Domiciliary care services for adults in Northern Ireland

Domiciliary care services for adults in Northern Ireland

Published 24 January 2023

Theme: Social Care - Domiciliary care
Purpose: For information
Authors (statisticians): Louise Walker, Deborah Kinghan, Lee Beattie, Malcolm Megaw
Publication date: 24 January 2023
Issued by: Community Information Branch, Information and Analysis Directorate, Department of Health, Stormont Estate, Belfast, BT4 SQ
Email: cib@health-ni.gov.uk

1. Key findings

During the survey week in September 2022:

Contact hours

• An estimated 296,467 contact hours of domiciliary care were provided by HSC Trusts in Northern Ireland, a decrease of -1% (-3,357) from the survey week in 2021.

• The statutory sector provided 28% of domiciliary care contact hours, with 72% provided by the independent sector.

• An average of 13.1 domiciliary care contact hours were provided per client, a decrease compared to 2021 (13.2).

Clients receiving domiciliary care

• HSC Trusts provided domiciliary care services for 22,575 clients, a decrease of less than 1% (-118) from the survey week in 2021 (22,693).

Domiciliary care visits

• 551,508 domiciliary care visits were provided to clients; 24% from the statutory sector and 76% from the independent sector.

•10,061 clients received a domiciliary care visit lasting 15 minutes or less; just under half, (45%) of all clients receiving domiciliary care.

• Just over half, (55%) of all domiciliary care visits provided to clients were between 16 and 30 minutes long. Just under one third, (31%) visits were 15 minutes or less and approximately 1 in 7 (14%) were more than 30 minutes long.

Clients receiving intensive domiciliary care

• 9,453 clients received intensive domiciliary care services, which is defined as 6 or more visits and more than 10 contact hours during the survey week; a decrease of -4% compared to the survey week in 2021 (9,843).

2. Domiciliary care contact hours

Contact hours: the number of hours staff are in contact with or directly serving the client (excluding travel time) during the survey week.

Contact hours by sector

During the survey week in 2022, an estimated number of 296,467 contact hours of domiciliary care were provided by HSC Trusts in Northern Ireland, a decrease of -1% (-3,357) from the survey week in 2021 (299,824).

Figure 1 below shows that just over a quarter (28%) of domiciliary care contact hours were provided by the statutory sector with the independent sector providing just under three quarters (72%).

Figure 1: Estimated number of domiciliary care contact hours provided, by sector (2022)

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Contact hours by sector and HSC Trust

Higher proportions of domiciliary care contact hours were provided by the independent sector than the statutory sector in all five HSC Trusts. This ranged from approximately 6 in 7 (85%) in the Belfast HSC Trust, to just under three fifths (58%) in the Southern HSC Trust as shown in Figure 2 below.

Figure 2: Estimated number of domiciliary care contact hours provided by sector and HSC Trust (2022)

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For a breakdown of estimated domiciliary care contact hours provided by sector and HSC trust, see Table 3 in the Appendix.

Contact hours per client by sector and HSC trust

During the survey week in 2022 an average of 13.1 domiciliary care contact hours were provided per client, a decrease compared to 2021 (13.2).

The average number of domiciliary care contact hours provided during the survey week in 2022 was higher for the independent sector (12.6) than for the statutory sector (10.9). This difference may be due to more intensive domiciliary care packages being contracted out to independent providers.

Three out of five HSC Trusts had a higher average number of domiciliary care contact hours per client provided by the independent sector than the statutory sector during the survey week. The Northern and South Eastern HSC Trust had higher average numbers of contact hours per client provided by the statutory sector, as shown in Figure 3 below. The gap between the two sectors in the Northern HSC Trust in 2022 is similar to 2021, however the statutory contact hours in the South Eastern HSC trust in 2022 has exceeded the Independent hours.

For a breakdown of average domiciliary care contact hours provided per client by sector and HSC trust see Table 4 in the Appendix.

Figure 3: Average number of domiciliary care contact hours provided per client by sector and HSC trust (2022)

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Contact hours by time when care provided

Of the 296,467 domiciliary care contact hours provided during the survey week in 2022, just over two thirds (68%) were provided during ‘normal hours’, approximately one quarter (25%) were provided ‘out of hours’ and less than 1 tenth (7%) were provided during ‘overnight, live in and 24 hour services’ as shown in Figure 4 below. These proportions are similar to those reported in the 2020 and 2021 surveys.

Times when care provided:
Normal hours refers to domiciliary care services provided during office hours or the normal working day. The normal working day should be counted as 8am to 6pm.
Out of hours refers to services which are provided outside of the normal working day.
Overnight services refer to night sitting services which are carried out on a regular or adhoc basis.
Live-in services refer to where the care worker lives, either permanently or temporarily, in the home of the client, working for the HSC Trust directly or under contract. Exclude informal care arrangements with relatives or friends.
24 hour services refer to round the clock domiciliary care services provided by several workers on a shift basis.

Figure 4: Number of domiciliary care contact hours provided by time when care provided (2022)

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Contact hours by sector and times when care provided

The statutory sector provided just over a quarter (28%) of domiciliary care hours while the independent sector provided just under three quarters (72%). Figure 5 below shows the proportion of domiciliary care services provided by the statutory and independent sectors at times when care was provided.

Figure 5: Percentage based on number of domiciliary care contact hours provided, by sector and times when care provided (2022)

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Statutory

Of the 82,767 domiciliary care hours provided by the statutory sector:

73%: (just under three quarters) were provided during ‘normal’ working hours

24%: (almost one quarter) were provided ‘out of hours’

3%: (approximately 1 in 30) were provided during ‘overnight, live in and 24 hour services’

Independent

Of the 213,700 domiciliary care hours provided by the independent sector:

66%: (approximately two thirds) were provided during ‘normal’ working hours

26%: (just over one quarter) were provided ‘out of hours’

8%: (approximately 1 in 12) were provided during ‘overnight, live in and 24 hour services’

For a breakdown of domiciliary care contact hours provided by sector and times when care was provided, see Table 7 and Table 8 in the Appendix.

3. Domiciliary care clients

Number of clients by sector (2018 - 2022)

During the survey week in 2022, HSC Trusts provided domiciliary care services for 22,575 clients, a decrease of -1% (-118) compared to the survey week in 2021 (22,693). 7,562 clients received domiciliary care services from the statutory sector and 16,945 from the independent sector.

Since the survey week in 2018, the number of clients receiving domiciliary care from the statutory sector has decreased by 13% (-1,158) while the number of clients receiving domiciliary care from the independent sector has increased by 2% (275).

In the 2022 survey, HSC Trusts reported that 1,932 clients received domiciliary care services from both the statutory and independent sectors, a decrease of -2% (-49) since the 2018 survey, as shown in Figure 6 below.

Figure 6: Number of clients receiving domiciliary care services by sector (2018 to 2022)

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For a trend breakdown (2020 to 2022) of clients receiving domiciliary care by sector and HSC Trust, see Table 9 in the Appendix.

Number of clients by client group

During the survey week in 2022, approximately four fifths (80%) of clients receiving domiciliary care services were in the elderly client group; approximately 1 in 9 (11%) had a physical disability; approximately 1 in 20 (5%) had a learning disability and approximately 1 in 25 (4%) had mental health needs. A small proportion (less than 1%) of other clients received domiciliary care services (see Figure 7 below).

