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An estimation of the size of the self-funding population in care homes in England. Provides data covering the period 1 March 2022 to 28 February 2023, broken down by geographic variables and...
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Care home type by the proportion of self- and state-funded...
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An estimation of the size of the self-funding population in...
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2. Overview. We previously developed a new experimental...
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In 2021, in England and Wales, 18.7% of care home residents aged 65 years and over were in good or very good general health, 49.4% in fair health, and 31.8% in bad or very bad health. There was...
There were an estimated 360,792 care home residents from 1 March 2021 to 28 February 2022, occupying 77.8% of care home beds. Approximately 125,954 (34.9%) of care home residents were classified...
- Main points
- Introduction
- Publication updates
- COVID-19 vaccination in adult social care settings
- Infection prevention control measures
- Care home staffing levels
- PPE availability in care settings
- COVID-19 testing in adult care homes
COVID-19 and flu vaccination in social care settings
As of 23 November 2021, the proportions who had received a booster dose of the COVID-19 vaccine were: 70.8% of total residents and 29.4% of total staff of older adult care homes 52.5% total residents of younger adult care homes 24.8% total staff of younger adult care homes and 15.3% total staff of domiciliary care staff As of 23 November 2021, the proportions who had received their flu vaccination for the 2021 to 2022 season were: 70.7% of total residents and 18.9% of total staff of older adult care homes 54.9% of residents of total younger adult care homes 16.8% of total staff of younger adult care homes and 9.5% of total domiciliary care staff
Infection control measures in care homes
In the week ending 23 November 2021: 93.0% of care homes in England were able to accommodate residents receiving visitors – this has remained broadly consistent since late July 2021 82.6% of care homes who had staff required to self-isolate paid those staff their full wages while self-isolating – this proportion has remained consistent since mid-December 2020 70.6% of care homes had no staff members working in another health or social care setting – this proportion has continued to gradually decline from 78.2% at the end of April 2021
COVID-19 testing in care homes
ln the week ending 23 November 2021: for both care home staff and residents, there has been an overall decrease in the number of positive tests returned from PCR and LFD kits throughout November, in contrast to the increase seen throughout October there has continued to be a gradual decline in the number of LFD tests conducted in care home staff since the end of July. While the number of PCR tests conducted in care home staff continues to be lower than July levels, the number has remained relatively stable since October 2021 the number of LFD and PCR tests conducted in residents has remained at broadly consistent levels since late July but there has been a decrease in the number of PCR tests throughout November compared to October
This is a monthly publication by the Department of Health and Social Care (DHSC) of statistics on adult social care in England. This statistical bulletin provides an overview on a range of information on social care settings, with a focus on the impact of COVID-19.
This report provides newly published information on:
•selected infection prevention control (IPC) measures in care homes at national, regional and local authority level
•staffing levels in care homes at national, regional and local authority level
•personal protective equipment (PPE) availability in care homes and domiciliary care at national, regional and local authority level
•testing for COVID-19 in care homes at national, regional and local authority level
Data is now available for the proportion of social care staff and residents who have received a booster dose of the COVID-19 vaccine. Data is available from 28 September 2021 onwards.
The next publication will be published on 13 January 2021. Dates for future publications will be pre-announced on the GOV.UK publication release calendar.
How the data can be used
This data can be used for: comparing vaccination rates across local authorities and regions in England as self-reported by care providers for the: first, second and booster doses of the COVID-19 vaccine flu vaccinations for the 2021 to 2022 season monitoring vaccination rates over time for the: first, second and booster doses of the COVID-19 vaccine flu vaccinations for the 2021 to 2022 season This data cannot be used for: estimating the number of social care staff or residents who have not been vaccinated estimating the number of social care staff or residents who have been vaccinated abroad comparing with vaccination rates in other countries of the UK directly comparing vaccination take up rates between different types of care home staff (directly employed and agency staff) estimating the number of vaccinations delivered each day Data is now available for the proportion of social care staff and residents who have received a booster dose of the COVID-19 vaccine. These rates do not distinguish between those who are eligible for a booster, given the recommended gap between second and booster doses. The total number of staff and residents for each social care setting as well as the number reported to be vaccinated for COVID-19 and flu are self-reported by the care provider and local authorities. As a result, the rates in this publication refer to the percentage of staff and residents reported to be vaccinated by care providers. This means that the number of individuals who have not received the vaccine cannot be directly derived from data published in these statistics as there is a number of individuals for whom the vaccination status is unknown to the care provider. The dates in this section refer to the dates vaccinations were reported by care providers as opposed to the date vaccinations were administered. Some care providers have reported the total number of staff or residents but not the numbers vaccinated. As a result of this, vaccination rates are affected by response rates. This is particularly prominent for vaccination rates for second doses in staff employed in other settings and boosters and flu for all staff and resident groups. This is because these groups have a lower response rate and as a result, second dose vaccination rates may be underestimated. For data relating to 9 November 2021 and before, response rates may have been underestimated, particularly for boosters and flu vaccination. This is because the default value in the underlying data is set to zero, so any zero values submitted will appear to be non-responses. From 9 November 2021 onwards, care providers are required to select that they have reviewed their responses to confirm the data submitted is accurate, therefore increasing the accuracy of response rates. Among care home staff, there is a substantial difference in reported vaccination rates for COVID-19 and flu vaccinations between staff directly employed by care homes and staff employed by agencies operating within care homes. This could be due to, for example but not exclusively, different uptake rates, vaccination status not being known to the care provider or the nature of employment and information available to the care homes. For data relating to 31 August 2021 onwards, a small number of social care staff who had their vaccination outside of the UK are excluded from the numbers vaccinated. For more information, please see the background quality and methodology note.
