Adult Social Care is provided by Wakefield Council, supporting those in need of equipment to aid their life through to personal care when someone can no longer care for themselves. With an aging population the demand for care is set to increase year on year for the next 10- 15 years.
The number people aged 65 and over in the district is set to increase by 16000 people by 2025. In 2025 there will have been a doubling of men aged 85 and over, increasing the need for care in the district significantly.
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The demographic makeup of the population in care varies between the genders. For men the age profile is younger and more diverse. Those men aged 85 and over account for 40% of the men in care, with 20% of men being aged 80-84. In women the bulk of the care residents are over 80 years, this makes up 84% of those in care. The major care type given is Residential care followed by Nursing Care
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It’s worth noting that Local Government has seen significantly reduced in the time period shown. This has led to a rationing of services, in short the typical profile of those in care now compared to a decadence ago is very different.
The change in care activity since 2012 has seen increase and decreases in care type;
• Overall there has been a decrease in between 2012 and 2015
• Residential and Nursing care activity has reduced largely over the time period
• Residential care for people with Learning Disabilities has decreased over the time period.
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The population pyramids demonstrate the population in care is ageing, with proportions of those aged 65 and over growing in the three financial years displayed in the chart. The males in service for the most part have a younger age profile, this correlates with premature mortality for men. Men in Wakefield have poorer health, likely to suffer disability sooner and therefore require care at a younger age. Ultimately they die younger, increasing the premature mortality rates for the area.
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The services that the council provide on the whole perform well against national and CIPFA benchmarks. Wakefield lower levels of nursing care in the population; this is likely to have an impact of increase hospital activity for Wakefield. The area also has lower rates of day care than its CIPFA neighbours; this may reflect the rationing of services that all areas have had to undergo. The impact being, that early prevention opportunities to reduce the elderly increasing in fraility may be missed.
Wakefield faces significant issues in terms of the wider determinants for health. These challenges have impacts on social care. Having higher prevalence of people with Learning Disabilities aged 18 and over coupled with a less affluent population results in more demand on social care services.
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Home care is lower for Wakefield when compared to the national and the CIPFA averages, suggesting that there is under provision of service for home care. This is supported partially by the fact that the area has a lower proportion of over 65’s supported with reablement services. Leading through to the area performing poorly on emergency readmissions within 28 days of a hospital stay.
Other factors such as the lack of carers support in the area are likely to be further exacerbating this area. Carers in Wakefield are less likely to have received an assessment of their needs compared to the national and CIPFA averages.