Upload
inclusionnorth
View
229
Download
0
Embed Size (px)
Citation preview
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
1/21
Page | 1
Location, location, location: A
postcode lottery?
A report into the social care ordinary residence landscape
in England: October 2013
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
2/21
Page | 2
Contents
Page
3 Foreword
4 What is Ordinary Residence?
5 Executive summary
7 Key findings
8 Recommendations
9 Overview of findingsMethodology and responsesEngland overview by regionBackground from current literatureAnalysis
12 The human costs of ordinary residency disputes
14 Conclusions
15 Appendix A questions asked and response rates
16 About Linkage Community Trust
16 Further reading
17 References
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
3/21
Page | 3
Foreword
The issue of ordinary residence is a much-debated area in health and social care. Lack of
clear guidelines has left much of this matter subject to the interpretation of local authorities
and health organisations and practice varies significantly up and down the country.
Recently the Local Government Association published a report called Winterbourne View
joint improvement programme: Stocktake of progress report September 20131 which
revealed the challenges local government face with regard to ordinary residence. The report
highlighted the need for developments to be made locally to find a resolution to continuing
difficulties in relation to Ordinary Residence.
The Stocktake also revealed that local authorities want support with ordinary residence
matters:
Eighty-six specific requests for support are identifiedthe largest number of
requests (distinct from general support needs) are regarding Ordinary Residence andassociated financial risks
Despite the uncertainty around ordinary residence, the Stocktake is clear in its expectations
of local authorities, stating In the meantime, it is expected that authorities will work together
to resolve any outstanding uncertainties and that this should not be a reason for individuals
remaining stuck in inappropriate situations.
This report by Linkage Community Trust is the result of a Freedom of Information Act
request which was made in April 2013 to all 152 upper-tier local authorities, 1 Clinical
Commissioning Group and 1 Health and Social Care NHS Trust in England.
This report is the first survey of its type in the UK. It examines the current social care
ordinary residence landscape in England and looks into the flow of people between different
local authority areas.
We aimed to determine the financial implications of ordinary residence transfers for local
authorities and uncover the volume of people given the chance to exercise their right to
choose where they would like to live.
Linkage also heard from carers of service users who shed light on the human costs of
ordinary residency disputes. Their stories show the devastating consequences of the current
postcode lottery of care and support and demonstrate how local authority decisions canimpact so significantly on the lives of vulnerable adults with learning disabilities.
We did this because:
It is important that people can choose where they want to live;
It is important the people are able to exercise individual choice and control over what
type of accommodation they live in;
The right to exercise choice and control underpins the emerging cross-government
disability strategy Fulfilling Potential.
1Local Government Association (2013) Winterbourne View joint improvement programme: Stocktake of
progress report September 2013, England
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
4/21
Page | 4
In this report we call on the Government to make it easier for people to exercise their
right to live where they want to and to give clear and undisputable guidelines to local
authorities on who is responsible for funding, and a clear funding transfer process to
ensure that people are able to move seamlessly between local authority areas. This isin line with its welcome choice and personalisation agenda.
The Care Bill, which is currently going through Parliament, provides a crucial
opportunity to offer clarity around the matter of ordinary residency and put an end to
the plethora of disputes currently blighting many peoples experience of social care
and restricting their rights to choose where they want to live. This opportunity must
be taken and we must ensure that the Bill and accompanying regulations and
guidance clearly set out what is expected and are not left open to local interpretation.
Only then can we take steps forward to make ordinary residence disputes a thing of
the past.
Ges Roulstone
Chief Executive, Linkage Community Trust
What is Ordinary Residence?
Ordinary residence guidance is part of the 1948 National Assistance Act1. It was introducedto clarify the status of people placed in residential care outside their original area and aims toestablish which local authority has to fund their support2.
Under the National Assistance Act, if a council places someone in residential care out of
area, it remains financially responsible and that local authority continues to be deemed thepersons place of ordinary residence, for as long as the individual remains in residential care.
