The adult social care workforce supporting people with learning disabilities and/or autism Data from the National Minimum Data Set for Social Care

The adult social care workforce supporting people with learning disabilities and/or autism Data from the National Minimum Data Set for Social Care July 2016

2 The adult social care workforce supporting people with learning disabilities and / or autism 2016 Published by Skills for Care, Gate, 6 Grace Street, Leeds, LS1 2RP www.skillsforcare.org.uk Skills for Care 2016 Copies of this report may be made for non-commercial distribution to aid social care workforce development. Any other copying requires the permission of Skills for Care. Skills for Care is the employer-led strategic body for workforce development in social care for adults in England. This work was researched and complied by Skills for Care s data analysis team. Bibliographic reference for Harvard-style author/date referencing system: Short: Skills for Care [or SfC] 2016 Long: Skills for Care, The adult social care workforce supporting people with learning disabilities and / or autism, (Leeds, 2016). Available at www.skillsforcare.org.uk

3 Executive summary This report provides an overview of the adult social care workforce supporting people with learning disabilities (LD) and/or autism. The information in this report is derived from Skills for Care s National Minimum Data Set for Social Care (NMDS-SC). This report has been written to support the Transforming care for people with learning disabilities programme. The programme focuses on five key areas; empowering individuals and families, right care, right place, workforce, regulation and data. This report provides data about the adult social care workforce and in particular those supporting people who have a learning disability and / or autism. The NMDS-SC does not collect data specifically about the groups of people that the transforming care programme is focused on who might be at risk of an inappropriate admission to in-patient due to behaviour which is challenging. Key findings An estimated two fifths of adult social care workers (621,000 people), were involved in providing care and support for people with learning disabilities and / or autism in 2014. An estimated 8% of the total workforce; 121,000 people, provided care and support only to people with learning disabilities and/ or autism in 2014. And almost a third (32%) of the total workforce, 500,000 people, were estimated to provide care and support to people with learning disabilities and/ or autistic spectrum disorders as well as other client groups in 2014. 31.8% of workers in these started their roles within the past 12 months and 26.2% left within the last 12 months, both rates were lower than in specialist. 27% of workers in these were on zero hours contracts, this proportion was higher amongst registered nurses and care workers but lower across specialist. The average full-time equivalent annual pay rate of a manager in a learning disabilities and / or autism service was 28,950, and a regulated professional was 32,050. Managers were paid slightly less and professionals slight more than the sector average. s were paid an average of 8.92 an hour and care workers 7.79 an hour, this was slightly higher than the sector average. Almost of senior care workers and 50% of care workers were qualified to a level 2 or above in providing care and support to people with learning disabilities and/ or autism, this is similar to the England average across all care provided.

Introduction At the start of 2016 (when this report was written) the NMDS-SC had around 23,000 establishments/care providing locations and 730,000 individual worker records. This included over 5 of CQC regulated providers and information from all 152 statutory local authority. Skills for Care estimates that the number of adult social care jobs in England as at 2014 was 1.55 million, and that there were 1.48 million people doing these jobs. 4 Throughout this report, unless stated otherwise, numbers are based on raw information held in the NMDS-SC as at end of February 2016. Terminology notes - for the purpose of the report, the term for people who have a learning disability and / or autism spectrum disorders will be shortened to relevant or these. Estimated number of people providing care and support for people with learning disabilities and/ or autism Skills for Care estimates that two fifths () of the adult social care sector in 2014, or 621,000 people, were involved with providing care and support for this group of people. An estimated 8% of the total workforce; 121,000 people, provided care and support only to people who have a learning disability and/or autism, throughout this report this group will be described as specialist. Almost a third (32%) of the total workforce, 500,000 people, provided care and support to people with learning disabilities and / or autism as well as other client groups (see Chart 5 for more details), throughout this group will be described as generalist. All learning disabilities and/or autism refers to establishments or the workforce providing care and support to all people with learning disabilities and / or autism, this is the sum of specialist and generalist. Table 1 below shows the estimated adult social care workforce providing care and support to people with learning disabilities and/or autism spectrum disorder (ASD) by setting. Please note that NHS jobs involved in providing social care cannot be split by client group. Table 1: Estimated adult social care workforce providing care for people with learning disabilities and/or autistic spectrum disorders Total workforce All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Count % Count % Count % Total workforce 1,550,000 621,000 121,000 8% 500,000 32% CQC regulated residential 569,000 110,000 1 32,000 6% 78,000 14% CQC regulated non-residential 477,000 324,000 68% 23,000 301,000 63% Statutory local authorities 130,000 68,000 52% 6,000 62,000 47% All non-cqc regulated 147,000 89,000 61% 30,000 59,000 Jobs for direct payment recipients 140,000 30,000 21% 30,000 21% 0 0% NHS job 86,000 - - - - - -

