with moderate learning difficulty per 1,000 pupils

95% - Wilson's method

Values of 1 or 2 for supressed in raw data, regional and national figures rounded to the nearest 10, values for Bedforshire and Cheshire have been excluded at local authority levels due to boundary changes in 2009 for 2009 and 2008 data

Schools are very aware of children who have particular difficulties in learning. Every term they report to the Department for education about all children who have special educational needs. They say what sort of needs the children have. There are four levels of learning difficulties: specific difficulties (like dyslexia), moderate learning difficulties, severe learning difficulties and profound and multiple learning difficulties. The indicator shows the number of children in every thousand who have moderate learning difficulty. These children have difficulty in all areas of learning. They may have speech and language delay. The school census covers all pupils enrolled in state-funded primary, secondary or special schools. A formal medical diagnosis is not required,as such these numbers may not reflect those seen in data from medical sources.

Children with Severe Learning Difficulties known to schools per 1,000 pupils

AC

School ages

Persons

Pupils with Severe Learning Difficulties at School Action Plus or Statement level, as primary special educational need in Spring term school census.

All pupils

Department for Education, Special Educational Needs in England (January 2011) Statistical First Release, Local authority tables spreadsheet, sum of Severe Learning Difficulties columns (G) in tables 23, 24 and 25. www.education.gov.uk/rsgateway/DB/SFR/s001007/sfr14-2011la.xls and www.education.gov.uk/rsgateway/DB/SFR/s000939/sfr19-2010la.xls (accessed 23/1/2012).

As numerator, but using Table 15a, total pupils columns.

None

Jan2008, Jan2009, Jan2010, Jan2011

England by upper tier Local Authorities and Government Office Region

(Numerator/Denominator)x1000

Pupils with severe learning difficulty per 1,000 pupils

95% - Wilson's method

Values of 1 or 2 for supressed in raw data, regional and national figures rounded to the nearest 10, values for Bedforshire and Cheshire have been excluded at local authority levels due to boundary changes in 2009 for 2009 and 2008 data

Schools are very aware of children who have particular difficulties in learning. Every term they report to the Department for education about all children who have special educational needs. They say what sort of needs the children have. There are four levels of learning difficulties: specific difficulties (like dyslexia), moderate learning difficulties, severe learning difficulties and profound and multiple learning difficulties. The indicator shows the number of children in every thousand who have severe learning difficulty. These children have serious difficulty in participating in ordinary school programs without support. Many have limited communications and self help skills. The school census covers all pupils enrolled in state-funded primary, secondary or special schools. A formal medical diagnosis is not required,as such these numbers may not reflect those seen in data from medical sources.

Children with Profound & Multiple Learning Difficulty known to schools per 1,000 pupils

AC

School ages

Persons

Pupils with Profound and Multiple Learning Difficulty, at School Action Plus or Statement level, as primary special educational need in Spring term school census.

All pupils

Department for Education, Special Educational Needs in England (January 2011) Statistical First Release, Local authority tables spreadsheet, sum of Profound & Multiple Learning Difficulty learning disability columns (G) in tables 23, 24 and 25. www.education.gov.uk/rsgateway/DB/SFR/s001007/sfr14-2011la.xls and www.education.gov.uk/rsgateway/DB/SFR/s000939/sfr19-2010la.xls (accessed 23/1/2012).

As numerator, but using Table 15a, total pupils columns.

None

Jan2008, Jan2009, Jan2010, Jan2011

England by upper tier Local Authorities and Government Office Region

(Numerator/Denominator)x1000

Pupils with profound / multiple learning difficulty per 1,000 pupils

95% - Wilson's method

Values of 1 or 2 for supressed in raw data, regional and national figures rounded to the nearest 10, values for Bedforshire and Cheshire have been excluded at local authority levels due to boundary changes in 2009 for 2009 and 2008 data

Schools are very aware of children who have particular difficulties in learning. Every term they report to the Department for education about all children who have special educational needs. They say what sort of needs the children have. There are four levels of learning difficulties: specific difficulties (like dyslexia), moderate learning difficulties, severe learning difficulties and profound and multiple learning difficulties. The indicator shows the number of children in every thousand who have profound multiple learning difficulties. These children have very severe difficulty in learning combined with physical or sensory disabilities. They require a high level of adult support for both learning and personal care needs. The school census covers all pupils enrolled in state-funded primary, secondary or special schools. A formal medical diagnosis is not required,as such these numbers may not reflect those seen in data from medical sources.