Disputes lasting many months arise when someone decides to move from residential care
into supported accommodation within the same local authority. The first authority argues that
it is no longer responsible for funding, but the second authority (where the person actually
lives) argues against funding someone not originally from the area2.
2VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary Organisations Disability
Group (VODG), England
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
5/21
Page | 5
Executive summary
Linkage Community Trust submitted a Freedom of Information Act request to all 152 upper-
tier local authorities, 1 Clinical Commissioning Group and 1 Health and Social Care NHS
Trust in England in order to assess the ordinary residence landscape in social care. With a
total of74.67% of authorities approached offering a full or partial response, we can beassured that this report provides a comprehensive overview of the situation in England.
There are several common scenarios where ordinary residency rules are particularly
disputed. These are:
When a person is placed in residential care or college out of county, the authority in
which they lived prior to that placement remains responsible for funding their care.
However, if the person moves out of residential care or college into their own
accommodation, the responsibility for funding transfers to the new local authority.
If the out of county residential care home a person was funded to reside in by theauthority prior to that placement de-registers, then the responsibility for funding the
subsequent care required, whether that is the sending or receiving authority, is
regularly contested.
In addition, problems of equivalence of care packages are closely linked to ordinary
residence issues:
When a person living with support in the community decides they want to move to
another area there are often arguments between the local authorities in the current
and new area over who will pay for the support if the move takes place. This often
results in people being left in limbo over whether they are able to exercise their rightto choose where they live for fear that support will not be available or will be reduced
or retracted once the move takes place.
Even when a person who is placed out of area has made the move from residential
care into supported living and the second authority agrees to pay, the persons care
package is often drastically reduced.
The Department of Health updated guidance on ordinary residence in April 20133 which
includes the following key principles:
Where two or more local authorities fall into dispute over a persons ordinary residence:
The key priority of local authorities should be the well-being of people who use services.
The provision of accommodation and/or services must not be delayed or otherwiseadversely affected because of uncertainty over which local authority is responsible.
The well-being of people is paramount in all cases of dispute.
3Department of Health (2013) Ordinary Residence: Guidance on the Identification of the Ordinary Residence of
People in Need of Community Care Services, England.
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
6/21
Page | 6
In particular, where a person is suffering from a terminal illness local authorities shouldensure the assessed care and support is provided speedily to the individual, pending theresolution of any dispute.
One local authority must accept responsibility on a without prejudice basis, in accordance
with the directions issued by the Secretary of State, for the provision of social care servicesuntil the dispute is resolved.
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
7/21
Page | 7
Key findings
Our findings showed that:
Funding responsibility isnt always transferred to a receiving local authority when a
person moves into their area in a community setting. This is contrary to Departmentof Health guidance which states that, unless the person is in a residential care
placement arranged by their original local authority, they have chosen to settle in the
new area and, as such, are ordinarily resident in that area. As a result, the new local
authority should have funding responsibility transferred to them.
More positively, local authorities have been acting upon Health Minister Norman
Lambs direction to move service users out of assessment and treatment centres and
into community settings by 1 June 2013. This is supported by the high numbers of
people who have moved from residential care into supported living and tenanted
accommodation across the country.
On average, 4 regions had more adults with learning disabilities moving into their
area under the ordinary residency criteria rather than leaving their area. Interestingly,
the same number of regions had more adults with learning disabilities leaving their
area under ordinary residency rules than moving into their area. 2 regions, the East
Midlands and West Midlands, had the same number of adults with learning
disabilities migrating into and out of their area on average.
It is interesting to note that the areas where people tend to move to under ordinary
residency rules are mainly coastal, rural areas and the areas where people tend to
leave under this criteria are, in the main, more urban and industrial locations.
A further interesting comparison to make is whether more authorities in the region, on
average, incurred higher costs or made more savings as a result of these migrations
under ordinary residency criteria. One would assume that high volumes of service
users migrating into a region would result in that area incurring higher costs and that
high numbers of service users migrating out of a region would generate more
savings, but this is not immediately apparent when comparing the responses for each
area. This could be due to the variations in levels of need and associated costs of
care packages and could also mask individual authorities in each region which vary
significantly in terms of their ordinary residency activity in comparison to theirregional counterparts.