5 The table above shows that the workforce involved in providing care and support for people with learning disabilities and / or autism was between 121,000 jobs and 621,000 jobs. It should be noted however that the proportion of time spent with people with different care and support needs within generalist is unknown, i.e. workers may spend a large or a small proportion of their time supporting people with learning disabilities or autism. Chart 1: Estimated adult social care workforce providing care for people with learning disabilities and/or autistic spectrum disorders only (specialist ) CQC regulated non-residential (23,000) 1 Jobs for direct payment recipients (30,000) 2 CQC regulated residential (32,000) 26% All non-cqc regulated (30,000) 2 Statutory local authorities (6,000) Provider information The section above provides information about the estimated number of people providing care and support for people with learning disabilities and / or autism. This section provides information about the number of adult social care providers/ establishments recorded in the NMDS-SC that provide care and support for people with learning disabilities and / or autism. The table below shows the number of establishments providing care and support to people with learning disabilities and / or autism recorded in the NMDS-SC, and the proportion of these providing care and support for adults and older people. Please note that percentages will sum to more than 100% because older people and adults are often supported at the same establishment. Table 2: Number of establishments involved in providing care and support for people with learning disabilities and/ or autistic spectrum disorders All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder All LD and/ or ASD 11,100 2,800 8,300 10,850 4,250 All learning disabilities 10,850 2,700 8,150 10,850 4,050 Adults with learning disabilities 93% 98% 91% 93% 96% Older people with learning disabilities 41% 7% 52% 41% 6 All with autistic spectrum disorder 4,250 100 4,150 4,050 4,250 Adults with autistic spectrum disorder 94% 100% 94% 94% 94% Older people with autistic spectrum disorder 5 < 60% 60% 5

The groups learning disabilities and autistic spectrum disorder include both specialist and generalist within their respective client groups. Chart 2 shows the proportion of establishments involved in providing care and support for people with learning disabilities and/or autism by sector, compared to the adult social care sector as a whole. Half of were provided in the private sector, and almost a quarter by voluntary and a quarter by statutory local authorities. Chart 2: Proportion of establishments involved in providing care and support for people with learning disabilities and/or autism, by sector 6 All LD and/ or ASD Whole sector estimate Statutory local authority Private sector Voluntary or third sector 11% 24% 26% 21% 50% 68% 0% 30% 50% 60% 70% Chart 3 below shows that, similarly to the sector as a whole, almost half of are provided by residential care. A fifth of for people with learning disabilities and / or autism were provided within the community. Chart 3: Proportion of establishments involved in providing care and support for people with learning disabilities and/or autism, by service All LD and/ or ASD Whole sector estimate Adult residential 46% 4 Adult day 3% 6% Adult domiciliary 28% 38% Adult community care 0% 30% 50% 60% Chart 4 shows that proportion of providing care and support to people with learning disabilities and / or autism is similar to that of the adult social care sector as a whole, and is also similar to the population of England, i.e. the South East region has the largest population and the East has the smallest.

