How we have spent adult social care money

The total net spend for adult social care for the financial year ending 31 March 2018 is around £84 million; this compares to 81 million over the previous financial year but is still well below the £89.5 million spent in 2014.  Financial pressure on social care services continue to be a key challenge with the need to meet increasing demand and provide support to more complex cases.

Percentage spend for adult social care

The following charts show how the money has been used to support different groups of people and the types of services that provide the care and support.


The spend breaks down as:

  • Mental health services spend 6%

  • Services for adults aged over 65 spend 46%

  • Services for working age adults spend 48%

Pie chart - Percent spend on adult social care

The chart shows the balance of spending between older adults who are aged over 65, working age adults (people who have learning and/or physical disabilities and/or autism) and people with mental health issues or other complex needs.

Working age adults expenditure

The spend on adults under 65 breaks down as follows:

  • Day services 3%

  • Staffing (social work teams) 7%

  • Residential and nursing home care (bed based) 34%

  • Community services 56%


The majority of the budget is spent on care services based in the community. This reflects what most people tell us they want - to live as independently as possible at home.

Pie Chart -Working Age Adults Expenditure

Older adults expenditure

The spend on adults aged 65 and over breaks down as follows:

  • Staffing (social work teams) 16%

  • Residential and Nursing Home Care (bed based) 38%

  • Community services 18%

  • Reablement / short term care 28%

Pie Chart -Older Adults Expenditure

Unlike the profile for adults aged under 65, the biggest proportion of spend for older adults (most will be aged 85 and over)  is on residential and nursing home care.  There has been a significant shift however, in directing support away from long term care to reablement ( intensive support to get people back to independent living) and short term care.  This has been reflected in spending -  in 2016–17 spending on reablement and short term care was 13% this figure has risen to 28% in 2017-18.  The aim of this change is to reduce the need for long term bed based care through reablement services and short term support which can enable people to live independently for longer

Mental health services expenditure

The spend on mental health services is as follows:​

  • Residential and nursing home care (bed based) 28%

  • Community services 39%

  • Staffing 33%


Spending on mental health services is relatively evenly split between staffing costs, community based services and residential  bed based support.

Pie Chart -mental Health Services Expenditure