-
Learning Disabilities Profile 2013
SomersetIntroductionHealth profiles are numbers which help people who plan health services.
They come as reports for local areas. Our health profiles are for the areas of Local Authorities that run Adult Social Services. They are used by plannersin health services and social services. They are also interesting for self-advocates and family carers.
They try to show
How many people have learning disabilities,How healthy they are,How much health care they get,How well social services are looking out for them.
They show how your area compares with others.
Good numbers for all these things are hard to find. The numbers on the website are our best attempt. Please tell us if you think have any suggestions toimprove either the numbers or the way we show them.
Do you think there are better numbers we could show?How could we display them more clearly?
Please send them by e-mail to [email protected]
Bridgwater
Wincanton
Wellington
Watchet
Taunton
Somerton
Minehead
Ilminster
Frome
Crewkerne
Cowbridge
Chard
Burnham-on-Sea
Yeovil
© Crown copyright and database rights 2013 Ordnance Survey 100016969© OpenStreetMap contributors ODbL
www.ihal.org.uk/profilesLearning Disability Profiles are produced by Public Health England.
Write to: Improving Health & Lives: Learning Disabilities ObservatoryPublic Health England, IPH, University Forvie Site, Robinson Way,Cambridge, CB2 0SR
Email: [email protected]
ContentsSpine chartsPopulation Page 3Health Page 3Accommodation & social care Page 3Coordination and local planning Page 3
Tartan RugsPopulation Page 4Health Page 4Accommodation & social care Page 5Coordination and local planning Page 5
Detailed Indicators and MapsPopulation Page 6Health Page 13Accommodation & social care Page 18Coordination and local planning Page 28
1www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
mailto:[email protected]://www.improvinghealthandlives.org.uk/profiles/index.php?view=E10000027
-
Learning Disabilities Profile
Somerset
Revisions to Profiles
Since last year, there have been a number of changes to the Learning Disabilities Profiles.
Firstly, we removed the following indicators:
11. Admission rate for psychiatric ambulatory care sensitive conditions in people with LD14. Identifying people with learning disability in psychiatric in-patient statistics15. Persons admitted psychiatric specialty for challenging behaviour
While the data does not identify individuals, some areas had low numbers that were not appropriate to use. We know from the [A&T and other specialistinpatient care for people with LD in the Count-Me-In census] (http://www.improvinghealthandlives.org.uk/gsf.php5?f=16342&fv=17542) that manyadmissions occur in the independent sector. As such, the small numbers taken from hospital episode statistics could have potentially misleadingresults.
Secondly, due to the administrative changes in accessing hospital episode statistics we are unable to update the following indicators at present:
10. Emergency hospital admissions as % of total12. Admission rate for non-psychiatric ambulatory care sensitive conditions in people with LD13. Identifying people with learning disability in general hospital statistics
We anticipate updating these indicators later in the year.
2www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Spine Charts
PopulationPeriod Local
valueEng.
valueEng.
lowest RangeEng.
highest1 Adults with learning disability known to GPs 2011-12 5.19 4.54 2.08 7.66
2 Adults (18 to 64) with learning disability known to LocalAuthorities
2011-12 5.13 4.27 2.36 8.63
3 Children with autistic spectrum known to schools Jan2012 4.38 8.17 2.36 19.71
4 Children with moderate learning difficulties known toschools
Jan2012 7.98 19.65 6.50 51.36
5 Children with severe learning difficulties known toschools
Jan2012 3.77 3.65 1.09 7.53
6 Children with profound and multiple learning difficultiesknown to schools
Jan2012 0.92 1.23 0.00 4.02
7 Children with learning difficulties known to schools Jan2012 12.66 24.53 9.57 58.31
HealthPeriod Local
valueEng.
valueEng.
