This page provides an overview of social care in Derby, 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.
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.
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.
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.
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.
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!
Access Social Care casework, AccessAva data, and helpline partner submissions
Working Age People
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.
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!
This plot shows the types of care provided to working-age people in Derby. 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.
ASCFR and SALT Data Tables 2023-24 Sheet T34
In Derby, the proportion of people with disabilities is 19.9%. This is higher than the national average of 17.6%. This means that more people in Derby have disabilities compared to other places in the country.
In 2024, there were 4,355 requests for care from people of working age in Derby. This is about 1,634 requests for every 100,000 people. The national average is 1,143 requests per 100,000 people. This shows that more working-age people in Derby are asking for care.
Also in 2024, 1,790 people aged 18 to 64 received care in Derby. This is about 672 people per 100,000. The national average is 533 people per 100,000. This means that more people in this age group in Derby are getting care compared to other places.
People in Derby receive different types of care. For nursing care, there were 70 people, which is about 26 people per 100,000. The national average is 14 people per 100,000. For residential care, there were 200 people, or 75 per 100,000, compared to the national average of 61 per 100,000.
Many people received community care with direct payments only. There were 705 people in this group, or 265 per 100,000. The national average is 122 per 100,000. Some people had part direct payments, with 100 people in Derby, or 38 per 100,000, compared to 48 per 100,000 nationally.
Community care managed by the local authority helped 720 people in Derby, or 270 per 100,000. The national average is 267 per 100,000. This shows that community care is important in Derby.
Derby is a city with more people living close together. In 2021, there were about 3,350 people per square kilometre. The national average is 2,469 people per square kilometre. This higher population density can affect how many people need care.
Derby also has higher levels of deprivation. The average deprivation score is 4.91, while the national average is 5.9. A lower score means more deprivation. This can lead to more health problems and a higher need for care services.
Because more people in Derby have disabilities and are requesting care, there is a higher demand for care services. The city may need more resources to help these people. Care services may need to hire more staff or improve their services to meet the needs.
The higher number of people receiving community care suggests that these services are important in Derby. Supporting community care can help people stay in their homes and live independently.
Understanding these needs can help plan for better services. This can improve the quality of life for people with disabilities in Derby.
✨ ✅ ❌Older People
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.
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!
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.
ASCFR and SALT Data Tables 2023-24 Sheet T34
The proportion of older people in Derby has been slowly increasing over the years. In 2019, 16.21% of the population were older people. This rose to 16.48% by 2023. However, this is still lower than the national average, which was 18.4% in 2019 and 18.5% in 2023. This means Derby has fewer older people compared to other parts of the country.
In 2024, there were 5,935 requests for care from people aged 65 and over in Derby. This is 2,227 per 100,000 people, which is slightly less than the national average of 2,438 per 100,000. Fewer requests might mean that older people in Derby are less likely to ask for help, or they might face barriers in accessing services.
Even though there were fewer requests, Derby had more older people receiving care compared to the national average. In 2024, 2,940 older people were getting care services. This is 1,103 per 100,000 people, while the national average is 1,003 per 100,000. This suggests that Derby is providing care to a larger share of its older population.
Looking at the types of care, Derby has higher numbers in certain areas. For nursing care, there are 158 people per 100,000 receiving support, which is more than the national average of 122 per 100,000. This could mean that there is a greater need for medical support among older people in Derby. In community care with managed personal budgets, Derby has 634 people per 100,000, higher than the national average of 508 per 100,000. This shows that Derby is helping older people manage their own care at home.
On the other hand, Derby has fewer people in residential care. There are 235 people per 100,000 in residential care, compared to 250 per 100,000 nationally. This might mean that Derby is focusing on helping older people stay in their own homes rather than moving into care homes.
Derby's higher population density might affect how services are delivered. With 3,349 people per square kilometre, it is more crowded than the national average of 2,469. This urban setting could make it easier to provide community services. However, Derby also has higher levels of deprivation. Its mean deprivation decile is 4.91, lower than the national average of 5.9. Higher deprivation can lead to more health problems and a greater need for care among older people.
The data suggests that Derby is addressing the needs of its older population despite the challenges. The higher rates of nursing care and community support show that the city is focusing on providing the right services. By supporting older people to manage their care at home, Derby is helping them maintain independence and quality of life.
In conclusion, Derby has a smaller proportion of older people than the national average, but it is providing care to a larger share of them. The emphasis on community-based care and personal budgets highlights Derby's commitment to supporting its older residents. Considering the higher levels of deprivation, it is important for Derby to continue investing in services that meet the needs of its ageing population.
✨ ✅ ❌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.
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.
NOMIS NM_2213_1
These values are widely considered to be an underestimate. See this report from Carers UK for more information.
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!
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.
Survey of Adult Carers in England (SACE) - question 11
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.
ASCFR/SALT Sheet T47
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!
Survey of Adult Carers in England (SACE) - question 17
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.