Children with learning disabilities known to schools per 1,000 pupils

AC

School ages

Persons

Pupils with either Moderate, Severe or Profound and Multiple Learning Difficulty, at School Action Plus or Statement level, as primary special educational need in Spring term school census.

All pupils

Department for Education, Special Educational Needs in England (January 2011) Statistical First Release, Local authority tables spreadsheet, sum of Profound & Multiple Learning Difficulty learning disability columns (G) in tables 23, 24 and 25. www.education.gov.uk/rsgateway/DB/SFR/s001007/sfr14-2011la.xls and www.education.gov.uk/rsgateway/DB/SFR/s000939/sfr19-2010la.xls (accessed 23/1/2012).

As numerator, but using Table 15a, total pupils columns.

None

Jan2008, Jan2009, Jan2010, Jan2011

England by upper tier Local Authorities and Government Office Region

(Numerator/Denominator)x1000

Pupils with profound / multiple learning difficulty per 1,000 pupils

95% - Wilson's method

Values of 1 or 2 for supressed in raw data, regional and national figures rounded to the nearest 10, values for Bedforshire and Cheshire have been excluded at local authority levels due to boundary changes in 2009 for 2009 and 2008 data

Schools are very aware of children who have particular difficulties in learning. Every term they report to the Department for education about all children who have special educational needs. They say what sort of needs the children have. There are four levels of learning difficulties: specific difficulties (like dyslexia), moderate learning difficulties, severe learning difficulties and profound and multiple learning difficulties. The indicator shows the number of children in every thousand who either moderate, severe or profound multiple learning difficulties. The school census covers all pupils enrolled in state-funded primary, secondary or special schools. A formal medical diagnosis is not required,as such these numbers may not reflect those seen in data from medical sources.

Proportion (%) of eligible adults with a learning disability having a GP health check

AC

18+

Persons

Number of adults (aged 18 and over) known both to their GP and their social services department as having a learning disability who received a healthcheck meeting required specifications

Number of adults (aged 18 and over) known both to their GP and their social services department as having a learning disability

NHS Information Centre Quarter 4 Omnibus returns, supplied directly to LDPHO. Detailed data are published at www.ihal.org.uk/gsf.php5?f=11295

As numerator

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

The proportion of people with a learning disability eligible for an annual health check with their GP who received a health check in the most recent year for which data are available.

Proportion (%) of those eligible having health check

The proportion of people with a learning disability eligible for an annual health check with their GP who received a health check in the most recent year for which data are available.

Wilson's method (95%)

Data for 2010/11 health checks is not presented for the following areas due to the complex nature of the PCT to LA conversions; Surrey, Staffordshire and Essex. The following areas are not presented due to findings in the Health checks report which finds that the numbers of people who are eligible for health checks may be too low; Havering, Hounslow, Kensington and Chelsea, Leeds and Cornwall and the Isle of Scilly. These figures have also been removed from the corresponding regional figures and the England total.

People with learning disability have more difficulty than others in recognising ordinary health problems and getting treatment for them. Each year GPs are supposed to offer regular health checks to make sure important problems are identified and treated. PCTs report to the Department of Health how many people there are on GP practice lists known both to their GP and the local social services department to have a learning disability. They show how many of these have had a health check in the last year.

Median age at death

GG

All Ages

Persons

ONS mortality files

2006-10

England by upper tier Local Authorities and Government Office Region

Median age at deaths of deaths for which at least one specified medical cause fell within the groups categorised as usually associated with learning disability, or degenerative and associated with learning disability in Glover and Ayub (2010) How People with Learning Disability Die

95% confidence intervals by binomial interpolation, calculated in STATA

Values are only shown where the number of deaths is greater than 10.

People with learning disabilities die at younger ages than other people. This indicator shows the midpoint of the ages of all of the people who have died and whose death certificates show that they had learning disabilities. It is a little incomplete because often, doctors do not record learning disabilities on death certificates if they consider it had no relationship to the person's death.

We have included people with medical conditions like Down's syndrome where learning disability is nearly always present. People dying with conditions like cerebral palsy, where learning disability is present in fewer than half of cases are only included if the death certificate also specifically states they had learning disability.