Figure 7: Number of clients receiving domiciliary care services by client group (2022)

22,575: Clients receiving domiciliary care services
(excludes double counting).

Note: Individual categorical elements may not sum to the total value, as the age and client group of some of the clients are unknown.

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For a breakdown of clients receiving domiciliary care by client group and HSC trust, see Table 10 in the Appendix.

Number of clients by age group

During the survey week in 2022, over 4 in 5 (84%) clients receiving domiciliary care services were aged 65 and over, with just under 1 in 5 (16%) of clients were aged 18 to 64, as shown in Figure 8 below.

Figure 8: Number of clients receiving domiciliary care services by age group (2022)

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Across HSC trusts, similar proportions of clients receiving domiciliary care services were aged 65 and over. This ranged from just under 9 in 10 (88%) in the Northern HSC trust to just over three quarters (77%) in the Belfast HSC trust.

For a breakdown of clients receiving domiciliary care by age group and HSC trust, see Table 11 and Table 12 in the Appendix.

4. Domiciliary care visits

Number of visits by sector

During the survey week in 2022, 551,508 domiciliary care visits were provided to clients.

Figure 9 below shows that almost one quarter (24%) of domiciliary care visits were provided by the statutory sector and just over three quarters (76%) were provided by the independent sector.

Figure 9: Number of domiciliary care visits provided by sector (2022)

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Number of visits by sector and HSC Trust

Higher proportions of domiciliary care were provided by the independent sector in all HSC Trusts. This ranged from just under 6 in 7 (84%) in the Belfast HSC Trust to just under three fifths (57%) in the Southern Trust, as shown in Figure 10 below.

Figure 10: Number of domiciliary care visits provided by sector and HSC trust (2022)

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For a breakdown of domiciliary care visits by sector and HSC trust, see Table 14 in the Appendix.

Number of visits by length of visit

Of the 551,508 domiciliary care visits made to clients during the survey week in 2022, just over half (55%) were between 16 and 30 minutes long, just under one third (31%) were 15 minutes or less, and approximately 1 in 7 (14%) were more than 30 minutes long as shown in Figure 11 below.

Figure 11: Number of domiciliary care visits provided by length of visit (2022)

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Proportion of visits by length of visit and HSC trust

Figure 12 below shows that the proportion of visits lasting 15 minutes or less varied between HSC trusts. This ranged from 54% in the Northern HSC Trust to 5% in the Western HSC Trust. The proportion of 16 to 30 minute visits ranged from 83% in the Western HSC Trust to 40% in the Northern HSC Trust. The proportion of visits over 30 minutes ranged from 37% in the Southern Trust to 6% in the Northern HSC Trust.

Figure 12: Proportion of domiciliary care visits provided, by length of visit and HSC Trust (2022)

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For a breakdown of domiciliary care visits by sector, length of visit and HSC trust, see Table 17 and Table 18 in the Appendix.

Proportion of visits lasting less than 15 minutes by sector

Of the 172,492 domiciliary care visits provided lasting less than 15 minutes during the survey week in 2022, just under one quarter (23%) were by the statutory sector and just over three quarters (77%) were by the independent sector, as shown in Figure 13 below.

Figure 13: Percentage of domiciliary care visits provided lasting less than 15 minutes by sector (2022)

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Proportion of clients receiving visits lasting less than 15 minutes

During the survey week in 2022, 10,061 clients received domiciliary care visits lasting less than 15 minutes, just under half (45%) of all clients who received domiciliary care. Of these 10,061 clients, 2,943 received a visit from the statutory sector and 7,554 received a visit from the independent sector. Please see notes below.

Figure 14: Breakdown, by sector, of the proportion of clients receiving domiciliary care visits lasting less than 15 minutes, by number of visits (2022)

Notes: The total number of clients receiving domiciliary care visits lasting less than 15 mins may not equal the sum of clients receiving domiciliary care lasting less than 15 minutes from the statutory and independent sectors, as some clients may have received care from both sectors
Clients may also have received domiciliary care lasting more than 15 minutes.

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Statutory sector 15 minute visits

Figure 14a above shows that of the 2,943 clients who received domiciliary care visits lasting less than 15 minutes from the statutory sector, just over two fifths (41%) received between 6 and 12 visits. Just under 3 in 10 (28%) received between 13 and 20 visits, approximately one quarter (25%) received 20 visits or more, and approximately 1 in 15 (7%) received between 1 and 5 visits, all of which lasted less than 15 minutes.

Independent sector 15 minute visits

Figure 14b above shows that of the 7,554 clients who received domiciliary care visits lasting less than 15 minutes from the independent sector, approximately two fifths (40%) received 20 visits or more; just under one third (31%) of clients received between 13 and 20 visits, approximately one quarter (25%) received between 6 and 12 visits, and approximately 1 in 25 (4%) received between 1 and 5 visits, all of which lasted less than 15 minutes.

For a breakdown of clients who received domiciliary care visits by sector, length of visit, number of visits and HSC Trust, see Table 19 and Table 21 in the Appendix.

Percentage of visits lasting 16 to 30 minutes by sector

Of the 301,022 domiciliary care visits made lasting 16 to 30 minutes during the survey week in 2022, just over one fifth (21%) were made by the statutory sector and almost four fifths (79%) were by the independent sector, as shown in Figure 15 below.

Figure 15: Percentage of domiciliary care visits provided lasting 16 to 30 minutes, by sector (2022)

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Proportion of clients receiving visits lasting 16 to 30 minutes

During the survey week in 2022, 18,294 clients received domiciliary care visits lasting 16 to 30 minutes, just over four fifths (81%) of all clients who received domiciliary care. Of these 18,294 clients, 5,477 received a visit from the statutory sector and 13,208 received a visit from the independent sector (see notes below).

Figure 16: Breakdown by sector of the proportion of clients receiving domiciliary care visits lasting 16 to 30 minutes, by number of visits (2022)

Notes: The total number of clients receiving 16 to 30 min visits may not equal the sum of clients receiving 16 to 30 min visits from the statutory and independent sectors, as some clients may have received domiciliary care from both sectors.
Clients may also have received domiciliary care visits lasting less than 16 minutes or more than 30 minutes.

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Figure 16a above shows that of the 5,477 clients who received 16 to 30 minute domiciliary care visits from the statutory sector, just under half (47%) received between 6 and 12. Just over one fifth (22%) received between 13 and 20, just under one fifth (18%) received 20 or more, and almost 1 in 8 (13%) received between 1 and 5 visits. All of which were between 16 and 30 minutes.

Figure 16b above shows that of the 13,208 clients who received 16 to 30 minute domiciliary care visits from the independent sector, just over one third (34%) received 20 or more. Approximately one third (33%) received between 6 and 12, just over one quarter (26%) received between 13 and 20 and approximately 1 in 15 (7%) received between 1 and 5. All of these visits were between 16 and 30 minutes.

For a breakdown of clients who received domiciliary care visits by sector, length of visit, number of visits and HSC Trust, see Table 20 and Table 22 in the Appendix.

Percentage of visits lasting more than 30 minutes

Of the 77,994 domiciliary care visits made lasting more than 30 minutes during the survey week in 2022, just under two fifths (37%) were provided by the statutory sector and just under two thirds (63%) were provided by the independent sector, as shown in Figure 17 below.

