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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 Norfolk. 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 Norfolk, 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?

More people are living in Norfolk each year. The number of people is getting bigger every year from 2019 to 2023. This can mean there may be more needs for housing, health care, and support in the area. If you live in Norfolk, it helps to know the local population is growing. This is important for planning services for everyone, including disabled people.

Norfolk has about 170 people living in each square kilometre. This means there are not many people living close together. In other places in England, there are usually about 2,470 people in the same space, so Norfolk is less crowded than most areas. This can make it quieter and sometimes easier to get around.

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?

Some places in Norfolk are better off than others. For example, Broadland and South Norfolk have less deprivation (less disadvantage) than most other areas in Norfolk. Great Yarmouth and Norwich have more deprivation than Norfolk’s average. The average level of deprivation in Norfolk is a little bit lower than England’s average, which means there are more people facing hard times here. Norwich also has the biggest difference between rich and poor areas. This information helps us understand which places need more support for disabled people.

Source:

IMD 2019 for the Lower Tier Local Authorities: Breckland, Broadland, Great Yarmouth, King’s Lynn and West Norfolk, North Norfolk, Norwich, South Norfolk

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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?

Some areas in Norfolk have more deprivation than others. Great Yarmouth and Norwich have more people living in difficult conditions compared to the average for England. Places like Broadland and South Norfolk have less deprivation than the average. This matters because high deprivation can make life harder, especially for disabled people. Where you live can affect the help and support you get.

Source:

IMD 2019 for the Lower Tier Local Authorities: Breckland, Broadland, Great Yarmouth, King’s Lynn and West Norfolk, North Norfolk, Norwich, South Norfolk

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Overview of social care in Norfolk

Norfolk social care: overall picture

Demography and context

Norfolk is large, with about 932,000 people in 2023, more than twice the average local authority. Population density is only 170 people per km², far below the England rate of 2,469. Nearly half of residents live in rural places. This wide, rural setting makes travel times long and can raise the cost of bringing care to each home.

The county is also older than most areas. The share of residents aged 65 + climbed from 24.3 % in 2019 to 24.8 % in 2023, while England stayed just under 19 %. Disability is common: the age-standardised rate is 19.1 % against a national 17.6 %. These factors naturally lift demand for social care and for unpaid help from family and friends.

On deprivation, most districts sit close to the middle of the national range, but some pockets are worse. A mixed pattern of need, distance, and wealth means services must cover both sparse rural villages and small urban areas with lower incomes.

Demand for care

Working-age adults (18–64). In 2024 Norfolk recorded 15,865 requests for support, equal to 1,702 per 100,000 people. The England figure is 1,143, so demand is roughly half as high again. About 6,125 adults actually receive long-term care (657 per 100,000, vs 533 nationally). High disability rates and limited public transport in rural zones may explain some of this extra need.

Older adults (65 +). Requests from older people reached 33,775, or 3,624 per 100,000, well above the national 2,438. Long-term services are provided to 11,580 older residents (1,243 per 100,000; England 1,003). The size of the older population is a key driver, but high request rates suggest that the local system may have more unmet health needs flowing into social care.

Type of support given

Norfolk relies more on residential solutions and managed personal budgets than the average area, while it uses nursing beds and fully commissioned home support less.

For working-age adults, residential placements run at 96 per 100,000 (England 61) and managed personal budgets at 332 (267). Nursing placements are low (11 per 100,000 vs 14) and home support that the council commissions without a personal budget is very low (36 vs 58).

The same pattern holds for older people: residential care runs at 421 per 100,000 (England 250) and managed personal budgets at 661 (508), but nursing care is only 67 (122) and commissioned only home support is 14 (137).

Heavy residential use may stem from wide travel distances, which make home-care rounds costly, and from shortages of nursing homes. It could also hint at limited extra-care housing or re-ablement capacity.

Market supply and quality

The county has a large pool of providers: 135 community-based and 311 residential services, both much greater than the England averages of 64 and 91. Scale, however, has not guaranteed quality. Roughly 30 % of services are rated “requires improvement” or “inadequate”, almost double the national 17 %. Rural isolation can make it hard for regulators and improvement partners to visit regularly, and providers may struggle to recruit skilled staff outside main towns.

