Adults and Older People

1. Appendix 1 BME Service Provision Report Adults and Older People Information Produced by Research and Statistics Team Community and Social Services Crompton House

2. Introduction This report aims to identify and compare current service delivery against the populations of the various ethnic groups living in Salford. The report data is in the main sourced from the client database CareFirst. However the report also contains a number of other sources that look at those services we provide that are not recorded within CareFirst. The source of the population data is taken from the 2001 Census which is the most accurate and up to date information available around population and BME communities in Salford. This report is intended to be used as an information source for a BME Service Summary report titled ‘Analysis of the extent to which Salford CH&SC Directorate are meeting the needs of Salford’s BME communities’. The summary report aims to look at what services are currently provided specifically for the BME communities: and uses the information to draw conclusions as to if whether current service delivery is meeting the needs of those communities. BME Service Provision in Salford – April 2007 Introduction

3. Ethnicity and Age Groups in Salford – 2001 Census Data • The above table and chart identify Salford’s population by ethnicity and age group using 2001 census data. As can be seen when compared to Salford’s white population, the majority of the BME communities show the trend of a low proportion of older residents aged 65 or over and a higher level of residents aged 18-64. For example, of the white population of Salford, 16.7% are aged over 65. This is much higher when compared to the proportions of each of the BME communities 65+ age groups (Asian = 5.29%, Black =6.71%, Mixed = 3.06% and Other = 3.67%). This results in a very low population of the BME communities over the age 65. However the reverse is true when comparing the proportions of BME populations between the ages of 18-64 (Asian = 67.2%, Black = 76%, Mixed = 46.5% and Other = 75%) with the white population of Salford of 60.57%. The exception to this is the Mixed ethnicity BME community who actually show a lower proportion. However as can be seen the mixed ethnicity community have a much larger proportion of residents under the age of 18 when compared with other BME and white groups who all have a similar proportion as each other under the age of 18. BME Service Provision in Salford – April 2007 Page 2

4. Ethnicity and Age Groups in Salford – 2001 Census Data • The above table is a summary of the proportions of BME communities living in Salford. Due to the way that the 2001 Census collected and identified these BME communities, the Jewish community were not identified as a BME ethnicity group in their own right and in the majority recorded as ‘White’ or ‘Other white’. Therefore in order to identify this large ethnic community living in Salford (approx 3,226 over the age of 18), we have removed the number of residents recorded as practicing the religion of ‘Jewish’ from the ‘White’ ethnic group and included these as a new BME ethnic group. • Appendix J is a series of thematic maps showing proportions of specific BME populations living in Salford. These maps are intended to show where specific BME communities are resident and may help to identify where services can be targeted if provision is shown as low compared to the BME populations. Although these maps do not identify the areas where people from the Jewish community are resident, anecdotally and from experience we are able to identify that this BME group have a high population within the Broughton Area and should therefore feature heavily on any services that East Adults and Older Persons Team provide within this report. BME Service Provision in Salford – April 2007 Page 3

5. Contact and Further Contacts • Contacts and Further contacts (or referrals) are received by the CSSD from a number of sources including client self referrals, families or friends or other professional agency such as Police, GPs etc.. The majority of these contacts are passed to duty officers based at the various teams to investigate whether the need can be dealt with via signposting or advice or if the referral needs to be moved onto some form of assessment. • As can be seen in appendices A and C, for the age group 18-64 we appear to be receiving numbers of contacts and further contacts proportional to the populations of the BME communities. There does however appear to be a slightly lower proportion of people from the Jewish religion being the subject of a contact compared to their population. Many of the contacts regarding BME communities appear to be taken by the Hospital Social Work team. On further investigation of these contacts, a large number seem to be directed straight to ‘Professional Support’ by a member of the hospital Social Work Team and not actually having an assessment recorded. • Appendices B and C show for the age group 65 or over, overall we are receiving proportional numbers of contacts compared to BME groups populations. The BME groups of Black and Mixed Ethnicity do show a lower proportion receiving a contact compared to their population. As the 65+ age group of these communities is so small it is difficult to draw any conclusions to say that we do not have appropriate mechanisms of contacting the CSSD for these communities. BME Service Provision in Salford – April 2007 Page 4