COVID-19 vaccinations
Adult social care groups covered in this publication by JCVI priority group for COVID-19 vaccination This is a summary of the priority groups for different social care staff and residents. JCVI priority group 1: residents in older adult care homes staff directly employed by older adult care homes agency staff working in older adult care homes JCVI priority group 2: staff directly employed by younger adult care homes agency staff working in younger adult care homes domiciliary care staff registered to independent Care Quality Commission (CQC) providers social care staff working in other settings (including non-registered providers and local authority employed) Not in a specific JCVI priority group: residents of younger adult care homes The NHS started administering vaccinations for COVID-19 in England on 8 December 2020. Social care staff and residents of care homes were prioritised for the vaccine according to the Joint Committee on Vaccination and Immunisation (JCVI) recommendation. For more information see Priority groups for coronavirus (COVID-19) vaccination: advice from the JCVI. From 11 November 2021, all people working or volunteering in care homes are required to have received 2 doses of the COVID-19 vaccine as a condition of their deployment in a care home, unless exempt. This report contains data relating up to 23 November 2021. The final date for staff to receive their first dose of the vaccination so they were fully vaccinated in time for the regulation to come into force was 16 September 2021, based on the assumption of an 8-week interval between first and second doses. More details can be found on Vaccination of people working or deployed in care homes: operational guidance. Adult social care staff and residents are now eligible for a COVID-19 booster vaccination after receiving their second dose. More details can be found at COVID-19 vaccination: a guide to booster vaccination.
COVID-19 vaccinations in JCVI priority group 1
96.7% older care homes have provided data on the number of staff and residents who received a COVID-19 booster dose, as of 23 November 2021. This means the first and second dose rates and the number of staff and residents receiving a booster dose may be underestimated compared to the true value. For full response rates please see the accompanying ‘COVID-19 vaccination response rates, December 2021: data tables’. The figures used in this report differ to the reported 81.7% of eligible residents reported on 5 November 2021 in the news article NHS offers residents in every eligible care home a COVID booster jab, as a different methodology was used. Going forward we recommend users use the rates in this report and the weekly NHSEI weekly COVID-19 vaccination statistics, which use the total number of residents for consistency purposes. Please note it does not distinguish those who are eligible for a booster dose. Please see the accompanying background quality and methodology document for more details. Residents of older care homes As of 23 November 2021, in older adult care homes: 96.3% of residents have been reported to have received their first dose 95.1% of residents have been reported to have received their second dose 70.8% of residents have been reported to have received their booster dose The reported first dose vaccination rate rapidly increased between January and February 2021 for residents and has since continued to increase but at a much slower pace as more of the population receive the first dose. For second doses the reported rate increased steeply between April and June 2021 and has continued to increase but at a slower rate since then. There is little regional variation in the reported second dose vaccination rate among residents in older adult care homes. London continues to show the lowest uptake, with 93.1% of residents reported to have received both doses. There is large variation in booster doses administered regionally, with the North East region having the largest uptake with 75.0% of residents vaccinated, compared to the lowest uptake in the East Midlands with 63.5%. Staff of older adult care homes As of 23 November 2021, in older adult care homes: 95.7% of staff have been reported to have received their first dose 93.8% of staff have been reported to have received their second dose 29.4% of staff have been reported to have received their booster dose The reported first dose vaccination rate rapidly increased between January and February 2021 for staff and has continued to increase each week. Similarly, for second doses the reported rate increased steeply between April and June 2021 and has continued to steadily increase since July 2021. There is little variation between regions among staff of older adult care homes who have been reported to have received their second dose.Out of all regions, London has shown the quickest increase in second dose vaccination since the end of August 2021, increasing from 78.2% to 94.9% in the week ending 23 November 2021. The West Midlands currently has the highest second dose take up rate, reporting 95.1% as of 23 November 2021. For booster doses, there is large regional variation, with the North East region having the highest uptake with 34.5%, and London having the lowest at 20.7%. Figure 1: percentage of staff and residents of older adult care homes who have received the first, second and booster doses of the COVID-19 vaccination, cumulative rate, 15 December 2020 to 23 November 2021, England Reported booster vaccination rates steeply increases for both staff and residents of older adult care homes. Source: Capacity Tracker Figure 2: percentage of older adult care home staff who have received their second dose of the COVID-19 vaccination by local authority as of 23 November 2021, England A majority of local authorities have reached a 90% reported dose 2 vaccination rate for staff in older adult care homes. Data for figures 1 and 2 can be found in tables 1 and 2 of the accompanying ‘COVID-19 vaccination statistics’ tables in addition to data by region and local authority. Notes: data is reported from care providers based on date of reporting rather than date of vaccination
