Report on provision of Unpaid Care Argyll and Bute

Transcription

1 Report on provision of Unpaid Care Argyll and Bute 18 th November 2016 Argyll and Bute Health and Social Care Partnership Public Health Information Contents Introduction... 2 Estimate of number of adult (16+) providing unpaid carer... 3 Estimates of numbers of young carers (under 16)... 7 General Health of carers providing 35+ hours of care (census 2011)... 9 Appendix - Estimated numbers of unpaid carers by age and gender Page 1

2 Introduction Support for unpaid carers is a priority for the new Argyll and Bute Health and Social Care Partnership, as highlighted by the area of focus in the strategic plan to: Support unpaid carers, to reduce the impact of their caring role on their own health and wellbeing This document provides information on the number of unpaid carers in Argyll & Bute using two different methods; 1) Self-reported unpaid care in the 2011 census 1 2) Estimates of numbers of unpaid carers using the results of the Scottish Health Survey (SHeS) applied to the population of Argyll & Bute 2. People who provided unpaid care sometimes do not identify themselves as carers. Therefore, the number of people who report providing unpaid care in the 2011 census is likely to underestimate the number of unpaid carers. It is most accurate for people who have substantive caring responsibilities (taken to be 35 hours of more a week). The Scottish Health Survey is generated from interviews with a sample of the Scottish population. It produces higher estimates of the number of unpaid carers, probably because questions around unpaid care follow from questions about the health and family of household members. In this document, these estimates are applied to the population size of Argyll & Bute 2 to provide an estimate of the numbers of unpaid carers living in local areas of Argyll & Bute. Data sources can be found as follows: Census 2011: Scottish Health Survey results on unpaid care: NRS Mid-Year Population Estimates: 1 Census data were obtained using a best-fit of 2011 datazones to locality areas. Note that National Records of Scotland swap some values between different geographic areas in order to protect against disclosure of personal information. 2 Using 2011 and 2015 Mid-year population estimates from National Records of Scotland, based on a best-fit of 2011 datazones to the locality area. Page 2

3 Estimate of number of adult (16+) providing unpaid carer The number of people (16+) who reported that they provide unpaid care, in the census (2011), is shown below along with the total census population aged 16+. A total of 8655 people aged 16+ in Argyll and Bute reported providing unpaid care. Table 1. The number of people who reported providing unpaid care in Census 2011, by area and number of hours care provided Census Population (aged 16+) Number of people (16+) reporting providing unpaid care Any hours under 35 hours 35+ hours Bute Cowal Helensburgh & Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Total Source: Census Crown copyright. Data provided by National records of Scotland. Using Scottish Health Survey estimates that 17% of the population provide unpaid care (13% for under 35 hours, 3% for 35+ hours and 1% for a variable time), and the mid-year population estimates from National Records of Scotland (2011), it can be estimated that 12,677 people aged 16+ provided unpaid care in Argyll and Bute (Table 2). This is over 4000 people more than the number who self-reported providing unpaid care in the census. Table 3 shows the difference between the census figures (Table 1) and the estimates derived from the results of the Scottish Health Survey (Table 2). The overall number of people who are estimated to provide unpaid care is higher than the total number who report providing unpaid care in the census. However, the number who report providing 35+ hours a week of unpaid care is higher in the census. This may be because the Scottish Health Survey estimates were derived from Scotland as a whole and do not take into account the age-gender of the population in Argyll and Bute, particularly the higher proportion of older people. The number of people who self-report providing less than 35 hours of unpaid care a week is considerably lower in the census, than in the estimated figures. This is likely to be due to people under reporting provision of unpaid care. Page 3

4 Table 2. The number of people who are estimated to provide unpaid care, by area and number of hours care provided Population aged 16+ Number (16+) estimated to be providing unpaid care Any under Variable hours hours hours hours Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Argyll and Bute Source: Derived using data published by National Records of Scotland (2011 Mid-year population estimates, Crown copyright) and Scottish Health Survey (Scottish Government, Crown copyright). Table 3. The number of people who self-report providing unpaid care minus the number estimates to provide unpaid care, by area and number of hours care provided/ Red (negative) numbers indicate where the estimated numbers are higher than the census numbers. Black (positive) numbers indicate where the census numbers are higher than the estimated numbers. Difference in Population aged 16+ Different in number providing unpaid care under 35 Any hours hours 35+ hours Bute Cowal Helensburgh & Lomond -765* -1,240-1, Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Total ,022-3, *Note that the difference in population size between census and mid-year estimates is due to the way the military population is accounted for in the different data sources. Page 4

5 In the Scottish Health Survey results, estimates of the number of carers are also given by age and gender (Table 4). The rates in Table 4 were applied to the 2011 mid-year estimates to provide another estimate of the number of unpaid carers, shown in Table 5 (final column). The estimated number of unpaid carers using age-gender specific rates is 13,872, and is more than 17% of the population. This is because the age-gender structure of the population of Argyll and Bute is different from that of Scotland as a whole. Detailed results by age and gender are shown in the appendix. Table 4. Estimated percentage of unpaid carers, by age and gender Age Band Female Male % 8% % 9% % 12% % 19% % 23% % 18% Source: Scottish Health Survey. Crown Copyright. The Scottish Government. Table 5. Comparison of self-reported (census) and estimated numbers of unpaid carers in Argyll and Bute (using 2011 population estimates). Self-reported in 2011 census Estimated using 17% of population estimates Estimated using age-gender rates (Table 4) and population estimates Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Argyll and Bute Source: Census 2001 and estimates derived from 2011 mid-year estimates (National Records of Scotland) and the results of the Scottish Health Survey. Page 5

