The Referrals, Assessments and Packages of Care Project (RAP) was developed to provide a coherent set of national statistics on the delivery of adult community care services, such as home help or occupational therapy.
Referrals, Assessments and Packages of Care, England, First Report of First Dress Rehearsal 1 January-31 March 1999 provides information and data on referrals, assessments and packages of care (RAP) for adults purchased or provided by local authorities.
'Dress rehearsal' stages for the RAP project were introduced to allow local authorities to prepare their information systems prior to full implementation (from 1 April 2000) and to clarify the terms and categories used.
An estimated 965,000 screened contacts were made to Social Services Departments during the three month period. 509,000 of these (or 53 per cent) resulted in further assessment of need or commissioning of ongoing service. 455,000 contacts were attended to at or near the point of contact.
Of those where the type of service was known, 37 per cent of contacts attended to at or near the point of contact required information or advice only. Almost a quarter of contacts were concerned with orange badges, and just over a tenth were provided with welfare benefits advice.
Of the total number of screened contacts, 23 per cent were self-referrals, 17 per cent were referred from Secondary Health (eg hospital wards) and 12 per cent were referred by family, friends or neighbours. Referrals from primary/community health accounted for nine per cent of the total number of screened contacts. For eight per cent of contacts the source of the referral was not known, while the remainder were from bodies such as housing departments and legal agencies.
In all, there were an estimated 359,000 clients for whom assessments were completed or terminated during the three month period.
58 per cent of assessments completed were for people aged 75 or over.
Packages of care
There were an estimated 928,000 clients receiving services that were provided, purchased, or supported by Social Services Departments.
An estimated 851,000 clients were provided with community-based services. 368,000 clients received home care, 264,000 received professional support (eg. occupational therapy) and 168,000 received day care services.
Independent sector residential care services were provided to an estimated 130,000 clients. An estimated 86,000 clients received nursing home care, with 54,000 receiving local authority staffed residential care.
The Report and further analysis will be available on the DH website at www.doh.gov.uk/barker1.htm
1. Existing central information collections (on personal social services for adults) focus primarily on the delivery of individual services by social services departments in local authorities and the resources to provide those services.
2. Information has been grossed to provide estimates for England overall, and the data has been rounded.
3. For packages of care, a client may have received more than one type of service during the three month period. Thus the 'total number of clients' receiving packages of care may be less than or equal to the sum of the number of clients receiving individual types of service.