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Overview

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ℹ How to use the local authority pages?

This report separates the topics of social care into different sections. Each section provides an overview of the challenges faced by different groups of people in Cornwall. The report also includes key metrics that can help local authorities understand the social care landscape in their area. You can select these areas on the top menu, or using the “accordion menu” in the top right hand corner on mobile.

This report uses interactive visuals. On desktop, you may hover over the charts to see more information. On mobile, you can click on the charts to see more information.

This report also uses AI to summarise charts (these blocks will have a “✨” icon and a light blue background. You can vote on the accuracy of these summaries by clicking on the green check “✅” or red cross “❌”. We want to hear from you, and your feedback will be taken into consideration for subsequent versions.

The report also uses AI to create summaries of all the series within each section, and also summarises all sections into an overall section. These summaries are denoted with the same icon, and a light green background. Please vote on these blocks, just as you would in the summarising blocks.

About this section:

This page provides an overview of social care in Cornwall, along with key metrics that could affect social care. Understanding these metrics is important because they help contextualise the challenges with social care provision in each local authority. These statistics are important to keep in mind when reviewing the other pages.

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Why is this important?

Why are these metrics important? Population size and density can affect the demand for social care services. For example, if a local authority has a high population (relative to other areas), it may need to allocate more resources to meet care needs. Similarly, areas with high population density may require more care services due to the increased number of people living in close proximity. Inversely, areas with a low population density may have fewer care needs, but residents may face challenges accessing services due to the distance between them. Lastly, people in rural areas might live further away from services, which can impact their ability to access care, or make it more expensive to provide.

Understanding these metrics can help local authorities plan and allocate resources effectively.

What is this chart saying?

The population in Cornwall has been growing each year from 2019 to 2023. In 2019, there were about 563,700 people. By 2023, this number increased to about 578,300. This means more people are living in the area now. The average population number for this area was lower than Cornwall's actual number. This means Cornwall has more people living there compared to the general average of areas like it. More people in Cornwall can mean changes in services and community needs. Understanding this growth helps plan better support and resources for everyone, including disabled people.

Cornwall has 161 people living in each square kilometre. This number is much lower than the average for England, which is 2,469 people per square kilometre. This means Cornwall is less crowded and has more space for everyone. This can make it a calm and peaceful place to live, away from the busy crowds found in other parts of England. Having more space can be important for disabled people because it might mean easier access to services and facilities without the stress of crowded areas.

Sources:

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Deprivation decile

Why is this important?

Deprivation decile is a measure of the level of deprivation in a local authority. It is calculated by ranking areas in England from 1 (most deprived) to 10 (least deprived) based on factors such as income, employment, education, and health. A higher decile indicates lower levels of deprivation, while a lower decile suggests higher levels of deprivation. Understanding deprivation levels can help local authorities identify areas that may require additional support and resources to address social care needs.

What is this chart saying?

In Cornwall, the average deprivation decile is about 4.5, which is lower than the England average of nearly 6. This number tells us that people in Cornwall have more challenges compared to most places in England. The different levels of problems, or the spread, in Cornwall are also a bit smaller than the usual in England, showing slightly less variation in people's experiences. Understanding these numbers helps us learn where there is more need and how we can support everyone better.

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Deprivation rank

Why is this important?

Deprivation rank is a measure of the relative deprivation of a local authority compared to other areas in England. It is calculated by ranking areas from 1 (most deprived) to 32,844 (least deprived) Lower Layer Super Output Areas (LSOA), which can be thought of as “small areas”. This rank is based on factors such as income, employment, education, and health. A lower rank indicates higher levels of deprivation, while a higher rank suggests lower levels of deprivation. Understanding deprivation ranks can help local authorities identify areas that may require additional support and resources to address social care needs.

What is this chart saying?

Cornwall has a mean deprivation rank of 13,324.59. This means Cornwall is less deprived than the average area, which has a mean rank of 17,686.4. In simple terms, for many people in Cornwall, life is better than in some other places based on things like income and education. But there is still room to improve so everyone can have a good life.

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Overview of social care in Cornwall

Analysis of Social Care Data for Cornwall

This report provides an analysis of social care data for Cornwall, focusing on key indicators related to disability, care requests, care provision, carers, satisfaction, staffing, and expenditure. The data covers various years up to 2024 and includes comparisons with national averages where available. Cornwall's population characteristics, such as age structure, rurality, and deprivation levels, are considered to offer context to the findings.

Demographics and Population Structure

Cornwall's population has been increasing steadily, from 563,695 in 2019 to 578,324 in 2023. This growth is accompanied by a higher proportion of older residents compared to the national average. In 2023, 25.77% of Cornwall's population were older people, while the England average was 18.5%. This larger elderly population may lead to greater demand for social care services.

Cornwall is predominantly rural, with 92% of its area classified as rural in 2011, much higher than the England average of 34.6%. The population density is low, with 160.9 residents per square kilometre compared to the national average of 2,468.5. In terms of deprivation, Cornwall had a mean deprivation decile of 4.54 in 2019, indicating it is more deprived than the national average of 5.9.

Disability Prevalence

The age-standardised proportion of individuals with disabilities in Cornwall is 19.8%, higher than the national average of 17.6%. This could be due to the higher proportion of older residents, as disability rates tend to increase with age. The higher disability rate suggests a greater need for disability support services in the area.

Requests for Care

Working-Age Adults (18-64)

In 2024, there were 6,955 requests for care from working-age adults in Cornwall. This is 1,202.61 requests per 100,000 people, slightly higher than the national average of 1,143.48 per 100,000. The higher rate may reflect unmet needs or greater awareness of services among this group.

Older Adults (65 and Over)

For adults aged 65 and over, there were 20,240 requests for care in 2024. This equates to 3,499.77 requests per 100,000 people, significantly higher than the national average of 2,437.85 per 100,000. This high demand aligns with Cornwall's larger elderly population and suggests a greater need for services supporting older adults.

People Receiving Care

Working-Age Adults (18-64)

In 2024, 3,155 working-age adults received care in Cornwall, which is 545.54 per 100,000 people. This is slightly above the national average of 532.68 per 100,000. Most received community-based support, with 1,595 people (275.80 per 100,000) getting managed personal budgets, higher than the national rate of 266.67 per 100,000. This indicates a strong use of community services among this group.