6. Assessments • Assessments and Re-Assessments are carried out to assess a service users care needs. Within this report these assessments also include Occupational Therapist, Mental Health Act and Sensory Team Assessments. • As can be seen in Appendices A and D, Salford is conducting assessments and re-assessments for members of the BME community aged 18-64 in proportion to the BME population. All individual BME groups are receiving assessments in proportion to their population with the exception of Jewish and Chinese. The Jewish community show a slightly smaller proportion receiving assessments or re-assessments but Chinese community shows significant smaller proportion receiving an assessment. • As can be seen in Appendices B and D, overall we are conducting assessments for BME communities similar to that of the BME Salford population. There is a noticeable difference between people receiving an assessment compared to the population of the ethnic groups Mixed, Black and Asian where these groups are receiving a significant lower proportion of assessments. Two ethnic communities, Bangladeshi and Other Black Background, have not received an assessment at all in the last year although in total the population of Salford for these ethnic groups only add up to a total of 23 people. BME Service Provision in Salford – April 2007 Page 5

7. Commissioning of Services • Services include any social care services that are commissioned by the CSSD to meet the needs of services users as identified in their personal careplan that is a result of and assessment or review. These services include both community based such as home care, day care etc and permanent residential and nursing placements. These services also include any major pieces of OT equipment that includes anything that carries an ongoing cost in either training or maintenance and are reviewed each year. • As identified in appendices A and E, overall, people from the BME population aged 18 to 64 in Salford are under represented in terms of provision of services. The BME groups Asian and Other Ethnicity have significantly less people receiving services compared to their population. Chinese and Indian ethnicities appear to be least represented. People from an ‘Other Black Background’ are not identified as receiving services at all during the period. All client disability groups show a lower proportion of BME communities compared to the population although Mental Health and Other Vulnerable People appear to be more proportional than other disabilities. Of the services that the BME communities are receiving, it is noticeable that the uptake of Direct Payments has proved successful especially within the Asian community (5.96% of service users receiving Direct Payments aged 18-64). Community Support also figures quite significantly within the Black and Mixed-Black community. • As identified in appendices B and E, as with the 18-64 age group, the BME communities appear to be proportionally under represented when looking at individuals receiving services. This could be attributed to the very low numbers of people aged over 65+ from a BME community. People from a Bangladeshi, or ‘Any other Black Background’ are not represented at all however according to the 2001 census there are only 23 people in Salford within these ethnic groups over the age of 65. Again Direct Payments figure significantly in service provision for the Asian community (6.3% of service users receiving Direct Payments aged 65 or over). BME Service Provision in Salford – April 2007 Page 6

8. Carers’ Assessments • Carers assessments aim to identify and address the needs of carers providing unpaid care for people living in Salford. These assessments are carried out either jointly or separately from the person being cared for. The majority of carers assessments are carried out jointly at the time when the service user is being assessed. The Research and Information Team are currently looking at the recording of Carers Assessments due to the under recording of these assessment at this time. • As can be seen in Appendices A and F, we appear to be completing carers assessments for BME communities in comparison to population except for the Black BME group where we have in fact completed no carers assessments in the last year. • As can be seen in Appendices B and F, unlike the 18-64 age group the proportions of carers assessments completed for people from a BME community is significantly lower than the population of Salford. Only 4 individuals from a BME group have received a carers assessment over the last year. BME Service Provision in Salford – April 2007 Page 7

