To ask the Scottish Government how the assumptions in the Financial Memorandum for the National Care Service (Scotland) Bill, which reportedly show that just 10% of adult carers will access short breaks and only 14% will use easy access support, were calculated.
Short Breaks
The Financial Memorandum estimate for the cost of personalised short breaks for adult carers under the Carers Act, as amended by the National Care Service Bill, is based on the following assumptions:
1) The number of adult carers accessing personalised breaks is based on a future steady state in which 34% of all adult carers will have an adult carer support plan (ACSP). This assumption is carried over from the Carers Act Financial Memorandum.
2) The proportion of carers that have an ACSP will vary depending on the intensity of caring.
3) The proportion of carers with an ACSP that access short breaks will also vary depending on the intensity of caring.
Assumptions were also required for how the proportions in 2) and 3) vary across the carer intensity bands.
Table 1 shows the assumed profile for the proportion of carers with an ACSP across the intensity groupings; and table 2 shows the assumed profile for those with an ACSP that will access personalised breaks support under the Carers Act.
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Proportion of adult carers with an ACSP | 23% | 40% | 60% | 80% | 34% |
| | | | | |
Number of adult carers | 624,864 | 59,280 | 29,640 | 125,215 | 839,000 |
| | | | | |
Number of adult Carers with an ACSP | 143,592 | 23,712 | 17,784 | 100,172 | 285,260 |
Table 1: Adult carers with an ACSP
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Proportion of adult carers with ACSP that receive personalised break | 10% | 20% | 40% | 60% | 30% |
| | | | | |
Number of adult carers receiving personalised break | 14,359 | 4,742 | 7,114 | 60,103 | 86,318 |
Table 2: Adult carers with an ACSP that receive personalised breaks
Taking these together gives the profile for the proportion of all adult carers accessing personalised breaks support under the Carers Act, shown in table 3.
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Proportion of all adult carers receiving a personalised break | 2% | 8% | 24% | 48% | 10% |
Table 3: Proportion of adult carers receiving a carer break
We can see that the overall proportion is 10%, but that this varies from 2% for those in the lowest intensity group to 48% in the highest.
Easy Access Support
The starting point for the estimates for the cost of non-statutory easy access support is the number of adult carers who do not receive a carer break, which is derived from the calculations above and shown in table 4 below.
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Number of adult carers not receiving personalised breaks support | 610,505 | 54,538 | 22,527 | 65,112 | 752,681 |
Table 4: Number of adult carers not accessing personalised breaks
In a similar way to the estimates for breaks under the Carers Act, the proportion of carers taking up easy access breaks is assumed to vary across the caring intensity groupings and assumptions were also required for this profile, which are shown in table 5.
| | 20 – 34 hours a week | 35 – 49 hours a week | 50 or more hours | Total |
Proportion of adult carers not receiving personalised breaks who take up easy access support | 10% | 40% | 40% | 40% | 16% |
| | | | | |
Number of adult carrers taking up easy access support | 61,051 | 21,815 | 9,011 | 26,045 | 117,921 |
Table 5: Adult carers not accessing personalised breaks who take up easy access support
Applying these with the total number of adult carers gives the profile for the proportion of all adult carers assumed to take up easy access support and is shown in table 6.
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Proportion of adult carers who take up easy access support | 10% | 37% | 30% | 21% | 14% |
Table 6: Proportion of all adult carers taking easy access support
We can see that the overall proportion is 14%, but that this varies from 10% for those in the lowest intensity group to 21% in the highest. Note that the relatively small proportion in the highest intensity group reflects the relatively high proportion in this group assumed to receive personalised support under the Carers Act.
The combined estimates for both types of support (i.e. Carers Act support and non-statutory easy access support assuming people are not generally receiving both) is shown in table 7.
| | 20 - 34 hours a week | 35 - 49 hours a week | 50 or more hours | Total |
Proportion of all adult carers receiving either personalised breaks or easy access support | 12% | 45% | 54% | 69% | 24% |
| | | | | |
Number of all adult carers receiving either personalised breaks or easy access support | 75,410 | 26,558 | 16,124 | 86,148 | 204,239 |
Table 7: Combined Carers Act support and easy access support
We can see that 24% of adult carers are assumed to access support, varying from 12% of those in the lowest care intensity group to 69% of those in the highest intensity group.