and structure

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Size-and-structure-report-2015

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Direct payment recipients trends

The total number of direct payment recipients continues to increase. As at 2014 the

total number had reached 234,000 (up 10% between 2013 and 2014).

The total number of direct payment recipients employing their own staff was also

estimated to have increased between 2013 and 2014 (by an estimated 1%).

After a fairly slow start, the total number of direct payment recipients has increased rapidly

since 2008. This trend continued between 2013 and 2014 with the total number increasing

by over 20,000 (see Chart 4.3).

Chart 4.3: Number of direct payment recipients 2008-2014

Source: CSCI data (2008 and 2009) and The Health and Social Care Information Centre

(2010 onwards)

Chart 4.4 provides an estimated trend of the proportion of these direct payment recipients

that were employing staff between 2008 and 2014. The figure for 2014 (29%) is taken from

the aforementioned Skills for Care survey of local authorities. The figure for 2008 (45%) is

a Skills for Care analysis of a survey carried out by the Social Policy Research Unit in

2008 (The 2008 figure also comes with a degree of uncertainty, Skills for Care estimate a

range of between 37% and 52%).

The difference between the 2008 and 2014 estimates provides evidence that the

proportion of direct payment recipients employing staff has decreased over the period.

Skills for Care research in 2013 found that the proportion of direct payment recipients

employing staff was around 33%. Although this figure has not been used for this report

due to a relatively small sample size, it is very similar to the figure estimated for 2013 this

year given the extra data collected (31%). This further corroborates and adds confidence

to the findings in this section.

Chart 4.4 provides estimates for the years 2008-2013 by assuming the decrease in the

proportion of direct payment recipients employing staff occurred proportionally to the

growth in the total number of direct payment recipients over the period (see Appendix 1 for

more details).

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