It is recognised that some areas are more affected by ordinary residence transfers than
others. Some local authorities may be faced with a high level of people moving into their
area who require support which is not evenly balanced with an equivalent level of people
transferring out of their area. In these cases, if the receiving local authority becomes
responsible for funding all incoming residents, their budgets will be stretched
disproportionately compared to those authorities who send a lot of people out of area and
dont have a lot of people entering their area.
A breakdown of findings is available as a separate document to this report.
http://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdfhttp://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdfhttp://www.linkage.org.uk/foi-report/location-location-location-a-postcode-lottery-report-b.pdf7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
8/21
Page | 8
Recommendations
The Care Bill provides a crucial opportunity to clarify matters of ordinary residence and to
achieve more consistency and portability of care.
1. We support the move to implement a national eligibility threshold for social care toiron out regional discrepancies. Currently eligibility thresholds are set locally, with
many authorities tightening the criteria as a result of increasing budget pressures.
Current studies have shown that in 20134:- the vast majority, 130, had a threshold at substantial;- only three councils provided social care to people falling in to all the bands;-16 provided care to those with moderate needs and above; and-three councils only provided care for those with critical needs.
A national eligibility threshold would increase the portability of personal budgets
between local authority areas, with people being more reassured that they will able toaccess the support they are eligible for wherever they choose to live. We would
further suggest that funding should be attached to the person, rather than the place
to ensure true portability of care. There is still a risk however, of variations between
local authorities on what they include in a personal budget and how they operate,
which could affect the level of care a person receives.
It is imperative that this threshold is set at a level equivalent to the current
moderatelevel to ensure that vulnerable people with very real care needs dont slip
through the net. A level higher than this would only reinforce the problematic crisis-
driven approach we face at the moment, whereas a moderate level would promote a
more preventative style of care, which has been proven in several national reports to
be more cost-effective in the long run.
2. Regulations and accompanying guidance should also clearly set out what is
expected of local authorities to minimise variations in interpretation.
Clearer guidance on ordinary residence and funding responsibility should also be
produced in order to decrease perverse incentives for local authorities to move
people out of their area. It would close the
loopholes that local authorities sometimes try
to use to avoid assuming financial
responsibility. It would also promote personal
independence as service users are often
fearful of moving out of residential care into
more independent accommodation in case
the local authorities dispute, reduce, or end
the support they receive.
4https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-
help-under-new-plans
https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
9/21
Page | 9
Overview of findings
Methodology and responses
Linkage Community Trust submitted a Freedom of Information Act request to all 152 upper-
tier local authorities, 1 Clinical Commissioning Group and 1 Health and Social Care NHSTrust in England on 23 April 2013. 54 full responses and 61 partial responses were
received, which offered us an interesting insight into the current situation in England.
With a total of74.67% of authorities approached offering a full or partial response, we can be
assured that this report provides a comprehensive overview of the situation in England.
The questions asked centred on several key areas including incoming and outgoing
migrations, transfers of funding, impacts of reassessments and moves from residential care
into supported living or tenanted accommodation.
England Overview by Region
EastMidlands
EastofEngland
InnerLondonBoroughs
N
orthEast
No
rthWest
OuterLondonBoroughs
SouthEast
SouthWest
WestMidlands
Yorkshireand
Humber
MoreadultswithLDleaving
thearea
MoreadultswithLDmoving
intothearea
On average, did the region have more service users migrating into
their area than leaving the area?
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
10/21
Page | 10
This graph shows that:
On average, 4 regions had more adults with learning disabilities moving into their
area under the ordinary residency criteria rather than leaving their area. Interestingly,
the same number of regions had more adults with learning disabilities leaving their
area under ordinary residency rules than moving into their area.
2 regions, the East Midlands and West Midlands, had the same number of adults
with learning disabilities migrating into and out of their area on average.
