SALT sources for ASCOF 2015-16 v1.1

Adult Social Care Outcomes
Framework (ASCOF)
Measures 2015-16
Data sources from SALT measures
For use alongside the 2015-16 ASCOF Handbook of Definitions
published by the Department of Health
Published March 2016
1
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
We are the trusted
national provider of
high-quality information,
data and IT systems for
health and social care.
www.hscic.gov.uk
[email protected]
@hscic
2
Author:
Social Care Team
Health and Social Care Information Centre
Version:
V1.1
Date of publication:
March 2016
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
Contents
How to use this document
4
ASCOF 1C – Proportion of people using social care who receive self-directed
support and those receiving direct payments
5
ASCOF 1C part 1a (adults aged over 18 receiving self-directed support)
5
ASCOF 1C part 1b (carers receiving self-directed support)
6
ASCOF 1C part 2a (adults receiving direct payments)
7
ASCOF 1C part 2b (carers receiving direct payments for support direct to carer)
8
ASCOF 1E – Proportion of adults with a learning disability in paid employment
9
ASCOF 1G – Proportion of adults with a learning disability who live in their
own home or with their family
10
ASCOF 2A – Long-term support needs met by admission to residential and
nursing care homes, per 100,000 population
11
ASCOF 2A part 1 (younger adults)
11
ASCOF 2A part 2 (older people)
13
ASCOF 2B – Proportion of older people (65 and over) who were still at home
91 days after discharge from hospital into reablement / rehabilitation services
15
ASCOF 2B part 1: Effectiveness of reablement services
15
ASCOF 2B part 2: Coverage of reablement services
16
ASCOF 2D – The outcome of short term services: sequel to service
3
Copyright © 2016, Health and Social Care Information Centre.
17
SALT sources for ASCOF 2015-16 measures
How to use this document
This document has been created to complement the 2015-16 Adult Social Care Outcomes
Framework (ASCOF) Handbook of Definitions published by the Department of Health. A number
of the measures within the ASCOF suite draw on data from the Short and Long Term (SALT)
collection.
This document illustrates the sources for ASCOF data within SALT. It covers all ASCOF measures
that take data from SALT and shows the data sources broken down between (where applicable)
the numerator and denominator.
In order to aid identification of the data utilised in the ASCOF measures, annotated copies of the
tables from SALT are provided as per the example below:
Figure 1: Example SALT table
How to interpret the annotated tables
1. The cells highlighted in pink or dark blue are those that contain data used in.
2. In some instances, a copy of a SALT table may cover two tables as they are identical apart
from covering different age bands. In the example above (figure 1) both tables 1a (for ages
18 to 64) and 1b (for age 65 and over) are relevant. This is confirmed in the title of the
annotated table shown above.
3. Highlighted cells contain text confirming which ASCOF measure it refers to. In the above
example, the data is used in ASCOF measure 1C part 1a. Measure numbers are always
capitalised; constituent parts of measures are in lower case.
4. It is the sum total of the contents of all cells that contribute to the ASCOF measure.
5. Numerator data are highlighted in pink with black text and denominator data are highlighted
in dark blue with white text. This distinction is also clear from the headings within the
document.
Colours used in data cells in SALT tables in this document:
1C part 2a
ASCOF numerator
1C part 2a
ASCOF denominator
Voluntary cells for 2015-16
Totals automatically calculated from other cells in the table
In STS002a and STS002b, these cells contain the long term support
sequels that should be reported in table 4 but do not contain any text
4
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1C – Proportion of people using social care who receive selfdirected support and those receiving direct payments
ASCOF 1C part 1a (adults aged over 18 receiving self-directed support)
Formula: (X/Y)*100
X: Numerator The number of users receiving either a) Direct Payment, b) Part Direct Payment or
c) CASSR managed Personal Budget at year end 31st March (figure 2)
The following SALT data items are utilised within the numerator for ASCOF 1C part 1a
Measure
SALT LTS001b
Table(s)
Tables 1a and 1b, age bands 18-64 and 65+ (figure 2)
Cell description
Total of contents of cells within community columns headed ‘Direct Payments
only’, ‘Part Direct Payment’ and ‘CASSR Managed Personal Budget’
Figure 2: SALT measure LTS001b tables 1a and 1b
Y: Denominator Clients (aged 18 or over) accessing long term community support at the year-end
31st March (figure 3 below)
The following SALT data items are utilised within the denominator for ASCOF 1C part 1a
Measure
SALT LTS001b
Table(s)
Tables 1a and 1b, age bands 18-64 and 65+ (figure 3)
Cell description