Emergency hospital admissions as % of total for people with LD

FE

18+

Persons

Number of emergency admissions to a non-psychiatric specialty for persons aged 18+ who have received during any hospital episode an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability

Total number of admissions to a non-psychiatric specialty for persons aged 18+ who have received during any hospital episode an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability

Hospital Episode Statistics

Hospital Episode Statistics

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

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) of admissions as emergencies

Count of finished admission episodes (epiorder = 01 and epistat = 3) in the relevant period (>2005/03/31) with the main specialty not being a psychiatric specialty (not 700-715) for persons aged 18+ at the start of the episode, which had a valid English region code. Admissions were establised to be emergency using admimeth = 20, 21,22,23,24 or 28. Also main specialties that were recorded as not known (&) were excluded. This indicator looks at admissions for individuals who we know have a learning disability either from medical diagnoses such as Down's syndrome in this episode or from any diagnoses in other episodes of care they have had over the whole period for which we have data (the last eight years).

Wilson's method (95%)

The City of London values have been removed and have been removed from regional and national totals.

Ideally, people who need treatment in hospital should be admitted before their illness reaches a critical stage where they have to be admitted as an emergency. Where illnesses are left to a late stage, this often involves more suffering on the part of the patient and poorer outcomes of treatment. Emergency admissions are also less satisfactory as less advance planning is possible and patients are commonly seen by more junior staff. Lack of advance planning is particularly relevant for people with learning disability where it is helpful if staff can make reasonable adjustments in anticipation.

This indicator shows the proportion of admissions to general hospitals which happen as emergencies. The numbers are substantially larger than for people who do not have learning disabilities (50.0% vs 31.1%) .The indicator does not cover admissions to psychiatric hospitals as these are much more commonly emergency events everywhere and coding varies considerably between hospitals.

Admission rate for non-psychiatric ambulatory care sensitive conditions in people with LD per 1,000

FE

18+

Persons

Persons aged 18 + who were admitted to hospital with a primary diagnosis of Convulsions or epilepsy, constipation or gastro-oesophageal reflux who have been assigned an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability

Number of persons aged 18+ on GP practice lists with a learning disability

Hospital Episode Statistics

QOF

2005/06-2008/09

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator) x 1000

Admissions per 1,000 adults with learning disability

Number of admissions with a primary diagnosis of either K590, K21., G40., G41., R56. or O15 (ICD10) in the time period for adults aged 18+ who have been recorded as having either learning disabilities or a condition associated with LD in any episode between 2001 and 2009. The denominator is calculated at PCT level and for areas where PCTs have different boundaries from local authorities, numbers are we allocated to local authority boundaries in proportion to population. 2009/10 figures are used in preference to earlier data as they appear more complete and these are multplied up to equal the number of years of numerator data.

Wilson's method (95%)

Numbers that are between one and five have been replaced with a two to indicate that there has been at least one admission. If only one LA in a region had a number that was in this category then the actual number was subtracted from the regional figure and replaced by two. Significance has been determined using five the highest possible value. The City of London values have been removed and have been removed from regional and national totals.

For some types of illness, once a diagnosis is clear, care can usually be managed without patients going into hospital. Hospitalisation is usually unpleasant for patients and expensive for services. Three types of physical health condition common in people with learning disabilities are more likely to cause admission to hospital if ordinary care is not provided well. These are gastric-oesophageal reflux disorder (GORD), epilepsy and constipation.

Hospital admission rates for these conditions provide some measure of the quality of community care: higher admission rates suggest poorer care outside hospital. This indicator shows the number of admissions for these three conditions combined per thousand adults known to GP practices as having a learning disability.

Identifying people with learning disability in general hospital statistics (%)

FE

18+

Persons

Number of in-patient episodes of people assigned an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability under any non-psychiatric clinical specialty where an explicit recording of diagnosis F7.. or F819 is given

Number of in-patient episodes of people assigned an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability under any non-psychiatric clinical specialty

Hospital Episode Statistics

Hospital Episode Statistics

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

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) of non-psychiatric admissions of people known to have LD with clear coding

Number of finished episodes (epistat=3) in the period for persons assigned an explicit diagnosis of learning disability, or a diagnosis of a condition usually associated or a degenerative condition associated with learning disability under any non-psychiatric clinical specialty (mainspef not in 700-715) had at least one recorded diagnosis in that episode of F7.. or F819. A valid main spef had to have been recorded (not '&'). This number was divided through by the total number of finished episodes for the people as defined above.

Wilson's method (95%)

The City of London values have been removed and have been removed from regional and national totals.