9. Car Badges • The Blue Badge scheme provides a range of parking benefits for disabled people who travel either as drivers or as passengers. Our service is responsible for issuing blue badges using a number of criteria. These fall into two general categories of Automatic and Discretionary. Automatic badges are issued to people that already receive certain benefits that identify them as a disabled person such as mobility allowance. Discretionary badges are issued following a referral from the applicants GP who identifies a number of criteria such as ability to walk a certain distance etc.. Badges are issued for a three year period when the applicant is then asked to renew. • As can be seen in Appendices A and G, although quite small, overall there is a lower proportion of people aged 18-64 from the BME communities receiving a disabled car badge when compared to their population. The most noticeable of these BME communities is the Mixed ethnicity. The Asian 18-64 population are receiving car badges proportionally more than the average, the Bangladeshi population do not have any 18-64 year olds receiving a car badge at all. • As can be seen in Appendices B and G, unlike the 18-64 age group the proportions of people holding a car badge from a BME community is higher than the population of Salford. However looking at the BME communities in their right, it is apparent that the proportions of Black and Mixed ethnic groups receiving a car badge are much lower than their respective populations. • NB It must be emphasised that due to the high numbers of unknown ethnicities in the car badge statistics that these conclusions should be treated with considerable caution. It is planned that the proportion of unknown ethnicities in this area will reduce significantly over the 3year cycle of car badge renewals BME Service Provision in Salford – April 2007 Page 8

10. Other Services Welfare Rights • The Welfare Rights service offers confidential and independent advice on welfare benefits, tax credits or debt problems for people living in Salford. As can be seen in Appendix H, overall the Welfare Rights Service provided assistance to the BME communities in proportion to the 18 or over BME population of Salford between April 2005 and March 2006. There are a number of ethnic groups that do appear to be under represented when looked at in isolation that includes Chinese and Mixed ethic background. Interpretation Requests – Salford Link Project • Salford Link Project is a charity (funded by the City of Salford) that was created to serve and look after the interests of many of the ethnic communities in the City of Salford. One of the services that this charity offers is Interpretation. As can be seen in Appendix I, there has been a large increase in requests for this service in the last few years. Between the years 2003/04 and estimated for 2006/07 there is around a 122% increase in interpretation requests made to the service (from 3,560 to 7,916). The languages with the most noticeable increases in interpretation requests between these periods are Tigrynian (from 72 to 1027 - African), Swahili (18 to 112 - African), Polish (94 to 763 - Other White) and Farsi (338 to 923 - Other). BME Service Provision in Salford – April 2007 Page 9

11. Appendix A – Services Provided to Individuals Aged 18 to 64 by CSSD between February 2006 and January 2007 BME Service Provision in Salford – April 2007 Appendix A Page 1

12. BME Service Provision in Salford – April 2007 Appendix A Page 2

13. BME Service Provision in Salford – April 2007 Appendix A Page 3

14. Appendix B – Services Provided to Individuals Aged 65 or Over by CSSD between February 2006 and January 2007 BME Service Provision in Salford – April 2007 Appendix B Page 1

15. BME Service Provision in Salford – April 2007 Appendix B Page 2

16. BME Service Provision in Salford – April 2007 Appendix B Page 3

17. Appendix C - Contacts Made to CSSD between February 2006 and January 2007 Age Group 18-64 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix C

18. Appendix D - Assessments and Re-Assessments Completed by CSSD between February 2006 and January 2007 Age Group 18-64 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix D

19. Appendix E - Individuals with Commissioned Services between February 2006 and January 2007 Age Group 18-64 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix E Page 1

20. Appendix E - Individuals with Commissioned Community Based Services between February 2006 and January 2007 Age Group 18-64 BME Service Provision in Salford – April 2007 Appendix E Page 2

21. Appendix E - Individuals with Commissioned Community Based Services between February 2006 and January 2007 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix E Page 3

22. Appendix F - Carers Assessments Completed Between February 2006 and January 2007 Age Group 18-64 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix F

23. Appendix G – Disabled Car Badges Current Between February 2006 and January 2007 Age Group 18-64 Age Group 65 or Over BME Service Provision in Salford – April 2007 Appendix G

24. Appendix H - People Assisted by the Welfare Rights Service 1st April 2005 to 31st March 2006 BME Service Provision in Salford – April 2007 Appendix H

25. Appendix I – Interpretation Requests BME Service Provision in Salford – April 2007 Appendix I

26. Appendix J – Thematic Maps BME Service Provision in Salford – April 2007 Appendix J

27. Appendix K – Community Health and Social Care Staff Profile – January 2007 BME Service Provision in Salford – April 2007 Appendix K