Total of contents of cells within community columns headed ‘Direct Payment
Only’, ‘Part Direct Payment’, ‘CASSR Managed Personal Budget’, ‘CASSR
Commissioned Support only’
Figure 3: SALT measure LTS001b tables 1a and 1b
5
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1C part 1b (carers receiving self-directed support)
Formula: (X/Y)*100
X: Numerator The number of carers receiving either a) Direct Payment, b) Part Direct Payment or
c) CASSR managed Personal Budget in the year to 31st March (figure 4)
The following SALT data items are utilised within the numerator for ASCOF 1C part 1b
Measure
SALT LTS003
Table(s)
Table 1a (figure 4)
Cell description
Total of contents of cells within columns headed ‘Direct Payment only’, ‘Part
Direct Payment’ and ‘CASSR Managed Personal Budget’
Figure 4: SALT measure LTS003 table 1a
Y: Denominator Carers (caring for someone aged 18 or over) receiving carer specific services in
the year to 31st March (figure 5)
The following SALT data items are utilised within denominator for ASCOF 1C part 1b
Measure
SALT LTS003
Table(s)
Table 1a (figure 5)
Cell description
Total of contents of cells within columns headed ‘Direct Payment Only’, ‘Part
Direct Payment’, ‘CASSR Managed Personal Budget’ and ‘CASSR
Commissioned Support Only’
(Equivalent to: Total of contents of cells for ‘Support Direct to Carers’ columns
excluding those headed ‘Where no direct support provided to carer’ and
‘Information Advice and Other Universal Services / Signposting’)
Figure 5: SALT measure LTS003 table 1a
6
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1C part 2a (adults receiving direct payments)
Formula (X/Y)*100
X: Numerator The number of users receiving either a) Direct Payment or b) Part Direct Payment
at year end 31st March (figure 6)
The following SALT data items are utilised within the numerator for ASCOF 1C part 2a
Measure
SALT LTS001b
Table(s)
Tables 1a and 1b, age bands 18-64 and 65+ (figure 6)
Cell description
Total of contents of cells within community columns headed ‘Direct Payment
only’ and ‘Part Direct Payment’
Figure 6: SALT measure LTS001b, tables 1a and 1b
Y: Denominator Clients (aged 18 or over) accessing long term support at the year-end 31st March
(figure 7)
The following SALT data items are utilised within the denominator for ASCOF 1C part 2a
Measure
SALT LTS001b
Table(s)
Tables 1a and 1b, age bands 18-64 and 65+ (figure 7)
Cell description
Total of contents of cells within community columns headed ‘Direct Payments
only’, ‘Part Direct Payment’, ‘CASSR Managed Personal Budget’ and ‘CASSR
Commissioned Support Only’
Figure 7: SALT measure LTS001b, tables 1a and 1b
7
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1C part 2b (carers receiving direct payments for support direct to carer)
Formula (X/Y)*100
X: Numerator The number of carers receiving either a) Direct Payment or b) Part Direct Payment
in the year to 31st March (figure 8)
The following SALT data items are utilised within the numerator for ASCOF 1C part 2b
Measure
SALT LTS003
Table(s)
Table 1a (figure 8)
Cell description
Total of contents of cells within columns headed ‘Direct Payments only’ and
‘Part Direct Payment’
Figure 8: SALT measure LTS003 table 1a
Y: Denominator Carers (caring for someone aged 18 or over) receiving carer specific services in
the year to 31st March (figure 9)
The following SALT data items are utilised within the denominator for ASCOF 1C part 2b
Measure
SALT LTS003
Table(s)
Table 1a (figure 9)
Cell description
Total of contents of cells within columns headed ‘Direct Payment Only’, ‘Part
Direct Payment’, ‘CASSR Managed Personal Budget’ and ‘CASSR
Commissioned Support Only’
(Equivalent to: Total of contents of cells for ‘Support Direct to Carers’ columns
excluding those headed ‘Where no direct support provided to carer’ and
‘Information Advice and Other Universal Services / Signposting’)
Figure 9: SALT measure LTS003 table 1a
8
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1E – Proportion of adults with a learning disability in paid
employment
Formula: (X/Y)*100
X: Numerator All people within the denominator who are in paid employment (figure 10)
The following SALT data items are utilised within the numerator for ASCOF 1E
Measure
SALT LTS004
Table(s)
Table 1 (figure 10)
Cell description
Total of contents of cells within row ‘Total’ for columns, ‘Paid – less than 16
hours a week’ and ‘Paid – 16 hours or more a week’
Figure 10: SALT measure LTS004, table 1
Y: Denominator Number of working-age learning-disabled clients known to CASSRs during the
period (figure 11)
This includes clients who received long term support during the year and appear in the LTS001a
measure (table 1a) of SALT with a primary support reason of learning disability support. All
support settings should be included (i.e. residential, nursing and community settings), excluding
prisons
The following SALT data items are utilised within the denominator for ASCOF 1E
Measure
SALT LTS001a
Table(s)
Table 1a (age band 18-64) only (figure 11)