Access Social Care casework, AccessAva data, and helpline partner submissions
In 2021, Derby had 8,524 unpaid carers per 100,000 people. This is higher than the national average of 8,203.68 unpaid carers per 100,000 people. With a population of 261,260 in 2021, this means there were about 22,278 unpaid carers in Derby.
The higher number of unpaid carers in Derby could be due to its population structure. Derby has a population density of 3,349.5 people per square kilometre, which is higher than the national average of 2,468.5. This urban setting might mean more families living close together, leading to more family members providing care.
Additionally, Derby has a lower mean deprivation decile of 4.91 compared to the England average of 5.9. This indicates higher levels of deprivation. In areas with more deprivation, people might rely more on unpaid care due to fewer resources to pay for professional services.
In 2024, only 26.7% of carers in Derby reported that they had as much social contact as they would like. This is slightly less than the national average of 29.3%. This suggests that many carers in Derby may feel isolated or lack social support.
The feeling of isolation among carers could be linked to the high number of unpaid carers. With more people providing care, there may be increased stress and less time for social activities. This highlights a need for services that help carers connect with others.
On a positive note, 77.8% of carers in Derby felt it was easy to find information about services in 2024. This is much higher than the national average of 59.3%. This means that Derby is doing well in providing carers with the information they need.
Easy access to information can help carers find support and resources. This may reduce some of the challenges they face and improve their ability to care for others.
Derby provides more direct payments to carers than the national average. There were 223.3 direct payments per 100,000 people in Derby, compared to 149.93 nationally. This financial support can help carers manage the costs associated with caring.
However, Derby offers less in terms of information, advice, and universal services. There were 112.6 instances per 100,000 people, while the national average is 338.7. Increasing these services could help carers feel more supported and reduce feelings of isolation.
Fewer carers in Derby received no direct support, with 46.9 per 100,000 people compared to the national average of 129.64. This suggests that more carers in Derby are receiving some form of assistance, which is positive.
The data indicates that while Derby excels in some areas, there is room for improvement. The high number of unpaid carers and feelings of isolation point to a need for better social support services. Enhancing programs that encourage social contact among carers could be beneficial.
Given Derby's higher levels of deprivation and urban density, focusing on community-based support may help. Policies aimed at connecting carers with each other and providing more advice and information services could improve their well-being.
In summary, Derby has a higher proportion of unpaid carers who may feel isolated. While the city provides good financial support and information access to carers, there is a need to enhance social support services. Addressing these issues could improve the lives of carers and those they care for in Derby.
✨ ✅ ❌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.
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.
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.
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.
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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.
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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
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
Workforce_survey_data_tables, Tab 6_2
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.
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
Workforce_survey_data_tables, Tab 6_2
Derby has 71 community-based adult social care services in 2024. This number is higher than the national average of 63.8. It shows that Derby offers many services to help people in their own homes or communities.
There are 63 residential social care providers in Derby. This is fewer than the national average of 91. This might mean that fewer people in Derby go into residential care. People may prefer to stay at home with support.
In Derby, 16.4% of care providers need improvement or are inadequate. The national average is 16.8%. This means the quality of care in Derby is similar to the rest of the country. Most care providers in Derby are rated as good or better.
The turnover rate for care staff in Derby is 25.5% in 2023/24. This means that one in four staff leave their jobs each year. The national rate is also 25.5%. High turnover can make it hard to provide consistent care and can increase costs for training new staff.
The vacancy rate in Derby is 9.1%, which is higher than the national average of 8.4%. This means there are many open positions that are not filled. Staff shortages can lead to more pressure on existing staff and affect the quality of care.
Many care providers find it more challenging to recruit and retain staff. In Derby, 81.4% say it is harder to recruit staff, compared to the regional average of 79.8%. Also, 70.3% find it more difficult to keep staff, slightly above the regional average of 68.1%. These challenges can affect the availability of care services.
Derby's population in 2023 is 266,460, which is smaller than many other cities. However, it has a high population density of 3,349.5 people per square kilometre. This is higher than the national average of 2,468.5. A crowded urban area like Derby may have a higher demand for community-based care services.
Derby is more deprived than average, with a mean deprivation decile of 4.91 out of 10, where 1 is most deprived. The national average is 5.9. Deprivation can increase the need for social care services and make it harder to recruit staff, as some may prefer to work in less deprived areas.
The higher levels of deprivation in Derby may be linked to staffing challenges. Working in deprived areas can be more difficult, leading to higher turnover and vacancies. These staffing issues can affect the quality of care, resulting in more providers needing improvement.
Derby may need to focus on ways to recruit and keep care staff. Offering better training, support, and working conditions can help. Reducing turnover may improve the quality of care. Addressing issues related to deprivation could also make a positive difference.
Since Derby has many community-based services, having enough staff is important. Helping people stay at home with support can improve their well-being. By tackling staffing challenges, Derby can continue to provide good care to its residents.
✨ ✅ ❌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.
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.
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.
Discharge-Ready-Date-monthly-data-webfile-November-2024, Tab UTLA Acceptable
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.