Figure 17: Percentage of domiciliary care visits lasting more than 30 minutes, by sector (2022)

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For a breakdown of clients who received domiciliary care visits by sector, length of visit, number of visits and HSC Trust, see Table 20 and Table 22 in the Appendix.

5. Domiciliary care service intensity

Number of clients by number of visits (2018 to 2022)

During the survey week in 2022, of all the clients receiving domiciliary care services, just over 9 in 10 (91%) received 6 or more visits; approximately 1 in 15 (7%) received 2 to 5 visits, while a small proportion (2%) received one visit.

Figure 18 below shows that since the survey in 2018, the number of clients receiving 6 or more visits during the survey week had increased until 2019, and although this figure decreased in 2020, it has returned to prior levels in 2021 and 2022, while the number of clients receiving two to five visits and one visit has decreased since 2018.

Figure 18: Number of clients receiving domiciliary care services by number of visits (2018 to 2022)

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Percentage of clients by number of contact hours received and HSC Trust

Figure 19 below shows that just over one fifth (22%) of all clients receiving domiciliary care services in the South Eastern HSC Trust received 20 hours or more, compared with approximately 1 in 10 (10%) of all clients in the Northern HSC Trust.

Approximately two fifths (40%) clients in the Western HSC Trust received less than 5 hours of domiciliary care during the survey week compared with almost one quarter (24%) of all clients in the South Eastern HSC Trust.

Figure 19: Percentage of clients receiving domiciliary care services by number of contact hours received and HSC trust (2022)

Note: Components may not add to totals due to rounding.

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For a breakdown of clients receiving domiciliary care by number of visits, contact hours, sector and HSC Trust see Table 25, Table 26 and Table 29 in the Appendix.

6. Clients receiving intensive domiciliary care

For the purposes of this survey, an intensive domiciliary care service is defined as 6 or more visits and more than 10 hours during the survey week

Number of clients by sector (2018 to 2022)

During the survey week in 2022, 9,453 clients received intensive domiciliary care services, a decrease of -4% compared to the survey week in 2021 (9,843). Clients receiving intensive domiciliary care services accounted for just over two fifths (42%) of all 22,575 clients receiving domiciliary care, a decrease compared to the proportion in the 2021 survey (43%).

Between the survey weeks in 2018 and 2022, the number of clients receiving intensive domiciliary care services from the statutory sector increased by 2% (48) while those receiving intensive domiciliary care services from the independent sector increased by 10% (655), as shown in Figure 20 below.

Note: The number of clients receiving intensive domiciliary care services from the statutory and independent sectors may not sum to the total for Northern Ireland, because clients may be receiving services from both sectors. Similarly, a number of clients may become an intensive case if the number of domiciliary care contact hours and visits from both sectors are totalled.

Figure 20: Number of clients receiving intensive domiciliary care services by sector (2018 to 2022)

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For a trend breakdown (2020 to 2022) of clients receiving intensive domiciliary care by sector and HSC Trust, see Table 30 in the Appendix.

Number of clients by client group

During the survey week in 2022, approximately four fifths (80%) were in the elderly client group, approximately 1 in 9 (11%) had a physical disability, almost 1 in 15 (6%) had a learning disability, and approximately 1 in 30 (3%) had mental health needs. A small proportion (less than 1%) of other clients received intensive domiciliary care services (see Figure 21). These proportions are similar to those reported in the 2020 and 2021 surveys.

Figure 21: Proportion of clients receiving intensive domiciliary care services, by client group (2022)

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For a breakdown of clients receiving intensive domiciliary care by client group and HSC Trust, see Table 31 in the Appendix.

Percentage of clients by age group and HSC Trust

During the survey week in 2022, just under 6 in 7 (84%) of clients receiving intensive domiciliary care services were aged 65 and over, with approximately 1 in 6 (16%) of clients aged 18 to 64, as shown in Figure 22 below. These proportions are similar to those reported in the 2020 and 2021 surveys.

Figure 22: Percentage of clients receiving intensive domiciliary care services by age group (2022)

Note: Individual categorical elements may not sum to the total value, as the age and client group of some of the clients are unknown.

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Across HSC Trusts, the proportion of clients aged 65 and over receiving intensive domiciliary care services ranged from just under 9 in 10 (89%) in the Southern Trust to approximately three quarters (75%) in the Belfast HSC Trust.

For a breakdown of clients receiving intensive domiciliary care by age group and HSC Trust, see Table 32 and Table 33 in the Appendix.

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Glossary

Domiciliary care

Domiciliary care is defined as the range of services put in place to support an individual in their own home. In essence, the provision of personal care and associated domestic services necessary to maintain an individual in a mutually agreed measure of health, hygiene, dignity, safety and ease in their home.

This includes:

• Traditional home help services, including home help services provided by the voluntary sector which were commissioned by HSC Trusts

• Overnight, live-in, and 24 hour services

• Services which assist the client to function as independently as possible and or continue to live in their own homes. For example:

  • routine household tasks within or outside the home
  • personal care of the client
  • shopping

• Domiciliary care services must include three key elements:

  • provision must be in or centred on the client’s own home
  • some definite manual activity and or social or emotional support is involved, and
  • service must be funded wholly or partly by the Social Services Department

• Home care provided in sheltered or supported housing, although this should not include care provided as part of the sheltered housing package (e.g. services provided by the warden or sheltered housing staff)

Social or emotional support

Social or emotional support in most cases is delivered on a regular schedule, as part of the Trust’s domiciliary care ordering service; i.e. home care specifically for older people with dementia, or some mental health clients to ensure that they for example take tables, eat or don’t walk out of the house.

In some Trusts this has always been regarded as ‘traditional’ home care but this is not consistently applied across the region. Social or emotional support does not include a ‘casual, drop-in’ type service where a care manager may ‘drop in’ to see how a client is getting on.

Contact hours

Contact hours refers to the number of hours staff are in contact with or directly serving the client, excluding travel time, during the survey week.

Intensive domiciliary care

For the purposes of this survey, an intensive domiciliary care service is defined as 6 or more visits and more than 10 contact hours during the survey week.

Times when care provided

Normal hours refers to domiciliary care services provided during office hours or the normal working day. The normal working day should be counted as 8am to 6pm.

Out of hours refers to services which are provided outside of the normal working day.

Overnight services refer to night sitting services which are carried out on a regular or adhoc basis

Live-in services refer to where the care worker lives, either permanently or temporarily, in the home of the client, working for the HSC Trust directly or under contract. Exclude informal care arrangements with relatives or friends.

24 hour services refer to round the clock domiciliary care services provided by several workers on a shift basis.

Measuring the data

Domiciliary care

Domiciliary care is defined as the range of services put in place to support an individual in their own home. Services may involve routine household tasks within or outside the home, personal care of the client and other associated domestic services necessary to maintain an individual in an acceptable level of health, hygiene, dignity, safety and ease in their home. ‘People First’, the Department of Health’s (DoH) vision for community care was published in 1993 with six core objectives, including the development of domiciliary care services to enable more people to continue to live in their own homes. When introduced, it focused solely on ‘care management’ cases; although, over time the interpretation of the term ‘care management’ deviated, with a wide variance established across the legacy HSS Trusts. These differing interpretations were highlighted further during the Review of Public Administration (RPA) when HSS Trusts were merged into the current Health and Social Care (HSC) Trust areas. In addition, as the data collection process at that time focused only on ‘care managed’ cases, a substantial number of people receiving less complex domiciliary care packages were not being counted. To rectify inconsistencies with information on domiciliary care, the DoH discontinued the collection of domiciliary care via the CC7 statistical return from 30 September 2007, and introduced a new statistical return, CC7b, in 2008 that would provide a comprehensive picture of all domiciliary care services provided in the community, regardless of their complexity. For 2021, information collected on the CC7b return related to the survey week, 4 to 10 September 2022. The survey gathered information on the number of contact hours of domiciliary care provided, the number of clients receiving these services, the number of domiciliary care visits provided and the length of these visits during the survey week, broken down by sector providing the service and HSC Trust. The DoH would like to sincerely thank all HSC Trust staff who assisted in the provision of this information.

