People often complain about the lack of data about social care; there is, in fact, a significant amount but it is often held in fragmented databases that are rarely explored. This review outlines and analyses 20 key trends in adult social care in England over recent years. It draws on data that is: (1) publicly available; (2) published at least annually; (3) comprehensive (or, at the very least, a representative sample); (4) from a reliable source. It takes a broad perspective, including indicators that relate closely to health, housing, benefits and carers, as well as to the services provided by local authorities, and in doing so provides a uniquely rounded--a '360 degree'--view of the sector. The review is structured into six sections: (1) access; (2) expenditure; (3) providers; (4) workforce and carers; (5) quality; (6) integration with other services. Taking this broad approach does limit our ability to explore issues in depth: our analysis can often only scratch the surface, raising rather than answering questions about the trends the data shows. To provide as much insight as possible, however, we have used two basic principles in reporting and analysing the indicators, we use: (1) real-terms financial amounts—i.ie, adjusting for inflation; (2) activity and other measures in relation to the size of the population--typically per 50,000 or 100,000 people (though we do report actual numbers where useful). Our full methodology is set out at the end of this document. We intend to update – and explore – the indicators periodically to explore future trends.
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