worst England RangeEng.best
8 Proportion of eligible adults with a learning disabilityhaving a GP health check
2011-12 71.01 52.73 13.37 100.00
9 Median age at death 2008-11 61.00 56.00 1.00 69.50
10 Emergency hospital admissions as % of total 2008-09 55.98 49.96 75.27 12.59
12 Admission rate for non-psychiatric ambulatory caresensitive conditions in people with LD
2005/06 -2008/09
23.77 23.27 89.59 5.57
13 Identifying people with learning disability in generalhospital statistics
2008-09 30.20 27.12 5.75 45.40
Accommodation & social care
16 Living in settled accommodation 2011-12 79.25 68.94 1.27 93.59
17 Living in non-settled accommodation 2011-12 20.44 22.36 40.32 1.27
18 Accommodation status unknown to LA 2011-12 0.31 9.10 97.45 0.00
19 Accommodation severely unsatisfactory 2011-12 0.31 0.13 1.85 0.00
20 Adults (age 18-64) using day services 2011-12 238.99 347.20 38.83 681.96
21 Adults(age 18-64) receiving community services 2011-12 839.62 749.71 438.46 1,064.22
22 Adults with learning disability in paid employment 2011-12 1.26 6.12 0.28 20.39
23 Adults (age 18-64) receiving direct payments 2011-12 17.23 - 6.35 98.33
24 Gross current expenidture for residential personal socialservices per 1,000 people known to LAs with LD
2011-12 9.60 21.52 5.07 43.03
25 Rates of referral for abuse of vulnerable person 2011-12 135.22 111.90 0.00 383.56
Coordination and local planning
26 Comparison of LA and QOF prevalence estimates 2011-12 1.22 6.16 0.42 88.84
Key
Regional average
Not significant
Significance Not Tested
Where perceived polarity:
Significantly worse Significantly better
England worst England bestEngland average
25th percentile 75th percentile
Where no perceived polarity:
Significantly lower Significantly higher
England lowest England highestEngland value
25th percentile 75th percentile
3www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Tartan RugsPopulation
Indicator Period Engl
and
Bath
and
Nor
th E
ast S
omer
set
Bour
nem
outh
Bris
tol
Cor
nwal
l
Dev
on
Dor
set
Glo
uces
ters
hire
Isle
s of
Sci
lly
Nor
th S
omer
set
Plym
outh
Pool
e
Som
erse
t
Sout
h G
louc
este
rshi
reSw
indo
n
Torb
ay
Wilt
shire
1 Adults with learning disability known to GPs 2011-12 4.54 4.43 4.73 4.95 5.49 5.43 4.40 5.94 - 4.77 5.70 4.73 5.19 4.15 4.15 6.07 4.39
2 Adults (18 to 64) with learning disability known to LocalAuthorities
2011-12 4.27 3.92 3.11 3.62 5.61 4.81 4.15 4.73 - 3.54 5.96 5.09 5.13 4.30 4.03 5.45 4.22
3 Children with autistic spectrum known to schools Jan2012 8.17 7.81 7.13 7.06 8.05 7.84 11.69 4.51 - 5.07 12.18 7.00 4.38 6.53 7.13 6.07 8.64
4 Children with moderate learning difficulties known to schools Jan2012 19.65 13.29 8.44 8.91 14.71 12.30 13.06 9.37 - 6.93 13.96 10.78 7.98 9.74 21.17 20.69 12.70
5 Children with severe learning difficulties known to schools Jan2012 3.65 3.36 3.02 3.18 3.90 3.32 2.16 5.14 - 3.79 4.00 5.64 3.77 3.10 4.33 4.88 2.92
6 Children with profound and multiple learning difficulties knownto schools
Jan2012 1.23 0.86 1.04 1.68 0.88 1.24 0.68 1.89 - 0.71 0.70 2.92 0.92 1.06 1.65 2.28 0.93
7 Children with learning difficulties known to schools Jan2012 24.53 17.50 12.50 13.77 19.49 16.87 15.90 16.40 - 11.43 18.66 19.34 12.66 13.90 27.15 27.85 16.54
Health
8 Proportion of eligible adults with a learning disability having aGP health check
2011-12 52.73 81.52 78.37 60.38 61.45 71.87 68.96 73.39 - 72.00 67.94 78.37 71.01 82.73 54.53 78.92 53.76
