Measures from the Adult Social Care Outcomes Framework, England - 2012-13, Final release
On 31 March 2011, "Transparency in outcomes: a framework for adult social care" announced the first Adult Social Care Outcomes Framework (ASCOF), covering the year 2011-12. On 30 March 2012, the ASCOF for 2012-13 was published by the Department of Health. The purpose of the ASCOF is three-fold:
- Nationally, the ASCOF aims to give an indication of the strengths and weaknesses of social care in delivering better outcomes for people who use services.
- Locally, one of the key intended uses of the ASCOF is to support councils to improve the services they provide. The framework attempts to support meaningful comparisons between councils, based on the outcomes they deliver for local people, and to help stimulate the sharing of learning and discussions on best practice.
- It is intended that the ASCOF will foster greater transparency in the delivery of adult social care, supporting local people to hold their council to account for the quality of the services they provide.
The ASCOF encompasses four domains. These are:
- Enhancing quality of life for people with care and support needs.
- Delaying and reducing the need for care and support.
- Ensuring people have a positive experience of care and support.
- Safeguarding people whose circumstances make them vulnerable and protecting them from avoidable harm.
This report contains the final figures for all of the 2012-13 ASCOF measures for England. It supersedes the provisional ASCOF release in July 2013 and provides further information to the initial findings on final data published in November 2013.
A selection of ASCOF measures is commented on in this executive summary. The 2012-13 national values for all the measures are shown in a table in Chapter 2 along with comparisons with 2010-11 and 2011-12, where available. Council level time-series data for 2010-11 to 2012-13 are available on the website of the Health and Social Care Information Centre and through the National Adult Social Care Intelligence Service (NASCIS). The data are available in CSV format. The latest ASCOF data can also be found via the new HSCIC ASCOF website. Links to NASCIS and the ASCOF website are provided in the resources section of this web page.
All changes to outcomes based on survey data that are commented on in the key facts section of this web page are statistically significant.
2012-13 is the first year for which measures based on the Personal Social Services Survey of Adult Carers in England (Carers’ Survey) are included.
Please note: on 14 January 2015 the 'Time-series of aggregated outcome measures’ annex for this publication has been replaced in order to correct the ‘Base’ column headings for Measure 1B. The HSCIC would like to apologise for any inconvenience caused.
Please note: on 16 December 2014 the report and annex tables for this publication have been updated. This was done in order to correct a number of margin of error (confidence intervals) figures for ASCOF outcomes 3B, 3C and 3D that had previously been incorrect. Users are advised to download these revised annexes to ensure they have the best available data. The HSCIC would like to apologise for any inconvenience caused.
Please note: on 04 August 2014 the disaggregated data for Measure 4A ‘The proportion of people who use services who feel safe’ for this publication have been updated (details below):
- In the ‘Disaggregated annex’ sheet 4a (rounded) the regional and council type totals for the ‘18 to 64’ breakdown (cell range K165:M179) have been corrected. The council-type totals for the ’65 and over’ breakdown (data range N165:P169) have also been corrected.
- In the open data csv ‘ASCOF_2012-13_4A-rounded.csv', the regional and council type totals for the ‘18 to 64’ breakdown (cell range K165:M179) have been corrected. The council-type totals for the ’65 and over’ breakdown (cell range N165:P169) have also been corrected.
The HSCIC would like to apologise for any inconvenience caused.
- The overarching measure of social care-related quality of life (SCRQoL) gives an average quality of life score based on the responses to eight questions in the Personal Social Services Adult Social Care Survey (ASCS). In 2012-13, the average SCRQoL score for England was 18.8, whereas it was 18.7 in 2010-11 and 2011-12. Focussing on just one those domains – control – 76.1 per cent of service users reported to have as much control as they wanted or adequate control over their daily lives, compared to 75.1 per cent in 2011-12. The proportion of people who said they were extremely or very satisfied with their care and support increased from 62.8 per cent in 2011-12 to 64.1 per cent in 2012-13 (measures 1A, 1B and 3A).
- The proportion of people using social care who receive self-directed support increased year on year from 29.2 per cent in 2010-11 to 43.0 in 2011-12 and to 56.2 per cent in 2012-13. In 2012-13, 16.8 per cent of people using social care received self-directed support in the form of a direct payment, whereas this proportion was 13.7 per cent in 2011-12 and 11.7 per cent in 2010-11 (measure 1C).
- In 2012-13, the proportion of adults who were in paid employment was 7.0 per cent amongst those with learning disabilities (compared to 7.1 per cent in 2011-12 and 6.6 per cent in 2010-11), whereas it was 8.8 per cent amongst those in contact with secondary mental health services (compared to 8.9 per cent in 2011-12 and 9.5 per cent in 2010-11). The proportion of adults with learning disabilities who live in their own home or with their family increased from being 59.0 per cent in 2010-11 to 70.0 per cent in 2011-12 and to 73.5 per cent in 2012-13. The equivalent proportion amongst adults in contact with secondary mental health services was 58.5 per cent in 2012-13, compared to 54.6 per cent in 2011-12 and 66.8 per cent in 2010-11 (measures 1E, 1F, 1G and 1H).
- The overarching measure of carer-reported quality of life gives an average carer-reported quality of life score based on the responses to six questions in the Personal Social Services Survey of Adult Carers in England (Carers’ Survey). The carer-reported quality of life score has a most positive score of 12 and, in 2012-13, the average score was 8.1. 42.7 per cent of carers reported to be extremely or very satisfied with social services in 2012-13, and 72.9 per cent of carers reported that they had been included or consulted in discussion about the person they cared for (measures 1D, 3B and 3C).
- The number of delayed transfers of care from hospital, per 100,000 population, was 9.4 in 2012-13, compared to 9.7 in 2011-12 and 10.6 in 2010-11. Of these delayed transfers of care, 3.2 per 100,000 population were attributable to adult social care, or jointly to social care and the NHS, compared to 3.7 in 2011-12 and 4.1 in 2010-11 (measures 2Ci and 2Cii).
- In 2012-13, 65.1 per cent of people who used services felt as safe as they wanted, whereas this proportion was 63.8 per cent in 2011-12 and 62.4 per cent in 2010-11. The proportion of people who used services who said that those services have made them feel safe and secure was 78.1 per cent in 2012-13, compared to 75.5 per cent in 2011-12 (measures 4A and 4B).