Older Adults (65 and Over)

Among those aged 65 and over, 5,820 people received care in 2024, amounting to 1,006.36 per 100,000 people, similar to the national average of 1,002.86 per 100,000. Residential care was higher in Cornwall, with 1,785 people (308.65 per 100,000) compared to the national rate of 249.93 per 100,000. This may be due to the higher number of older residents requiring more intensive support.

Carers

In 2021, Cornwall had 9,538.45 unpaid carers per 100,000 people, exceeding the national average of 8,203.68 per 100,000. The higher number of unpaid carers may be linked to the rural nature of Cornwall, where access to formal care services can be limited. In 2024, 29.6% of carers reported having as much social contact as they would like, slightly above the national average of 29.3%. However, only 60.3% felt it was easy to find information about services, which is marginally higher than the national average of 59.3%.

Satisfaction with Services

In 2024, 71.7% of respondents in Cornwall said they were satisfied with their care and support, higher than the national average of 64.7%. This suggests that people in Cornwall are generally more satisfied with the services they receive. However, only 64.2% of people using services felt it was easy to find information about them, slightly below the national average of 68.2%. Improving information accessibility could enhance user experience.

Staffing and Care Providers

In 2024, Cornwall had 92 community-based adult social care services and 208 residential social care providers, both higher than average. The turnover rate for staff in 2023/24 was 26.05%, similar to the regional average of 26.1%. The vacancy rate was 8.99%, slightly above the regional average of 8.4%. A high percentage of providers found it challenging to recruit (89.45%) and retain staff (76.68%), both higher than the regional averages of 79.8% and 68.1% respectively. Staffing challenges may affect the quality and availability of care services.

Expenditure

In 2024, Cornwall's gross total expenditure on social care was £56,808.83 per 100,000 people, higher than the national average of £47,758.16 per 100,000. The net total expenditure was £51,275.48 per 100,000, also above the national average of £40,471.81 per 100,000. Client contributions were lower at £5,533.35 per 100,000 compared to the national average of £7,286.35 per 100,000, indicating that service users in Cornwall contribute less towards their care costs. NHS contributions were similar to the national average, suggesting consistent support from health services.

Conclusion

Cornwall's higher proportion of older residents and greater prevalence of disability lead to increased demand for social care services. The rural setting and higher levels of deprivation may contribute to the reliance on unpaid carers and challenges in accessing services. While satisfaction with care is high, difficulties in staffing pose risks to service provision. Higher expenditure reflects the increased needs, but lower client contributions suggest financial pressures may be present. Focusing on recruitment and retention of staff, as well as improving access to information, could enhance social care outcomes in Cornwall.

People with needs

About this section:

Many people want care, some receive care, but a significant number go without. What types of care are being requested? What care is actually provided? This section explores the gap between need and provision, the types of care available, and how our own data contributes to the understanding of these challenges.

Access Social Care and other Helplines providers are working to bridge this gap by providing free legal support to people who are struggling to access social care services. This first chart illustrates the types of calls we are getting.

The rest of this page distingushes between the different types of care provided to Working Age People and Older People, as we are able to disaggregate at a greater level of granularity.

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Why is this important?

Note: these values are a work in progress… expect these numbers to go up

This plot shows a breakdown of the types of requests for assistance received by Access Social Care and other helplines. Understanding the themes of these calls can identify areas where additional support and resources may be needed. For example, a high number of calls related to housing may indicate a need for more affordable housing options, while a high number of calls related to social care assessments may suggest a need for improved access to care services. The request types are:

  • Assessments: An assessment is a meeting or form to find out what help someone needs with daily tasks.

  • Care Plan: A care plan is a written agreement that lists the support you’ll get and who to contact if things change.

  • Carers: Carers are people who help a disabled or ill person with daily tasks.

  • Charging: Charging refers to checking if you can afford to pay for some of your care based on your savings.

  • Information Seeking: Information seeking means getting advice about available care options.

  • Legal Issues and Complaints: Legal issues and complaints involve reporting problems with your care to the council or an ombudsman.

  • Safeguarding: Safeguarding is protecting people from abuse or neglect.

Of course, high numbers also mean that people know where to call, and this number can be impacted by advocacy efforts. As a counterpoint, areas with low numbers may indicate a lack of awareness of available services or a need for more outreach to connect people with support.

To protect privacy, our minimum bin size is 5, which means that if we field 1-5 queries on a topic, we display 5.

Are you a helpline and would like to combine data resources? Let us know!

What is this chart saying?

In Cornwall, many disabled people are requesting help with various needs. The number of people asking for help with charging, which relates to the cost of services, is much higher than the England average. This suggests that financial issues are a significant concern. Additionally, people are also seeking help with information and guidance more often than the average. Understanding these needs can help improve the support system and ensure everyone's needs are met effectively.

Source:

Access Social Care casework, AccessAva data, and helpline partner submissions


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Working Age People

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Why is this important?

Knowing how many people are requesting social care, how many people are recieving care and what percent of people are disabled helps understand need and social care provision at a top level. For example, a high number of people requesting care may indicate a need for additional resources or services, while a low number of people receiving care may suggest a gap in service provision. Understanding these metrics can help identify areas where additional support may be needed.

What is this chart saying?

In Cornwall, more people request care for working-age disabilities compared to the England average. For every 100,000 people, about 1,203 people in Cornwall ask for this care, while the England average is around 1,143. This means more people in Cornwall need help. Also, about 546 people per 100,000 between the ages of 18 to 64 receive care. This is slightly above the average of 533 for England. Understanding these numbers helps us see that more support is needed for disabled people in Cornwall, especially those of working age, and it highlights the importance of ensuring they receive the care they need.

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Case study

MW was diagnosed with Functional Chronic Pain, she cannot walk without support, she holds on to her furniture to move around the house. She uses a wheelchair, especially when she goes out, with support from friends and family. She lives on second floor with 5 flights because of the way the building is designed and there is no lift. She never goes out because of the difficulties she experiences with the stairs. She needs help with cooking, cleaning, shopping and showering. She relies on friends and her mum who has knee replacement.

She was referred by the Social Prescriber who referred her onto also referred her to Croydon Adult Support, they told her they are short of staff to allocate her a social worker, so she was placed on a long waiting list. MW case still hadn’t progressed until the Social Prescriber, who had been recently trained on the Care Act, referred her to Access Social Care’s free legal Chatbot letter clinic.