9 Median age at death 2008-11 56.00 54.50 51.00 58.00 55.50 58.00 57.00 56.50 - 64.00 55.50 55.00 61.00 60.50 36.00 61.50 51.50
10 Emergency hospital admissions as % of total 2008-09 49.96 18.32 61.86 41.77 36.75 49.85 55.52 29.38 - 43.61 52.54 62.64 55.98 50.70 52.94 66.67 56.56
12 Admission rate for non-psychiatric ambulatory care sensitiveconditions in people with LD
2005/06 -2008/09
23.27 20.00 28.97 18.92 19.17 14.51 12.40 13.33 - 18.86 21.17 21.34 23.77 21.40 8.68 24.71 18.90
13 Identifying people with learning disability in general hospitalstatistics
2008-09 27.12 12.97 21.96 28.31 28.94 24.53 25.75 24.61 - 38.82 36.43 26.35 30.20 35.93 19.03 26.59 33.14
Key: Compared to England: Significantly Worse Not significantly different Significantly Better Significantly Lower Significantly Higher Not compared
4www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
Indicator Period Engl
and
Bath
and
Nor
th E
ast S
omer
set
Bour
nem
outh
Bris
tol
Cor
nwal
l
Dev
on
Dor
set
Glo
uces
ters
hire
Isle
s of
Sci
lly
Nor
th S
omer
set
Plym
outh
Pool
e
Som
erse
t
Sout
h G
louc
este
rshi
reSw
indo
n
Torb
ay
Wilt
shire
16 Living in settled accommodation 2011-12 68.94 62.79 56.76 53.40 59.21 68.41 67.71 64.53 - 59.52 68.21 72.22 79.25 66.91 55.56 69.51 60.83
17 Living in non-settled accommodation 2011-12 22.36 32.56 25.68 36.41 25.50 24.94 22.40 26.45 - 39.29 21.54 13.33 20.44 33.09 17.59 29.27 39.58
18 Accommodation status unknown to LA 2011-12 9.10 4.65 17.57 10.19 15.30 6.65 9.90 9.01 - 1.19 10.26 14.44 0.31 0.00 26.85 1.22 0.00
19 Accommodation severely unsatisfactory 2011-12 0.13 0.00 0.00 0.00 0.28 0.00 0.00 0.00 - 0.00 0.00 0.00 0.31 0.00 0.00 0.00 0.00
20 Adults (age 18-64) using day services 2011-12 347.20 337.21 445.95 296.12 433.43 527.32 312.50 235.47 - 464.29 282.05 388.89 238.99 424.46 379.63 378.05 391.67
21 Adults(age 18-64) receiving community services 2011-12 749.71 639.53 716.22 616.50 892.35 738.72 697.92 671.51 - 583.33 815.38 733.33 839.62 618.71 768.52 670.73 633.33
22 Adults with learning disability in paid employment 2011-12 6.12 6.98 4.05 6.31 0.28 6.41 3.13 6.10 - 9.52 4.62 8.89 1.26 11.51 3.70 2.44 12.08
23 Adults (age 18-64) receiving direct payments 2011-12 - 29.09 35.85 15.75 6.35 23.15 33.58 16.88 - 32.65 20.13 31.82 17.23 34.88 13.25 40.00 18.42
24 Gross current expenidture for residential personal socialservices per 1,000 people known to LAs with LD
2011-12 21.52 26.13 22.48 34.67 21.54 11.64 27.67 21.31 - 34.68 18.69 12.91 9.60 32.93 25.20 11.72 20.01
25 Rates of referral for abuse of vulnerable person 2011-12 111.90 93.02 229.73 169.90 90.65 40.38 26.04 81.40 - 107.14 82.05 44.44 135.22 151.08 64.81 97.56 62.50
Coordination and local planning
26 Comparison of LA and QOF prevalence estimates 2011-12 6.16 13.20 52.18 36.71 2.18 12.82 6.06 25.59 - 34.72 4.23 7.02 1.22 3.54 2.93 11.28 4.08
Key: Compared to England: Significantly Worse Not significantly different Significantly Better Significantly Lower Significantly Higher Not compared
5www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
1. Adults with learning disability known to GPs
Each year GPs are asked how many of the adults ontheir practice list have learning disability. These numbersare reported for health service areas-(primary care trustsor 'PCTs'). The indicator shows the number of people inevery thousand that GPs identify.
