Much of central government expenditure on social protection for older people is through the payment of the state retirement pension. Nearly everyone of state pension age receives this pension, whatever their level of income. Some also receive income-related benefits such as Pension Credit and Council Tax Support. In Wakefield district, 17.5% of people of state retirement age receive Pension Credit, similar to the proportion across England as a whole (16.7%). The number of people claiming Pension Credit has fallen in recently years as the state retirement age for women has increased.
Adult Social Care
The social care of older people may involve admissions for hospital care, home care service, or a move into residential care (possibly with nursing care). For older people that need hospital treatment, there is a focus to ensure that they are adequately supported at home during their convalescence. For the 3 months to 31 December 2016, 86.6% of older people were still at home 91 days after hospital discharge into reablement/rehabilitation services. This represents an improvement on the last published data for discharges in the period 1 October 2015 – 31 December 2015. At that time, the 81.9% of discharged older people were still at home after 91 days, similar to the England average (82.7%).
Transfers of Care
Minimising delayed transfers of care from hospital and enabling people to live independently at home is one of the key desired outcomes of social care. Measuring the length of any delays and the number of people affected indicates the effectiveness of the interfaces within the NHS, and between health and social care services. Wakefield is performing significantly better than the England average for the number of delays which are attributable to adult social care (see graph below). The overall measure of delayed transfers of care is also improving and in 2015/16 was similar to the England average.
Source: Adult Social Care Outcomes Framework
In 2016, 456 people aged 65 or over were permanently admitted to residential care with the help of the local authority (including self-funders). Over the last 20 years, however, although the older population has increased, the proportion who are living in residential care has decreased (see table below).
People living in residential care homes. Source: Census