NHS Digital publishes new reports

December 11, 2020

The latest statistics on adult social care which cover the outcomes, activity, finance, and the opinions of those receiving care have been published by NHS Digital.

The survey, which is in its tenth year, seeks the opinions of service users aged 18 and over, who are in receipt of long-term support services, which are funded or managed by social services.

The annual survey conducted by councils with Adult Social Services Responsibilities (CASSRs) provides estimates for all service users based on a survey sample. In 2019-20, responses from a sample of 62,520 people were used to provide estimates for an overall population of 608,145 service users.

Some of the key findings from the Personal Social Services Adult Social Care Survey, England 2019-20 publication:

  • The survey found that 64.2% (389,130) of service users were very or extremely satisfied with the care and support they received. This is a very similar proportion to last year (64.3%).
  • The percentage of service users who were very or extremely dissatisfied with the care and support they received also remained stable at 2.1% (12,430) compared with 2.0% in 2018-19.
  • The proportion of service users that have practical help on a regular basis from either a partner, family member, friend or neighbour increased from 40.8% in 2018-19 to 42.3% (256,220) in 2019-20.
  • This year’s survey found that 45.9% (278,280) of service users reported they had as much social contact as they wanted with people they like, while 6.3% (38,320) reported they had little social contact and felt socially isolated. Last year 45.9% had as much social contact as they liked and 5.9% felt socially isolated.

The Measures from the Adult Social Care Outcomes Framework 2019-20 publication draws on several data collections and measures how well care and support services achieve the outcomes that matter most to people.

The Measures from the Adult Social Care Outcomes Framework 2019-20 publication findings:

  • Several measures showed a significant change since the previous year, including delayed transfers of care from hospital which were attributed to adult social care. These increased from 10.3 per 100,000 population in 2018-19 to 10.8 per 100,000 population in 2019-20.
  • The proportion of young adults whose long-term support needs were met by admission to residential and nursing care homes increased from 13.9 per 100,000 population the previous year to 14.6 per 100,000 population in 2019-20.
  • The publication includes statistics on the proportion of adults in contact with secondary mental health services who are also in paid employment. Nationally, this is 9.0% in paid employment, with the Eastern region having the highest proportion (17.0%) and the North West region having the lowest proportion (5.0%).

Findings in the Adult Social Care Activity and Finance report 2019-20 revealed:

  • Local authority spending was £19.7bn in 2019-20. This represents an increase of £918 million from the previous year, a 4.9% increase in cash terms and a 2.4% increase in real terms.
  • The area of care which saw the largest increase in expenditure was long term support, which increased by £748 million to £15.4bn in 2019-20, an increase in cash terms of 5.1%.
  • Overall, the number of clients receiving long term care has decreased each year since 2015-16, to 838,530 in 2019-20. This has been mainly driven by a decrease in clients aged 65 and over receiving long term care, down 39,045 to 548,450 since 2015-16.
  • The average cost of residential care for a person aged 65 and over rose from £636 per week in 2018-19 to £662 per week in 2019-20, while the average cost of nursing care for the same age band increased from £678 per week in 2018-19 to £715 per week in 2019-20.

The Mid-Year Adult Social Care Activity Data Collection is a one-off Management Information publication including selected statistics from various adult social care publications for the first two quarters of 2020-21. This is to help give an early view of how adult social care has been affected by coronavirus (COVID-19). Submitting data for this report was not mandatory.

  • The total number of services provided for people aged 65 years and over was 495,575 in England, between April and September 2020. The statistics presented in the tables revealed that 113,775 services were not provided at all.

View all the Mid-Year Adult Care Activity Data Collection tables.

Commenting on the release of Adult Social Care activity data by NHS Digital, Deborah Alsina MBE, Chief Executive of Independent Age said, ‘These damning latest figures underline the urgent need for reform of our broken social care system. The statistics from NHS Digital, taken between April and September of this year, reveal that almost a quarter of older people who were seeking social care help were denied it. The equivalent of more than 600 older people a day were denied vital support for basic tasks such as help washing, preparing meals, and going into town. The government cannot allow this to continue.

‘The government must bring forward a funding plan that ends the cycle of crisis in social care, and it must be distributed fairly based on need. Care should be free at the point of use, paid for through general taxation, to ensure everybody can receive the help they’re entitled to.

‘We’ve been waiting over a year for the Prime Minister to fulfil the promise he made to reform social care. Politicians must seize the opportunity to create a care system that allows people in later life to live with dignity, choice and purpose.’

Last month, NHS Digital launched new care standards for integrating key health and social care information.


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