How the data can be used
This data can be used for: estimating the number and proportion of care homes that indicate they: are accommodating COVID-safe visits within the care homes in line with government guidance are paying full wages to the majority of their self-isolating staff restrict staff movement across settings monitoring trends over time comparisons across local authorities and regions in England This data cannot be used for: estimating the number of visitors in care homes and their infection or vaccination status comparing with other countries of the UK linking staff movement across settings to positivity rates The Adult Social Care Infection Control and Testing Fund provides funding from local authorities to ensure that infection prevention control (IPC) measures are in place to curb the spread of COVID-19. This publication provides data on how providers are implementing the following measures: limitation of staff movement across different social care settings accommodating COVID-19 safe visitation in care homes in line with government guidance payment of full wages when care home staff are isolating due to COVID-19 More details on the data collection, coverage and quality of this data can be found in the ‘About this data’ section below.
Accommodating COVID-safe visitation in care homes
The guidance on allowing care home residents to have visitors has changed since December 2020 which is summarised in the table below. Table 5: visiting guidance since December 2020 More information can be found in the guidance on care home visiting. This report covers care homes that are accommodating visitation in line with this guidance. This could cover visitation in the care homes premises, either indoors or outdoors, or also visits off premises, either for the day or overnight. In the week ending 23 November 2021: 93.0% of care homes in England were able to accommodate residents receiving visitors within care homes in all circumstances. This proportion has remained broadly consistent since late July 2021 a further 3.5% were able to accommodate visits in exceptional circumstances. Exceptional circumstances are individually defined by each care home but are generally thought to be considered when residents are palliative there is regional variation with 94.6% of care homes accommodating visitors in the South East in comparison to 89.7% in the South West Figure 5: percentage of care homes accommodating or limiting visits for residents, 15 December 2020 to 23 November 2021, England The proportion of care homes accommodating visiting for residents has remained stable since the end of July. Source: Capacity Tracker This data can be found in table 1 of the accompanying ‘Infection control, PPE and staffing level statistics’ tables in addition to data by region and local authority.
Payment of care home directly employed staff while self-isolating due to COVID-19
The infection control funds can be used to ensure staff who are self-isolating along with government guidance are paid their full wages. This includes: staff isolating while waiting for a test isolating after having tested positive or after a positive test in their household staff required to quarantine prior to receiving certain NHS procedures For more information see stay at home: guidance for households with possible or confirmed coronavirus (COVID-19) infection. Employers who do not pay their staff their full wages while self-isolating must pay their staff at least Statutory Sick Pay (SSP) when the employee meets the following criteria: is classed as an employee and has done some work for their employer earns an average of at least £120 per week has been ill or is self-isolating for at least 4 days in a row (including non-working days) Care home staff who do not meet the criteria may not be eligible and as a result not paid to self-isolate. For more information, please see guidance on Statutory Sick Pay. The figures in this report refer to care homes which had staff required to self-isolate in the relevant week. This means care homes who had no staff needing to self-isolate will be excluded from the rates for the relevant week. There may be several care providers who may use a combination of payment options for staff wages. In these situations, providers should report the option they use for the majority of their staff. In the week ending 23 November 2021: 82.6% of care homes who had directly employed staff needing to self-isolate paid staff their full wages. This proportion has remained consistent since mid-December there is substantial regional variation with 87.9% of providers in the North West paying their staff full wages compared to 76.4% in the East Midlands Figure 6: percentage of care homes with staff self-isolating by wages paid, week ending 23 November 2021, England More than 8 in 10 care homes were reporting to pay their staff full wages when self-isolating. Source: Capacity Tracker This data can be found in table 2 of the accompanying ‘Infection control, PPE and staffing level statistics’ tables in addition to data by region and local authority.