Cell description
Total of contents of cells within row Primary Support Reason ‘Learning
Disability Support’ excluding ‘Prison’ columns
Figure 11: SALT measure LTS001a, table 1a
9
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 1G – Proportion of adults with a learning disability who live in their
own home or with their family
Formula: (X/Y)*100
X: Numerator All people within the denominator who are ‘living on their own or with their family’
(figure 12)
The following SALT data items are utilised within the numerator for ASCOF 1G
Measure
SALT LTS004
Table(s)
Table 2a (figure 12)
Cell description
Contents of cell under column heading ‘Sub-total’ for the row ‘Total’
Figure 12: SALT measure LTS004, table 2a
Y: Denominator Number of working-age learning-disabled clients known to the council during the
period (figure 13)
This includes clients who received long term support during the year and appear in the LTS001a
measure (table 1a) of SALT with a primary support reason of learning disability support. All
support settings should be included (i.e. residential, nursing and community settings), excluding
prisons
The following SALT data items are utilised within the denominator for ASCOF 1G
Measure
SALT LTS001a
Table(s)
Table 1a (age band 18-64) only (figure 13)
Cell description
Total of contents of cells within row Primary Support Reason ‘Learning
Disability Support’ excluding ‘Prison’ columns
Figure 13: SALT measure LTS001a, table 1a
10
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 2A – Long-term support needs met by admission to residential and
nursing care homes, per 100,000 population
ASCOF 2A part 1 (younger adults)
Formula: (X/Y)*100,000
X: Numerator The sum of the number of council-supported younger adults (aged 18-64) whose
long-term support needs were met by a change of setting to residential and nursing care during
the year (excluding transfers between residential and nursing care) (figures 14 -18)
The following SALT data items are utilised within the numerator for ASCOF 2A part 1
Measure
Table
Cell description
STS001
1a
(figure 14)
Total of contents of cells within columns ‘Long Term Support (Eligible
Services)’ ‘Residential Care’ and ‘Nursing Care’
STS002a
4
(figure 15)
Total of contents of cells within row ‘for clients aged 18-64’ for columns
‘Residential’ and ‘Nursing’
STS002b
4
(figure 16)
Total of contents of cells within row ‘for clients aged 18-64’ for columns
‘Residential’ and ‘Nursing’
LTS002a
1a
(figure 17)
Total of contents of cells within columns ‘Change of Setting : Move to
Nursing Care’ and ‘Change of Setting : Move to Residential Care’
LTS002a
2
(figure 18)
Total of contents of cells within row ‘for those aged 18-64’ for columns
‘Change of Setting: Move to Nursing Care’ and ‘Move to Residential
Care’
Figure 14: SALT measure STS001, table 1a
Figure 15: SALT measure STS002a, table 4
Figure 16: SALT measure STS002b, table 4
11
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
Figure 17: SALT measure LTS002a, table 1a
Figure 18: SALT measure LTS002a, table 2
Y: Denominator Size of younger adult population (age 18-64) in area
The denominator for ASCOF 2A part 1 is not taken from SALT data. It is taken from the Office for
National Statistics (ONS) mid-year population estimates.
12
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 2A part 2 (older people)
Formula: (X/Y)*100,000
X: Numerator The sum of the number of council-supported older people (aged 65 and over)
whose long-term support needs were met by a change of setting to residential and nursing care
during the year (excluding transfers between residential and nursing care) (figures 19 - 23)
The following SALT data items are utilised within the numerator for ASCOF 2A part 2
Measure
Table
Cell description
STS001
1b
(figure 19)
Total of contents of cells within columns ‘Long Term Support (Eligible
Services)’ ‘Residential Care’ and ‘Nursing Care’
STS002a
4
(figure 20)
Total of contents of cells within row ‘for clients aged 65+’ for columns
‘Residential’ and ‘Nursing’
STS002b
4
(figure 21)
Total of contents of cells within row ‘for clients aged 65+’ for columns
‘Residential’ and ‘Nursing’
LTS002a
1b
(figure 22)
Total of contents of cells within columns ‘Change of Setting : Move to
Nursing Care’ and ‘Change of Setting : Move to Residential Care’
LTS002a
2
(figure 23)
Total of contents of cells within row ‘for those aged 65+’ for columns
‘Change of Setting: Move to Nursing Care’ and ‘Move to Residential
Care’
Figure 19: SALT measure STS001 table 1b
Figure 20: SALT measure STS002a table 4
Figure 21: SALT measure STS002b table 4
13
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
Figure 22: SALT measure LTS002a, table 1b
Figure 23: SALT measure LTS002a, table 2
Y: Denominator Size of older people population (age 65 and over) in area
The denominator for ASCOF 2A part 2 is not taken from SALT data. It is taken from the Office for
National Statistics (ONS) mid-year population estimates.