Hospitals can only make appropriate reasonable adjustments for people with learning disability if they know they need to. Learning disability is always important, as adjustments will always be required to make sure these patients understand fully what is happening and what they are consenting to, and that doctors and nurses take their learning disability into account in assessing symptoms and progress. Recording this statistically is also important to the hospital first so it can check reasonable adjustments are being made and second because in many cases hospitals get paid more for treating people who have a learning disability, as more care is needed.
This indicator looks at all the episodes of general hospital care for individuals who we know have a learning disability either from medical diagnoses such as Down's syndrome in this episode or from any diagnoses in other episodes of care they have had over the whole period for which we have data (the last eight years). It shows the proportion of these episodes in which the persons learning disability is specifically recorded.

Living in settled accommodation (%)

GG

18-64 years

Persons

Adults aged 18 to 64 known to local authority social services with learning disabilities and living in settled accommodation types (see rationale).

Adults aged 18 to 64 known to local authority social services with learning disabilities.

NHS Information Centre NASCIS Online analytic processor, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including columns indicated in Rationale. 2010-11 data downloaded 11/04/2012

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including column 'Total service users'.

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) in settled accommodation

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

Arranging where they live poses difficulties for many people with learning disability. Local authority social service departments commonly help here. Accommodation can be divided into settled accommodation, where the person can reasonably expect to stay as long as they want and unsettled accommodation which is either unsatisfactory or, where, like in residential care homes, residents do not have security of tenure. Local authorities are asked each year about the sort of accommodation the working age adults with learning disability they know are living in. Categories of 'settled accommodation' include:
* Owner Occupier/Shared ownership scheme (where tenant purchases percentage of home value from landlord)
* Tenant - Local Authority/Arms Length Management Organisation/Registered Social Landlord/Housing Association
* Tenant - Private Landlord
* Settled mainstream housing with family/friends (including flat-sharing)
* Supported accommodation/Supported lodgings/Supported group home (accommodation supported by staff or resident caretaker)
* Adult placement scheme
* Approved premises for offenders released from prison or under probation supervision (e.g., Probation Hostel)
* Sheltered Housing/Extra care sheltered housing/Other sheltered housing
* Mobile accommodation for Gypsy/Roma and Traveller community
This indicator shows the percentage of adults (aged 18 to 64) with learning disability, known to local authorities, who the LAs report are living in any one of these types of accommodation. The higher, the better.

Living in non-settled accommodation (%)

GG

18-64 years

Persons

Adults aged 18 to 64 known to local authority social services with learning disabilities and living in non-settled accommodation types (see rationale).

Adults aged 18 to 64 known to local authority social services with learning disabilities.

NHS Information Centre NASCIS Online analytic processor, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including columns indicated in Rationale. 2010-11 data downloaded 11/04/2012

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including column 'Total service users'.

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) in non-settled accommodation

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

Arranging where they live poses difficulties for many people with learning disability. Local authority social service departments commonly help here. Accommodation can be divided into settled accommodation, where the person can reasonably expect to stay as long as they want and unsettled accommodation which is either unsatisfactory or, where, like in residential care homes, residents do not have security of tenure. Local authorities are asked each year about the sort of accommodation the working age adults with learning disability they know are living in. Categories of 'non-settled accommodation' include:
* Rough sleeper/Squatting
* Night shelter/emergency hostel/direct access hostel (temporary accommodation accepting self referrals)
* Refuge
* Placed in temporary accommodation by Local Authority (including Homelessness resettlement) - e.g., Bed and Breakfast
* Staying with family/friends as a short term guest
* Acute/long stay healthcare residential facility or hospital (e.g. NHS or Independent general hospitals/clinics, long stay hospitals, specialist rehabilitation/recovery hospitals)
* Registered Care Home
* Registered Nursing Home
* Prison/Young Offenders Institution/Detention Centre
* Other temporary accommodation
This indicator shows the percentage of adults (aged 18 to 64) with learning disability known to local authorities who are living in any one of these types of accommodation. The lower, the better.

Accommodation status unknown to LA (%)

18-64 years

Persons

Adults aged 18 to 64 known to local authority social services with learning disabilities and their accomodation status is not known. 2010-11 data downloaded 11/04/2012

Adults aged 18 to 64 known to local authority social services with learning disabilities.

NHS Information Centre NASCIS Online analytic processor, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability'. It is the difference between the column 'Total service users' and the sum of columns used for indicators 16 and 17 (living in settled accomoodation and living in non-settled accomodation).

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including column 'Total service users'.

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) with accommodation unknown to LA

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column. Due to rounding errors this may result in a negative answer, in these cases the numbers have been replaced with a zero.

