PD Cohort One: 40–65-year-olds with average levels of need and whose packages of care are not changing in cost
Figure 31: Breakdown of the PD cohorts by volume
The following section breaks down individuals with a physical disability into three specific cohorts who share similar characteristics, namely: • PD Cohort One : 40–65-year-olds with average levels of need and whose packages of care are not changing in cost • PD Cohort Two: 40–65-year-olds with average levels of need and whose packages of care are increasing in cost • PD Cohort Three: 26–39-year-olds with higher levels of need and whose packages of care are increasing slightly in cost To inform improvement activity and the prioritisation of effort, evidence is provided about the reasons why these different groups require social care support, the volumes of individuals receiving different types of social care support, and the costs associated, in addition to other factors such as age, gender, and levels of deprivation in the local area which may contribute to need and outcomes. Insight into the extent to which any of these factors are staying constant or changing is also provided. Figure 31 shows the way in which the overall group of individuals with a physical disability aged 18–64 is broken down into various specific cohorts, with 40–65-year-olds with average levels of need and whose packages of care are not changing in cost (cohort one) being the largest sub-group (66%). Figure 32 shows that this cohort accounts for 61% of expenditure.
Additional PD 5%
After an assessment from adult services, a homecare package of two calls a day was put in place to help Cristina get up in the morning and go to bed safely. This has worked well for her, as it allows her to remain in her home that she loves.
Cristina is 63 years old. She has always valued living independently and has worked her whole life without support. However, as she has got older, her health has declined. She has developed severe arthritis and breathing problems, which have severely impacted her ability to get out bed safely without help.
PD Cohort Three 13%
PD Cohort One 66%
PD Cohort Two 16%
What is known about this cohort:
Volumes
Based on the data analysed for this programme from the participating authorities, this cohort makes up the majority of individuals aged 18–64 with a physical disability, accounting for 66% of individuals and 61% of total working age physical disability expenditure . 58% of individuals in this group are female , which is slightly higher than the national proportion whereby 51% of individuals are female. Individuals in this cohort were 33% more likely to be from a global majority background than the average for the working age and lifelong disabled cohort. This is the largest variation in ethnicity trend of all the cohorts for the participating county authorities. The average weekly package is £456 per person ; there has been l ittle to no change in average package cost over the last four years from 2020/21 to 2023/24. Homecare is the most common support type for individuals in this cohort, with 44% of individuals in receipt of homecare. Direct payments are the second most common support type, accounting for 32% of the cohort. The proportion of working age and lifelong disabled individuals in this cohort ranged from 8.2% in one participating authority to 20.7% in another. Significant variation in cost is evident for individuals in this cohort. The average cost of packages of care for individuals in this cohort ranged from £390 per week in one participating authority to £1,179 in another.
Figure 32: Breakdown of the PD cohorts by expenditure
Demographics
Additional PD 3%
PD Cohort Three 19%
Expenditure
PD Cohort One 61%
PD Cohort Two 16%
Support types
Variation between authorities
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