COVID-19 impact on domiciliary care

Health & Social Care (HSC) Trusts have reported changes to their provision of domiciliary care packages from 2020 onward due to the impact of COVID-19. The following list of points indicate the background to these changes and may apply to all, or only a single HSC Trust. It is not possible to apportion specific issues to specific changes in reported provision.

• Domiciliary care continued to be provided during the COVID-19 pandemic, however some domiciliary care packages were suspended at various stages to reduce the risk of contact and transmission of the virus.
• While many packages were recommenced after suspension, it was indicated previously that some families terminated packages themselves with the intention that they will be reinstated after the pandemic.
• Some new domiciliary care referrals and assessments may have been delayed due to staff shortages. Earlier in the COVID-19 pandemic it was also indicated that some new domiciliary care packages due to commence were declined due to concerns about the risks of contact with staff. Additionally, where deemed safe and where possible, it was previously indicated that some service users were taken to stay and be cared for in family homes during the course of the pandemic.
• Increased domiciliary care provision has been required where individuals have not been able to attend other forms of care or visit with family due to COVID-19 restrictions. Increased domiciliary care provision has also been required to support discharges from hospital where interim residential care would usually be provided, as this service has been limited by the impact of COVID-19 restrictions and isolation measures.
• Some domiciliary care providers have experienced COVID-19 related staffing shortages, in terms of recruitment, and absence periods, which led to changes in service provision. For example, in some cases reconfiguring service provision across geographical areas, prioritising service users or amalgamating visits was needed.
• Statutory and independent sector domiciliary care providers have liaised closely with the Trusts to maintain service provision and some independent providers have taken on increased provision. Some staff employed in Trusts services which have been affected by COVID-19 restriction e.g. day care services, have been redeployed into independent sector domiciliary care roles. In other instances HSC Trusts have taken on packages normally dealt with by the independent sector to ensure coverage was met.

Data collection

The information presented in this publication derives from the CC7b survey on domiciliary care services provided for adults in Northern Ireland. Completed surveys were provided by each of the five HSC Trusts in Northern Ireland to Community Information Branch (CIB) in the Department of Health, Social Services & Public Safety. In 2022, the CC7b survey covered the period 4 to 10 September 2022 inclusive. It gathered information on the number of domiciliary care contact hours provided, the number of clients receiving domiciliary care, the number of domiciliary care visits provided and the number of clients receiving 15 minute domiciliary care visits during the survey week.

The CC7b information return together with the associated guidance note can be found (‘https://www.health-ni.gov.uk/publications/domiciliary-care-survey-template-and-guidance’).

Data quality

On receipt of CC7b information returns from each HSC Trust, statisticians in CIB conduct internal consistency checks. They also use historical data to monitor annual variations and/or emerging trends, both regionally and across HSC Trusts. Queries arising from validation checks are presented to HSC Trusts for clarification and if required returns may be amended and re-submitted. The HSC Trusts are also asked to provide appropriate explanations for any inconsistent or missing information. Only data deemed to be of sufficient quality have been published.

Data changes

Since the CC7b information return was introduced in 2008, a breakdown of information by client group and age group was requested from the HSC Trusts only for clients receiving intensive domiciliary care services. From 2014, HSC Trusts are also required to provide a breakdown of client group and age group for all clients receiving domiciliary care (see Table 3D in the Appendix). Due to an increased information need, a number of questions were added to the 2015 CC7b information return to capture information on the provision of 15 minute domiciliary care visits (see Tables 4 to 7B in Appendix D).

Amendments

The cut-off point for amendments to data was 9 January 2023. Any amendment notified by HSC Trusts after this date will not have been included.

Disclosure conventions

Our policy statement on disclosure and confidentiality can be found in the DoH Statistics Charter on our website.

Rounding conventions

Percentages have been rounded to whole numbers and as a consequence some percentages may not sum to 100. 0% may reflect rounding down of values under 0.

Revisions policy

These data are revised by exception. If revisions are required, background circumstances are reported and revision dates are noted in subsequent publications of these series of statistics. The general revisions policy for Official Statistics produced by the DoH can be found in the DoH Statistics Charter on our website.

Statement of administrative sources

A detailed Statement of Administrative Sources is available on our website. This statement describes the administrative/ management sources which the DOH currently uses to produce official statistics, or which have the potential to be so used.

Future publications

The next release of these statistics, for a survey week in September 2023, is scheduled for December 2023.

User information

Target audience

Social Services Directors, Directors of Adult’s Services, Chief Executives of HSC Board and Trusts in Northern Ireland, health care professionals, academics and social care stakeholders.

Main uses of document

Data presented in this publication helps to meet the information needs of a wide range of internal and external users. Within DoH these figures are used to monitor the delivery of domiciliary care services to adults, to help assess HSC Trust performance, for corporate monitoring, to inform and monitor related policy, for Ministerial briefing and to respond to Private Office enquiries and parliamentary/assembly questions.

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This publication is Crown copyright and may be reproduced free of charge in any format or medium. Any material used must be acknowledged, and the title of the publication specified.

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Statistics and research for the Department of Health is provided by the Information and Analysis Directorate (IAD). IAD is responsible for compiling, processing, analysing, interpreting and disseminating a wide range of statistics covering health and social care.

The statisticians within IAD are outposted from the Northern Ireland Statistics & Research Agency (NISRA) and the statistics are produced in accordance with the principles and protocols set out in the Code of Practice for Official Statistics.

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Appendix

Additional tables

Please note tables have been reformatted from previous publications. Tables 1 to 3 correspond to Table 1 in publications prior to 2021.

Table 1: Estimated number of domiciliary care contact hours provided, by sector and HSC Trust (2020)

Notes: Components may not add to totals due to rounding

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	7,673	17	38,090	83	45,763
Northern	23,445	39	36,083	61	59,528
South Eastern	16,467	21	62,578	79	79,045
Southern	21,670	38	35,463	62	57,133
Western	6,332	17	31,178	83	37,510
Northern Ireland	75,587	27	203,392	73	278,979

Table 2: Estimated number of domiciliary care contact hours provided, by sector and HSC Trust (2021)

Notes: Components may not add to totals due to rounding

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	7,613	15	41,532	85	49,145
Northern	23,651	38	39,206	62	62,857
South Eastern	17,708	21	68,610	79	86,318
Southern	24,916	41	36,328	59	61,244
Western	7,106	18	33,154	82	40,260
Northern Ireland	80,994	27	218,830	73	299,824

Table 3: Estimated number of domiciliary care contact hours provided, by sector and HSC Trust (2022)

Notes: Components may not add to totals due to rounding

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	7,539	15	43,587	85	51,126
Northern	22,821	37	38,365	63	61,186
South Eastern	20,681	24	66,632	76	87,313
Southern	24,930	42	33,736	58	58,666
Western	6,796	18	31,380	82	38,176
Northern Ireland	82,767	28	213,700	72	296,467

Table 4: Average number of domiciliary care contact hours provided per client, by sector and HSC Trust (2020 to 2022)

Select the tab to view data by sector or by year.