Workforce

Turnover (23.9 %) and vacancy (8.0 %) sit close to national levels, yet 71 % of employers say it is more difficult to keep staff and 83 % say it is harder to recruit, both above national sentiment. Travel time, fuel costs, and lower pay in rural economies may be pushing carers to other jobs. If these pressures continue, quality may fall further and waiting times could rise.

Flow out of hospital

Only 79 % of discharges from acceptable trusts are completed on time, versus 89 % nationally. Delays affect 17.5 % of discharges, and the average wait is 1.03 days (England 0.7). Limited nursing capacity and home-care gaps likely slow the move from ward to home or care home. This creates extra cost for the NHS and stress for families.

Experience of people and carers

Satisfaction with care and support is 65.8 %, just above the national 64.7 %. While this is positive, other signals are weaker. Only 26.6 % of carers say they have as much social contact as they want (England 29.3 %). Carers’ ease of finding information matches the average (59 %), yet people using services report slightly more difficulty than elsewhere (66.8 % find information easy vs 68.2 %). Complaints to the Ombudsman are a little higher than average (4.83 per 100,000 vs 4.45), which could reflect the complex provider market.

Funding

Norfolk spends generously: gross adult social care spending is £54,818 per 100,000 residents, 16 % above the England mean. Net spend shows a similar margin. Client and NHS contributions are both a little below average, so the council funds a larger share itself. High spending relates to the sheer number of older clients, the need to fund travel time, and costs of keeping many residential places operating in remote spots. Despite this effort, quality problems suggest that money alone is not solving structural issues such as workforce supply, training, and transport.

Links across the indicators

The picture points to a system under strain from population age and geography. Extra demand, long travel distances, and staffing gaps encourage providers to offer bed-based care, driving up residential placement rates. Workforce stress and thinly spread quality support leave many services below the expected standard, which in turn feeds public concern and a steady flow of complaints.

Hospital discharge delays connect to the same themes: too few nursing places and home-care workers disrupt flow, forcing longer stays. Carers fill some gaps, yet their social contact is lower, hinting at fatigue. If carers withdraw, formal demand may rise further.

Implications for policy and delivery

Norfolk may wish to grow community options that can work in rural areas—for example, small home-care hubs with good mileage payments or digital monitoring that cuts journey time. Support for providers to improve quality, perhaps through shared training or peer review, is also urgent given the high “requires improvement” rate. Workforce plans could focus on travel costs, career paths, and local housing to make caring roles more attractive.

Finally, even with above-average spending, gaps remain. Stronger links with the NHS to expand joint rehabilitation beds and community nursing could ease hospital pressure. Better information for carers and people using services may lift experience scores and reduce complaints. Aligning all these strands will be vital as the older population continues to grow.

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 Norfolk, more people asked for help to find information than for other reasons, but this is lower than the average in England. Fewer people asked for help with assessments, care plans, or money issues from social care, and these numbers are also much lower than the average in England. This means people in Norfolk are less likely to ask for help with social care needs compared to people in other places. It can help you to know how many people ask for help and where support may be easier or harder to find.

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 Norfolk, more disabled people ask for care than in most other places in England. For every 100,000 people, there are about 1,700 people of working age asking for care in Norfolk, which is much higher than the England average of around 1,100. Disabled people in Norfolk are also more likely to be getting care than the England average. This means that local services need to give extra help to support disabled people in Norfolk.

Sources:

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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 Norfolk. 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 Norfolk, more adults aged 18 to 64 get support in the community compared to most places in England. For every 100,000 people, more people here get their care managed with a personal budget by the council, and more people use only direct payments to arrange their own care. Fewer people in Norfolk live in nursing homes than the England average, but more live in residential homes. This means most people in Norfolk get care at home or in the community, not in care homes, and more people are making choices about their care with help from the council.

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

Disabled people in Norfolk

How many people live with disability?

The age-standardised disability rate in Norfolk stands at 19.1 per cent, above the England average of 17.6 per cent. Norfolk’s population is large (almost 932,000 in 2023) but spread thinly, with only 170 residents per square kilometre. A wide rural area can make daily life harder for people who have mobility, sight or learning problems; long travel times to work, shops and health care often increase the chance that a limitation turns into a disability. Norfolk is also a county with an older age profile, which raises the overall rate even after age-standardising.