The legal clinic volunteer completed a letter to Croydon Council with MW within a week which was sent to Adult Social Services. Access Social Care then called her after two weeks to complete a follow up survey. MW informed them that she had had an assessment and was waiting to hear back from Croydon following the panel meeting. Social Services has now done the assessment after which the panel offered MW 9 hours of social care support.

This case study is based on real data from Croydon. Have a story to tell? Let us know, and we might display it here!

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Types of care provided

Why is this important?

This plot shows the types of care provided to working-age people in Cornwall. Understanding the types of care available can help local authorities identify areas where additional support and resources may be needed. For example, a high number of people receiving personal care may indicate a need for more support with daily living activities, while a high number of people receiving respite care may suggest a need for additional support for carers.

What is this chart saying?

In Cornwall, many people aged 18 to 64 get care through different services. More people receive community care with personal budgets than other types of care. This is above the England average, showing community support is strong here. Fewer people receive residential or nursing care, which is close to the average. Some care options, like commissioned support, are much lower than the average. Understanding these services helps improve support for people who need it.

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Overall summary of the Working-age people challenges in this locality

Analysis of Disability and Care Services in Cornwall

Cornwall has a higher proportion of disabled people compared to the national average. The disability rate in Cornwall is 19.8%, while the average across England is 17.6%. This means that nearly one in five people in Cornwall live with a disability.

Requests for Care from Working-Age Adults

In 2024, there were 6,955 requests for care from working-age adults in Cornwall. This is 1,202.6 requests per 100,000 people, which is slightly higher than the national average of 1,143.5 per 100,000. The higher rate of requests may be due to the higher number of disabled people in the area.

People Receiving Care Aged 18 to 64

In the same year, 3,155 people aged 18 to 64 received care services in Cornwall. This is 545.5 people per 100,000, compared to the national average of 532.7 per 100,000. This suggests that more working-age adults receive care in Cornwall than in other parts of England.

Types of Care Services

The types of care services received vary. Community care with direct payments only is the most common, with 1,595 people using this service. This is 275.8 per 100,000 people, slightly higher than the national average of 266.7 per 100,000.

Nursing care services are less common, with 55 people receiving this care, which is 9.5 per 100,000 people. This is lower than the national average of 13.8 per 100,000. The rural nature of Cornwall may limit access to nursing facilities.

Residential care services are used by 340 people, or 58.8 per 100,000 people, close to the national average of 60.6 per 100,000. Community services managed through personal budgets are slightly higher in Cornwall, with 275.8 per 100,000 people compared to the national average of 266.7 per 100,000.

Requests for Help in Specific Areas

In 2025, people in Cornwall requested help in various areas. There were 54 requests for information seeking, which is 9.3 per 100,000 people, higher than the national average of 5.7 per 100,000. This suggests that people in Cornwall may need more information about available services.

Requests for help with care plans were also higher, at 2.8 per 100,000 people, compared to the national average of 1.4 per 100,000. This indicates a need for more support in planning care.

Contextual Factors

Cornwall's population has been increasing, reaching 578,324 in 2023. However, the population density is low at 160.9 people per square kilometre, compared to the national average of 2,468.5. Most people in Cornwall live in rural areas, with 92% of the population in rural settings, much higher than the national average of 34.6%.

Cornwall is also more deprived than other areas, with a mean deprivation decile of 4.54 compared to the national average of 5.9. Higher deprivation can lead to greater health needs and demand for services.

Implications for Services

The higher number of disabled people and higher rates of care requests suggest a greater need for care services in Cornwall. The rural setting may make it harder to deliver services, as people may live far from facilities. Higher deprivation levels may also increase the demand for services.

Service providers may need to focus on improving access to care, especially in rural areas. Providing more information about available services could help meet the needs of the population. Allocating more resources to Cornwall may improve care outcomes.

Conclusion

Cornwall has a higher proportion of disabled people and a higher demand for care services among working-age adults. The rural and deprived nature of the area may contribute to these needs. Improving access to care and providing more support could help meet the demands of the community.


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Older People

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Why is this important?

Just like with Working Age people, knowing how many older people are requesting social care, how many people are recieving care and what percent of the population is 65+ helps understand need and social care provision at a top level.

What is this chart saying?

Older people in Cornwall are getting a bit more care each year. From 2019 to 2023, the number of older people grew slightly. The care they asked for in 2024 was more than many other places. In Cornwall, around 3,499 older people per 100,000 needed help, which is higher than the average of 2,438 in other places. Of those needing help, 1,006 people per 100,000 received care, which is similar to the average of 1,003 in other areas. This means many older people in Cornwall need help, and many are getting it. It is important that the support keeps growing as they have more needs.

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Case Study

Jamaican female, blind and in her 40s. She was in an emergency Bed & Breakfast with her Niece, who acts as her unofficial carer, she is unable to work but would like to go to University. She is receiving PIP but not the Daily Living Allowance which she applied for in June 2021. She is vulnerable and has a history of self harm so was assigned a rehab Support Worker. Vanessa supported her using the Chatbot to chase up her PIP Daily Living allowance application, after waiting for several months and they received a reply within a week but was awarded the lower rate.

Another Chatbot letter was sent to request an urgent assessment due to her vulnerability and this was action quickly by the LA. Vanessa also supported her to use the chatbot and ask the Social worker to be moved to a place that supports her needs and rights. As she was having to use a shared bathroom, toilet and kitchen in a place with drug/alcohol abusers and being blind with no carer, this left her vulnerable. The Chatbot was used again to raise this issue and after a few weeks she was successfully moved to a private property in another area.

This case study is based on real data from Croydon. Have a story to tell? Let us know, and we might display it here!

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Types of care provided

Why is this important?

As above, it is important to see what type of care older people are being provided because it can help explain where additional work is needed.

What is this chart saying?

In Cornwall, many people over 65 receive care. Most of them get care in residential homes, which is much higher than the England average. Nursing care is slightly above the average for England. Community care, where people manage their support or get direct payments, is lower than the average. This means more people in Cornwall live in care homes, while fewer use community care options compared to elsewhere. Knowing this helps us understand where care services are needed the most and how Cornwall is different.

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Overall summary of the older people challenges in this locality

Analysis of Older People's Care in Cornwall

Cornwall has a growing population of older people. Between 2019 and 2023, the proportion of residents aged 65 and over increased from 24.9% to 25.8%. This is much higher than the national average, which rose from 18.4% to 18.5% in the same period. The higher proportion of older people in Cornwall may be due to its appeal as a retirement destination and the fact that many younger people move away for work.

