Provision not purchased by GCC

The demand for adult social care does not just come from those individuals who have services commissioned by the local authority. There is also a significant market for older adults in Gloucestershire who fund their own care and many placements are made into Gloucestershire by other local authorities for adults of working age.

Overall, we purchase 56% of all adult social care, including 52% of older adults care and 63% of care for adults of working age.

For this MPS, the funding of care for older adults and adults of working age have been treated slightly differently. Any care for older adults which is not purchased by Gloucestershire County Council is assumed to be privately funded. Any care for adults of working age which is not purchased by Gloucestershire County Council, is assumed to be purchased by another local authority.

Figure 5: Graph showing the funding distribution of care across Gloucestershire by older adults and adults of working age    

ConctrOCC Commitments Report
Capacity Tracker – Estate Report

The data we have available to us on those who do not have their care brokered by the county council is limited, especially in community care.

A large contributing factor to this is the inaccuracy of capacity tracker responses by community providers. For example, of 15,000 hours reported available, 8,000 were from just four providers. Additionally, where providers are dual registered to provide multiple different community services, we have no way of telling what service that provider is providing to self-funders or those placed in Gloucestershire from out of county.

Finally, all data available on capacity is linked to the head office of the provider, this prevents us from being able to carry out any district or location specific analysis. 

Figure 27: Figure demonstrating challenges with data collection by service provision

Further work is required to more fully understand the needs of, and service demand for, people who commission their own care.

Without reliable data it is hard to evaluate the impact of demand and capacity on those services that are commissioned by others. However, the workforce pressures will be felt by providers whether the service is for people whose care costs are met by the county council, other local authorities or people who fund their own care.