Need for formal social care

In 2024, 15,865 working-age adults (18–64) asked the council for care or support. This equals 1,702 requests for every 100,000 residents, about 50 per cent above the national figure of 1,143. High demand may reflect a mix of factors: more people with long-term health conditions, difficulties in finding informal help in small villages, and good local awareness of the right to ask for an assessment.

How many receive services?

Of those who asked, 6,125 went on to receive a service. The receipt rate, 657 per 100,000, is also above the England average (533). In simple numbers, roughly four in every ten applicants obtained funded support, similar to the national picture, so Norfolk’s higher raw count seems driven mainly by greater underlying need rather than stricter or looser eligibility rules.

Type of support offered

Norfolk relies more on residential care and on community services paid for through a council-managed personal budget, and less on pure nursing placements or fully council-commissioned home care. Residential use is 96 per 100,000, over one-and-a-half times the national mean of 61. Community support with a managed budget is 332 per 100,000, again higher than the national 267. By contrast, nursing home use is slightly lower (11 vs 14 per 100,000) and community support arranged solely by the council is lower too (36 vs 58). These choices fit a rural setting where home-care providers may struggle to cover large distances; a managed personal budget lets the person, family or micro-provider design flexible help, while residential homes clustered in market towns offer a back-stop when community options do not work.

Advice, information and complaints

Figures for 2025 show only 0.43 requests per 100,000 for assessment advice and 1.18 for information-seeking, both well below national norms. Very low contact can mean the council’s online material answers questions early, yet it can also signal unmet need among residents who lack digital skills or transport to reach a hub. Given the high overall disability rate, outreach in isolated villages may still need strengthening.

What this means for policy

Norfolk faces a double challenge: a bigger-than-average disabled population and the extra costs of serving people across a large rural area. Demand is already 50 per cent higher than the national rate and is unlikely to fall as the population ages further. The council may wish to keep expanding flexible personal budgets and small residential units close to local centres, while also improving early information and peer networks in outlying parishes. Targeted transport support and digital inclusion work could stop some needs from escalating into formal care, easing pressure on budgets and offering residents more independent lives.


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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?

In Norfolk, there are more older people than in most other places in England. Over the last five years, the number of older people has gone up a little bit each year. More older people in Norfolk ask for care than the England average, with about 3,600 requests for every 100,000 people. Also, more older people in Norfolk get care compared to other parts of England. This means there may be more need for care in Norfolk, and older people here may get more help.

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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 Norfolk, more older people get care in their homes with support from the council than the England average. More people in care homes (called residential care) also get support in Norfolk than in other parts of England. But fewer people use nursing care in Norfolk compared to the England average. The number “per 100,000 people” helps us compare different places in a fair way. Knowing how care in Norfolk is different from England can help people understand their choices and ask for the support they need.

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Overall summary of the older people challenges in this locality

Older People in Norfolk

The changing population

Norfolk had about 932,000 residents in 2023. Only 170 people live in each square kilometre, far below the England average of 2,469. The county is therefore very rural. Between 2019 and 2023 the share of residents aged 65 plus rose from 24.3 per cent to 24.8 per cent. England stayed near 18–19 per cent. The gap shows that Norfolk is already an older county and is ageing a little faster than the country as a whole. Many older people move to the coast and the Broads for retirement, while fewer young adults stay for work. This shape of the population means a larger part of local services must focus on later life.

Need for social care

In 2024 the council recorded 33,775 requests for support from people aged 65 and over. This equals 3,624 requests per 100,000 residents, well above the national rate of 2,438. High demand is to be expected when one in four residents is over 65. Rural life can also add to need, because family and services are spread out and transport is limited. Moderate levels of deprivation in some coastal towns may further increase requests.

Services delivered

Norfolk supported 11,580 older people with long-term care in 2024, a rate of 1,243 per 100,000. England’s average was 1,003. The county therefore moves a high share of requests into actual care packages. This can mean that applicants have greater eligible needs, or that the council has chosen to meet needs more generously to keep people safe in remote areas.