6 As the population has changed since 2011, Table 6 shows updated estimates using 2015 mid-year population estimates. The population aged 16+ in Argyll and Bute has reduced since 2011 (from 74,570 to 73,598). Therefore, the estimates based on a percentage of the total population have reduced. The exception to this is in Oban and Lorn and in Mull, Iona, Coll and Tiree where the population has increased and the estimate based on 17% of the population has therefore also increased. Using the age-gender specific rates, the changing age of the population leads to a higher estimate of the number of unpaid carer in all areas. This is higher both than the estimate based on 17% of the population 16+ (Table 6) and higher than the estimates using age-gender specific rates and the 2011 population estimates, including in those areas with a decrease in the total number of people (compare final columns of tables 5 and 6). Table 6. Estimated numbers of unpaid carers in Argyll and Bute using 2015 population estimates. Population aged 16+ Number (16+) estimated to be providing unpaid care Any hours (17%) under 35 hours (13%) 35+ hours (3%) Variable hours (1%) Agegender estimate Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Argyll and Bute Source: Estimates derived from 2015 mid-year estimates (National Records of Scotland) and the results of the Scottish Health Survey. Page 6

7 Estimates of numbers of young carers (under 16) 166 young people from Argyll & Bute reported providing unpaid care in the 2011 census. Most of these provided less than 35 hours of care a week (Table 7). However, the results of the Scottish Health Survey are that 4% of people aged 0-15 provide unpaid care and that 77% of these provide up to 20 hours, 10% 20 to 34 hours and 13% 35 hours or more a week. Tables 8 and 9 show the result of applying these estimates to the mid-year population estimates from National Records of Scotland (for 2011 and 2015, respectively). These results suggest that over 500 children may provide unpaid care in Argyll and Bute. The total estimated number of unpaid carers under 16 is lower using the 2015 population estimates (Table 9) than 2011 population estimates (Table 8) because the estimated number of children has decreased. The exception to this is in Oban and Lorn and in Mull, Iona, Coll and Tiree where the estimated number of children has increased. Table 7. Number of people aged 0-15 recorded as providing unpaid care in the 2011 census, by area and number of hours care. Number of people age 0-15 Provision of unpaid care Under 35 Any hours hours 35+ hours Bute Cowal Helensburgh & Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Argyll and Bute Source: Census Crown copyright. Data provided by National records of Scotland. Page 7

8 Table 8. Number of people aged 0-15 estimated to be providing unpaid care using the results of the Scottish Health Survey and 2011 mid-year population estimates. Number of people (age 0-15) None Provision of unpaid care Any < hours hours hours 35+ hours Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Obana nd Lorn Grand Total Source: Derived using data published by National Records of Scotland (2011 Mid-year population estimates, Crown copyright) and Scottish Health Survey (Scottish Government, Crown copyright). Table 9. Number of people aged 0-15 estimated to be providing unpaid care using the results of the Scottish Health Survey and 2015 mid-year population estimates. Number of people (age 0-15) None Provision of unpaid care Any < hours hours hours 35+ hours Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Grand Total Source: Derived using data published by National Records of Scotland (2015 Mid-year population estimates, Crown copyright) and Scottish Health Survey (Scottish Government, Crown copyright). Page 8

9 General Health of carers providing 35+ hours of care (census 2011) It is recognised that the health of an unpaid carer may deteriorate during their caring role. The 2011 census also asked people about their general health. The general health of unpaid carers is shown in Table 10, by age, for those providing 35+ hours of unpaid care. Note that this is based on all people living in households (not all people). 265 people with substantive caring responsibilities (35+ hours a week) reported that their own health was bad or very bad. The distribution of these people throughout the is shown in Table 11. Table 10. Number of people self-reported to be providing 35+ hours unpaid care a week by age and general health. Age band Very good or good health Fair health Bad or very bad health Total Total Source: Census 2011, people living in households. Crown copyright, National Records of Scotland. Table 11. Number of people self-reported to be providing 35+ hours unpaid care a week and to be in bad or very bad health, by age and area. Age Band HSCP Locality 0 to to to Total Bute Cowal Helensburgh and Lomond Islay, Jura and Colonsay Kintyre Mid Argyll Mull, Iona, Coll and Tiree Oban and Lorn Grand Total Source: Census 2011, people living in households. Crown copyright, National Records of Scotland. Page 9

10 Appendix - Estimated numbers of unpaid carers by age and gender All tables derived from Scottish Health Survey estimates shown in Table 4 and 2015 mid-year population estimates from National Records of Scotland. Bute Total Cowal Total Helensburgh and Lomond Total Page 10

11 All tables derived from Scottish Health Survey estimates shown in Table 4 and 2015 mid-year population estimates from National Records of Scotland. Islay, Jura and Colonsay Total Kintyre Total Mid Argyll Total Page 11

12 All tables derived from Scottish Health Survey estimates shown in Table 4 and 2015 mid-year population estimates from National Records of Scotland. Mull, Iona, Coll and Tiree Total Oban and Lorn Total Argyll and Bute Total Page 12