Period England Average South West Somerset Number of Adults2007-08 3.40 3.98 3.68 1,564.002008-09 3.74 4.53 4.06 1,743.002009-10 4.13 4.79 4.50 1,935.002010-11 4.33 4.93 5.17 2,236.002011-12 4.54 5.08 5.19 2,263.00
Significantly higher than England
0
2
4
6
8
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
2
4
2007-08 2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (55)
Not significantly different toEngland (40)
Significantly higher thanEngland (55)
No data (2)
6www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
2. Adults (18 to 64) with learning disability known to Local Authorities
Awareness of the numbers of people with learningdisability in the local authority area is fundamental toplanning. Comparison with similar areas suggestswhether reported value is surprisingly low or high.
Period England Average South West Somerset Number of adults2008-09 4.14 4.49 4.68 1,430.002009-10 4.21 4.61 4.81 1,460.002010-11 4.27 4.48 4.86 1,470.002011-12 4.27 4.61 5.13 1,590.00
Significantly higher than England
0
2
4
6
8
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
2
4
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (60)
Not significantly different toEngland (41)
Significantly higher thanEngland (49)
No data (2)
7www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
3. Children with autistic spectrum known to schools
Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. This indicator shows thenumber of children in every thousand who have autisticspectrum disorders. These children have a combinationof difficulties with verbal communication, interacting withother children or adults. They often also have particularfocus on specific interests and find it difficult to engage inother subjects. The school census covers all pupilsenrolled in state-funded primary, secondary or specialschools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in datafrom medical sources.
Period England Average South West Somerset Number of pupilsJan2008 5.84 5.18 3.31 257.00Jan2009 6.30 5.60 3.50 266.00Jan2010 6.90 6.20 3.60 275.00Jan2011 7.60 6.90 3.90 295.00Jan2012 8.17 7.37 4.38 334.00
Significantly lower than England
0
5
10
15
20
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
2
4
6
8
Jan2008 Jan2009 Jan2010 Jan2011 Jan2012
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (63)
Not significantly different toEngland (42)
Significantly higher thanEngland (45)
No data (2)
8www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
4. Children with moderate learning difficulties known to schools
Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needsthe children have. There are four levels of learningdifficulties: specific difficulties (like dyslexia), moderatelearning difficulties, severe learning difficulties andprofound and multiple learning difficulties. The indicatorshows the number of children in every thousand whohave moderate learning difficulty. These children havedifficulty in all areas of learning. They may have speechand language delay. The school census covers all pupilsenrolled in state-funded primary, secondary or specialschools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in datafrom medical sources.
Period England Average South West Somerset Number of pupilsJan2008 21.22 13.36 7.84 609.00Jan2009 21.27 13.26 8.11 624.00Jan2010 20.82 12.82 7.73 591.00Jan2011 19.79 12.54 8.68 660.00Jan2012 19.65 11.78 7.98 608.00
Significantly lower than England
0
10
20
30
40
50
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
5
10
15
20
Jan2008 Jan2009 Jan2010 Jan2011 Jan2012
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (89)
Not significantly different toEngland (19)
Significantly higher thanEngland (42)
No data (2)
9www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
5. Children with severe learning difficulties known to schools
Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needs thechildren have. There are four levels of learning difficulties:specific difficulties (like dyslexia), moderate learningdifficulties, severe learning difficulties and profound andmultiple learning difficulties. The indicator shows the numberof children in every thousand who have severe learningdifficulty. These children have serious difficulty inparticipating in ordinary school programs without support.Many have limited communications and self help skills. Theschool census covers all pupils enrolled in state-fundedprimary, secondary or special schools. A formal medicaldiagnosis is not required,as such these numbers may notreflect those seen in data from medical sources.