12% 11% 8% 2% 3% 4% 4% 1 14% Chart 4: Proportion of establishments involved in providing care and support for people with learning disabilities and / or autism, by geographical area 7 All LD and/ or ASD Whole sector estimate 1 0% Midlands South East of England Yorkshire and the Humber East Midlands Kent Surrey Sussex East Wessex Central and East South Thames Valley Chart 5 shows which other client groups are cared for in generalist providing care and support for people within these. Numbers sum to more than 100% because more than one client groups can be supported at an establishment. The most frequently provided client groups cared for alongside people within these were people with physical disabilities, sensory impairments and mental disorders or infirmities. Chart 5: Other care and support provided by relevant Learning disabilities Autistic spectrum disorder Health People with physical disabilities People with sensory impairments People with mental disorders or infirmities People with dementia People others not in above categories People who misuse alcohol/drugs Carers of older people or adults People receiving end of life care People detained under the Mental Health Act People with brain injury People with neurological conditions Children and young people or families Others not in above categories 1% 2% Adult social care for people with learning disabilities and autism work closely with relevant health. In the healthcare system there are a plethora of roles employed within NHS learning disability. In January 2016 the Health and Social Care Information Centre reported 1 there were 3,619 full-time equivalent (FTE) learning disability nurses of which 1,999 (FTE) were working within a community setting and 437 psychiatrists of learning disabilities working across England. 27% 26% 16% 23% 14% 21% 11% 24% 11% 21% 11% 1 14% 3 4 44% 50% 57% 57% 56% 68% 66% 0% 30% 50% 60% 70% 1 Health and Social Care Information Centre (January 2016) NHS Workforce Statistics, January 2016, Provisional Statistics, Available at: http://www.hscic.gov.uk/catalogue/pub20465/nhs-work-stat-jan-2016-pdf.pdf

Within NHS other workforce groups/ roles are involved with providing care and support for this group of people as well as other client groups. These roles include; healthcare assistant/ support workers, occupational therapists, speech and language therapists and physiotherapists. 8 Employment overview The remainder of this report is based on individual workers working in providing care and support to people with learning disabilities and / or autism. At the time of writing, there were 715,000 workers recorded in the NMDS-SC in all of adult social care of which 335,000 were in relevant ; 55,000 in specialist and 280,000 in generalist. Chart 6 shows that the majority of workers in these were permanently employed, this proportion was slightly lower for regulated professionals, where agency staff were replied upon more often. Chart 6: Employment status of the learning disability and autistic spectrum disorder workforce, by job role group Managerial Regulated profession Direct care 100% 60% 0% 9 81% 82% 3% 1% 8% 8% 1% 4% 1% 1% 2% Permanent Temporary Bank or pool Agency Other Managerial staff were the highest proportion of full-time workers, and (please see chart 8) the lowest proportion of workers on zero hours contracts. Around half of direct care staff were recorded as full-time and almost two fifths were part-time. Chart 7: Full/ part-time status of the learning disability and autistic spectrum disorder workforce, by job role group Full-time Part-time Neither of these Managerial 83% 14% 3% Regulated profession 64% 27% Direct care 4 37% 14% 0% 60% 100% Charts 7 and 8 show the proportion of workers on zero hours contracts. The average proportion of workers across the adult social care sector as a whole is 22%, in general this proportion is slightly higher in these (between 25 and 31%), however, the proportion of staff on zero hours contracts is much lower () in specialist.

Chart 8: Proportion of staff on zero hours contracts, by care and support provided 9 All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder 22% 27% 28% 2 31% 0% 30% The chart below shows that almost a quarter of registered nurses in these were employed on a zero hours contract, and 37% of care workers. Whereas registered managers, social workers and occupational therapists rarely had this employment type. Chart 9: Proportion of the learning disability and autistic spectrum disorder workforce on zero hours contracts, by selected job roles 1% 3% 3% Recruitment and retention It is vital that adult social care can attract and retain workers with the right skills and values, to raise and deliver quality and standards for people using social care. Approximately 32% of the workforce involved in providing care and support to people with learning disabilities and / or autism started in their current role within the past 12 months. The starters rate was lower in specialist across all job roles groups. Chart 10: Proportion of the workforce started in the past 12 months, by care and support provided and job role group 13% 16% 24% 37% 0% 1 2 30% 3 All care providing locations in NMDS-SC LD and/ or ASD specialist All LD and/ or ASD LD and/ or ASD generalist All job roles Managerial 23.4% 25. 31.2% 31.8% 33.7% 35.3% 36.0% 38.6% Regulated profession 10. 17.1% 17.4% 18. Direct care 26.4% 19.1% 21.7% 18. 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%