Background from current literature
It is interesting to note that the areas where people tend to move to under ordinary residency
rules are mainly coastal, rural areas and the areas where people tend to leave under this
criteria are, in the main, more urban and industrial locations. This could be due to historical
practice in which there was pressure from local communities wanting learning-disabled
people to be placed away from population centres5
The report, Out-of-borough placements for people with learning disabilities , also argues that
The proportion of out-of-borough services purchased appears to be related to the volume of
local accommodation and the competence of local services in managing complex needs.
Political and economic factors influence both of these factors (Ryan, 1998). It is noticeable
that exporting boroughs tend to include city areas where house prices are high. This makes
the acquisition of special needs housing expensive and may lead to greater resistance from
local pressure groups and politicians who fear a negative effect on house prices. Such areas
may espouse the older belief that rural quietness far from the hurly-burly of modern urban
living is beneficial for disabled people. The importing boroughs are mainly the Shires, ruralareas where large properties are less expensive and there is less likelihood of local
opposition being organised. Many of the long-stay hospitals were situated away from
population centres, and skilled staff were concentrated in these areas. With the closure of
these hospitals, many staff left to run residential homes and services in the same area6.
The Centre for Social Justice also released a report called Turning the Tidewhich suggests
that seaside towns are becoming dumping grounds for vulnerable people.
The report suggests that The stagnation that a depleted economy and a low-skills base has
meant that the price of property has plummeted as demand has fallen. Buildings formerly
used as tourist accommodation and small businesses, such as bed and breakfasts, havebeen turned into extremely cheap housing. This has served to turn some seaside towns into
veritable dumping grounds for groups such as care leavers, people with substance abuse
problems, those with mental health issues and ex-offenders, for whom placing authorities
can easily find low-cost accommodation. As this happens, towns develop a high density of
need that places greater and greater strain on public services and risks increasing the
vulnerability of these already vulnerable groups7
It could be argued that this is also applicable to vulnerable adults with learning disabilities.
5
http://apt.rcpsych.org/content/10/2/116.full6http://apt.rcpsych.org/content/10/2/116.full
7http://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdf
http://apt.rcpsych.org/content/10/2/116.full#ref-26http://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.fullhttp://apt.rcpsych.org/content/10/2/116.full#ref-267/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
11/21
Page | 11
Analysis
A further interesting comparison to make is whether more authorities in the region, on
average, incurred higher costs or made more savings as a result of these migrations under
ordinary residency criteria.
There doesnt appear to be any direct correlation between the numbers of adults with
learning disabilities migrating into or out of an area in comparison to the savings or costs
generated.
One would assume that high volumes of service users migrating into a region would result in
that area incurring higher costs and that high numbers of service users migrating out of a
region would generate more savings but this is not immediately apparent when comparingthe averages for each area. This could be due to the variations in needs and associated
costs of care packages and could also mask individual authorities in each region which vary
significantly in terms of their ordinary residency activity in comparison to their regional
counterparts.
EastMidlands
EastofEngland
InnerLondonBoroughs
NorthEast
NorthWest
OuterLondonBoroughs
SouthEast
SouthWest
WestMidlands
YorkshireandHumber
Incurredmorecosts
Mademoresavings
On average, did the region incur higher costs or make higher savings
from ordinary residence migrations?
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
12/21
Page | 12
The human costs of ordinary residency disputes
Negative impact on health condition
Sophies* ordinary residence dispute has been resolved and she is now under Local
Authority X as her funding authority. However, a combination of factors means that her care
package is significantly reduced:
Firstly, prior to the changes Sophie was receiving 3 days employment support, where she
was able to engage with others and keep active which benefitted her health. When Local
Authority X assessed her, they decided that this aspect of her care package was not needed
and she lost the funding for it.
This happened at the same time as Supporting People funds were being transferred to the
housing related support. As a result, Sophies hours were reduced for this also, as themaximum providers were able to claim for this was 8 hours per week. Prior to this Sophie
had been in receipt of 24 hours care per week.