Period England Average South West Somerset Number of pupilsJan2008 3.60 3.33 2.76 214.00Jan2009 3.60 3.50 3.30 254.00Jan2010 3.60 3.60 3.84 294.00Jan2011 3.60 3.60 3.62 275.00Jan2012 3.65 3.67 3.77 287.00
Not significantly different to England
0
2
4
6
8
Somerset
England South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
2
4
Jan2008 Jan2009 Jan2010 Jan2011 Jan2012
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (44)
Not significantly different toEngland (63)
Significantly higher thanEngland (43)
No data (2)
10www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
6. Children with profound and multiple learning difficulties known to schools
Schools are very aware of children who have particulardifficulties in learning. Every term they report to the Departmentfor education about all children who have special educationalneeds. They say what sort of needs the children have. Thereare four levels of learning difficulties: specific difficulties (likedyslexia), moderate learning difficulties, severe learningdifficulties and profound and multiple learning difficulties. Theindicator shows the number of children in every thousand whohave profound multiple learning difficulties. These children havevery severe difficulty in learning combined with physical orsensory disabilities. They require a high level of adult supportfor both learning and personal care needs. The school censuscovers all pupils enrolled in state-funded primary, secondary orspecial schools. A formal medical diagnosis is not required,assuch these numbers may not reflect those seen in data frommedical sources.
Period England Average South West Somerset Number of pupilsJan2008 1.12 1.29 1.15 89.00Jan2009 1.20 1.30 1.10 84.00Jan2010 1.20 1.20 1.02 78.00Jan2011 1.20 1.20 0.93 71.00Jan2012 1.23 1.22 0.92 70.00
Significantly lower than England
0
2
4
Somerset
England South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0Jan2008 Jan2009 Jan2010 Jan2011 Jan2012
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (38)
Not significantly different toEngland (78)
Significantly higher thanEngland (34)
No data (2)
11www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Population
7. Children with learning difficulties known to schools
Schools are very aware of children who have particulardifficulties in learning. Every term they report to theDepartment for education about all children who havespecial educational needs. They say what sort of needsthe children have. There are four levels of learningdifficulties: specific difficulties (like dyslexia), moderatelearning difficulties, severe learning difficulties andprofound and multiple learning difficulties. The indicatorshows the number of children in every thousand whoeither moderate, severe or profound multiple learningdifficulties. The school census covers all pupils enrolledin state-funded primary, secondary or special schools. Aformal medical diagnosis is not required,as such thesenumbers may not reflect those seen in data from medicalsources.
Period England Average South West Somerset Number of pupilsJan2008 25.94 17.99 11.75 912.00Jan2009 26.00 18.00 12.50 962.00Jan2010 25.50 17.60 12.60 963.00Jan2011 24.61 17.30 13.20 1,006.00Jan2012 24.53 16.67 12.66 965.00
Significantly lower than England
0
10
20
30
40
50
60
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
5
10
15
20
25
Jan2008 Jan2009 Jan2010 Jan2011 Jan2012
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (83)
Not significantly different toEngland (21)
Significantly higher thanEngland (46)
No data (2)
12www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Health
8. Proportion of eligible adults with a learning disability having a GP health check
People with learning disability have more difficulty thanothers in recognising ordinary health problems andgetting treatment for them. Each year GPs are supposedto offer regular health checks to make sure importantproblems are identified and treated. PCTs report to theDepartment of Health how many people there are on GPpractice lists known both to their GP and the local socialservices department to have a learning disability. Theyshow how many of these have had a health check in thelast year.
Period EnglandAverage
SouthWest
Somerset Receivedhealth checks
Not receivedhealth
checks2008-09 22.83 29.78 0.00 0.00 1,650.002009-10 40.66 55.37 19.32 372.00 1,553.002010-11 48.64 64.70 57.11 1,277.00 959.002011-12 52.73 68.58 71.01 1,607.00 656.00
Significantly better than England
0
50
100
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
10
20
30
40
50
60
70
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (73)
Not significantly different toEngland (19)
Significantly worse thanEngland (56)
No data (4)
13www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Health
9. Median age at death
People with learning disabilities die at younger ages thanother people. This indicator shows the midpoint of theages of all of the people who have died and whose deathcertificates show that they had learning disabilities. It is alittle incomplete because often, doctors do not recordlearning disabilities on death certificates if they consider ithad no relationship to the person's death.