10 Starters rates vary by job roles, please see chart below. s had the highest starters rate, at. s also had the highest staff turnover rates (please see Chart 15). It should be noted however that NMDS-SC trend briefing 2 care worker turnover rates 2 shows that s those new to their role were more likely to leave, and those who had more experience in their role were less likely to leave. Chart 11: Proportion of the learning disability and autistic spectrum disorder workforce started in the past 12 months 17.8% 14.6% 13.7% 32.0% 16.4% 39.8% 21.8% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% Retaining good workers is vital to service delivery and continuity of care. The adult social care workforce has an experienced core with almost just over two thirds having three or more years of experience in the sector. Neither years of experience working in the sector nor role varies much by the type of care and support service provided. Chart 12: Number of years of experience working in the adult social care sector of the learning disability and autistic spectrum disorder workforce Up to 3 years 3 to 10 years More than 10 years All job roles 31% 42% 26% 6% 2 6 27% 36% 37% 11% 31% 58% 23% 37% 13% 50% 37% 37% 43% 28% 42% 30% 0% 30% 50% 60% 70% 90% 100% Chart 13 shows the number of years of experience working in current role. Similarly to time in sector, direct care staff (senior care workers, care workers and support and outreach workers) had the least experience whereas registered managers had the most. 2 https://www.nmds-sc-online.org.uk/content/view.aspx?id=nmds-sc%20briefings

Chart 13: Number of years of experience working in current role of the learning disability and autistic spectrum disorder workforce 11 Up to 3 years 3 to 10 years More than 10 years All job roles 47% 21% 42% 37% 2 54% 42% 3 38% 44% 51% 37% 37% 13% 22% 14% 23% 0% 30% 50% 60% 70% 90% 100% Just over a quarter of staff working in these had left in the past 12 months. Similarly to starters rate, specialist had lower staff turnover rates than other care and support provisions. Chart 14: Proportion of the workforce left in the past 12 months by care and support provided 30.0% 20.0% 10.0% 25.4% 26.2% 22.1% 27.1% 26.3% 23.0% 0.0% All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder The chart below shows staff turnover rates by selected job roles. s had the highest turnover rates, at 33%, followed by occupational therapists (28%) and support and outreach workers (18%). Chart 15: Proportion of the learning disability and autistic spectrum disorder workforce left in the past 12 months by selected job roles 9.4% 13. 15.6% 27.6% 13.8% 32. 18.3% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% The vacancy rate of workers in establishments providing care and support to people with learning disabilities and / or autism was higher, at 7.8%, than the sector average (6.).

Like starters and turnover rates, specialist had a lower vacancy rate than other Learning disability or autism. 12 Chart 16: Vacancy rate by care and support provided 10.0% 8.0% 6.0% 4.0% 6. 7.8% 4.6% 8.4% 7.8% 8.8% 2.0% 0.0% All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder The chart below shows that the vacancy rate of regulated professional roles was higher than registered managers or direct care providing roles. Regulated professional roles require specialist qualifications and experience; therefore there are often fewer candidates who apply for these roles, sometimes resulting in hard to fill vacancies. Chart 17: Vacancy rates of the learning disability and autistic spectrum disorder workforce, by selected job roles 1.8% 12.6% 9. 9. 4.3% 8.8% 6.8% 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% The average number of days sickness taken in the past 12 months is shown in Chart 18. s had the highest sickness rate at an average of 10 days per person, followed by occupational therapists and support and outreach workers. s and registered managers had the lowest average sickness days.

Chart 18: Average sickness rates of the learning disability and autistic spectrum disorder workforce 13 All job roles Managerial Regulated profession Direct care Other 3.2 3.5 3.8 4.2 7.1 1.0 2.0 2.7 2.9 10.3 0.0 2.0 4.0 6.0 8.0 10.0 12.0 6.7 7.7 Workforce demographics The majority of the adult social care workforce are female (82%), this is also true across relevant, however these, especially specialist, have got a higher proportion of males than the sector as a whole. Please see table below for details. Chart 19: Gender of the workforce, by care and support provided All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder Male 18% 1 27% 23% Female The table below shows gender variations by job role. Managerial, other and support and outreach workers had the highest proportion of male workers. 82% 81% 73% 77% 0% 60% 100% Chart 20: Gender of the learning disability and autistic spectrum disorder workforce All job roles Managerial Regulated profession Direct care Other 23% 1 24% 21% 18% 11% 21% 1 24% Male Female 77% 81% 76% 7 82% 8 7 81% 76% 0% 60% 100%