T4 2020

Statutory and independent figures were revised in February 2021

HSC Trust	Statutory 2020	Independent 2020	All sectors 2020
Belfast	5.0	11.6	10.8
Northern	12.3	10.6	12.2
South Eastern	13.3	15.3	15.6
Southern	13.1	14.1	14.2
Western	6.4	11.1	11.5
Northern Ireland	10.3	12.6	13.0

T4 2021

Statutory and independent figures were revised in February 2021

HSC Trust	Statutory 2021	Independent 2021	All sectors 2021
Belfast	5.3	12.2	11.6
Northern	12.4	10.8	12.3
South Eastern	14.2	15.8	16.2
Southern	12.1	13.0	13.2
Western	6.8	11.3	12.0
Northern Ireland	10.5	12.8	13.2

T4 2022

Statutory and independent figures were revised in February 2021

HSC Trust	Statutory 2022	Independent 2022	All sectors 2022
Belfast	5.4	12.7	12.0
Northern	12.9	10.8	12.3
South Eastern	18.3	15.3	16.5
Southern	12.0	12.4	12.7
Western	5.7	11.0	11.1
Northern Ireland	10.9	12.6	13.1

T4 Statutory

Statutory and independent figures were revised in February 2021

HSC Trust	Statutory 2020	Statutory 2021	Statutory 2022
Belfast	5.0	5.3	5.4
Northern	12.3	12.4	12.9
South Eastern	13.3	14.2	18.3
Southern	13.1	12.1	12.0
Western	6.4	6.8	5.7
Northern Ireland	10.3	10.5	10.9

T4 Independent

Statutory and independent figures were revised in February 2021

HSC Trust	Independent 2020	Independent 2021	Independent 2022
Belfast	11.6	12.2	12.7
Northern	10.6	10.8	10.8
South Eastern	15.3	15.8	15.3
Southern	14.1	13.0	12.4
Western	11.1	11.3	11.0
Northern Ireland	12.6	12.8	12.6

T4 All sectors

Statutory and independent figures were revised in February 2021

HSC Trust	All sectors 2020	All sectors 2021	All sectors 2022
Belfast	10.8	11.6	12.0
Northern	12.2	12.3	12.3
South Eastern	15.6	16.2	16.5
Southern	14.2	13.2	12.7
Western	11.5	12.0	11.1
Northern Ireland	13.0	13.2	13.1

Table 5: Number of domiciliary care contact hours provided, by sector and times when care provided (2020)

Note: Components may not add to totals due to rounding

Time when care provided	Statutory hours	Statutory %	Independent hours	Independent %	All sectors hours
Normal	56,195	29	135,945	71	192,140
Out of hours	18,389	26	52,951	74	71,340
Overnight, live in & 24 hour services	1,003	6	14,496	94	15,499
Total	75,587	27	203,392	73	278,979

Table 6: Number of domiciliary care contact hours provided, by sector and times when care provided (2021)

Note: Components may not add to totals due to rounding

Time when care provided	Statutory hours	Statutory %	Independent hours	Independent %	All sectors hours
Normal	59,709	29	145,544	71	205,253
Out of hours	19,739	27	54,693	73	74,432
Overnight, live in & 24 hour services	1,546	8	18,593	92	20,139
Total	80,994	27	218,830	73	299,824

Table 7: Number of domiciliary care contact hours provided, by sector and times when care provided (2022)

Note: Components may not add to totals due to rounding

Time when care provided	Statutory hours	Statutory %	Independent hours	Independent %	All sectors hours
Normal	60,468	30	141,007	70	201,475
Out of hours	19,720	26	55,015	74	74,735
Overnight, live in & 24 hour services	2,579	13	17,678	87	20,257
Total	82,767	28	213,700	72	296,467

Table 8: Percentage of domiciliary care contact hours provided, by sector and times when care provided (2020 to 2022)

Note: Components may not add to totals due to rounding
Select the tab to view data by year or by sector.

T8a 2020

Time when care provided	Statutory 2020	Independent 2020	All sectors 2020
Normal	74	67	69
Out of hours	24	26	26
Overnight, live in & 24 hour services	1	7	6

T8b 2021

Time when care provided	Statutory 2021	Independent 2021	All sectors 2021
Normal	74	67	68
Out of hours	24	25	25
Overnight, live in & 24 hour services	2	8	7

T8c 2022

Time when care provided	Statutory 2022	Independent 2022	All sectors 2022
Normal	73	66	68
Out of hours	24	26	25
Overnight, live in & 24 hour services	3	8	7

T8d statutory

Time when care provided	Statutory 2020	Statutory 2021	Statutory 2022
Normal	74	74	73
Out of hours	24	24	24
Overnight, live in & 24 hour services	1	2	3

T8e independent

Time when care provided	Independent 2020	Independent 2021	Independent 2022
Normal	67	67	66
Out of hours	26	25	26
Overnight, live in & 24 hour services	7	8	8

T8f all sectors

Time when care provided	All sectors 2020	All sectors 2021	All sectors 2022
Normal	69	68	68
Out of hours	26	25	25
Overnight, live in & 24 hour services	6	7	7

Table 9: Number of clients receiving domiciliary care services, by sector and HSC Trust (2020 to 2022)

Note: Total clients figures exclude double counting.
Select a tab to view the data by year or sector

T9 2020

HSC Trust	Statutory 2020	Independent 2020	Both sectors 2020	Total clients 2020
Belfast	1,545	3,289	616	4,218
Northern	1,904	3,392	398	4,898
South Eastern	1,240	4,095	259	5,076
Southern	1,656	2,520	150	4,026
Western	994	2,797	518	3,273
Northern Ireland	7,339	16,093	1,941	21,491

T9 2021

HSC Trust	Statutory 2021	Independent 2021	Both sectors 2021	Total clients 2021
Belfast	1,435	3,411	595	4,251
Northern	1,908	3,615	420	5,103
South Eastern	1,250	4,338	266	5,322
Southern	2,054	2,788	188	4,654
Western	1,039	2,925	601	3,363
Northern Ireland	7,686	17,077	2,070	22,693

T9 2022

HSC Trust	Statutory 2022	Independent 2022	Both sectors 2022	Total clients 2022
Belfast	1,386	3,441	552	4,275
Northern	1,772	3,557	350	4,979
South Eastern	1,128	4,364	213	5,279
Southern	2,077	2,719	193	4,603
Western	1,199	2,864	624	3,439
Northern Ireland	7,562	16,945	1,932	22,575

T9 Statutory

Clients receiving domiciliary care from the statutory sector

HSC Trust	Statutory 2020	Statutory 2021	Statutory 2022
Belfast	1,545	1,435	1,386
Northern	1,904	1,908	1,772
South Eastern	1,240	1,250	1,128
Southern	1,656	2,054	2,077
Western	994	1,039	1,199
Northern Ireland	7,339	7,686	7,562