The increasing number of older residents affects the demand for care services. In 2024, there were 20,240 requests for care from people aged 65 and over. This means there were 3,500 requests per 100,000 people, compared to the national average of 2,438 per 100,000. This suggests that older people in Cornwall have a higher need for support.

When it comes to receiving care, 5,820 older people in Cornwall accessed services in 2024. This is about 1,006 people per 100,000, which is similar to the national rate of 1,003 per 100,000. Despite the higher number of requests, the proportion of older people receiving care is in line with the national average. This could mean that some needs are not being fully met.

Looking at the types of care, more older people in Cornwall are in nursing and residential homes than the national average. In 2024, there were 134 nursing home residents per 100,000 people, compared to 122 nationally. For residential homes, the figures were 309 per 100,000 in Cornwall and 250 nationally. This might be because providing community care in rural areas like Cornwall is more challenging.

Community care services in Cornwall are less used than in other parts of the country. For example, only 19 people per 100,000 received commissioned support only, compared to 137 per 100,000 nationally. The rural nature of Cornwall, with 92% of the area being rural compared to 35% nationally, may make it harder to deliver these services. Lower population density (161 people per square kilometre in Cornwall versus 2,469 nationally) could also contribute to this challenge.

Cornwall has higher levels of deprivation, with a mean deprivation decile of 4.54 compared to the national average of 5.9. This means that people in Cornwall may have greater health and social care needs. Deprivation can impact on the ability of older people to access services and may increase the demand for support.

In 2025, more people in Cornwall requested help with assessments, care plans, charging, and information seeking than the national average. For instance, 9.34 people per 100,000 asked for help with charging, compared to 5.72 nationally. This could indicate that older people in Cornwall face more issues related to the cost of care or need more guidance on services available.

The combination of a higher proportion of older people, higher deprivation, and rural challenges suggests that Cornwall may need to allocate more resources to meet the needs of its aging population. It might be necessary to invest in community care services to allow older people to stay in their homes longer. Addressing issues related to access and information could also help meet unmet needs.

Overall, the data shows that Cornwall faces unique challenges in caring for its older residents. Understanding these factors is important for planning services and ensuring that the needs of older people are met effectively.

Carers

About this section:

When government support falls short, unpaid carers step in to provide care. However, many struggle with burnout, financial pressure, lack of social contact, and a lack of support. This section explores the number of unpaid carers, their increasing workload, and what forms of support are available.

Carers play a vital role in supporting vulnerable adults, often stepping in to provide care when professional services are unavailable or insufficient. The percentage of carers receiving direct payments highlights financial empowerment, the number of carers accessing services reflects local authority outreach, and the number turning to charities underscores unmet needs. Together, these data points reveal systemic strengths and weaknesses: low direct payment uptake may push carers toward charities, while effective services can reduce dependence on charitable support. Understanding these metrics enables targeted interventions to ensure carers receive the recognition and resources they deserve.

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Estimated number of unpaid carers

Why is this important?

Unpaid carers play a crucial role in supporting vulnerable adults, often stepping in to provide care when professional services are unavailable or insufficient. Understanding the number of unpaid carers in a local authority can be complicated. On the one hand, a relatively high proportion might be indicative of not enough being done by the local authority, and/or a strong community. On the other hand, a relatively lower number can mean good service provision, lower need, lower availability to look after family, or a problem with reporting.

Still, understanding the number of unpaid carers is a baseline number that must be considered.

What is this chart saying?

In Cornwall, there are about 9,538 unpaid carers for every 100,000 people. This number is higher than the average of 8,204 unpaid carers per 100,000 people. Unpaid carers are very important because they help family and friends who cannot look after themselves. This support is valuable for the community and for the well-being of those in need.

Source:

NOMIS NM_2213_1

Note:

These values are widely considered to be an underestimate. See this report from Carers UK for more information.

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Carer Case Study

August 2021 - Patient with dementia who lives in a shared lives setting. Carer had been requesting respite from the council since September 2020. Croydon Social Prescriber helped with a referral to the local authority in March 2021. Assessment conducted, with the promise they would come back with support, which did not happen. 25 August, social prescriber used the chatbot to find the right legal wording for the situation. The email was sent at 4.52pm that day. At 5.12pm the council contacted the carer to discuss the respite. This was the impact of one letter, addressed to a senior team.

This case study is based on real data from Croydon. Have a story to tell? Let us know, and we might display it here!

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How much social contact do carers have?

Why is this important?

Social contact is important for carers’ well-being, as it can help reduce feelings of isolation and loneliness. Understanding the level of social contact that carers have can help local authorities identify areas where additional support and resources may be needed. For example, a low level of social contact may indicate a need for more social activities or support groups for carers, while a high level of social contact may suggest that carers have a strong support network.

What is this chart saying?

Many carers in Cornwall do not have the social contact they want. In 2024, about 30 out of every 100 carers felt they had enough social contact. This number is almost the same as carers in other areas. Social contact is important because it helps carers feel happy and supported. When carers have enough contact, they can better support the people they care for and feel less alone.

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Carer Support Type

Why is this important?

The type of support available to carers can vary significantly, impacting their ability to provide care effectively. Understanding the types of support available can help identify areas where additional resources may be needed. For example, a high number of carers receiving respite care may indicate a need for more support with caregiving responsibilities, while a low number of carers receiving financial support may suggest a need for additional financial assistance.

What is this chart saying?

In Cornwall, direct payments for carer support are much lower than the England average, with only about 69 out of 100,000 people receiving them, while the average is around 150. Many carers get information and advice, but here it's lower too, at nearly 71 per 100,000, compared to the much higher average of about 339. Carer support involving the cared-for person, including respite, is also lower, at about 44 per 100,000, while the England average is 70. This means Cornwall has fewer people getting direct help and advice, which might be an area to improve. By understanding these differences, we can work towards better support for carers in Cornwall.

Source:

ASCFR/SALT Sheet T47

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Carer ease to get information

Why is this important?

Access to information is crucial for carers to navigate the social care system effectively. Understanding how easy it is for carers to get information can help local authorities identify areas where additional support and resources may be needed. For example, a high number of carers finding it difficult to get information may indicate a need for improved communication and support services, while a low number of carers finding it difficult to get information may suggest that existing services are effective.