Type of care

The pattern of services is mixed. Residential care stands out at 421 per 100,000, far above the England rate of 250. Nursing home use is lower, at 67 per 100,000 compared with 122 nationally. Many Norfolk care homes are small and geared to lower nursing needs; complex health cases may be met by community health teams instead. Community support that is fully council-commissioned is rare (14 per 100,000 versus 137). Instead, the county relies on personal budgets: 661 per 100,000 receive a council-managed personal budget and 64 per 100,000 take a direct payment only. Personal budgets may fit well with rural living, allowing flexible hiring of local helpers.

Information and advice

In 2025 the council logged very small numbers of older residents asking for help with assessments, finance, or legal issues. Rates stayed below 1.2 per 100,000, while national figures ranged from 0.7 to 5.7. These low counts could mean that earlier signposting works well, but they might also show under-recording. If people cannot find advice early, later requests for formal care may rise.

What the figures suggest

An ageing and scattered population is already placing heavy demand on adult social care, and this demand is met mainly through residential homes and flexible personal budgets. Keeping more people at home will need a larger community workforce and reliable transport. Planning now is vital, because the share of older residents is still growing.

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 Norfolk, there are about 8,900 unpaid carers for every 100,000 people. This is more than the England average, which is about 8,200 unpaid carers for every 100,000 people. This means that in Norfolk, more people help others without pay compared to the rest of England. This is important because unpaid carers give support to family and friends, and they help many people live better lives.

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?

Not many carers in Norfolk feel they have enough time to meet friends or family. For every 100 people caring for someone, only about 27 say they get as much social contact as they want. In England, a little more people feel this way. This tells us carers in Norfolk may need more help to see others and feel less lonely.

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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 Norfolk, more carers get information, advice, or signposting than other types of support. For every 100,000 people, more carers use this type of help than the England average. Fewer carers in Norfolk get direct payments or managed personal budgets compared to the average for England. More carers get support that goes to the person they care for, like respite care, than in other parts of England. This helps show how Norfolk gives most support by sharing information and helping the cared-for person, but not as much by giving direct money or budgets to carers.

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?

Many carers in Norfolk say it is easy to find information about services. In every 100 people who care for someone, about 59 feel that getting information is easy. This is almost the same as the England average, so carers in Norfolk feel as well supported as carers in other parts of the country. It is important for carers to find help quickly and feel supported.

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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?

In Norfolk, only a very small number of people asked for help because they were carers. This means that out of every 100,000 people, about one person needed support as a carer. This number is much lower than the England average, so fewer carers in Norfolk are asking for help than in other places. Knowing this can help make sure carers in Norfolk get the support they need.

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

Unpaid carers in Norfolk

How many carers are there?

In 2021 Norfolk had about 8,877 unpaid carers for every 100,000 residents. With a mid-year population of 918,000, this points to roughly 81,500 people who look after a friend or relative without pay. The rate is six per cent higher than the England figure of 8,204 per 100,000. Norfolk is large, rural and older than average, so more people are likely to need help with day-to-day tasks and fewer paid care services may be close by. These factors can push families to take on caring roles themselves.

Well-being of carers

Only 26.6 per cent of respondents in 2024 said they had as much social contact as they would like, compared with 29.3 per cent nationally. A gap of three percentage points may look small, yet it matters. Rural living means longer travel times to groups or respite services, and carers often have limited free time. Lower contact can raise the risk of isolation and poor mental health, so early support is vital.

Finding help and information

Fifty-nine per cent of carers felt it was easy to find information about services, almost identical to the England average of 59.3 per cent. Signposting appears to work reasonably well, but it has not translated into higher social contact or uptake of personalised support. This suggests that knowing where help is does not always mean it is accessible or suitable.

Types of support offered by the council (2024)

Norfolk issues direct payments to only 8.0 carers per 100,000 residents, far below the national rate of 149.9. Managed personal budgets (8.0 per 100,000) and council-commissioned support only (25.2 per 100,000) also sit well under national norms. In contrast, 368 carers per 100,000 receive information, advice or other universal services, slightly above the England figure of 339. Respite delivered to the cared-for person is also higher than average (92.8 versus 70.0 per 100,000).

This pattern shows a strong focus on light-touch help and breaks, but limited use of cash or personalised packages. Two factors may drive this. First, the county’s low population density (170 residents per km² against 2470 nationally) makes it harder to build the provider market that direct payments rely on. Second, moderate deprivation means fewer carers feel confident managing a budget, especially when broadband or transport are limited.