T9 Independent

Clients receiving domiciliary care from the independent sector

HSC Trust	Independent 2020	Independent 2021	Independent 2022
Belfast	3,289	3,411	3,441
Northern	3,392	3,615	3,557
South Eastern	4,095	4,338	4,364
Southern	2,520	2,788	2,719
Western	2,797	2,925	2,864
Northern Ireland	16,093	17,077	16,945

T9 Both

Clients receiving domiciliary care from both sectors

HSC Trust	Both 2020	Both 2021	Both 2022
Belfast	616	595	552
Northern	398	420	350
South Eastern	259	266	213
Southern	150	188	193
Western	518	601	624
Northern Ireland	1,941	2,070	1,932

T9 Total

Total clients receiving domiciliary care excluding double counting

HSC Trust	Total 2020	Total 2021	Total 2022
Belfast	4,218	4,251	4,275
Northern	4,898	5,103	4,979
South Eastern	5,076	5,322	5,279
Southern	4,026	4,654	4,603
Western	3,273	3,363	3,439
Northern Ireland	21,491	22,693	22,575

Table 10: Number of clients receiving domiciliary care services, by client group and HSC Trust (2022)

Note: [s] indicates counts suppressed to avoid disclosure of personal data

Client group	Belfast	Northern	South Eastern	Southern	Western	Northern Ireland
Elderly	3,145	4,228	4,189	3,694	2,781	18,037
Physical under 65	525	464	463	438	397	2,287
Physical over 65	48	[s]	118	42	[s]	219
Learning disabled under 65	202	92	369	163	95	921
Learning disabled over 65	52	[s]	60	52	[s]	231
Mental health under 65	227	50	62	54	25	418
Mental health over 65	68	96	18	142	97	421
Other under 65	8	6	0	18	9	41
Total under 65	962	612	894	673	526	3,667
Total over 65	3,313	4,367	4,385	3,930	2,913	18,908
Totals	4,275	4,979	5,279	4,603	3,439	22,575

Table 11: Number of clients receiving domiciliary care services, by client group (2022)

Notes: Components may not add to totals due to rounding

Client group	Number of Clients	% of total clients
Aged 18 to 64	3,667	16
Client with a physical disability (aged 18 to 64)	2,287	10
Client with a learning disability (aged 18 to 64)	921	4
Client with mental health needs (aged 18 to 64)	418	2
Other (age 18 to 64)	41	[u]
Aged 65 and over	18,908	84
Total	22,575	100

Table 12: Number of clients receiving domiciliary care services, by age group and HSC Trust (2022)

HSC Trust	18 to 64	65 and over
Belfast	962	3,313
Northern	612	4,367
South Eastern	894	4,385
Southern	673	3,930
Western	526	2,913
Northern Ireland	3,667	18,908

Table 13: Number of clients receiving domiciliary care services per 10,000 population aged 18 & over, by sector and HSC Trust (2020 to 2022)

Notes:
Information is based on the population aged 18 & over within each HSC Trust (Source: Mid-Year Population Estimates, NISRA). Note that information for 2020 to 2022 use 2020 mid-year population estimate as 2021 data was not yet available at date of publication.
Figures presented for ‘All Sectors’ are derived from the sum of those clients receiving domiciliary care from the statutory sector (Table 2A of the CC7b return) and those clients receiving domiciliary care from the independent sector (Table 2B of the CC7b return).
They therefore include double counting of clients and differ from the total number of clients receiving domiciliary care presented in Table 9.
Rates per 10,000 population aged 18 & over.
Click the tab to view data by sector

T13 statutory

HSC Trust	Statutory 2020	Statutory 2021	Statutory 2022	Statutory % change 2021 to 2022
Belfast	54.8	50.9	49.2	-3
Northern	51.3	51.4	47.8	-7
South Eastern	43.9	44.3	39.9	-10
Southern	57.3	71.0	71.8	1
Western	43.2	45.2	52.1	15
Northern Ireland	50.5	52.8	52.0	-2

T13 independent

HSC Trust	Independent 2020	Independent 2021	Independent 2022	Independent % change 2021 to 2022
Belfast	116.7	121.1	122.1	1
Northern	91.5	97.5	95.9	-2
South Eastern	145.0	153.6	154.5	1
Southern	87.1	96.4	94.0	-2
Western	121.6	127.1	124.5	-2
Northern Ireland	110.7	117.4	116.5	-1

T13 all sectors

HSC Trust	All sectors 2020	All sectors 2021	All sectors 2022	All sectors % change 2021 to 2022
Belfast	171.6	172.0	171.3	0
Northern	142.8	148.9	143.7	-4
South Eastern	188.9	197.8	194.4	-2
Southern	144.4	167.4	165.8	-1
Western	164.8	172.3	176.6	2
Northern Ireland	161.1	170.3	168.5	-1

Table 14: Number of domiciliary care visits provided, by sector and HSC Trust (2022)

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	18,967	17	92,096	83	111,063
Northern	37,879	28	97,360	72	135,239
South Eastern	20,354	16	110,875	84	131,229
Southern	41,905	43	55,007	57	96,912
Western	13,766	18	63,299	82	77,065
Northern Ireland	132,871	24	418,637	76	551,508

Table 15: Number of domiciliary care visits provided, by sector and HSC Trust (2022). Length of visit is 15 minutes or less

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	9,567	19	40,096	81	49,663
Northern	21,063	29	52,158	71	73,221
South Eastern	6,384	18	28,153	82	34,537
Southern	1,656	15	9,682	85	11,338
Western	953	26	2,780	74	3,733
Northern Ireland	39,623	23	132,869	77	172,492

Table 16: Number of domiciliary care visits provided, by sector and HSC Trust (2022). Length of visit is 16 to 30 minutes

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	8,273	16	43,875	84	52,148
Northern	14,227	26	39,560	74	53,787
South Eastern	12,101	15	69,076	85	81,177
Southern	19,805	40	29,951	60	49,756
Western	9,844	15	54,310	85	64,154
Northern Ireland	64,250	21	236,772	79	301,022

Table 17: Number of domiciliary care visits provided, by sector and HSC Trust (2022). Length of visit is more than 30 minutes

HSC Trust	Statutory	Statutory %	Independent	Independent %	All sectors
Belfast	1,127	12	8,125	88	9,252
Northern	2,589	31	5,642	69	8,231
South Eastern	1,869	12	13,646	88	15,515
Southern	20,444	57	15,374	43	35,818
Western	2,969	32	6,209	68	9,178
Northern Ireland	28,998	37	48,996	63	77,994

Table 18: Number of clients receiving domiciliary care services; visits provided by length of visit and HSC Trust (2022)

HSC Trust	15 mins or less	15 mins or less %	16 to 30 mins	16 to 30 mins %	More than 30 mins	More than 30 mins %	All visits
Belfast	49,663	45	52,148	47	9,252	8	111,063
Northern	73,221	54	53,787	40	8,231	6	135,239
South Eastern	34,537	26	81,177	62	15,515	12	131,229
Southern	11,338	12	49,756	51	35,818	37	96,912
Western	3,733	5	64,154	83	9,178	12	77,065
Northern Ireland	172,492	31	301,022	55	77,994	14	551,508

Table 19: Number of clients who received domiciliary care visits, by sector and HSC Trust (2022). Length of visit is 15 minutes or less

Note: Total column excludes double counting.

