Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)1999actual1999per 1,000Quartile2000actual2000per 1,000QuartileOlder people in residential care homes 604 19 2 551 17 2Older people in private nursing homes 841 26 2 737 23 3Older people receiving home care 4,389 138 1 3,383 106 1Older people in special needs housing 4,269 134.2 2 4,261 134 1People receiving a communitycare service1999-2000actual1999-2000per 1,000Quartile2000-2001actual2000-2001per 1,000QuartileOlder people (aged 65+) 5,088 160 4 6,221 195.6 3For mental health problems/dementia 118 0.8 4 920 6.8 1(aged 18-64)For physical disabilities (aged 18-64) 1,494 11.0 3 1,546 11.3 3For learning disabilities (aged 18-64) 299 2.2 4 321 2.4 4For drug/alcohol abuse problems 41 0.3 3 105 0.8 3(aged 18-64)In 2000 more older people received a home care service than in many other authorities but theywere less likely to receive more than 10 hours of home care than in many other authorities.Aberdeen has a relatively high number of special needs housing places.In May 2002, 172 people were awaiting discharge from hospital: 53 people were awaitingfunding for homes and 30 were awaiting nursing home places.Under an “Ageing with Confidence” joint strategy for older people launched by Aberdeen CityCouncil and NHS Grampian, community care teams are aligned with GP practices. Features ofjoint care services are:• an out-of-hours home care service, co-located with the Night Nursing Service;• a Rapid Response Team operating 7 days a week and providing support for up to 4 weeks;• a joint hospital admissions and discharge planning team; and• a Rehabilitation and Assessment Pilot Scheme (RAPS) at Croft House, a residential home,where a multi-disciplinary team carries out assessments and arranges and co-ordinatesactivities and resources; most older people return to the community after their spell in CroftHouse.Expansions are proposed for sheltered housing, the Crossroads attendant scheme and Careand Repair.At the centre of Aberdeen, Aberdeenshire, Moray Council and the Health Board’s plans toimprove learning disability and mental health services is the closure of Woodlands andLadysbridge, but immediate practical problems are transitional services and housing. A housingprocurement group is looking at support models. The Change Fund has provided resources toimprove local area co-ordination, develop autism services, introduce direct payments andrestructure day services.8