Quality and safeguarding

Only one carer-related safeguarding concern was logged in 2025, a rate of 0.11 per 100,000 compared with 0.75 nationally. Numbers are too small for firm conclusions, yet they may hint at low reporting rather than low risk, given the high number of unpaid carers.

Implications for services

Norfolk’s carers are numerous and, on the whole, can find information, but many still feel alone and make little use of flexible funding. Investment in community hubs, mobile support teams and digital skills could widen social networks and make personal budgets more practical in rural settings. Building a larger pool of micro-providers would also let carers spend direct payments locally, easing pressure on the council’s commissioned services. Monitoring safeguarding referrals should continue to ensure low figures reflect genuine safety, not unmet need.

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 Norfolk, there are a lot of care providers for adults. There are many more places for people to live and get care than in most other areas in England. There are also more groups who help people in their own homes or community than in most other places. This means people in Norfolk have more choices for the support they need.

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 Norfolk, more care providers need to get better or are not good enough when we compare to England. About 30 out of every 100 care providers in Norfolk need to improve or are not doing well. This is much higher than the England average, where about 17 out of every 100 care providers need to improve. This is important because it means many people in Norfolk may not get the good care they need. It is helpful to know this so people can ask for better care and support.

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?

Turnover rate means how many care workers leave their jobs. In Norfolk, the turnover rate is almost the same as the England average. This means care workers in Norfolk are leaving their jobs as often as in other places in England. This is important because if too many workers leave, it can affect the care people get.

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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?

It is harder to keep care staff in Norfolk than in many other places. For every 100 care workers in Norfolk, about 71 find it hard to stay in their jobs. This is a bit more than the England average, which is about 68 out of 100. This means people in Norfolk may find it harder to get the care and support they need.

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?

In Norfolk, the vacancy rate for social care is just under 8 out of every 100 spaces. This is a little lower than the England average, which means Norfolk has fewer empty care jobs than many other places. This can be good because having enough staff helps people get the care they need.

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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 Norfolk, it is harder to find new care staff than in most of England. More care providers in Norfolk say it is very difficult to hire staff compared to the average for England. This means people needing care may have to wait longer to get help.

Source:

Workforce_survey_data_tables, Tab 6_2

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Overall summary of the Care Provider challenges in this locality

Care provider overview for Norfolk

Size and type of provider market

Norfolk supports a large care sector. In 2024 there are 135 community-based adult social care services and 311 residential services. These headline figures look high, yet the county’s population, now about 932,000, is more than double the average English local authority. When the numbers are viewed per head, Norfolk has roughly 14.5 community services per 100,000 residents, slightly below the national benchmark of about 16.9, while residential provision stands at about 33.4 per 100,000, well above the national norm of 24.1. The pattern suggests that Norfolk leans more on residential care than many parts of England, perhaps reflecting the age structure of its residents, long travel times between rural settlements and limited home-care capacity.

Quality of care

Around 30.4 percent of Norfolk’s regulated providers are rated ‘requires improvement’ or ‘inadequate’, almost twice the England average of 16.8 percent. This gap indicates systemic quality pressures rather than isolated failures. The county’s sparse settlement pattern – only 170 usual residents per square kilometre compared with an English mean well above 2,000 – can make it hard for regulators, commissioners and support teams to visit services frequently and for providers to share good practice. Moderate deprivation, with a mean decile close to 5, does not fully explain the shortfall. Instead, operational factors such as staffing, travel costs and economies of scale in small rural homes are likely to be important.

Workforce pressures

The staff turnover rate for 2023/24 is 23.9 percent in England and 23.9 percent in the wider Eastern region; Norfolk closely mirrors this at 23.9 percent. Vacancy rates are marginally better than average (8.0 percent versus 8.4). However, perception data show acute strain: 82.9 percent of employers say recruitment is now more or much more difficult, and 70.9 percent report similar problems with retention, both a little higher than regional and national scores. With 100 percent of some districts classified as rural, the workforce often faces long journeys, poor public transport and limited housing choice, all of which raise the cost of attracting and keeping staff. Even a slightly lower vacancy rate may hide hidden gaps where shifts are filled by agency staff, adding cost and instability.