Looking at local authority figures for types of accommodation for working age adults with learning disability, it is apparent that social services departments do not know about everyone.
This indicator shows the percentage of adults (aged 18 to 64) with learning disability known to the local authority for whom no information about accommodation is available. The lower this is the better.

Accommodation severely unsatisfactory (%)

GG

18-64 years

Persons

Adults aged 18 to 64 known to local authority social services with learning disabilities and whose accomodation status is unsatisfactory.

Adults aged 18 to 64 known to local authority social services with learning disabilities.

NHS Information Centre NASCIS Online analytic processor, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including columns indicated in Rationale. 2010-11 data downloaded 11/04/2012

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L2, selecting client type 'Learning Disability', and including column 'Total service users'.

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) with accommodation severely unsatisfactory

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

A small number of types of accommodation could be seen as serious emergency situations for people with learning disability. These situations are undesirable for anybody, but for people particularly likely to be vulnerable to abuse or exploitation, or in need of particular support they are especially serious. They include:
* Rough sleeper/Squatting * Night shelter/emergency hostel/direct access hostel (temporary accommodation accepting self referrals) * Refuge * Placed in temporary accommodation by Local Authority (including Homelessness resettlement) - e.g., Bed and Breakfast.

This indicator shows the proportion of working age adults with learning disability known to local authorities reported as being in any of these types of accommodation. Numbers for this indicator are fortunately low and in most cases where the figure is not zero the exact number is not known (because rounding is introduced into the statistics as reported for confidentiality reasons); in any case it is likely that numbers reported are out of date by the time tables are published.

Adults using day care services supported by the LA (per 1,000 people)

FE

18-64 years

Persons

Number of people with learning disability using LA funded day care services

Number of people known to Local Authorities with learning disabilty

NHS Information Centre NASCIS Online analytic processor service, Local authority referrals, assessments and packages of care data, table P2f, selecting client type 'Learning Disability', age group '18 to 64' and including column 'Day Care'.

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

2008-09,2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)x1000

Per 1,000 Adults known to LAs

Number of people on the p2f table who are recorded as having learning disability and using Day Services, divdied by the total number of people known to LAs to have learning disability.

Byar 95% confidence intervals applied to numerator

Source data rounded to the nearest 5

This indicator shows the extent to which Local Authorities are providing day care services for people with learning disabilities known to them. To be included in the denominator data people must have had a review in the last 12 months, whereas to be in the numerator they need only be using services. All people who are using council services should have had a review, however they may not all have received their review before the data collection period started and so were not counted, in some cases this has resulted in LAs having more numbers of people using services than are known (or have had their review). In 2011-12 the system was altered so that people who are eligilbe for their review during the collection period by included in the denominator counts, whether they have received their review or not.

Adults receiving community services supported by local authorities (per 1,000 people)

FE

18-64 years

Persons

Number of people with learning disability who receive community services which are supported by the LA

Number of people known to Local Authorities with learning disabilty

NHS Information Centre NASCIS Online analytic processor service, Referrals, assesments and packages of care data, table p2f, selecting client type 'Learning Disability', age group '18 to 64' and including column 'Learning Disability total service users'

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

2008-09,2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)x1000

Per 1,000 Adults known to LAs

Byar 95% confidence intervals applied to numerator

Source data rounded to the nearest 5

This indicator shows the extent to which Local Authorities are providing community services for people with learning disabilities known to them. To be included in the denominator data people must have had a review in the last 12 months, whereas to be in the numerator they need only be using services. All people who are using council services should have had a review, however they may not all have received their review before the data collection period started and so were not counted, in some cases this has resulted in LAs having more numbers of people using services than are known (or have had their review). In 2011-12 the system was altered so that people who are eligilbe for their review during the collection period by included in the denominator counts, whether they have received their review or not.

Adults with learning disability in paid employment (%)

GG

18-64 years

Persons

Adults aged 18 to 64 known to local authority social services with learning disabilities and in paid employment at least weekly.

Adults aged 18 to 64 known to local authority social services with learning disabilities.

NHS Information Centre NASCIS Online analytic processor, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including four columns 'Working as a paid employee or self-employed' (30 hours or more per week, 16 hours but less than 30, 4 hours but less than 16, and more than 0 hours but less than 4). 2010-11 data downloaded 11/04/2012

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

None

2008-09, 2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

Numerator/Denominator expressed as percentage

Proportion (%) of adults in paid employment

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

Paid work provides recognition of a valued social role, useful day time occupation, important social opportunities, and in a few cases a helpful level of financial reward. Government policy has emphasised the importance of maximising work opportunities for people with learning disabilities since the publication of Valuing People (2001). This indicator is the same as the former National Indicator 146.