14
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 2B – Proportion of older people (65 and over) who were still at
home 91 days after discharge from hospital into reablement / rehabilitation
services
ASCOF 2B part 1: Effectiveness of reablement services
Formula: (X/Y)*100
X: Numerator The number of older people discharged from acute or community hospitals to their
own home or to a residential or nursing care home or extra care housing for rehabilitation, with a
clear intention that they will move on/back to their own home (including a place in extra care
housing or an adult placement scheme setting), who are at home or in extra care housing or an
adult placement scheme setting 91 days after the date of their discharge from hospital. This
should only include the outcome for those cases referred to in the denominator (figure 24)
The following SALT data items are utilised within the numerator for ASCOF 2B part 1
Measure
SALT STS004
Table(s)
Table 1 (figure 24)
Cell description
Contents of the cell under the column heading ‘total’, for row ‘Number of
discharges above where person was still at home 91 days later’
Figure 24: SALT measure STS004, table 1
Y: Denominator Number of older people discharged from acute or community hospitals from
hospital to their own home or to a residential or nursing care home or extra care housing for
rehabilitation, with a clear intention that they will move on/back to their own home (including a
place in extra care housing or an adult placement scheme setting) (figure 25)
The following SALT data items are utilised within the denominator for ASCOF 2B part 1
Measure
SALT STS004
Table(s)
Table 1 (figure 25)
Cell description
Contents of the cell under the column heading ‘total’, for row ‘Number of discharges in
period to rehabilitation where the intention is for the patient to go back home’
Figure 25: SALT measure STS004, table 1
15
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 2B part 2: Coverage of reablement services
Formula: (X/Y)*100
X: Numerator Number of older people discharged from acute or community hospitals from
hospital to their own home or to a residential or nursing care home or extra care housing for
rehabilitation, with a clear intention that they will move on/back to their own home (including a
place in extra care housing or an adult placement scheme setting). (figure 26)
The following SALT data items are utilised within the numerator for ASCOF 2B part 2
Measure
SALT STS004
Table(s)
Table 1 (figure 26)
Cell description
Contents of the cell under the column heading ‘total’, for row ‘Number of
discharges in period to rehabilitation where the intention is for the patient to go
back home’
Figure 26: SALT measure STS004, table 1
Y: Denominator Total number of people, aged 65 and over, discharged alive from hospitals in
England between 1 October 2015 and 31 December 2015. This includes all specialities and zerolength stays. Data for geographical areas is based on usual residence of patient.
The denominator for ASCOF 2B part 2 is not taken from SALT data. It is taken from Hospital
Episode Statistics published by the HSCIC.
16
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
ASCOF 2D – The outcome of short term services: sequel to service
Formula: (X/Y)*100
X: Numerator Number of new clients where the sequel to "Short Term Support to maximise
independence" was "Ongoing Low Level Support"; "Short Term Support (Other)"; "No Services
Provided - Universal Services/Signposted to Other Services"; "No Services Provided - No
identified needs"
The following SALT data items are utilised within the numerator for ASCOF 2D
Measure
SALT STS002a
Table(s)
Table 1 (figure 27)
Cell description
Total of contents of cells within columns ‘Ongoing low level support’, ‘Short
term support (other)’, ‘No Services Provided – Universal Services / Signposted
to other services’ and ‘No Services Provided – No identified Needs’
Figure 27: SALT measure STS002a, table 1
Y: Denominator Number of new clients who had short-term support to maximise independence.
Those with a sequel of either early cessation due to a life event, or those who have had needs
identified but have either declined support or are self-funding should be subtracted from this total
The following SALT data items are utilised within the denominator for ASCOF 2D
Measure
SALT STS002a
Table(s)
Table 1 (figure 28)
Cell description
Total of contents of cells within all columns, excluding ‘Early cessation of
service (not leading to long term support)’, ‘Early cessation of service (leading
to long term support)’,’No Services Provided – Needs identified but selffunding’ and ‘No Services Provided – needs identified but support declined’
Figure 28: SALT measure STS002a, table 1
17
Copyright © 2016, Health and Social Care Information Centre.
SALT sources for ASCOF 2015-16 measures
Published by the Health and Social Care Information Centre
Part of the Government Statistical Service
This publication may be requested in large print or
other formats.
___________________________________________
For further information
www.hscic.gov.uk
0845 303 5678
[email protected]
Copyright © 2016 Health and Social Care Information Centre. All rights reserved.
This work remains the sole and exclusive property of the Health and Social Care Information
Centre and may only be reproduced where there is explicit reference to the ownership of the
Health and Social Care Information Centre.
This work may be re-used by NHS and government organisations without permission.
18
Copyright © 2016, Health and Social Care Information Centre.