HSC Trust	Statutory	Independent	Total
Belfast	815	2,297	2,879
Northern	1,335	2,586	3,771
South Eastern	492	1,641	2,081
Southern	192	809	1,000
Western	109	221	330
Northern Ireland	2,943	7,554	10,061

Table 20: Number of clients who received domiciliary care visits by sector and HSC Trust (2022). Length of Visit is 16 to 30 minutes

Note: Total column excludes double counting.

HSC Trust	Statutory	Independent	Total
Belfast	866	2,308	3,007
Northern	1,328	2,731	3,961
South Eastern	836	3,309	4,067
Southern	1,531	2,183	3,666
Western	916	2,677	3,593
Northern Ireland	5,477	13,208	18,294

Table 21: Number of clients who received domiciliary care visits lasting less than 15 minutes, by sector, number of visits and HSC Trust (2022)

Note: [s] indicates counts suppressed to avoid disclosure of personal data
Click to view data by sector

T21 statutory

HSC Trust	Statutory 1 to 5 visits	Statutory 6 to 12 visits	Statutory 13 to 20 visits	Statutory 20 visits or more
Belfast	70	388	230	127
Northern	45	432	367	491
South Eastern	34	183	163	112
Southern	[s]	109	36	[s]
Western	[s]	81	16	[s]
Northern Ireland	194	1,193	812	744

T21 independent

HSC Trust	Independent 1 to 5 visits	Independent 6 to 12 visits	Independent 13 to 20 visits	Independent 20 visits or more
Belfast	92	569	770	866
Northern	64	565	591	1,366
South Eastern	49	380	626	586
Southern	82	309	275	143
Western	25	83	87	26
Northern Ireland	312	1,906	2,349	2,987

Table 22: Number of clients who received domiciliary care visits lasting 16 to 30 minutes, by sector, number of visits and HSC Trust (2022)

Click to view data by sector

T22 statutory

HSC Trust	Statutory 1 to 5 visits	Statutory 6 to 12 visits	Statutory 13 to 20 visits	Statutory 20 visits or more
Belfast	276	388	114	88
Northern	67	842	273	146
South Eastern	76	297	196	267
Southern	184	551	390	406
Western	83	522	206	105
Northern Ireland	686	2,600	1,179	1,012

T22 independent

HSC Trust	Independent 1 to 5 visits	Independent 6 to 12 visits	Independent 13 to 20 visits	Independent 20 visits or more
Belfast	205	762	544	797
Northern	96	1,380	710	545
South Eastern	200	811	854	1,444
Southern	209	736	680	558
Western	223	730	600	1,124
Northern Ireland	933	4,419	3,388	4,468

Table 23: Number of clients receiving domiciliary care services, by number of visits and contact hours (2020)

Notes: Components may not add to totals due to rounding
[s] indicates counts suppressed to avoid disclosure of personal data

Total number of contact hours	1 visit	2 to 5 visits	6 or more visits	1 or more visits
Less than 5 hours	579	1,206	5,580	7,365
5 hours to less than 10 hours	38	183	7,118	7,339
10 hours to less than 20 hours	[s]	[s]	4,867	5,002
20 hours or more	[s]	[s]	3,648	3,726
Total	625	1,594	21,213	23,432

Table 24: Number of clients receiving domiciliary care services, by number of visits and contact hours (2021)

Notes: Components may not add to totals due to rounding
[s] indicates counts suppressed to avoid disclosure of personal data

Total number of contact hours	1 visit	2 to 5 visits	6 or more visits	1 or more visits
Less than 5 hours	524	1,163	5,662	7,349
5 hours to less than 10 hours	29	204	6,717	6,950
10 hours to less than 20 hours	[s]	[s]	6,030	6,228
20 hours or more	[s]	[s]	4,169	4,236
Total	584	1,601	22,578	24,763

Table 25: Number of clients receiving domiciliary care services, by number of visits and contact hours (2022)

Notes: Components may not add to totals due to rounding
[s] indicates counts suppressed to avoid disclosure of personal data

Total number of contact hours	1 visit	2 to 5 visits	6 or more visits	1 or more visits
Less than 5 hours	536	1,174	5,690	7,400
5 hours to less than 10 hours	48	235	7,413	7,696
10 hours to less than 20 hours	[s]	[s]	5,159	5,325
20 hours or more	[s]	[s]	4,013	4,086
Total	598	1,634	22,275	24,507

Table 26: Number of clients receiving domiciliary care services, by contact hours provided and HSC Trust (2022)

Notes: In these groupings the categories are more than the lower figure and include the higher figure. For example, 5 to 10 means more than 5 and up to and including 10. Components may not add to totals due to rounding
The total figures in this table will differ to those in Tables 9 and 10 as the double counting of clients receiving domiciliary care from both statutory and independent services have not been excluded.
Click to view hours or percentages

T26 hours

HSC Trust	0 to 5 hours	5 to 10 hours	10 to 20 hours	Over 20 hours	Total
Belfast	1,791	1,355	835	846	4,827
Northern	1,504	2,211	1,063	551	5,329
South Eastern	1,291	1,631	1,366	1,204	5,492
Southern	1,194	1,376	1,266	960	4,796
Western	1,620	1,123	795	525	4,063
Northern Ireland	7,400	7,696	5,325	4,086	24,507

T26 percent

HSC Trust	0 to 5 hours %	5 to 10 hours %	10 to 20 hours %	Over 20 hours %
Belfast	37	28	17	18
Northern	28	41	20	10
South Eastern	24	30	25	22
Southern	25	29	26	20
Western	40	28	20	13
Northern Ireland	30	31	22	17

Notes for Tables 27 to 29

Figures presented in Tables 27 to 29 for ‘All sectors’ are derived from the sum of those clients receiving domiciliary care from the statutory sector (Table 2A of the CC7b return) and those clients receiving domiciliary care from the independent sector (Table 2B of the CC7b return). They therefore include double counting of clients and differ from the total number of clients receiving domiciliary care presented in Table 9 of this publication.

Table 27: Number of clients receiving domiciliary care services, by sector, contact hours provided and HSC Trust (2020)

Click the tabs to view data by sector

T27a statutory

HSC Trust	Statutory less than 5 hours	Statutory 5 hours to less than 10 hours	Statutory 10 hours to less than 20 hours	Statutory 20 hours or more
Belfast	995	403	86	61
Northern	650	801	335	118
South Eastern	486	421	214	119
Southern	473	421	461	301
Western	520	294	146	34
Northern Ireland	3,124	2,340	1,242	633

T27b independent

HSC Trust	Independent less than 5 hours	Independent 5 hours to less than 10 hours	Independent 10 hours to less than 20 hours	Independent 20 hours or more
Belfast	992	953	688	656
Northern	901	1,336	695	460
South Eastern	923	1,173	1,086	913
Southern	553	749	625	593
Western	872	788	666	471
Northern Ireland	4,241	4,999	3,760	3,093

T27c all sectors

HSC Trust	All sectors less than 5 hours	All sectors 5 hours to less than 10 hours	All sectors 10 hours to less than 20 hours	All sectors 20 hours or more
Belfast	1,987	1,356	774	717
Northern	1,551	2,137	1,030	578
South Eastern	1,409	1,594	1,300	1,032
Southern	1,026	1,170	1,086	894
Western	1,392	1,082	812	505
Northern Ireland	7,365	7,339	5,002	3,726

