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3. People receiving Free Personal Care and Free Nursing Care
3.1 Care Homes
Since 2002, the Scottish Executive has collected information on the number of residents aged 65+ supported by local authorities in care homes. These residents may be mainly funded by their local authority or may be a self-funder receiving £145 or £210 per week towards their care homes fees. All of these residents receive personal care services for free.
Table 1 shows that the average number of long-stay residents aged 65+ in care homes in Scotland reduced slightly over the six years since the introduction of free personal and nursing care. In 2003-04 there were 31,890 older people in care homes reducing to 31,440 in 2007-08.
In contrast, the number of self-funding residents who receive £145 per week for free personal care has increased by 15% from an average of 8,340 in 2003-04 to 9,600 in 2007-08. In 2003-04, 26% of long-stay residents were self-funders. This increased to 31% in 2007-08.
Around two-thirds of self-funding residents receive the free nursing care payment (£65) in addition to the free personal care payment (£145). The number of self-funders receiving free nursing care has increased by 17% from an average of 5,270 in 2003-04 to 6,160 in 2007-08.
Further information on care homes is available from the Scottish Care Homes Census - which can be found at: www.scotland.gov.uk/statistics/commcare/publications
Table 1: Care Home residents, 2003-04 to 2007-08
| 2003-04 | 2004-05 | 2005-06 | 2006-07 | 2007-08 |
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Number of long-stay residents aged 65+ ( Annex 1) | 31,890 | 31,890 | 31,810 | 31,440 | 31,440 |
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Number of self-funders aged 65+ receiving FPC( Annex 2) | 8,340 | 8,950 | 9,190 | 9,380 | 9,600 |
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Number of self-funders (all ages) receiving FNC( Annex 3) | 5,270 | 5,740 | 5,900 | 6,060 | 6,160 |
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Self-funders aged 65+ receiving FPC as proportion of all long-stay residents | 26% | 28% | 29% | 30% | 31% |
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Source: Community Care Quarterly Key Monitoring Return
All figures are yearly averages rounded to the nearest 10.
3.2 Home Care
Since the introduction of free personal care, the number of older people receiving home care services in Scotland increased from 57,760 in 2003-04 to 57,880 in 2004-05. In 2005-06, the numbers fell slightly to 57,190, followed by a further fall in 2006-07 to 56,700.
Since the introduction of the Free Personal Care policy, the number of home care clients receiving personal care services has increased substantially from 33,030 clients in 2003-04 to 42,400 in 2007-08.
Over the last 6 years there has been a shift away from care homes towards more care being provided in peoples own homes. At the same time there has been an increase in the proportion of clients receiving personal care services. In 2003-04, 57% of clients received personal care services. This has increased to 72% in 2006-07.
The Scottish Executive publishes home care statistics annually. The latest figures, for 2007, are available from: www.scotland.gov.uk/statistics/commcare/publications.
Table 2: Home Care Clients, 2003-04 to 2007-08
| 2003-04 | 2004-05 | 2005-06 | 2006-07 | 2007-08 |
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Home Care Clients aged 65+ ( Annex 4) | 57,760 | 57,880 | 57,190 | 56,700 | n/a |
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Home Care Clients aged 65+ receiving personal care services at home ( Annex 5) | 33,030 | 36,640 | 41,220 | 40,810 | 42,400 |
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Hours of personal care at home ( Annex 6) | 229,300 | 246,400 | 259,800 | 273,500 | n/a |
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Proportion of all home care clients aged 65+ receiving personal care | 57% | 63% | 72% | 72% | n/a |
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Average number of hours of personal care each week | 6.9 | 6.7 | 6.3 | 6.7 | n/a |
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Source: Community Care Quarterly Key Monitoring Return, H1 Home Care return.
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