14 Chart 21 shows that the age bands vary little across care and support provided. With approximately 1 in 5 workers aged 55 and above and therefore may retire within the next 10 years. Chart 21: Age bands of the workforce, by care and support provided 18 to 24 25 to 54 55 and over All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder 67% 68% 6 68% 68% 70% 23% 22% 22% 21% 22% 21% 0% 60% 100% Similarly to the sector as a whole, registered nurses working in these had a larger proportion, than other job roles, of workers aged 55 and above. s, who make up approximately half of the adult social care sector, had a younger age profile, with an average age of 42 years old, compared to registered nurses at 47, senior care workers at 43 and support and outreach workers at an average of 44 years old. Chart 22: Age bands of the learning disability and autistic spectrum disorder workforce 18 to 24 25 to 54 55 and over All job roles Managerial Regulated profession Direct care Other 2% 2% 12% 8% 68% 74% 74% 68% 63% 22% 24% 24% 2 0% 2% 1% 2% 13% 7% 7 76% 68% 74% 67% 70% 2 22% 30% 18% 21% 23% 0% 60% 100% The ethnicity profile of the population of England is similar to that of the adult social care workforce recorded in the NMDS-SC, with 8 white and 1 black and minority ethnic (BAME) compared to 84% white and 16% BAME in social care.

Chart 23: Ethnicity of the workforce, by care and support provided 15 White BAME All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder 84% 83% 8 82% 83% 7 16% 17% 1 18% 17% 21% 0% 60% 100% Chart 24 shows ethnicity group by job role. s had the highest proportion of BAME staff. There were large geographical differences in ethnicity, see Chart 25. Chart 24: Ethnicity of the learning disability and autistic spectrum disorder workforce All job roles Managerial Regulated profession Direct care Other White BAME 83% 8 74% 82% 8 17% 11% 26% 18% 11% 60% 8 77% 92% 83% 81% 86% 11% 23% 8% 17% 1 14% 0% 60% 100% Chart 25: Ethnicity of the learning disability and autistic spectrum disorder workforce, by geographical area 100% 60% 17% 18% 13% 83% 82% 87% White BAME 3% 8% 13% 27% 11% 21% 66% 62% 62% 97% 92% 87% 8 9 73% 7 91% 34% 38% 38% 0% England East of England East Midlands Central and East South Nationality information is similar to ethnicity and does not vary much by service. In these 84% recorded in the NMDS-SC were British and 16% non-british. Nationality does vary by job role and geographical area. Chart 26 shows the nationality profile of the learning disability and autism workforce by job role, nurses and social workers have the highest proportion of non-british workers. East Kent Surrey Sussex Thames Valley Wessex South Yorkshire Midlands and the Humber

Chart 26: Nationality of the learning disability and autistic spectrum disorder workforce 16 All job roles Managerial Regulated profession Direct care Other British Non-British 84% 91% 77% 84% 91% 16% 23% 16% 93% 82% 6 92% 83% 83% 86% Chart 27 shows the nationality profile of all job roles within these by geographical area Chart 28 and shows only registered nurses. Across all roles and nursing roles the proportion of non-british workers was highest within and lowest in the East, and Yorkshire and the Humber. Chart 27: Nationality of all roles in learning disability and autism, by geographical area 7% 18% 31% 8% 17% 17% 14% 0% 60% 100% 100% 90% 70% 60% 50% 30% 0% 16% 18% 11% 41% 36% 41% 84% 82% 8 5 64% 5 England East of England East Midlands Central and East British South 8% 8% 16% 24% 18% 13% 8% 92% 92% 84% 76% 82% 90% 87% 92% East Non-British Kent Surrey Sussex Thames Valley Wessex South Yorkshire Midlands and the Humber Chart 28: Nationality of nurses in learning disability and autism, by geographical area 100% 60% 0% 31% 38% 32% 4 5 3 6 62% 68% 5 4 6 England East of England East Midlands Central and East British South 47% 42% 3 30% 23% 26% 90% 53% 58% 61% 70% 77% 74% East Non-British Kent Surrey Sussex Thames Valley Wessex South Yorkshire Midlands and the Humber