Would you like social care information? Try our Chatbot!

What is this chart saying?

In Cornwall, it is easy for many carers to find information about services they need. About six out of ten carers feel it is simple to get this information. This is a little better than the average for other areas, where fewer carers feel the same. This information is important because it helps carers know where to find support and services easily, making their lives a bit better.

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Carers coming to us for help

Why is this important?

Note: these values are a work in progress… expect these numbers to go up

Access Social Care and other Helplines help people with information, advice, and support related to social care. Understanding the types of calls received by carers can highlight areas where additional support and resources may be needed. For example, a high number of calls related to financial support may indicate a need for more financial assistance for carers, while a high number of calls related to respite care may suggest a need for additional support with caregiving responsibilities.

It is important to note that, just as in the previous section, low numbers of requests might indicate that people don’t know where to get help, don’t feel they can get (or deserve) help, or other outreach problems. This is particularly important because we often work with people where the role of a carer is not recognised, or where the carer themselves does not recognise their role.

What is this chart saying?

No data found

Source:

Access Social Care casework, AccessAva data, and helpline partner submissions

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Overall summary of the unpaid carer challenges in this locality

Analysis of Carers in Cornwall

In 2021, Cornwall had 9,538 unpaid carers for every 100,000 people. This is more than the England average of 8,204 unpaid carers per 100,000 people. This means that more people in Cornwall are taking care of family members or friends without being paid.

Cornwall is a very rural area. About 92% of Cornwall is rural, compared to 35% for England overall. People in rural areas might have less access to formal care services. This could be why more people are unpaid carers in Cornwall.

In 2024, 29.6% of carers in Cornwall said they had as much social contact as they wanted. This is slightly higher than the England average of 29.3%. This means that carers in Cornwall feel a bit less isolated than carers in other parts of England. However, many carers still feel that they do not have enough social contact.

Also in 2024, 60.3% of carers in Cornwall felt it was easy to find information about services. This is a little higher than the England average of 59.3%. This suggests that carers in Cornwall can find help and advice slightly more easily than carers elsewhere.

When we look at support services, fewer carers in Cornwall are getting direct help compared to the England average. For example, only 69 carers per 100,000 people in Cornwall received direct payments. In England, the average is 150 carers per 100,000 people. Direct payments allow carers to arrange their own support. The lower number in Cornwall might mean that carers are not getting enough financial help.

Similarly, 71 carers per 100,000 people in Cornwall received information or advice services. The England average is 339 carers per 100,000 people. This means that carers in Cornwall might not be getting as much guidance or support as they need. This could be because services are harder to access in rural areas.

Cornwall has more areas of deprivation than the England average. In 2019, Cornwall's mean deprivation decile was 4.54, while the England mean was 5.9. A lower number means more deprivation. This might make it harder for carers to get the resources they need.

The population of Cornwall has been growing slightly, from 563,695 people in 2019 to 578,324 people in 2023. Despite the increase, the population density is low, with 161 people per square kilometre in 2021. The England average is much higher, at 2,469 people per square kilometre. This low density can make it harder to deliver services to everyone who needs them.

The data suggests that carers in Cornwall provide a lot of unpaid care but may not be getting enough support. They might benefit from more access to services like direct payments and information centres. Because Cornwall is rural and has higher deprivation, it is important to focus on improving services for carers. This could help them feel less isolated and better able to cope with their caring roles.

Care Providers

About this section:

Care providers are essential for delivering social care services, including home care agencies and care homes. The quality of care they provide can vary significantly, impacting the well-being of service users. This section examines the number and types of care providers, their quality ratings, and some of the difficulties of maintaining high standards. Understanding these metrics is crucial for ensuring that vulnerable individuals receive high-quality care.

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Number and types of care providers (home care agencies, care homes)

Why is this important?

The number and types of care providers in a local authority can impact the availability and quality of social care services. Understanding the distribution of care providers directly influences people’s ability to get the care they need.

What is this chart saying?

In Cornwall, there are more care providers compared to other places. The number of care providers for residential social care is much higher than the average. There are 208 residential care providers, which is more than double the typical number of 92 across other regions. This is important because it means Cornwall has many care options for people who need help at home or in a community setting. Having lots of care providers can make it easier for disabled people to find the support they need close to where they live.

Source:

CQC

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Quality ratings from the Care Quality Commission (CQC)

Why is this important?

The Care Quality Commission (CQC) rates care providers based on their quality of care, safety, and effectiveness. Understanding the quality ratings of care providers can help local authorities identify areas where additional support and resources may be needed. For example, a high number of care providers with low ratings may indicate a need for improved training and support, while a high number of care providers with high ratings may suggest that existing services are effective.

What is this chart saying?

In Cornwall, some care providers need to improve their quality. In 2024, for every 100 care providers, about 17 need improvement or are not doing well. This number is a bit higher than the typical level across locations, which is about 16.8. It is important to know this because choosing good care is important for your well-being. Understanding the quality of care helps you make better choices for yourself or your loved ones.

Source:

CQC

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Framework rates?

Why is this important?

Framework rates are the agreed prices that local authorities pay care providers for social care services, such as home care and residential care. These rates are crucial because they determine the affordability, availability, and quality of care in a city. If rates are too low, providers may struggle to sustain services, leading to workforce shortages, poor care quality, and limited access for those relying on council-funded care.

Understanding framework rates helps assess whether local authorities are adequately funding social care, ensuring fair pay for care workers, and maintaining a sustainable care market that meets residents’ needs.

What is this chart saying?

There is no local authority level data for Framework Rates

Source:

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Provider collapse data?

Why is this important?

Several providers are finding it increasingly difficult to stay in business, and sometimes several providers collapse at once. For example, when pay rises are approved without consultation and effective immediately, providers may not be able to afford to pay their staff. This can cause a chain-effect which leads to collapse in the market, and a lack of care for those who need it.

What is this chart saying?

There is no local authority level data for the risk of Providers collapsing.

Source:

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Workforce Turnover rate

Why is this important?

Workforce turnover rate is a measure of the number of staff leaving a care provider over a specific period. High turnover rates can indicate issues with staff retention, such as low pay, poor working conditions, or lack of training and support. Understanding workforce turnover rates can help local authorities identify areas where additional support and resources may be needed to improve staff retention and ensure high-quality care services.

NOTE: This data series is based on regional data

What is this chart saying?