Period England Average South West Somerset2006-10 55.00 58.00 58.002008-11 56.00 58.00 61.00
Not significantly different to England
0
10
20
30
40
50
60
70
80
90
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
10
20
30
40
50
60
2006-10 2008-11
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (4)
Not significantly different toEngland (138)
Significantly worse thanEngland (8)
No data (2)
14www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Health
10. Emergency hospital admissions as % of total
Ideally, people who need treatment in hospital should beadmitted before their illness reaches a critical stagewhere they have to be admitted as an emergency. Whereillnesses are left to a late stage, this often involves moresuffering on the part of the patient and poorer outcomesof treatment. Emergency admissions are also lesssatisfactory as less advance planning is possible andpatients are commonly seen by more junior staff. Lack ofadvance planning is particularly relevant for people withlearning disability where it is helpful if staff can makereasonable adjustments in anticipation.
Period EnglandAverage
SouthWest
Somerset Emergencyadmissions
Plannedadmissions
2005-06 50.74 48.55 55.05 300.00 245.002006-07 49.13 44.99 51.27 403.00 383.002007-08 48.62 42.24 52.46 331.00 300.002008-09 49.96 43.50 55.98 398.00 313.00
Significantly worse than England
0
10
20
30
40
50
60
70
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
10
20
30
40
50
2005-06 2006-07 2007-08 2008-09
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (34)
Not significantly different toEngland (40)
Significantly worse thanEngland (76)
No data (2)
15www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Health
12. Admission rate for non-psychiatric ambulatory care sensitive conditions in peoplewith LDFor some types of illness, once a diagnosis is clear, carecan usually be managed without patients going intohospital. Hospitalisation is usually unpleasant for patientsand expensive for services. Three types of physicalhealth condition common in people with learningdisabilities are more likely to cause admission to hospitalif ordinary care is not provided well. These are gastric-oesophageal reflux disorder (GORD), epilepsy andconstipation.
Period England Average South West Somerset Admissions2005/06 - 2008/09 23.27 18.15 23.77 184.00
Not significantly different to England
0
50
100
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
LONDON
KeySignificantly better thanEngland (42)
Not significantly different toEngland (60)
Significantly worse thanEngland (48)
No data (2)
16www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Health
13. Identifying people with learning disability in general hospital statistics
Hospitals can only make appropriate reasonableadjustments for people with learning disability if theyknow they need to. Learning disability is alwaysimportant, as adjustments will always be required tomake sure these patients understand fully what ishappening and what they are consenting to, and thatdoctors and nurses take their learning disability intoaccount in assessing symptoms and progress. Recordingthis statistically is also important to the hospital first so itcan check reasonable adjustments are being made andsecond because in many cases hospitals get paid morefor treating people who have a learning disability, asmore care is needed.
Period EnglandAverage
SouthWest
Somerset Episodes LDidentified
Episodes LDnot identified
2005-06 22.50 23.51 24.77 274.00 832.002006-07 23.63 28.03 32.79 484.00 992.002007-08 24.58 24.75 22.42 306.00 1,059.002008-09 27.12 27.17 30.20 399.00 922.00
Significantly better than England
0
5
10
15
20
25
30
35
40
45
Somerset
England South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
5
10
15
20
25
30
35
2005-06 2006-07 2007-08 2008-09
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (47)
Not significantly different toEngland (57)
Significantly worse thanEngland (46)
No data (2)
17www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
16. Living in settled accommodation
Arranging where they live poses difficulties for manypeople with learning disability. Local authority socialservice departments commonly help here.Accommodation can be divided into settledaccommodation, where the person can reasonablyexpect to stay as long as they want and unsettledaccommodation which is either unsatisfactory or, where,like in residential care homes, residents do not havesecurity of tenure. Local authorities are asked each yearabout the sort of accommodation the working age adultswith learning disability they know are living in. Categoriesof 'settled accommodation' include:
Period EnglandAverage
South West Somerset Number settledaccommodation
2008-09 33.27 30.93 23.08 330.002009-10 60.55 50.86 63.36 925.002010-11 58.98 44.48 49.66 730.002011-12 68.94 65.18 79.25 1,260.00
Significantly better than England
0
50
100
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
10
20
30
40
50
60
70
80
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (44)
Not significantly different toEngland (73)
Significantly worse thanEngland (32)
No data (3)
18www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
17. Living in non-settled accommodation
Arranging where they live poses difficulties for manypeople with learning disability. Local authority socialservice departments commonly help here.Accommodation can be divided into settledaccommodation, where the person can reasonablyexpect to stay as long as they want and unsettledaccommodation which is either unsatisfactory or, where,like in residential care homes, residents do not havesecurity of tenure. Local authorities are asked each yearabout the sort of accommodation the working age adultswith learning disability they know are living in. Categoriesof 'non-settled accommodation' include:
Period EnglandAverage
South West Somerset Number non-settledaccommodation
2008-09 14.43 14.41 7.34 210.002009-10 21.83 24.31 15.41 225.002010-11 20.14 21.21 14.29 210.002011-12 22.36 26.84 20.44 325.00
Not significantly different to England
0
5
10
15
20
25
30
35
40
45
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
5
10
15
20
25
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (53)
Not significantly different toEngland (42)
Significantly worse thanEngland (54)
No data (3)
19www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
18. Accommodation status unknown to LA
Looking at local authority figures for types ofaccommodation for working age adults with learningdisability, it is apparent that social services departmentsdo not know about everyone.
