Trends and variations in per capita expenditure on adult intellectual disabilities health and social care across Scotland, and by urban/rural class

Okon, M., Henderson, A. , Kinnear, D. and Cooper, S.-A. (2018) Trends and variations in per capita expenditure on adult intellectual disabilities health and social care across Scotland, and by urban/rural class. Journal of Applied Research in Intellectual Disabilities, 32(1), pp. 121-130. (doi: 10.1111/jar.12514) (PMID:29993166)

Abstract

Background: Following the global financial crisis in 2007/08, the UK implemented an austerity programme which may impact on services. Scotland comprises both densely-populated urban conurbations and highly-dispersed remote rural and island communities. Methods: Expenditure data were extracted from Scottish Government statistics. Per capita expenditure was calculated using adjusted Scotland’s 2011 census data. Results: There was a 3.41% decrease in real term expenditure on adult intellectual disabilities services between 2012/13 and 2014/15 (>£32million). In 2014/15, per capita expenditure on adult intellectual disabilities health care ranged from £1,211-£17,595; social care from £21,147-£83,831; combined health and social care expenditures from £37,703-£85,929. Per capita expenditure on combined health and social care was greater in rural areas; with more on intellectual disabilities social care, though less on health care. Conclusions: Scottish expenditure on adult intellectual disabilities services has not kept abreast of rising living costs. It varies considerably across the country: a post-code lottery.

• Item Type: Articles
• Additional Information: The study was funded by the Scottish Government via the Scottish Learning Disabilities Observatory.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Okon, Ms Marian and Cairns, Professor Deborah and Henderson, Mrs Angela and Cooper, Professor Sally-Ann
• Authors: Okon, M., Henderson, A., Kinnear, D., and Cooper, S.-A.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Journal Name: Journal of Applied Research in Intellectual Disabilities
• Publisher: Wiley-Blackwell Publishing Ltd.
• ISSN: 1360-2322
• ISSN (Online): 1468-3148
• Published Online: 11 July 2018
• Copyright Holders: Copyright © 2018 John Wiley and Sons Ltd.
• First Published: First published in Journal of Applied Research in Intellectual Disabilities 32(1):121-130
• Publisher Policy: Reproduced in accordance with the publisher copyright policy