Pay The NMDS-SC collects pay rates at annual or hourly intervals, or the employer can state that a worker is unpaid. The NMDS-SC also collects information about workers contracted hours. The data in this section shows full-time equivalent (FTE) average salaries. Pay data were converted into FTE annual salaries using an average working week of 37 hours (the full-time equivalent). Hourly pay data were also converted into annual salaries based on the full-time equivalent. Converting pay in this way allows for pay of full-time and part-time workers to be compared. Chart 29 shows average FTE annual pay rates of managerial and regulated professional staff working in the adult social care sector by service. Roles within specialist learning disabilities and / or autism were paid less than other. Chart 29: Average FTE annual pay, by care and support provided 17 Managerial Regulated profession All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder 29,700 30,300 28,950 32,050 25,800 29,650 29,750 32,250 28,950 31,950 31,400 33,900 0 10,000 20,000 30,000 40,000 Chart 30 shows the average FTE annual pay rates for selected managerial and professional roles within learning disability and autistic spectrum disorder. Chart 30: Average FTE annual pay of selected roles in learning disability and autism 28,950 33,700 26,350 33,150 0 10,000 20,000 30,000 40,000 The chart below shows average hourly pay rates of selected direct care roles across the adult social care sector. s and care workers were paid slightly more in these whereas support and outreach workers were paid slightly less.

7.79 7.74 7.69 8.32 8.82 8.52 7.28 7.83 7.93 8.68 8.08 7.80 7.46 7.48 8.66 7.72 10.32 8.92 7.79 9.77 8.75 7.76 9.77 8.98 7.80 9.77 8.92 7.80 9.74 9.31 8.04 10.08 Chart 31: Average hourly pay of selected direct care roles, by care and support provided 18 12.00 10.00 8.00 6.00 4.00 2.00 0.00 All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder Chart 32 shows average hourly pay of care workers by geographical area. The highest paying area was, at just over 1 more than the England average and the lowest areas were Yorkshire and the Humber, Midlands and the East. Chart 32: Average hourly pay of care workers in learning disability and autism, by geographical area 10.00 8.00 6.00 4.00 2.00 0.00 England East of England East Midlands Central and East Qualifications and training South It is vital that the adult social care workforce is a skilled, confident and capable workforce. This section looks at the qualification levels of selected direct care roles. Registered managers and regulated professional roles have qualification requirements to perform their roles, therefore are all qualified and excluded from qualification analysis in this section. Chart 33 shows that qualification across direct care roles do not differ a large amount by care and support service provided. Approximately half of care workers being qualified to a level 2 or above, as are around 60% of support and outreach workers and of senior care workers. East Kent Surrey Sussex Thames Valley Wessex South Yorkshire Midlands and the Humber Chart 33: Proportion of direct care roles qualified to a level 2 or above by care and support provided 100% 60% 0% 83% 7 74% 82% 82% 5 60% 67% 47% 50% 46% 51% 58% 60% 61% 50% 48% All care providing locations in NMDS-SC All LD and/ or ASD LD and/ or ASD specialist LD and/ or ASD generalist Learning disabilities Autistic spectrum disorder

19 Chart 34 shows the proportion of direct care staff in these qualified to a level two or above, that have other relevant social care qualifications and that have no relevant social care qualifications (a mixture of no quals and other non-relevant quals). Chart 34: Qualification levels of selected direct care roles in learning disability and autism Level 2 or above Other relevant social care qualifications No relevant social care qualifications 7 16% 50% 7% 43% 60% 30% 0% 60% 100% In summary, providing, and the workforce supporting, people with learning disabilities and/ or autistic spectrum disorders are similar to that of the adults social care sector as a whole. However specialist do have some different characteristic, such as lower starters and leavers rates, fewer staff on zero hours contracts and slightly more male workers. Further workforce intelligence and bespoke analytical Skills for Care estimates there to be 1.55 million adult social care jobs being carried out by 1.48 million people. To perform your own analysis of NMDS-SC data visit the open access dashboards here 3 or to view other NMDS-SC workforce publications please click here 4. To be kept up to date with Workforce Intelligence news please follow us on twitter @SfC_NMDS_SC. The Skills for Care analysis team can provide bespoke analysis and produce a range of in-depth reports depending on your specific requirements, including similar learning disability or client group analysis at your geographical area. For more information about this service please email analysis@skillsforcare.org.uk or call 0113 2410969. 3 www.nmds-sc-online.org.uk/reportengine/dashboard.aspx 4 www.skillsforcare.org.uk/nmdsscpublications

Skills for Care Gate 6 Grace Street Leeds LS1 2RP T: 0113 245 1716 E: info@skillsforcare.org.uk skillsforcare.org.uk Skills for Care 2016 twitter.com/skillsforcare facebook.com/skillsforcare linkedin.com/company/skills-for-care