Period England Average South West Somerset Number unknown2008-09 52.30 54.67 69.58 995.002009-10 17.62 24.83 21.23 310.002010-11 20.88 34.31 36.05 530.002011-12 9.10 8.02 0.31 5.00
Significantly better than England
0
50
100
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
10
20
30
40
50
60
70
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (99)
Not significantly different toEngland (13)
Significantly worse thanEngland (38)
No data (2)
20www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
19. Accommodation severely unsatisfactory
A small number of types of accommodation could beseen as serious emergency situations for people withlearning disability. These situations are undesirable foranybody, but for people particularly likely to be vulnerableto abuse or exploitation, or in need of particular supportthey are especially serious. They include:
Period EnglandAverage
South West Somerset Unsatsifactoryaccomodation
2008-09 0.14 0.11 0.35 5.002009-10 0.24 0.17 0.34 5.002010-11 0.21 0.14 0.68 10.002011-12 0.13 0.07 0.31 5.00
0
2
4
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
02008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeyNo data (152)
21www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
20. Adults (age 18-64) using day services
This indicator shows the extent to which Local Authoritiesare providing day care services for people with learningdisabilities known to them. To be included in thedenominator data people must have had a review in thelast 12 months, whereas to be in the numerator theyneed only be using services. All people who are usingcouncil services should have had a review, however theymay not all have received their review before the datacollection period started and so were not counted, insome cases this has resulted in LAs having morenumbers of people using services than are known (orhave had their review). In 2011-12 the system wasaltered so that people who are eligilbe for their reviewduring the collection period by included in thedenominator counts, whether they have received theirreview or not.
Period England Average South West Somerset Using day services2008-09 406.14 387.11 363.64 520.002009-10 364.47 375.51 349.32 510.002010-11 352.42 348.76 329.93 485.002011-12 347.20 364.60 238.99 380.00
Significantly lower than England
0
100
200
300
400
500
600
700
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
50
100
150
200
250
300
350
400
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (50)
Not significantly different toEngland (57)
Significantly higher thanEngland (43)
No data (2)
22www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
21. Adults(age 18-64) receiving community services
This indicator shows the extent to which Local Authoritiesare providing community services for people with learningdisabilities known to them. To be included in thedenominator data people must have had a review in thelast 12 months, whereas to be in the numerator theyneed only be using services. All people who are usingcouncil services should have had a review, however theymay not all have received their review before the datacollection period started and so were not counted, insome cases this has resulted in LAs having morenumbers of people using services than are known (orhave had their review). In 2011-12 the system wasaltered so that people who are eligilbe for their reviewduring the collection period by included in thedenominator counts, whether they have received theirreview or not.
Period EnglandAverage
South West Somerset Receivingcommunity
services2008-09 827.48 808.03 1,000.00 1,430.002009-10 814.92 814.81 996.58 1,455.002010-11 807.26 813.53 993.20 1,460.002011-12 749.71 730.90 839.62 1,335.00
Significantly higher than England
0
200
400
600
800
1000
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
200
400
600
800
1000
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (44)
Not significantly different toEngland (68)
Significantly higher thanEngland (38)
No data (2)
23www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
22. Adults with learning disability in paid employment
Paid work provides recognition of a valued social role,useful day time occupation, important socialopportunities, and in a few cases a helpful level offinancial reward. Government policy has emphasised theimportance of maximising work opportunities for peoplewith learning disabilities since the publication of ValuingPeople (2001). This indicator is the same as the formerNational Indicator 146.