In Cornwall, the turnover rate for care workers is about 26.1%. This means for every 100 people working in social care, 26 changed jobs. The turnover rate in Cornwall is almost the same as the average for all of England. This helps us know if there are enough care workers to help people who need care. When turnover is high, it can be hard to have enough support for everyone. It is important to watch this rate so that people who need care get the right help on time.

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Workforce: Challenge retaining Staff

Why is this important?

Staff retention is crucial for maintaining high-quality care services. Understanding the challenges faced by care providers in retaining staff can help local authorities identify areas where additional support and resources may be needed. For example, a high number of care providers struggling to retain staff may indicate a need for improved training and support, while a low number of care providers facing retention challenges may suggest that existing services are effective.

This dataset describes the results of a survey asking care providers about their challenges in retaining staff.

NOTE: This data series is based on regional data

What is this chart saying?

In Cornwall, keeping staff in social care is very hard. It is harder here than in other parts of England. For every 100,000 people, 77 find it much harder to stay in these jobs compared to the England average of about 68. This means more people in Cornwall feel it is tough to keep working in social care. Understanding this can help find better ways to support them.

Source:

Workforce_survey_data_tables, Tab 6_2

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Workforce: Vacancy rate

Why is this important?

Vacancy rate is a measure of the number of unfilled positions within a care provider over a specific period. High vacancy rates can indicate issues with staff recruitment, such as low pay, poor working conditions, or lack of training and support. Understanding vacancy rates can help local authorities identify areas where additional support and resources may be needed to improve staff recruitment and ensure high-quality care services.

What is this chart saying?

The vacancy rate for social care in Cornwall is about 9%. This means out of every 100 care jobs, 9 are unfilled. This is slightly higher than the England average, which is around 8%. More vacancies mean it might be hard for people to get the help they need. Filling these jobs is important so everyone can get good care.

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Workforce: Challenge recruiting Staff

Why is this important?

Recruiting staff is essential for maintaining high-quality care services, and for backfilling staff when they leave. Understanding the challenges faced by care providers in recruiting staff can help local authorities identify areas where additional support and resources may be needed. For example, a high number of care providers struggling to recruit staff may indicate a need for improved training and support, or can point to a systemic problem, such as low pay, poor working conditions, or not enough people interested in this job type.

Staff recruitment is important as it’s one of the areas that have levers to pull outside of social care, for example, by changing how many visas are awarded to social care workers.

NOTE: This data series is based on regional data

What is this chart saying?

In Cornwall, it is very hard to find new social care workers. It is harder here than in many other places in England. For every 100 people needing care, nearly 90 say it's very challenging to hire staff. This is higher than the England average, where about 80 out of 100 feel the same way. This problem means people in Cornwall might wait longer for help or not get the care they need on time. Knowing how hard it is to find staff can help plan better support for everyone.

Source:

Workforce_survey_data_tables, Tab 6_2

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Overall summary of the Care Provider challenges in this locality

Analysis of Care Providers in Cornwall

Introduction

This report examines the care providers in Cornwall for the year 2024. We focus on the overall situation of care providers, considering numbers, quality, and staffing challenges. We also look at background information about Cornwall's population, rural nature, and levels of deprivation to understand the context.

Number of Care Providers

In 2024, Cornwall has 92 community-based adult social care services. This is significantly higher than the national average of 63.8 services. Additionally, there are 208 residential social care providers in Cornwall, compared to the national average of 91. The higher numbers suggest that Cornwall has a strong provision of care services.

Cornwall's population has been growing, reaching 578,324 in 2023, which is larger than the England average of 377,060.9. Despite the larger population, Cornwall has a low population density of 160.9 residents per square kilometre, much lower than the England average of 2,468.5. The county is also predominantly rural, with 92% rural areas compared to the national average of 34.6%. This rural setting may require more care providers to serve dispersed communities effectively.

Quality of Care Providers

The proportion of care providers needing improvement or rated inadequate in Cornwall is 17%, which is close to the national average of 16.8%. This indicates that the quality of care providers in Cornwall is similar to other parts of the country. However, there is still room for improvement to ensure the highest standards of care for residents.

Staffing Challenges

Staffing is a significant challenge for care providers in Cornwall. The turnover rate is 26.05%, nearly the same as the national average of 26.1%. This means that over a quarter of care staff are leaving their jobs each year, which can impact the continuity and quality of care.

The vacancy rate in Cornwall is 8.99%, slightly higher than the national average of 8.4%. This suggests that care providers are struggling to fill positions, leading to staffing shortages. A high percentage of providers report challenges in staffing: 89.45% find recruiting staff more challenging or much more challenging, compared to 79.8% nationally. Similarly, 76.68% find retaining staff more challenging, higher than the national figure of 68.1%.

These challenges may be influenced by Cornwall's rural nature and higher levels of deprivation. With a mean deprivation decile of 4.54, lower than the national average of 5.9, Cornwall faces economic disadvantages that can make it harder to attract and keep staff. The rural setting may also contribute to difficulties, as travel between work locations can be time-consuming.

Implications for Service Delivery

The higher number of care providers is positive but must be balanced against staffing challenges. If care providers cannot recruit and retain enough qualified staff, the quality of care may suffer. This can lead to increased pressure on existing staff, potentially leading to higher turnover rates.

To address these issues, strategies could include improving employment conditions, offering better training and career progression, and providing support for travel in rural areas. Policymakers might also consider investing in local infrastructure to make rural areas more accessible and attractive for care workers.

Conclusion

Cornwall has a strong network of care providers, aligning with its larger and growing population. While the quality of care is on par with national averages, significant staffing challenges could impact service delivery. By understanding and addressing the factors contributing to recruitment and retention difficulties, Cornwall can work towards ensuring high-quality care for all its residents.

Quality Improvement

About this section:

Historically, hospital delays have been due in large part, to the inability to discharge patients into social care. We no longer have DTOC data, but we can still look at the number of hospital delays and the number of facilities requiring improvement.

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CQC Rating of this local authority

[1] "No data available for this local authority"

Why is this important?

CQC, as the regulator of health and social care services in England, is beginning to rate Local Authorities on their social care provision. Understanding the CQC rating of a local authority should be used as the most official evaluation of service care provision. For example, a low rating may indicate a need for improved service delivery, while a high rating may suggest that existing services are effective.

What is this chart saying?