Adults (age 18-64) receiving direct payments (%)

GG

18 to 64

Persons

Number of people in age group receiving non-residential social care through direct payments or self directed budget with 'Client Type' category 'Learning Disability'

Total number of people in age group people in age group receiving non-residential social care with with 'Client Type' category 'Learning Disability'

NHS Information Centre NASCIS online analytic processor tool, RAPs data, P2f table sum of columns service users receiving 'Direct Payments'

NHS Information Centre NASCIS online analytic processor tool, RAPs data, P2f table, column service users, Total.

2010-11

England by upper tier local authority and government office region

Numerator/Denominator expressed as percentage

Receiving direct payments - % of adults (18 to 64) with learning disability

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

Government policy emphasises the use of personal budgets and/or direct payments to maximise the capacity of service users and their carers to tailor service packages to personal requirements and tastes. This indicator shows the extent of progress with Personal Budgets. Following consultation it appears that a differently scoped indicator to include personal budgets as well would be preferable. We will be revising the indicator in light of this advice.

LA gross current expenditure ((000s) relating to residential personal social services for adults

FE

18-64 years

Persons

Local Authority gross current expenditure relating to residential personal social services for adults with learning disability ((000s)

Number of people known to Local Authorities with learning disabilty

NHS Information Centre NASCIS Online analytic processor service, PSSEX table incl SSMSS, selecting Adult services 'Adults aged under 65 with Learning Disabilities', and including columns 'Nursing care placements', 'Residential care placements', 'Supported and other accommodation' and 'Supporting People' and selecting accounting categories 'Gross current expenditure'.

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

2008-09,2009-10, 2010-11

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)

Cost ((000s) per person known with Learning Disability to LA

Byar 95% confidence intervals applied to numerator

Some source data may have been estimated

This indicator shows the spend per head by local authority department of adult social care on people with learning disabilities.

Rates of referral for abuse of vulnerable person per 1,000

FE

18-64 years

Persons

Number of completed referrals to adults social care safeguarding teams for people with learning disability

Number of people known to Local Authorities with learning disabilty

NHS Information Centre Abuse of vulnerable adults in England 2010-2011 from AVA table 1 completed referrals selecting age and client type to be 18-64 and learning disability. 2010/11 data downloaded 19/03/2012

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users'.

2010-11

England by upper tier Local Authorities and Government Office Region

(Numerator/denominator)x1000

Referrals per 1,000 adults (18 to 64) with learning disability

Number of completed referrals to adults social care safeguarding teams for people with learning disability aged 18-64 divided by the number of people known to Local Authorities with learning disability

Byar 95% confidence intervals applied to numerator

Source rounded to nearest 5 in each column.

The Minister for Care Services mandated that data be collected in 2010-11 on the number of alerts and referrals to adult social care safeguarding teams. The information presented here shows the number of completed referrals regarding concerns about alleged abuse of vulnerable adults; for the purpose of these health profiles this is only looking at persons known to have learning disabilities. This is a new collection of data, having been piloted in 2009-10.

Comparison of LA and QOF prevalence estimates

FE

18+ for QOF and 18-64 for LA data

Persons

LA prevalence - QOF prevalence

LA prevalence

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users' divided by contmeporary mid year population estimates and QOF

NHS Information Centre NASCIS Online analytic processor service, Local authority Adult Social Care Combined Activity Returns, table L1, selecting client type 'Learning Disability', and including column 'Total service users' divided by contmeporary mid year population estimates

2009-10

England by upper tier Local Authorities and Government Office Region

Difference between LA and GP estimates of rate of LD as % of LA estimate

Difference between LA and GP estimates of rate of LD as % of LA estimate

The absolute value of the difference between the LA and QOF prevalence figures has been calculated, this difference has then been divided by the LA prevalence to give the absolute difference as a proportion of the LA prevalence. If the proportion of pupils is less than two percent then this difference has been coded as low, if it is more than ten percent then it has been coded as high.

Areas where PCTs do not fall mostly into (90%+) into one LA do not have their the data shown

The difference between the prevalence of people with learning disability known to local authorities and the prevalence of people with learning disability on GP practice lists, ideally the numbers should be the same or similar as there is a slight discrepancy in age profiles of the lists.