Lastly, Local Authority X has assessed her as not requiring adult social care funding, which
meant that Sophies care package did not include on-going medication and health
requirements. We were able to request a re-assessment and received a further 7 hours per
week to cover these needs.
During this period of change Sophies diabetes got worse as we were supporting her for less
hours to supervise menu, food intake and shopping. Sophie cannot afford to purchase these
services from her own budget and with the reduced support she does struggle to becomeinvolved in appropriate and meaningful activities.
This example highlights the on-going struggle that people can be faced with through
ordinary residency disputes. Even though this local authority has agreed to pay, the problem
is that the new care package is insufficient.
*Name changed to protect identity
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
13/21
Page | 13
Negative impact on health and well-being
Gemma* was an ordinary residency case which Local Authority Y needed to assess and
take on the funding for.
After the assessment Local Authority Y decided that Gemma would not receive funding forher employment services and her support hours were reduced.
It took some time for Gemma to stop attending her employment services after many
attempts by staff to try and discuss and explain the outcome of the assessment. Gemma did
stop attending, but displayed distressing behaviours including pulling her hair out, not taking
care of herself, over sleeping, not engaging with support and her obsessive behaviours
increased. We sought medical advice about her behaviour / symptoms and response to no
longer attending employment services.
Gemmas GP wrote a letter to evidence that this was directly linked to her current situation
and lack of stimulation and activity. It gave Gemma little opportunity to engage with others asher support hours were reduced and staff were attending for less hours per week.
*Name changed to protect identity
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
14/21
Page | 14
Conclusions
1. Unless further clarity is provided on the circumstances when funding should or
should not follow the service user if they move out of county, we are facing a
postcode lottery of care and support for adults with learning disabilities.
Service users want to know that there will be consistency in their supportpackage once they move without having to worry about which local authority
will assume financial responsibility.
The findings clearly evidence that the rules around ordinary residence criteria
are being subject to local interpretation with no consistent approach being
taken nationally.
The Government need to ensure that scope for variation in understanding is
minimised. A clear and consistent process must be set out in legislation,
regulations and guidance to avoid the uncertainty and disputes many
vulnerable people find themselves embroiled in when moving to a new area or
moving to a different type of provision within that area.
2. An encouraging trend is that there appears to be a move towards transferring adults
with learning disabilities from residential care into supported living within the same
authority.
As we are uncertain as to how many learning disabled adults each local
authority supports, it is difficult to ascertain an accurate percentage of how
many service users are taking steps towards more independent living.
However, we are pleased that there seems to be gathering momentum in this
area, given the direction from Norman Lamb, Health Minister, to encourage
local authorities to move service users out of assessment and treatment
centres and into community settings by 1 June 2013.
3. In contrast, our findings indicate a low number of learning disabled adults who have
moved from residential care into supported living or tenanted accommodation, who
were previously funded by other local authorities. This poses a number of questions.
As it is not clear whether all of the adults with learning disabilities who made this
move were ordinarily resident in that area prior to the move, it is difficult to draw any
clear conclusions. One could make several assumptions including:
that people moved back to their original local authority once leaving a
residential care placement
that the funding origin of the service user is not clear in local authority records
that the majority of people who moved from residential care into supported
living or tenanted accommodation were ordinarily resident in that area
that the local authority which received the resident from out of county blocked
a move into supported living or tenanted accommodation in a dispute over
funding responsibility
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
15/21
Page | 15
Appendix A questions asked and response rates
This request comprised several key questions in terms of the ordinary residence activities of
local authorities. We asked:
1. How many learning disabled adults have become your authoritys responsibility under
ordinary residency rules in the last 2 years, by year? What has the total cost been to your
authority of that migration?
2. How many learning disabled adults have ceased to be your authoritys responsibility under
ordinary residency rules in the last 2 years, by year? What has the total saving been to your
authority of that migration?
3. How many other local authorities transferred funding responsibility under the ordinary
residence criteria to your authority in the last 2 years?
4. Of those, how many service users have been assessed as requiring reduced support in
comparison to their previous funding authoritys assessment?
