Patterns of care and service use amongst children in England, Wales and Northern Ireland 2013

Purpose The purpose of this paper is to compare data from national social care statistics on day services and home care for people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach National social care statistics (England, Scotland, Wales and Northern Ireland) reporting the number of adults with learning disabilities accessing day services and home care were reviewed, with data extracted on trends over time and rate of service use. Findings Regarding day services, despite some variations in definitions, the number of adults with learning disabilities in England, Scotland and Wales (but not Northern Ireland) using building-based day services decreased over time. Data from Scotland also indicate that adults with learning disabilities are spending less time in building-based day services, with alternative day opportunities not wholly compensating for the reduction in building-based day services. Regarding home care, there are broadly similar rates of usage across the four parts of the UK, with the number of adults with learning disabilities using home care now staying static or decreasing. Social implications Similar policy ambitions across the four parts of the UK have resulted (with the exception of Northern Ireland) in similar trends in access to day services and home care. Originality/value This paper is a first attempt to compare national social care statistics concerning day services and home care for adults with learning disabilities across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.

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Population predictors of community health and social service use in Northern Ireland.

Journal of Epidemiology & Community Health ◽

10.1136/jech.51.6.722 ◽

1997 ◽

Vol 51 (6) ◽

pp. 722-730 ◽

Cited By ~ 6

Author(s):

A M Warnes ◽

G K Armstrong ◽

D Peters

Keyword(s):

Northern Ireland ◽

Community Health ◽

Social Service ◽

Service Use

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Specialist inpatient services for people with learning disabilities across the four countries of the UK

Tizard Learning Disability Review ◽

10.1108/tldr-08-2016-0023 ◽

2016 ◽

Vol 21 (4) ◽

pp. 220-225 ◽

Cited By ~ 6

Author(s):

Chris Hatton

Keyword(s):

Learning Disabilities ◽

Northern Ireland ◽

Young People ◽

Length Of Stay ◽

Service Use ◽

Inpatient Service ◽

Content Type ◽

Inpatient Services ◽

Trends Over Time ◽

The Uk

Purpose The purpose of this paper is to compare data from national censuses on specialist inpatient service use by people with learning disabilities across England, Scotland, Wales and Northern Ireland. Design/methodology/approach National statistics (England, Scotland, Wales, Northern Ireland) reporting inpatient service censuses including people with learning disabilities were accessed, with data extracted on trends over time, rate of service use, young people and length of stay. Findings The number and rate of people with learning disabilities in specialist inpatient services varied across the UK: 230 people in Scotland (rate 4.88 per 100,000 population); 3,250 people in England (5.48); 183 people in Wales (5.90); 144 people in Northern Ireland (7.82). The number of people in inpatient services in Northern Ireland halved over four years, in other areas reductions were modest. Between 5 and 8 per cent of people in inpatient services were children/young people. Median length of stay in the person’s current inpatient service varied: 19 months in England; 33 months in Scotland; three to five years in Northern Ireland. Social implications Different parts of the UK vary in the scale of their specialist inpatient services for people with learning disabilities. With the exception of Northern Ireland, which may still be in the last stages of completing a “regular” deinstitutionalisation programme, strong policy prescriptions for substantial reductions in specialist inpatient services are currently only resulting in modest reductions. Originality/value This paper is a first attempt to compare national inpatient service statistics across the UK. With increasing divergence of health and social service systems, further comparative analyses of services for people with learning disabilities are needed.

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Community Structure and Support Network Variations

Ageing and Society ◽

10.1017/s0144686x00004852 ◽

1992 ◽

Vol 12 (2) ◽

pp. 213-236 ◽

Cited By ~ 12

Author(s):

G. Clare Wenger ◽

Fred St Leger†

Keyword(s):

Community Structure ◽

Northern Ireland ◽

Population Density ◽

Service Use ◽

Support Networks ◽

Support Network ◽

Population Stability ◽

Policy Makers ◽

North Wales ◽

Network Type

ABSTRACTThis paper presents data from two studies of support networks conducted in North Wales and Northern Ireland. Five types of support networks are identified and it is shown that the distribution of network type is related to community. Distribution of network type is further shown to be influenced by population stability and population density. It is argued that since network type is correlated with service use, identification of network type provides a useful tool for policy makers and practitioners in the context of care in the community.

