Consultation on changes to the allocation formulae for AIDS Support Grant amongst others ... DOH - Closes 06/10/2010
Consultation on changes to the allocation formulae for the Learning Disability Commissioning Transfer Grant, Preserved Rights Grant and AIDS Support Grant
Closing date 6 October 2010
The Department of Health (DH) is asking for your views on options for distributing three DH social care grants from 1st April 2011. This consultation does not prejudge the outcome of the Spending Review, which will be announced on 20 October 2010.
- Download Consultation on the allocation of formulae for the Learning Disabilites Transfer Grand, the Preserved Rights Grant and the AIDS Support Grant (PDF, 916K)
- Download Final response document (DOC, 43K)
http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_117893
PDF version
Thank you for your response to the Department of Health's consultation on changes to the allocation formulae for social care grants. All responses will be considered before any decision is made, and the Department will publish a response to the consultation later in the year.
Dear DOH,
With regards to the above consultation, I submit and ask for the enclosed information be re-deliberated and considered, I have also attached an analysis and projected forecast for 2010/2011.
http://benefits.tcell.org.uk/forums/consultation-changes-allocation-form...
We also know that about 49% of local authorities didn’t carry out a needs assessment; this also should be taken into consideration http://www.nat.org.uk/Media%20library/Files/Policy/Poverty%20and%20Socia...
.
Additional and extra information can be found at http://benefits.tcell.org.uk/forums-keywords/benefits/social-care-rights...
and ask that this also be considered.
I would also like to mention the growth in the numbers of people with HIV increase at a rate of between 5-7% per annum, it is also worth mentioning the numbers affected by HIV now stand at about 87,000 plus those not known to a number of 120,000 according to the Health Protection Agency figures, adjusted.
For reference:
With regards to our telephone conversation, the links and data I refer too
are:
http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1252660012453
http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1237970242135
Upon page 7 of the first link shows the accumulative figures of 108,766 less 19,235 deaths = 89,531. As the Dept. of Health uses the SOPHID figures too calculate the ASG and allowance awarded to each English local authority, should these not be adjusted accordingly to represent the funding needed to meet the needs and support of those living with HIV/AIDS.
As these figures suggest the known number of people with HIV from point of diagnoses, doe this mean that an additional 20% more is required for those living with HIV and not accessing care, support or have been untested?
Our analysis already shows and identifies the disparity that exists with London and would estimate that a budget of £34.8m is required for 2010/2011 instead of the £25.5m allocated based upon £400 being spent per person otherwise the ratio equates to £284 per person (£25.5m / 90,000 people)
The figure of 83,000 persons living with HIV in the UK quoted by the EAGA is from the HPA publication "HIV in the United Kingdom: 2009 Report". This reflects the SOPHID population of 61,213 diagnosed individuals accessing HIV care in 2008 plus the undiagnosed fraction calculated by Multi-Parameter Evidence Synthesis (MPES) modelling, which uses data from a variety of sources such as unlinked anonymous surveillance.
The HPA report can be found here:
At the request of the APPG HIV/AIDS to choice an option stated within the DOH consultation, I have submitted the following.
Click on above to open file
Campaigners are bidding to save adult social care grants from the chop to protect vulnerable clients, amid widespread expectations that ministers will axe them.
Organisations including the National Housing Federation and the National Aids Trust will meet officials and ministers over the next few weeks to make the case for retention of specific grants before the government publishes its spending review on 20 October.
They have warned that, without specific grants, groups such as people with HIV/Aids, who receive social care funding through the £25.5m Aids support grant, will suffer.
There is a widespread belief that ministers will scrap specific grants and pool funding into councils' general formula grant.
Richard Harbord, chairman of the social care panel of the Chartered Institute of Public Finance and Accountancy, warned: "There's a general feeling that most adult social care grants are at risk. I think things like the Aids grant are thought to be doomed and that generally there's no rationale for separating out these grants from all the others put in the pool."
Richard Jones, the president of the Association of Directors of Adult Social Services, told Community Care in July: "It's highly unlikely that there will be specific grants from 2011."
Other grants under threat include the £15m stroke strategy grant and the £256m carers grant.
