Annex A : Summary of Scottish Government Research and Analysis of the NCS

Congreve, Emma and Cooper, Benjamin and Crummey, Ciara and Bucher, Pauline (2022) Annex A : Summary of Scottish Government Research and Analysis of the NCS. Fraser of Allander Institute, Glasgow. (

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This document gives an overview of the national data on the main social care services in Scotland. The key findings show that in 2020/21 approximately 1 in 25 people in Scotland received social care support and services and 84.4% of these people were provided with Self-directed Support (SDS), an increase from 77.1% in 2017/18. Consistently, the most frequent choice of SDS has been to allow the health and social care partnership to arrange their services. In 2020/21, 88% of all people choosing an SDS option chose this. Care at home hours have increased year-on year from 2010- 2021 and the average hours of care at home per person per week has increased from around 9.5 hours in 2010 to 12.2 hours in 2021. The number of people in receipt of community alarm and/or telecare packages increased year-on year from 2015/16-2018/19 but has declined in recent years. In 2020/21, around 130,130 people were in receipt of a community alarm and/or telecare package. As of 31 March 2021, there were 1,069 care homes for adults and 40,632 registered places. This is a 20% and 5% reduction, respectively, since 2011. In 2020/21, there were 28,120 long-stay residents aged 65+ in care homes in Scotland, with 10,420 self-funding care home residents aged 65+ receiving Free Personal Care payments. Proportionally, more people are having their support needs met at home rather than in a care home. However, care homes have been seeing an increase in short stay admissions over time, reflecting a change in the types of services some care homes are providing. Several factors which influence social care service type/ provision are identified including demographics, policies, commissioning and procurement, workforce, and financial resources.