How the data can be used
This data can be used for: estimating the number and proportion of care homes that indicate they are operating within their agreed staffing ratios monitoring trends over time comparisons across local authorities and regions in England This data cannot be used for: identifying the reasons for care home staff shortages and absences linking staff shortages and the number of positive cases among care home staff comparing with other countries of the UK In order to measure the workforce pressures on providers during the pandemic, each provider is asked to assess their workforce pressures based on their agreed staffing ratios More details on how staffing ratios are agreed can be found within the CQC guidance on staffing. In the week ending 23 November 2021: 0.4% of providers flagged that their agreed staffing ratios had been breached 4.6% flagged that they were operating within the agreed staffing ratios but there is a significant risk of escalation in the coming days 95.0% were operating within their agreed staffing ratios. This has remained broadly consistent since mid-December 2020 If a care home’s staffing ratio has been breached, then business continuity measures may be put in place. Figure 8: percentage of care homes operating within agreed staffing ratios, week ending 23 November 2021, England More than 9 in 10 care homes report operating within their agreed staffing ratios. Source: Capacity Tracker This data can be found in table 4 of the accompanying ‘Infection control, PPE and staffing level statistics’ tables in addition to data by region and local authority.
How the data can be used
This data can be used for: estimating the number and proportion of care homes and domiciliary care providers who are experiencing PPE shortages in the next 48 hours, and comparing across local authorities and regions in England monitoring trends over time This data cannot be used for: predicting PPE shortages in the coming weeks comparing with other countries of the UK linking PPE shortage to positivity rates All care homes and domiciliary care providers are responsible for ensuring safe systems of work and have duties concerning the provision and use of PPE in the workplace. This publication covers the availability of the following 5 items of PPE: aprons eye protection gloves hand sanitiser face masks
In care homes
Guidance on what PPE should be used in various circumstances is available from personal protective equipment (PPE): resource for care workers working in care homes during sustained COVID-19 transmission in England. Despite most legal restrictions being lifted on 19 July 2021, PPE and other infection prevention and control measures are expected to continue to be practised in care homes. In the week ending 23 November 2021: 0.3% of care homes in England had either no supply or were expecting to experience a shortage in the next 48 hours of at least one item of PPE this gradually decreased from late September 2020 when 1.1% of care homes were experiencing a shortage and has remained relatively unchanged since March 2021
In domiciliary care
Data on PPE availability in domiciliary care has not been updated for the London region for dates after 29 June 2021 due to a data quality issue which is being investigated. National figures for England are also not presented due to the effects of this issue on the national rate. Data for other regions and local authorities outside of London are available in the accompanying data tables.
How the data can be used
This data can be used for: estimating the number of PCR and LFD tests taken and positive results returned in care homes, and comparing across local authorities and regions in England estimating trends in prevalence and positivity rates for COVID-19 in care homes based on trends in positive tests This data cannot be used for: calculating positivity rates for COVID-19 in care homes due to routine and repeat testing of individuals linking positivity rates in care homes to lower vaccination rates in care homes estimating the number of people tested and positive cases in care homes as people can take more than one test For more information on: the rollout of the testing programme in care homes, please see ‘About this data’ section below. testing kits used, please see the ‘Terminology’ section below Given that anyone who tests positive with a PCR test is exempt from regular testing for 90 days, the number of tests conducted with both PCR and LFD kits can fluctuate slightly in relation to COVID-19 prevalence.
Number of tests conducted and positive tests returned in adult care homes
The number of positive tests returned in care home staff and residents decreased in November compared to October where an upward trend was seen throughout the month. Previously the number of positive tests had been increasing between mid-September 2021 and mid-October 2021. The trend in positive tests has fluctuated since late July 2021 for staff and late August 2021 for residents. Prior to that positive tests had been increasing from mid-June 2021 to July 2021 but the number of positive tests remained substantially lower than levels seen in January 2021. Throughout October, the number of tests conducted has slightly decreased for care home staff compared to levels seen in September but have remained broadly consistent in care home residents.
Care home staff
PCR tests In the week ending 23 November 2021 there were: 2,061 positive tests returned from PCR kits in care home staff 19% fewer positive tests compared to the week ending 26 October 2021 and 42% fewer compared to the week ending 20 July 2021 The number of PCR tests conducted in care home staff has broadly decreased between the end of July and the end of November. LFD tests In the week ending 23 November 2021 there were: 818 positive tests returned from LFD kits in care home staff 12% fewer positive tests compared to the week ending 26 October 2021 There has also been a gradual decline in the number of LFD tests conducted in care home staff since late July.
Oct 20, 2022 · State of Care is our annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.
May 30, 2022 · This release provides data covering the period 1 March 2021 to 28 February 2022. The data are broken down by geographic variables and care home characteristics (for example, size, type,...
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Jul 31, 2021 · The care that people receive in England is mostly of good quality. As at 31 July 2021: 80% of adult social care services were rated as good and 5% as outstanding. 90% of GP practices were rated as good and 5% as outstanding. 67% of NHS acute core services were rated as good and 8% as outstanding.