The government has already announced it was ending the ring-fencing of many adult social care grants, including Aids support, as part of plans to cut the budget deficit.
The National Aids Trust said it understood the need to provide flexibility to councils at a time of financial pressures but warned that, without a named grant, the client group would be overlooked at local level.
Laura Dunkeyson, policy and parliamentary officer, said: "If necessary social care is not available for those who need it there is serious risk of treatment failures, hospitalisation, more expensive drugs, and of onward transmission to others as the person becomes more infectious and quite possibly less able to manage safer sex."
There are also concerns for the Supporting People programme, which funds housing support for groups including learning disabled people, domestic violence survivors and people who misuse substances. Though no longer a named grant, the government allocates a specific sum for it - £1.64bn this year - through the broader area-based grant. Jones has said that he expects the area-based grant to be scrapped.
Cuts to Supporting People would make people less independent and more reliant on acute health and other services, increasing costs to the taxpayer, said Jake Eliot, policy officer for the National Housing Federation.
Nicki Youern, chief executive of Supporting People provider YOU, said there were already examples of councils making cuts to contracts with providers because of worries about October's spending review.
Related stories
Supporting People cuts to hit more than 400,000 people
Ring-fencing removed from social care grants
http://www.communitycare.co.uk/Articles/2010/09/06/115251/Campaigners-bi...
In 2009, 65,319 HIV-infected individuals (of all ages) were seen for HIV care in the UK, representing an increase of 7% on the number seen in 2008 (61,110) and a 250% increase on the number seen in 2001 (26,088). For the past five years the numerical year-on-year increase has been stable, at about 4,000 additional individuals seen for HIV-related care each year.
Based on these data and UK population estimates, there were 164 individuals (15-59 year olds) receiving HIV care per 100,000 population in 2009. Prevalence was higher among men than women (214/100,000 and 114/100,000 respectively) and higher in London than in the rest of England (520/100,000 in London compared to 114/100,000 elsewhere in England).
Infection route and ethnicity
In 2009, 51% (32,214) of persons living with diagnosed HIV where route of exposure were reported were men and women infected via heterosexual sex (11,889 and 20,325 respectively) and 43% (27,427) were men infected through sex between men. A small proportion were infected through injecting drug use (2%, 1,547) or mother-to-child transmission (2%, 1,372).
In 2009, just over half (52%, 33,451) of persons accessing HIV-related care where ethnicity was reported were white, the majority of whom were infected through sex between men (74%, 23,958). Over one-third of persons (36%, 23,288) seen for care were black-African, the majority of these individuals (93%, 21,251) were infected through heterosexual sex.
Figure 2: HIV-infected individuals seen for care by ethnicity, UK: 2000 and 2009 (PDF, 94 KB)
Use of antiretroviral therapy
The number and proportion of patients prescribed antiretroviral therapy (ART) has increased over the past decade. In 2009, 78% (50,292/64,595) of individuals seen for HIV care were prescribed ART; this compares to 69% (14,051/20,373) in 2000. The 2008 BHIVA guidelines recommend that treatment discussions commence when a patient’s CD4 cell count falls to 350 cells/mm3 or below, (previous guidelines recommended treatment should start when CD4 cells reached below 200 cells/mm3). The proportion of patients with a CD4 count of 201-350 cells/mm3 who were not prescribed ART, which fell from 28% (3,236/11,756) in 2007 to 21% in 2008 (2,427/11,758) and 18% (1,926/10,719) in 2009. The proportion of patients whose CD4 was 200 cells/mm3 or below and who were not prescribed ART has remained stable at 15%; the majority of these patients will have been recently diagnosed.
Age
The age distribution of people living with diagnosed HIV infection is changing, with older age-groups increasing both in number and proportion. In 2009, almost one in five adults (aged 15 year or older) were aged 50 years or older, compared to one in seven adults in 2005 and one in ten in 2000. This increase is due to effective antiretroviral therapy (ART) improving survival among the diagnosed HIV-infected population, and continued transmission at older ages.