Cornwall has a special assessment called CQC LA assessment. This helps check how well care services in Cornwall are doing. It is important because it makes sure people get good care. This helps improve services for everyone in Cornwall.

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Number of hospital delays

Why is this important?

Hospital delays can have a significant impact on patient care and outcomes, and are in large part the result of not having invested sufficiently in social care. Understanding the number of hospital delays in a local authority can be a sympthom of a poorly working social care sector. For example, a high number of hospital delays may indicate a need for improved discharge planning and coordination, not enough places to discharge people to, lack of sufficient staff to assess patients, or a lack of care providers.

What is this chart saying?

In November 2024, Cornwall's hospitals did well in getting people home quickly. Almost everyone left the hospital without long delays. Cornwall had a low delay percentage, about 12 out of 100 people waited longer to go home. This is nearly the same as the England average, which is also 12 out of 100 people. Cornwall's hospitals are doing a good job compared to other places. This matters because it helps people return to their usual care faster, making it easier for everyone.

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Average delay

Why is this important?

This metric illustrates how long patients are delayed in hospital before being discharged. Higher average delays mean that patients are spending more time in hospital than necessary, which can lead to increased costs, reduced bed availability, and poorer patient outcomes. This also means that the beds are not available for people that might desperately need them for life-saving procedures.

What is this chart saying?

In November 2024, the average delay for hospital discharge in Cornwall was a bit more than the average delay in England. When people leave the hospital, getting home quickly is really important for their health and happiness. In Cornwall, the time people wait to leave the hospital was a little higher than other places in England. Reducing this waiting time helps everyone feel better and supports their recovery.

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Delayed Transfer of Care

Why is this important?

Delayed Transfer of Care (DTOC) refers to the time between a patient being declared medically fit for discharge and actually leaving the hospital. Understanding the number of DTOCs in a local authority can help identify precisely where the social care system is failing.

Unfortunately, this dataset is no longer being generated.

What is this chart saying?

Data about Delayed Transfers of Care is no longer gathered.

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Reablement Statistics

Why is this important?

Reablement is a short-term service that helps people regain independence and confidence after a period of illness or injury. Understanding the number of people receiving reablement services can help local authorities identify areas where additional support and resources may be needed. For example, a high number of people receiving reablement services may indicate a need for more support with daily living activities, while a low number of people receiving reablement services may suggest that existing services are effective.

What is this chart saying?

Data about reablement is not available at a local authority level.

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arc data

Coming soon!

Why is this important?

What is this chart saying?

Source:

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Service User Satsfaction

Why is this important?

Service user satisfaction is a key indicator of the quality of social care services. Understanding service user satisfaction can help local authorities identify areas where additional support and resources may be needed. For example, a low level of service user satisfaction may indicate a need for improved service delivery, while a high level of service user satisfaction may suggest that existing services are effective.

It is important to note that the people surveyed are already receiving service care. Notably absent are all the people that are not yet lucky enough to be receiving care.

What is this chart saying?

In Cornwall, more people are happy with their care and support than in other parts of England. About 72 out of 100 people in Cornwall say they are satisfied. The average in England is lower, with only about 65 out of 100 people saying the same. However, another report mentions many people in Cornwall feel unhappy with social care. This shows that while many are happy, there is room for improvement in making everyone feel well-supported. Understanding how people in Cornwall feel about their care is important to help provide better support.

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People using services: Easy to get information

Why is this important?

Access to information is crucial for people using social care services to navigate the system effectively. Understanding how easy it is for people to get information can help local authorities identify areas where additional support and resources may be needed. For example, a high number of people finding it difficult to get information may indicate a need for improved communication and support services, while a low number of people finding it difficult to get information may suggest that existing services are effective.

Would you like social care information? Try our Chatbot!

What is this chart saying?

In Cornwall, some people find it hard to get information about care services. Only 64 in 100 people say it is easy to find out about these services. This number is lower than the England average, where 68 in 100 people find it easy. It is important because good information helps people make better choices about their care. When more people can easily find this information, they can feel more supported and confident.

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Ombudsman

Why is this important?

An ombudsman is a person who has been appointed to look into complaints about companies and organisations. The number of cases received and decided by the Ombudsman is important because it provides insight into the volume of complaints about a local authority’s social care services and how effectively these complaints are being addressed. The number of cases received indicates the level of dissatisfaction or systemic issues within a council’s care provision, while the number of cases decided shows how efficiently the Ombudsman is processing and resolving complaints. A large gap between the two may suggest delays in complaint handling, leaving individuals waiting.

It is important to note that contacting the Ombudsman is widely considered a last resort, often discouraged, and sometimes penalised.

What is this chart saying?

In Cornwall, there are more complaints to the ombudsman about social care for disabled people compared to the rest of England. For every 100,000 people, about 8 complaints are received, while the England average is around 4.5. The ombudsman also decides on more complaints in Cornwall than across England. This means people in Cornwall may face more issues with social care. Understanding this helps make things better for everyone involved.

Source:

Ombudsman

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Overall summary of the quality improvement challenges in this locality

Analysis of Quality Improvement in Cornwall

Introduction

Cornwall has a population of 578,324 in 2023, higher than the England average of 377,060.9. It is a mostly rural area, with 92% of its land being rural, compared to the national average of 34.6%. The population density is low, at 160.9 people per square kilometre, while the England average is 2,468.5. Cornwall has a mean deprivation decile of 4.54, below the national average of 5.9, indicating higher levels of deprivation.

Hospital Discharges and Delays

In November 2024, 99.94% of discharges in Cornwall were from acceptable trusts within the local authority, exceeding the national average of 89%. This suggests that patients are being treated and discharged locally, which is positive for a rural area like Cornwall. However, 12.23% of discharges were delayed, similar to the national average of 12.3%. The average delay was 0.73 days, slightly above the national average of 0.7 days. These delays might be due to challenges in rural healthcare, such as staffing shortages or longer distances between services.

Service Satisfaction and Information Access

In 2024, 71.7% of people in Cornwall said they were satisfied with their care and support, higher than the national average of 64.7%. This shows that many residents have positive experiences with their services. However, another survey reported that 57% of people were dissatisfied with social care. This indicates that while many are satisfied, there are still significant concerns among residents. Only 64.2% felt it was easy to find information about services, below the national average of 68.2%. Difficulty in accessing information may contribute to dissatisfaction and unmet needs.