Table 28: Number of clients receiving domiciliary care services, by sector, contact hours provided and HSC Trust (2021)

Click the tabs to view data by sector

T28a statutory

HSC Trust	Statutory less than 5 hours	Statutory 5 hours to less than 10 hours	Statutory 10 hours to less than 20 hours	Statutory 20 hours or more
Belfast	912	358	95	70
Northern	671	802	325	110
South Eastern	439	410	275	126
Southern	524	559	583	388
Western	514	322	156	47
Northern Ireland	3,060	2,451	1,434	741

T28b independent

HSC Trust	Independent less than 5 hours	Independent 5 hours to less than 10 hours	Independent 10 hours to less than 20 hours	Independent 20 hours or more
Belfast	978	946	749	738
Northern	943	783	1,402	487
South Eastern	870	1,165	1,204	1,099
Southern	616	797	722	653
Western	882	808	717	518
Northern Ireland	4,289	4,499	4,794	3,495

T28c all sectors

HSC Trust	All sectors less than 5 hours	All sectors 5 hours to less than 10 hours	All sectors 10 hours to less than 20 hours	All sectors 20 hours or more
Belfast	1,890	1,304	844	808
Northern	1,614	1,585	1,727	597
South Eastern	1,309	1,575	1,479	1,225
Southern	1,140	1,356	1,305	1,041
Western	1,396	1,130	873	565
Northern Ireland	7,349	6,950	6,228	4,236

Table 29: Number of clients receiving domiciliary care services, by sector, contact hours provided and HSC Trust (2022)

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T29a statutory

HSC Trust	Statutory less than 5 hours	Statutory 5 hours to less than 10 hours	Statutory 10 hours to less than 20 hours	Statutory 20 hours or more
Belfast	844	379	97	66
Northern	630	728	324	90
South Eastern	383	395	226	124
Southern	549	564	574	390
Western	707	311	139	42
Northern Ireland	3,113	2,377	1,360	712

T29b independent

HSC Trust	Independent less than 5 hours	Independent 5 hours to less than 10 hours	Independent 10 hours to less than 20 hours	Independent 20 hours or more
Belfast	947	976	738	780
Northern	874	1,483	739	461
South Eastern	908	1,236	1,140	1,080
Southern	645	812	692	570
Western	913	812	656	483
Northern Ireland	4,287	5,319	3,965	3,374

T29c all sectors

HSC Trust	All sectors less than 5 hours	All sectors 5 hours to less than 10 hours	All sectors 10 hours to less than 20 hours	All sectors 20 hours or more
Belfast	1,791	1,355	835	846
Northern	1,504	2,211	1,063	551
South Eastern	1,291	1,631	1,366	1,204
Southern	1,194	1,376	1,266	960
Western	1,620	1,123	795	525
Northern Ireland	7,400	7,696	5,325	4,086

Table 30: Number of clients receiving intensive domiciliary care services, by sector and HSC Trust (2020 to 2022)

Notes: The number of clients receiving intensive domiciliary care services from the statutory and independent sectors may not sum to the total for Northern Ireland, because clients may be receiving services from both sectors. Similarly, a number of clients may become an intensive case if the number of domiciliary care contact hours and visits from both sectors are totalled.
Click to view data by year or sector

T30a statutory

HSC Trust	Statutory 2020	Statutory 2021	Statutory 2022
Belfast	147	164	163
Northern	452	434	414
South Eastern	322	391	341
Southern	760	969	960
Western	180	203	181
Northern Ireland	1,861	2,161	2,059

T30b independent

HSC Trust	Independent 2020	Independent 2021	Independent 2022
Belfast	1,323	1,458	1,491
Northern	1,123	1,844	1,169
South Eastern	1,948	2,235	2,158
Southern	1,128	1,270	1,161
Western	1,132	1,231	1,134
Northern Ireland	6,654	8,038	7,113

T30c total clients

HSC Trust	Total clients 2020	Total clients 2021	Total clients 2022
Belfast	1,576	1,726	1,746
Northern	1,597	1,711	1,602
South Eastern	2,376	2,656	2,531
Southern	1,918	2,267	2,149
Western	1,428	1,483	1,425
Northern Ireland	8,895	9,843	9,453

T30d 2020

HSC Trust	Statutory 2020	Independent 2020	Total clients 2020
Belfast	147	1,323	1,576
Northern	452	1,123	1,597
South Eastern	322	1,948	2,376
Southern	760	1,128	1,918
Western	180	1,132	1,428
Northern Ireland	1,861	6,654	8,895

T30e 2021

HSC Trust	Statutory 2021	Independent 2021	Total clients 2021
Belfast	164	1,458	1,726
Northern	434	1,844	1,711
South Eastern	391	2,235	2,656
Southern	969	1,270	2,267
Western	203	1,231	1,483
Northern Ireland	2,161	8,038	9,843

T30f 2022

HSC Trust	Statutory 2022	Independent 2022	Total clients 2022
Belfast	163	1,491	1,746
Northern	414	1,169	1,602
South Eastern	341	2,158	2,531
Southern	960	1,161	2,149
Western	181	1,134	1,425
Northern Ireland	2,059	7,113	9,453

Notes for tables 31 to 33

Some shorthand is used in these tables: [s] indicates counts suppressed to avoid disclosure of personal data and [u] indicates values under 1%

Table 31: Number of clients receiving intensive domiciliary care services, by client group and HSC Trust (2022)

Client group	Belfast	Northern	South Eastern	Southern	Western	Northern Ireland
Elderly	1,263	1,311	1,987	1,815	1,180	7,556
Physical under 65	229	199	186	176	158	948
Physical over 65	13	[s]	54	14	[s]	85
Learning disabled under 65	85	33	243	46	35	442
Learning disabled over 65	19	[s]	[s]	24	10	103
Mental health under 65	[s]	9	19	17	[s]	157
Mental health over 65	23	39	[s]	52	[s]	152
Other under 65	[s]	0	0	5	[s]	10
Total under 65	428	241	448	244	196	1,557
Total over 65	1,318	1,361	2,083	1,905	1,229	7,896
Total	1,746	1,602	2,531	2,149	1,425	9,453

Table 32: Number of clients receiving intensive domiciliary care services, by age group and client group (2020 to 2022)

Client group	2020	2020 %	2021	2021 %	2022	2022 %
Aged 18 to 64	1,499	17	1,618	16	1,557	16
Client with a physical disability	939	11	1,032	10	948	10
Client with a learning disability	400	4	418	4	442	5
Client with mental health needs	[s]	2	157	2	157	2
Clients with no material handicap	[s]	[u]	11	[u]	10	[u]
Aged 65 and over	7,391	83	8,223	84	7,896	84
Total	8,890	100	9,841	100	9,453	100

Table 33: Number of clients receiving intensive domiciliary care services, by age group and HSC Trust (2020 to 2022)

HSC Trust	2020 aged 18 to 64	2020 aged 65 and over	2021 aged 18 to 64	2021 aged 65 and over	2022 aged 18 to 64	2022 aged 65 and over
Belfast	394	1,182	394	1,332	428	1,318
Northern	238	1,354	271	1,438	241	1,361
South Eastern	442	1,934	472	2,184	448	2,083
Southern	239	1,679	284	1,983	244	1,905
Western	186	1,242	197	1,286	196	1,229
Northern Ireland	1,499	7,391	1,618	8,223	1,557	7,896