Figure 4: Diagnosed HIV-infected individuals seen for care by age group, UK (PDF, 81 KB)
Geography
In England, the strategic health authorities (SHAs) that saw the largest proportional increases in the number of diagnosed HIV-infected individuals seen for care in the past five years were: Yorkshire and the Humber, (from 2,028 to 3,284), and the West Midlands, (from 2,533 to 4,141). London SHA saw the lowest proportional increase (28%, from 22,166 to 28,285).
The proportion of diagnosed individuals who were resident in London continues to decrease, falling from 54% (12,257/22,575) in 2000 to 43% (28,285/65,319) in 2009. These trends reflect the increased geographical heterogeneity of individuals living with diagnosed HIV in the UK.
Figure 5: Diagnosed HIV-infected individuals seen for care by place of residence, UK (PDF, 110 KB)
The SHAs with the highest proportion of residents accessing care who were infected through sex between men were the South East Coast SHA (55%; 2,267/4,157) and the North West SHA (52%; 3,023/5,862). In contrast, the East of England SHA and South Central SHA had the highest proportions of residents accessing care who were infected through heterosexual sex (68%; 2,801/4,101 and 66%; 2,039/3,089 respectively) and among the lowest proportions infected through sex between men (26%; 1,075/4,101 and 29%; 896/3,089 respectively).
There were substantial variations in the ethnicity of HIV-infected individuals accessing care between SHAs. In 2009, 69% (1,935/2,799) of individuals were reported as white within the South West SHA, compared with 40% (1,175/2,903) in the East Midlands SHA. While black-African individuals comprised 37% (22,220/59,438) of diagnosed infected individuals in England overall, they accounted for only 23% (651/2,799) in the South West SHA and 52% (2,160/4,161) in the East of England SHA.
There is increasing cross-boundary movement between where diagnosed HIV-infected people live and where they go for treatment. A substantial proportion of non-London residents use London HIV services (9.9%; 3,065/31,043) (excluding records where SHA of residence was not reported). The North West SHA had the smallest proportion (2.7%; 161/5,965).
Since 2006, the number of individuals receiving HIV care resident outside London (within England) has been greater than the number resident in London. This continues to be the case in 2009 (28,285 living in London and 31,953 living elsewhere in England).
Figure 9: Diagnosed HIV-infected individuals seen for care: London and rest of England (PDF, 68 KB)
The 2009 UK slides (with accompanying presenter notes) and data tables can be downloaded at the following links:
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Accessing care overall UK slides 2009 (PowerPoint Presentation, 1.2 MB) -
Accessing care overall UK slides 2009 (PDF, 549 KB) )
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Accessing care overall UK 2009 (Excel Spreadsheet, 470 KB) -
Accessing care overall UK 2009 (PDF, 319 KB)
Suggested citation for reproduction of these graphs: SOPHID, Centre for Infections, Health Protection Agency: 2009.
Other links:
Last reviewed: 12 August 2010
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1203064766492
There is some confusion about the numbers living with HIV/AIDS. The SOPHID suggest 62,000 the attached report about 91,000 (diagnoises less death).
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/HPAweb_C/1252660002826
http://www.hpa.org.uk/web/HPAweb&Page&HPAwebAutoListName/Page/1201094588891
Future tools for national estimates and epidemiological analyses
http://www.epidem.org/Publications/Future%20Tools%20Report.pdf
CONSULTATION ON CHANGES TO THE ALLOCATION FORMULA FOR THE AIDS SUPPORT GRANT
http://www.nat.org.uk/Media%20library/Files/Policy/2010/ASG%20Allocation...
A Summary of the consultation on changes to the allocation formulae for the learning disabilities commissioning transfer grant preserved rights grant and AIDS support grant
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/docu...
A summary of responses to the consultation launched on 27 July 2010, which sought views on the allocation of three social care grants from April 2011. The consultation did not prejudge the outcome of the Spending Review which considered the future form of these grants.
Please note: the following document is not fully tagged for accessibility and is provided for printing
Pre the Government proposal listed was a proposal which was submitted to the Dept. of Health for consideration. For additonal information check out http://benefits.tcell.org.uk/forums-keywords/benefits/social-care-rights...