Demand and future risk

Norfolk’s population has risen by about 25,000 in the last four years and continues to age faster than the national profile. More people will need support at home if the county is to avoid further growth in residential placements. Yet the current supply of community providers is already below average after adjusting for population size, and one in three services performs below the expected quality standard. Unless quality improves and home-care capacity expands, older people may experience delayed discharges from hospital or move into residential care sooner than necessary.

Implications for policy and commissioning

Commissioners may wish to strengthen quality improvement programmes, perhaps by pairing weaker services with high-performing peers and by expanding virtual supervision to mitigate travel barriers. Investment in skills training, rural transport solutions and affordable key-worker housing could ease recruitment problems. Finally, targeted growth of community services would rebalance the market, giving people greater choice to remain at home while reducing long-term pressure on costlier residential beds.

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?

CQC LA assessments in Norfolk help check the quality of social care. This information is important because it tells people if they are getting good care. It can help you know if care services in Norfolk are safe and right for you.

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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 Norfolk, more people have to wait longer to leave hospital compared to most places in England. About 17 out of every 100 people had a delay in leaving hospital, and this is higher than the England average, which is about 12 out of every 100. This is important because waiting longer can make it harder for people, especially disabled people, to get the right care and support at home.

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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?

People in Norfolk wait longer to leave hospital when ready compared to most of England. For every 100,000 people, Norfolk has a higher delay than the England average. This means people in Norfolk may wait more before they can go home or to another place for care. It is important to know this so support can be improved for people who need help after leaving hospital.

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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?

Most people in Norfolk said they are happy with their care and support. More people in Norfolk are satisfied with their care than the average in England. But another study said that many people are not happy with social care. This is important because feeling good about care and support can help people live better lives.

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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?

It is important to know if people can find information about care services easily. In Norfolk, about two out of three people using services say it is easy to find this information. This is a bit lower than the average for England. Finding the right help is very important, so making information easier to find can help more people get the care they need.

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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 Norfolk, more people per 100,000 asked the ombudsman for help than in England overall. Norfolk also had more ombudsman decisions per 100,000 people than the England average. This means people in Norfolk use ombudsman services a bit more than most places. This is important because it helps show how people in Norfolk are speaking up if something goes wrong with their care.

Source:

Ombudsman

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Overall summary of the quality improvement challenges in this locality

Quality improvement in Norfolk

Overall position

CQC data for November 2024 shows that 79 per cent of hospital discharges for Norfolk residents came from trusts rated “acceptable” or better. The national figure is 89 per cent, so one in five Norfolk discharges still comes from a lower-rated provider. Norfolk’s population is large (about 932,000) but very spread out, with only 170 usual residents per square kilometre. Many people rely on medium-sized district hospitals or must travel outside the county. This wide geography makes it harder to concentrate activity in the highest-performing trusts and may explain the gap in provider quality.

Flow out of hospital is also more difficult in Norfolk. Seventeen-and-a-half per cent of discharges were delayed, compared with 12.3 per cent across England. On average each discharge was held up for just over one day, while the national mean delay is around 0.7 days. These figures suggest pressure in community and social care services, not only in the wards themselves. Norfolk is both older and more rural than England overall; staff travel times are longer and recruiting home-care workers is harder, so beds stay occupied for longer.

Experience of people who use services

Survey data for 2024 paints a mixed picture. Sixty-six per cent of respondents said they were satisfied with their care and support, a little above the England average of 64.7 per cent. However, a separate NatCen question found 57 per cent reporting dissatisfaction with social care. The difference between the two surveys may reflect how the questions were phrased, yet it also hints at uneven quality: many people are content, while a sizeable minority feel let down.

Finding information about help is slightly harder in Norfolk. Two-thirds (66.8 per cent) of users said it was easy to get service information, below the national rate of 68.2 per cent. Rural broadband gaps, limited public transport and a complex provider map could all make navigation more difficult, especially for older residents and carers.

Complaint activity supports this picture. The Local Government and Social Care Ombudsman received 4.83 cases per 100,000 residents and decided 4.51, both above England averages (4.45 and 4.12). Because the figures are normalised for population size, they point to a genuine excess of concerns being escalated. Higher complaint rates can indicate rising expectations or unresolved issues in frontline services.

