Growth and development.pdf

2. Performance: Community CareBalance of care (aged 65+)Older people in residential care homes 1,214 18 2 1,167 17 2Older people in private nursing homes 1,893 28 2 1,876 27 2Older people receiving home care 5,958 87 2 5,237 77 2Older people in special needs housing 5,095 74.3 4 5,095 74.8 4People receiving a communitycare service1999actual1999-2000actual1999per 1,0001999-2000per 1,000QuartileQuartile2000actual2000-2001actual2000per 1,0002000-2001per 1,000QuartileQuartileOlder people (aged 65+) 18,114 265.7 1 15,707 230.5 2For mental health problems/dementia 1,743 5.8 1 1,662 5.6 1(aged 18-64)For physical disabilities (aged 18-64) 3,799 12.7 3 3,158 10.6 3For learning disabilities (aged 18-64) 1,142 3.8 2 1,359 4.6 1For drug/alcohol abuse problems 461 1.5 1 554 1.9 2(aged 18-64)The rate of older people receiving a community care service has reduced in the last 2 years.The rate of older people living in special needs housing is low. On the other hand, a relativelyhigh rate of older people live in residential and nursing homes. The rate of people receivinghome care remains fairly high compared with many other authorities, though it has reducedsince 1999.The Home Care Service is being gradually reshaped to provide higher levels of personal care,and to cover evenings and weekends. Plans are in hand to enhance the shopping and domesticservice and greater use of the independent sector form a part of the City’s developing servicesfor older people.A significant reduction in the supply of places in nursing homes in the last 2 years hascontributed to delays in discharging older people from hospital. The Council and NHS Lothianhave agreed a range of measures to relieve these pressures, including:• developing housing with extra care services;• using new technology to promote independent living;• speeding up assessments and discharge arrangements; and• ensuring that aids to daily living and equipment are more readily available.Learning Disability services are provided in collaboration with NHS partners, under a Partnershipin Practice Agreement (PiP). With the agreement of health partners, resources from the ChangeFund have been used to enhance services for people with learning difficulties, in particular to:• improve services for 80 people with complex needs;• replace the Burdiehouse hostel with supported accommodation; and• fund a new post of joint programme manager.The Engine Shed training project has helped 80% of its service users to move into paid work.96