TY - JOUR

T1 - Day services and home care for adults with learning disabilities across the UK

AU - Hatton, Chris

PY - 2017/4/3

Y1 - 2017/4/3

N2 - 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.

AB - 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.

KW - Adult social care

KW - Day services

KW - Home care

KW - Intellectual disability

KW - Learning disabilities

KW - Policy

U2 - 10.1108/TLDR-01-2017-0004

DO - 10.1108/TLDR-01-2017-0004

M3 - Journal article

AN - SCOPUS:85016091916

VL - 22

SP - 109

EP - 115

JO - Tizard Learning Disability Review

JF - Tizard Learning Disability Review

SN - 1359-5474

IS - 2

ER -