5. How many people have moved from residential care into supported living or tenanted
accommodation within your area?
6. Of those, how many were previously funded by out of county local authorities?
We continued to accept responses until 11 July 2013 to ensure we gathered as full a picture
as possible.
By 11 July 2013 we had:
54 complete responses. This equates to 35.06%
61 partial responses This includes those unable to provide information to some
questions, those only able to provide estimates or those who had not responded to
requests for clarification to their responses by 11 July 2013. This equates to 39.61%.
35 refusals / unable to provide information (2 of these referred us to alternative
organisations to source this information, namely a Health and Social Care NHS Trust
and a Clinical Commissioning Group). This equates to 22.73%.
4 no returns. This equates to 2.6%.
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
16/21
Page | 16
About Linkage Community Trust
Linkage Community Trust is a national charity based in Lincolnshire, which delivers high-
quality specialist education, care and employment support services for learning disabled
people. Its 36-year history has established Linkage as a major provider in delivering flexible
services, which promote personal autonomy, independence and achievement. The aim is toensure that learning disabled people have the same rights and opportunities for inclusion,
fulfilment and feeling valued in society as everyone else.
Linkage College is the longest-established specialist further education college of its type in
the country. It accommodates both residential and day students at our Lincolnshire and
North East Lincolnshire campuses, aged primarily between 16 and 25. Linkage Care
Services offer residential care, supported accommodation and respite care facilities in more
than 70 properties across the county and beyond. Our Employment Services work in
partnership with more than 140 employers to support learning disabled people into
meaningful and sustainable work.
Linkage Community Trust is a registered charity no. 504913, Company Limited by
Guarantee No. 01240377.
Further reading
Local Government Association (2013) Winterbourne View joint improvement programme:
Stocktake of progress report September 2013, England
http://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLE
VODG (2007) No place like home, England
www.vodg.org.uk/uploads/VODG-no-place-like-home.pdf
VODG (2010) Not in my backyard, England
http://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdf
VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary
Organisations Disability Group (VODG), England
http://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-
as-usual.html
http://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/cgblog/75/105/Stop-ordinary-residence-disputes-becoming-business-as-usual.htmlhttp://www.vodg.org.uk/uploads/pdfs/VODG_report_final.pdfhttp://www.vodg.org.uk/uploads/VODG-no-place-like-home.pdfhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLEhttp://www.local.gov.uk/web/guest/adult-social-care/-/journal_content/56/10180/3912043/ARTICLE7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
17/21
Page | 17
References
Local Government Association (2013) Winterbourne View joint improvement programme:
Stocktake of progress report September 2013, England
Department of Health (2013) Ordinary Residence: Guidance on the Identification of the
Ordinary Residence of People in Need of Community Care Services, England.
VODG (2013) Ordinary Residence, extraordinary mess: a briefing from the Voluntary
Organisations Disability Group (VODG), England
https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans
http://apt.rcpsych.org/content/10/2/116.full
http://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-
Tide.pdf
Sources of information:
Barking and Dagenham London Borough Council
Barnet London Borough Council
Barnsley Metropolitan Borough Council
Bath and North East Somerset Council
Bedford Council
Bexley Council
Birmingham City Council
Blackburn with Darwen Borough Council
Blackpool CouncilBolton Council
Borough of Poole
Bournemouth Borough Council
Bracknell Forest Borough Council
Bradford Metropolitan District Council
Brent Council
Brighton and Hove City Council
Bristol City Council
Bromley London Borough Council
Buckinghamshire County CouncilBury Metropolitan Borough Council