Context and implications

Norfolk’s population has grown by around 25,000 since 2019, adding demand to services that already cover wide rural areas. Deprivation is mixed: some districts sit in the 3rd decile, others in the 7th. This variety means that while parts of the county are fairly affluent, coastal and market-town communities face higher need and fewer local resources. The result is a patchwork of outcomes, visible in the contrast between overall satisfaction and persistent complaints.

Improvement work therefore needs to target both capacity and consistency. Strengthening home-care and re-ablement teams would shorten the length of stay and reduce delayed discharges. Building stronger links with out-of-county “good” and “outstanding” trusts could raise the proportion of high-quality discharges. Accessible, perhaps digital, information services would help people and carers navigate the system, while regular analysis of Ombudsman decisions can highlight training or commissioning gaps.

With a growing, dispersed and ageing population, Norfolk’s challenge is to make high-quality care reliable in every part of the county, not just in the better-served market towns. Focusing on discharge pathways, workforce supply and clear communication will be central to sustained quality improvement.

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?

In 2024, Norfolk spent about £54,800 on social care for every 100,000 people. This is more than the average in England, which is about £47,800 per 100,000 people. This means Norfolk is spending more to help people who need care. This can help make sure you get good support in your area.

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?

Norfolk spends more on social care than the average in England. For every 100,000 people in Norfolk, the money spent is higher. This can help people who need support in Norfolk. It means the council puts extra care into helping local people.

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 Norfolk, people give money to help pay for social care. For every 100,000 people, the amount is a little less than the England average. This means people in Norfolk pay a smaller share towards their social care compared to the rest of England. This is important because lower payments can help make care more affordable for disabled people.

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?

The NHS gives money to help pay for social care in Norfolk. For every 100,000 people in Norfolk, the NHS gives less money than the average in England. This means that Norfolk gets a bit less support from the NHS for social care than most other places in England. This is important because the amount of money can help decide what care you can get.

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

Adult Social Care Spending in Norfolk

Overall level of spending

In 2024 Norfolk spent about £54 .8 million for every 100,000 residents on adult social care. This is roughly £6 .1 million per 100,000 higher than the England mean. When we multiply the per-capita figure by the county’s mid-2023 population of 932,000, gross expenditure comes to about £510 million. The county therefore puts a larger share of its local resources into social care than the average council.

Why spending is high

Several local factors help to explain the above-average spend. Norfolk is a large rural county; nearly half of its residents live in settlements classed as rural, and population density is only 170 people per km². Low density pushes up transport time, limits economies of scale, and makes it harder to pool services. The population has also been growing steadily, rising by around 25,000 people since 2019. A growing and scattered population often means extra cost just to keep service coverage stable.

Need is shaped not only by geography but also by income and health. The deprivation data show a mixed picture, with some districts better off and some worse than the national norm. On average, however, Norfolk’s rank is slightly more deprived than England as a whole. Poorer health and lower savings in these areas can increase demand for publicly funded care, again lifting expenditure.

Net cost after contributions

Client contributions reduce gross spending by about £7,027 per 100,000 residents, leaving a net spend of £47 .8 million per 100,000. This is still above the national mean by £7.3 million. The relatively low level of client income in Norfolk is notable; it is two hundred pounds per 100,000 below the England mean. Lower contributions may reflect smaller disposable income among older people, limited property wealth, or a charging policy that is more generous than average.

NHS funding

NHS contributions sit at £7,495 per 100,000, again below the national mean. Fewer jointly funded packages or slower take-up of the Better Care Fund could be reasons. A weaker NHS share means the council must meet a larger part of the bill from its own budget, keeping net costs high despite lower client income.

What the figures imply for service planning

High per-capita spending is not necessarily a sign of inefficiency. In Norfolk it looks like a response to structural features: rurality, an ageing and growing population, and pockets of deprivation. At the same time, the funding mix is tilted towards the council, with smaller flows from individuals and the NHS. This limits headroom for innovation and may expose services to risk if grants or reserves fall.

Better integration with health partners could help balance the load. Work to support more people to live independently would also matter, because travel and staffing costs rise quickly when care must be taken to remote homes. Monitoring future population growth is important; even modest increases translate into several million pounds of extra demand each year at current spending rates.

Information on planned budget cuts is missing, yet the present data suggest that any significant reduction would put pressure on service quality or access. Given the known cost drivers, sustaining the present spending level, rather than cutting it, may be the safer course if unmet need is to be avoided.