Discharge-Ready-Date-monthly-data-webfile-November-2024, Tab UTLA Acceptable
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.
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.
Coming soon!
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.
Personal Social Services Adult Social Care Survey, question 1
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!
Personal Social Services Adult Social Care Survey, question 13
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.
In 2024/25, the Care Quality Commission (CQC) gave Derby a score of 53. This is below the national average score of 64.7. This means Derby needs to improve its care services to reach the national standard.
Derby has a high rate of discharges from acceptable trusts. About 99.9% of patients are discharged from trusts that meet acceptable standards. The national average is 89%. This is good news for Derby.
However, 14% of discharges in Derby are delayed. This is higher than the national average of 12.3%. Even though the average delay in Derby is shorter (0.44 days) than the national average (0.7 days), more people are experiencing delays. This might mean there are problems with how patients move through care services.
Only 57.8% of people in Derby said they were satisfied with their care and support. The national average is 64.7%. This shows that many people in Derby are not happy with the care they receive. Another survey found that 57% of people in Derby were dissatisfied with social care. This suggests there are concerns about the quality or availability of services.
In Derby, 59.9% of people feel it is easy to find information about services. The national average is 68.2%. This means that people in Derby may find it harder to get the information they need. This could affect how satisfied they are with services.
There are more complaints to the ombudsman in Derby. There are 6.38 complaints received per 100,000 people, higher than the national average of 4.45. Also, 5.63 complaints per 100,000 are decided, compared to 4.12 nationally. This shows that more people in Derby are making complaints, which may be linked to lower satisfaction.
The population of Derby is growing. It increased from 261,260 in 2021 to 266,460 in 2023. Derby is more densely populated than the national average, with 3,349.5 people per square kilometre, compared to 2,468.5 nationally. Derby is mostly urban, with only 0.17% rural areas, while the national average is 34.6%.
Derby has higher levels of deprivation. Its mean deprivation decile is 4.91, compared to the national average of 5.9. A lower decile means more deprivation. This may lead to higher demand for services and make it harder to meet people's needs.
In summary, Derby has strengths in some areas, like discharging patients from acceptable trusts and keeping delays short. But it faces challenges with delayed discharges, low satisfaction, and higher complaints. The high population density, urban setting, and higher deprivation may contribute to these issues. Improving service quality and making information more accessible may help address these problems.
✨ ✅ ❌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.
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.
ASCFR/SALT Sheet T3
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.
ASCFR/SALT Sheet T3
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.
ASCFR/SALT Sheet T3
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.
ASCFR/SALT Sheet T3
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.
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.
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Derby's spending on social care in 2024 shows some differences compared to the national averages. Understanding these differences can help us see how Derby meets the needs of its people.
In 2024, Derby's gross total expenditure on social care is £36,722.85 per 100,000 people. This is lower than the national average of £47,758.16 per 100,000 people. A lower expenditure might mean that Derby spends less on social care services compared to other areas.
Derby's net total expenditure is £30,846.64 per 100,000 people, while the national average is £40,471.81 per 100,000 people. The net expenditure is the gross expenditure minus any income, such as client contributions. Derby's lower net expenditure could suggest that it has different costs or funding compared to other regions.
Clients in Derby contribute £5,876.21 per 100,000 people towards social care. This is less than the national average of £7,286.35 per 100,000 people. Lower client contributions might mean that residents in Derby pay less for services, possibly due to higher levels of deprivation.
The NHS contributes £7,490.16 per 100,000 people to Derby's social care, which is slightly less than the national average of £7,878.45 per 100,000 people. This shows that Derby receives similar support from the NHS as other areas.
Derby's population in 2023 is 266,460 people. This is smaller than the national average population of 377,060.9 people. Derby is also more densely populated, with 3,349.5 residents per square kilometre, compared to the England average of 2,468.5 residents per square kilometre.
Derby has a mean deprivation decile of 4.91, which is lower than the national mean of 5.9. A lower decile means higher deprivation. This suggests that Derby has higher levels of deprivation compared to the national average. The standard deviation of deprivation deciles in Derby is 3.22, indicating a wide range of deprivation levels across the area.
Only 0.1681% of Derby is rural, compared to the national average of 34.6%. This shows that Derby is a mostly urban area.
The lower spending on social care in Derby could be linked to several factors. Higher deprivation levels might mean that more residents are unable to contribute towards their care, leading to lower client contributions. The urban nature of Derby may also impact the cost and delivery of social care services. Urban areas can have different needs and costs compared to rural areas.
The dense population might lead to higher demand for social care services. However, if the funding does not match the demand, this could result in unmet needs. Lower expenditure could mean that Derby faces challenges in providing adequate social care to its residents.
The similar NHS contributions suggest that Derby receives comparable support from the NHS as other areas. However, overall spending is still lower, which might impact the quality or availability of services.
Derby's social care spending is lower than the national average in several areas. Higher levels of deprivation and a dense, urban population may contribute to lower client contributions and higher demand for services. These factors highlight the importance of considering local needs when allocating resources and planning social care services.
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