https://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttp://apt.rcpsych.org/content/10/2/116.fullhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://www.centreforsocialjustice.org.uk/UserStorage/pdf/Pdf%20reports/Turning-the-Tide.pdfhttp://apt.rcpsych.org/content/10/2/116.fullhttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-planshttps://www.gov.uk/government/news/social-care-users-will-be-guaranteed-a-minimum-level-of-council-help-under-new-plans7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
18/21
Page | 18
Calderdale Metropolitan Borough Council
Cambridgeshire County Council
Camden Council
Central Bedfordshire Council
Cheshire East Council
Cheshire West and Chester Council
City of London Corporation
City of York Council
Cornwall Council
Council of the Isles of Scilly
Coventry City Council
Croydon Council
Cumbria County Council
Darlington Borough Council
Derby City Council
Derbyshire County Council
Devon County Council
Doncaster Metropolitan Borough Council
Dorset County Council
Dudley Metropolitan Borough Council
Durham County Council
Ealing Council
East Riding of Yorkshire Council
East Sussex County Council
Enfield CouncilEssex County Council
Gateshead Council
Gloucestershire County Council
Hackney London Borough Council
Halton Borough Council
Hammersmith and Fulham London Borough Council
Hampshire County Council
Haringey Council
Harrow Council
Hartlepool Borough CouncilHavering London Borough Council
Herefordshire Council
Hertfordshire County Council
Hillingdon London Borough Council
Hounslow London Borough Council
Hull City Council
Isle of Wight Council
Islington Council
Kensington and Chelsea Royal Borough Council
Kent County CouncilKingston upon Thames Royal Borough Council
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
19/21
Page | 19
Kirklees Metropolitan Council
Knowsley Metropolitan Borough Council
Lambeth London Borough Council
Lancashire County Council
Leeds City Council
Leicester City Council
Leicestershire County Council
Lewisham London Borough Council
Lincolnshire County Council
Liverpool City Council
Luton Borough Council
Manchester City Council
Medway Council
Merton London Borough Council
Middlesbrough Council
Milton Keynes Council
Newcastle upon Tyne City Council
Newham London Borough Council
Norfolk County Council
North East Lincolnshire Council
North East Lincolnshire Clinical Commissioning Group
North Lincolnshire Council
North Somerset Council
North Tyneside Council
North Yorkshire County CouncilNorthamptonshire County Council
Northumberland Council
Nottingham City Council
Nottinghamshire County Council
Oldham Metropolitan Borough Council
Oxfordshire County Council
Peterborough City Council
Plymouth City Council
Portsmouth City Council
Reading Borough CouncilRedbridge London Borough Council
Redcar and Cleveland Borough Council
Richmond upon Thames London Borough Council
Rochdale Metropolitan Borough Council
Rotherham Metropolitan Borough Council
Royal Borough of Greenwich
Rutland County Council
Salford City Council
Sandwell Metropolitan Borough Council
Sefton Metropolitan Borough CouncilSheffield City Council
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
20/21
Page | 20
Shropshire Council
Slough Borough Council
Solihull Metropolitan Borough Council
Somerset County Council
South Gloucestershire Council
South Tyneside Metropolitan Borough Council
Southampton City Council
Southend-on-Sea Borough Council
Southwark Council
St Helens Metropolitan Borough Council
Staffordshire County Council
Stockport Metropolitan Borough Council
Stockton-On-Tees Borough Council
Stoke-on-Trent City Council
Suffolk County Council
Sunderland City Council
Surrey County Council
Sutton London Borough Council
Swindon Borough Council
Tameside Metropolitan Borough Council
Telford and Wrekin Council
Thurrock Council
Torbay CouncilTorbay and South Devon Health and Social Care NHS Trust
Tower Hamlets Council
Trafford Metropolitan Borough Council
Wakefield Metropolitan District Council
Walsall Metropolitan Borough Council
Waltham Forest London Borough Council
Wandsworth London Borough Council
Warrington Council
Warwickshire County Council
West Berkshire Council
West Sussex County Council
Westminster City Council
Wigan Metropolitan Borough Council
Wiltshire Council
Windsor and Maidenhead Royal Borough
Wirral Metropolitan Borough Council
Wokingham Borough Council
Wolverhampton City Council
Worcestershire County Council
Written by Rebecca Smith
Policy and Campaigns Officer, Linkage Community Trust
7/27/2019 Location location location- A postcode lottery FINAL - report a.pdf
21/21
Page | 21