Consultation: Review of ASCOF indicators 1E and 1F

We need your help in reviewing the Adult Social Care Outcomes Framework (ASCOF) indicators. There is widespread disatisfaction with indicators 1E and 1F which caculate employment rates for people with learning disabilities and mental health needs respectively. BASE has raised the issue several times as we feel there is a lack of consistency in calculating the figures across local authorities, meaning it's difficult to benchmark performance across authorities. Now ADASS is taking a look at the indicators and we want to work with them to suggest suitable alternative definitions.

The latest Employment Rates for People with Disabilities 2018/19 show a wide variation in reported rates from 0.2% to 25.6% for Indicator 1E. The current definition means that someone who moves from day services to employment might not be included in the figures for subsequent years. Similarly, someone who no longer needs to use secondary mental heath services because they are employed would not continue to be counted because they are now supported through primary care.

The 2018-19 Definitions Handbook is attached below. Please send us your views and suggested wording to admin@base-uk.org by 16 January 2020.

 

Definition 1E: Proportion of adults with a primary support reason of learning disability support in paid employment

The measure shows the proportion of adults with a primary support reason of learning disability support who are “known to the council” (see definition below), who are recorded as being in paid employment. The information would have to be captured or confirmed within the reporting period 1 April 2018 to 31 March 2019.

The definition of individuals ‘known to the council’ is restricted to those adults of working age with a primary support reason of learning disability support who received long term support during the year in the settings of residential, nursing and community but excluding prison (recorded in SALT Measure LTS001a, table 1a).

The measure is focused on ‘paid’ employment. Voluntary work is not collected in SALT and thus, is excluded from the measure. Paid employment is measured using the following two categories:

  • Working as a paid employee or self-employed (16 or more hours per week); and,
  • Working as a paid employee or self-employed (up to 16 hours per week).

 

Definition 1F: Proportion of adults in contact with secondary mental health services in paid employment

Adults ‘in contact with secondary mental health services’ is defined as those aged 18 to 69 who are receiving secondary mental health services and who are on the Care Programme Approach (CPA).

The measure is focused on ‘paid’ employment. Voluntary work is to be excluded for the purposes of this measure. Employment status is recorded using the following categories:

01 Employed
02 Unemployed and Seeking Work
03 Students who are undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training and who are not working or actively seeking work
04 Long-term sick or disabled, those who are receiving Incapacity Benefit, Income Support or both; or Employment and Support Allowance
05 Homemaker looking after the family or home and who are not working or actively seeking work
06 Not receiving benefits and who are not working or actively seeking work
07 Unpaid voluntary work who are not working or actively seeking work
08 Retired
ZZ Not Stated (person asked but declined to provide a response)