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Assessing the impact on inequalities in use of orthodontic services of the introduction of an objective measure of treatment need in Northern Ireland

International Journal for Population Data Science ◽

10.23889/ijpds.v4i3.1307 ◽

2019 ◽

Vol 4 (3) ◽

Author(s):

Kishan Patel ◽

Ciaran O'Neill

Keyword(s):

Northern Ireland ◽

Service Use ◽

Economic Status ◽

Objective Measure ◽

Publicly Funded ◽

Statistical Research ◽

Treatment Need ◽

Socio Economic Status ◽

The Impact ◽

The Relationship

Background with rationalePrevious work has shown the existence of a sharp socio-economic gradient with respect to orthodontic services in Northern Ireland. The work demonstrated that those of lower socio-economic status had an odds ratio of 0.79 (95% CI 0.69 - 0.91) compared to those of higher socio-economic status with respect to the consumption of orthodontic services. In response to this, an objective measure of treatment need for such publicly funded services was introduced in 2014. Main AimThis study will use a record-linkage methodology to examine the relationship between use of publicly funded orthodontic care and the introduction of the index of treatment need (IOTN) in Northern Ireland in 2014. Methods/ApproachFollowing a similar approach to that used previously, data related to use of orthodontic services was linked to socio-economic characteristics from the 2011 Census for members of the Northern Ireland Longitudinal Study. The relationship between socio-economic status and uptake of orthodontic services in the 3 years before and after the introduction of IOTN will be examined using an interrupted time series analysis as well as by the comparison of concentration indices across the study period. ResultsAll results must be cleared by the Northern Ireland Statistical Research Agency before release. We expect cleared results to be available imminently and anticipate these showing a change in the uptake of publicly funded orthodontic services as well as a reduction in the socio-economic gradient over time. ConclusionThe identification of inequalities in the use of publicly funded services requires an appropriate policy response. We anticipate that the introduction of IOTN as a criterion for access to publicly funded care will have successfully reduced the use of such services unrelated to need and the existence of inequalities in service use conditioned on need.

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Patterns of service use among people with learning disabilities discharged from long-stay hospital care in Northern Ireland

Irish Journal of Psychological Medicine ◽

10.1017/s0790966700005401 ◽

1999 ◽

Vol 16 (3) ◽

pp. 109-113 ◽

Cited By ~ 3

Author(s):

Sinéad McGilloway ◽

Michael Donnelly

Keyword(s):

Learning Disabilities ◽

Northern Ireland ◽

Social Services ◽

Service Provision ◽

Hospital Care ◽

Service Use ◽

Care Staff ◽

Wide Range ◽

Integration Service ◽

Stay Hospital

AbstractObjectives: Continuing deinstitutionalisation has led to growing concern about the availability and accessibility of services for people with learning disabilities transferring to community living. This study was undertaken in order to assess the configuration of services in terms of availability and uptake for people with learning disabilities who have left long-stay hospital care and to identify gaps or barriers to service provision within the unique integrated health and social services structure in Northern Ireland.Method: The ‘keyworkers’ of 195 people – most of whom were aged 40-59 years with a diagnosis of moderate intellectual impairment – were interviewed by a researcher one year after discharge using the Service Interview.Results: While a wide range of generic and specialist services was available, ‘packages’ of care consisted largely of public sector services (eg. GPs, chiropodists and social workers) and relied, to some extent, on the type of community accommodation. Although services appeared well co-ordinated in terms of care reviews and keyworker arrangements, 40% of people required more one-to-one support particularly in areas related to integration. However, services were perceived by care staff to be satisfactoryConclusions: The development of community care has been slower in Northern Ireland than elsewhere and a large proportion of resources remain tied up in hospital care. However, existing community-based services appear to be addressing individual needs. Some former patients, though, may have been subject to transinstitutionalisation in the sense that their choice of accommodation was restricted mainly to large private sector homes and work and daytime opportunities were insufficient to facilitate integration. Service planners and providers need to give further consideration to the likely effects of different forms of rehabilitation, reprovision and resettlement and to be aware that the pattern of service provision is likely to be different for the more dependent cohorts of people who leave hospital in the future.

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