Ombudsman Complaints

In 2024, Cornwall had 7.61 ombudsman complaints received per 100,000 people, higher than the national average of 4.45. The number of complaints decided was also higher, at 6.4 per 100,000 people compared to 4.12 nationally. This suggests that more people in Cornwall are raising formal complaints about services. The higher complaint rates may reflect issues with service delivery or higher awareness among residents of how to voice concerns.

Conclusion

Cornwall performs well in keeping patient care local, which is important in a rural area. The higher satisfaction rates are encouraging, but challenges remain. Delays in discharges, difficulties in finding information, and higher complaint rates point to areas needing improvement. The rural nature and higher deprivation levels in Cornwall may contribute to these issues. Focusing on better information access, addressing service delays, and responding effectively to complaints can help improve services. This will support better outcomes and higher satisfaction among residents.

Finances

About this section:

We need to understand how much money is being spent on social care, and what this provides. First, let’s look at values reported by local authorities.

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Gross Total Expenditure

Why is this important?

Gross Current Expenditure (2023-24) captures the total operational cost of services, indicating overall demand and financial commitment. This includes spending on residential and non-residential care, direct payments, and other social care services. Understanding gross expenditure helps assess the scale of social care provision and financial pressures on local authorities.

What is this chart saying?

Cornwall spends more on social care than the England average. For every 100,000 people, Cornwall spends about 56,809 pounds. This is higher than the England average, which is about 47,758 pounds. This means Cornwall is putting more money into helping people who need care. This extra spending can help make sure people get the support they need. This is good news because it shows Cornwall is working hard to care for its people.

Source:

ASCFR/SALT Sheet T3

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Net Total Expenditure

Why is this important?

This figure reflects the net cost of social care provision to the local authority, indicating the extent of financial support required to meet service demands. Understanding net expenditure helps assess the financial sustainability of social care services and the commitment level of the local authority.

What is this chart saying?

In 2024, Cornwall spent more on social care for every 100,000 people than the England average. Cornwall's spending was much higher than the England average amount, showing a strong commitment to supporting social care needs. This extra spending could help provide better services for disabled people in Cornwall. It shows that Cornwall values caring for its community.

Source:

ASCFR/SALT Sheet T3

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Client Contributions

Why is this important?

Client Contributions, otherwise known as “Charging”, show the extent to which service users offset costs. Understanding client contributions helps assess the financial burden on individuals and the local authority, highlighting the need for fair and equitable funding mechanisms.

It is important to note that not all local authorities charge for social care services, and that charging can be a barrier to accessing care for some individuals.

What is this chart saying?

In 2024, the money given by people for social care services in Cornwall is lower than the average in England. Cornwall collects £5,533.35 from every 100,000 people, while in England, this amount is £7,286.35. This means people in Cornwall pay less for social care compared to the average in England. Understanding this can help us see the difference in support people offer for social care in different places.

Source:

ASCFR/SALT Sheet T3

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NHS Contributions

Why is this important?

Income from NHS reflects external funding and collaboration with the health sector. Understanding NHS contributions helps understand the level of integration between health and social care.

What is this chart saying?

In 2024, the NHS money support for social care in Cornwall is a bit less per 100,000 people than the England average. This means Cornwall gets a smaller amount of money compared to other parts of England. It is important for us to know this because the NHS helps with social care, and less money can affect the services available to people in Cornwall who need support. Understanding this helps us see where Cornwall stands and can help in making better plans for the future.

Source:

ASCFR/SALT Sheet T3

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Budget Cuts

Why is this important?

Budget Cuts indicate financial constraints and potential service reductions. Sometimes, budget cuts are explicit, but other times, they aren’t mentioned directly, making tracking this information difficult to access.

As such, this data is not consistently available for all local authorities.

Source:

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Assessment of sufficiency

Why is this important?

Access Social Care have made a series of Freedom of Information requests about the government’s own assessment of sufficiency of social care funding. The social care sector is in crisis, yet the government refuses to disclose how it determines funding sufficiency. Without transparency, there is little accountability, no independent scrutiny to improve decision-making, and government trust heavily impacted. Evidence from across the sector indicates a severe funding gap, but without open data, meaningful reform remains impossible. True solutions require honesty about the scale of the problem to then work towards a fair and equitable funding model.

The government appears to know how much money is required for social care, and yet they are not making that known.

Source:

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Overall summary of the budget and financial challenges in this locality

Analysis of Social Care Spending in Cornwall

In 2024, Cornwall spends more on social care per person than the national average. The gross total expenditure per 100,000 people in Cornwall is £56,808.83. This is higher than the England average of £47,758.16. Gross total expenditure is the total amount spent before any income is considered. This shows that Cornwall invests a lot in social care services.

The net total expenditure per 100,000 people in Cornwall is £51,275.48. The national average is £40,471.81. Net expenditure is the amount after taking away income from client contributions and NHS contributions. Cornwall's higher net spending means it uses more of its own money to support social care.

Client contributions in Cornwall are lower than the national average. Per 100,000 people, clients in Cornwall contribute £5,533.35. In England, the average is £7,286.35. This could be because people in Cornwall have lower incomes. The mean deprivation decile in Cornwall is 4.54, while the England average is 5.9. A lower decile means more deprivation. This suggests that many people in Cornwall may not be able to afford to pay more towards their care.

NHS contributions per 100,000 people in Cornwall are £7,641.67. The national average is £7,878.45. Cornwall gets slightly less money from the NHS for social care compared to other areas.

Cornwall's population is growing. In 2019, there were 563,695 people. By 2023, this increased to 578,324. More people may mean more need for social care services. Cornwall is also very rural. In 2011, 92% of Cornwall was rural, compared to 34.6% for England on average. The population density is low, with 160.9 people per square kilometre. The England average is much higher at 2,468.5 people per square kilometre. Delivering services in rural and less populated areas can cost more because of distances and fewer facilities.

The higher spending in Cornwall may be due to these factors. More deprivation and rural areas can increase the need for social care and make it more expensive to provide. Lower client contributions mean that the local authority has to pay more to cover costs.

In conclusion, Cornwall spends more on social care than the national average. This is likely because of its growing population, higher levels of deprivation, and rural nature. These factors increase the demand for services and the cost to provide them. Cornwall relies more on its own funds, as it receives less from client and NHS contributions. Understanding these challenges is important for planning and providing effective social care in Cornwall.