Period England Average South West Somerset In paid employment2008-09 3.21 3.21 1.40 20.002009-10 6.12 5.42 2.40 35.002010-11 6.27 5.43 2.04 30.002011-12 6.12 5.35 1.26 20.00
Significantly worse than England
0
5
10
15
20
25
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
2
4
6
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (42)
Not significantly different toEngland (75)
Significantly worse thanEngland (33)
No data (2)
24www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
23. Adults (age 18-64) receiving direct payments
Government policy emphasises the use of personalbudgets and/or direct payments to maximise the capacityof service users and their carers to tailor servicepackages to personal requirements and tastes. Thisindicator shows the extent of progress with PersonalBudgets. Following consultation it appears that adifferently scoped indicator to include personal budgetsas well would be preferable. We will be revising theindicator in light of this advice.
Period EnglandAverage
South West Somerset Receiving directpayments
2010-11 24.01 17.06 12.67 185.002011-12 0.00 17.23 230.00
Significantly worse than England
0
50
100
Somerset
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
5
10
15
20
2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (48)
Not significantly different toEngland (51)
Significantly worse thanEngland (51)
No data (2)
25www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
24. Gross current expenidture for residential personal social services per 1,000 peopleknown to LAs with LDThis indicator shows the spend per head by localauthority department of adult social care on people withlearning disabilities.
Period England Average South West Somerset Expenditure (000s)2008-09 16.09 16.04 8.83 12,627.002009-10 16.25 15.50 9.38 13,700.002010-11 16.21 16.63 10.16 14,937.002011-12 21.52 20.48 9.60 15,259.00
Significantly worse than England
0
5
10
15
20
25
30
35
40
Somerset
England
South West
Key South West value and confidence interval South West LAs: Better Similar Worse
England value and confidence interval Other LAs: Better Similar Worse
0
5
10
15
20
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly better thanEngland (67)
Not significantly different toEngland (4)
Significantly worse thanEngland (79)
No data (2)
26www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Accommodation & social care
25. Rates of referral for abuse of vulnerable person
The Minister for Care Services mandated that data becollected in 2010-11 on the number of alerts and referralsto adult social care safeguarding teams. The informationpresented here shows the number of completed referralsregarding concerns about alleged abuse of vulnerableadults; for the purpose of these health profiles this is onlylooking at persons known to have learning disabilities.This is a new collection of data, having been piloted in2009-10.
Period England Average South West Somerset Completed referrals2010-11 103.31 75.36 105.44 155.002011-12 111.90 90.38 135.22 215.00
Significantly higher than England
0
50
100
150
200
250
300
350
400
450
Somerset
England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
50
100
150
2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (58)
Not significantly different toEngland (48)
Significantly higher thanEngland (44)
No data (2)
27www.ihal.org.uk/profilesE10000027-40 Somerset
Copyright © 2012-13, Public Health England.
-
Learning Disabilities Profile
Somerset
Coordination and local planning
26. Comparison of LA and QOF prevalence estimates
The difference between the prevalence of people withlearning disability known to local authorities and theprevalence of people with learning disability on GPpractice lists, ideally the numbers should be the same orsimilar as there is a slight discrepancy in age profiles ofthe lists.
Period England Average South West Somerset2008-09 9.33 0.87 13.272009-10 0.26 5.69 5.152010-11 1.57 10.03 6.482011-12 6.16 10.22 1.22
Significantly lower than England
0
10
20
30
40
50
60
70
80
Somerset England
South West
Key South West value and confidence interval South West LAs: Lower Similar Higher
England value and confidence interval Other LAs: Lower Similar Higher
0
2
4
6
8
10
12
2008-09 2009-10 2010-11 2011-12
Somerset
South West
England
LONDON
KeySignificantly lower thanEngland (6)
Not significantly different toEngland (48)
Significantly higher thanEngland (96)
No data (2)
28www.ihal.org.uk/profiles E10000027-40 Somerset
Copyright © 2012-13, Public Health England.