Local Authority Population figures SuffolkNorfolkTotal Total Population 738,512 (Mid-2014 ONS, Published June 2015) 877,710 (Mid-2014 ONS, Published June 2015) 1,616,222 Population Over 65 years old 162,829 (Mid-2014 ONS, Published June 2015) 205,239 (Mid-2014 ONS, Published June 2015) 368,068 Growth of population over 65 years old by ,700 (ONS 2012 projections) 228,500 (ONS 2012 projections) 12.2% (+413,200) Population over 85 years old 22,913 (Mid-2014 ONS, Published June 2015) 28,189 (Mid-2014 ONS, Published June 2015) 51,102 Growth of population over 85 years old by ,100 (ONS 2012 projections) 34,700 (ONS 2012 projections) 22.9% (+62,800)

N&S Population projections SuffolkNorfolk % %Up / Down % %Up / Down Under 15’s 125, %130, % 136, %150, % Over 15’s / Under 65’s 455, %451, % 535, %546, % Over 65’s 153, %204, % 195, %249, % Total 732,000785,000866,000945,000

Local Authority Social Care customers In Suffolk, there are currently 9571 social care customers funded by local authority (March 2015 SCC Market Position Statement) and 1531 Direct Payment recipients (Jan 2015 SCC MPS) The current local authority social care spend in Suffolk is £200 million Of which: purchased care spend is £170 million (SCC Aug 2015) It is estimated that self funders spend is £170 million. In Norfolk, there are currently 12,294 social care customers funded by local authority (data from..) and 2,619 Direct Payment recipients (of all ages, data from..) The current local authority social care spend in Norfolk is £367 million Of which: purchased care spend is £289 million (SCC Aug 2015) The self funders spend estimate is unavailable.

Local Authority Social Care Workforce Numbers SuffolkNorfolkSuffolk and Norfolk Workforce Numbers (July 2015 NMDS)20,20026,60046,800 Direct Carers (including re-ablement)15,00019,20034,200 Average turnover rate for direct carers (%) Positions made vacant in the last 12 months 27.7% 4, % 6, % 10,796 Managerial and Supervisory Workers including Registered managers 1,450 1, Average turnover for managerial and supervisory workers Positions made vacant in the last 12 months 10.7% % % 490 Other professionals including nurses in nursing homes9191,0581,977 Average turnover for regulated professional staff (July 2015 NMDS) Positions being made vacant in the last 12 months 17.2% % % 451 Non care roles in adult social care (July 2015 NMDS) 2,8084,5757,383 Number of Registered Nurses (estimated using NMDS-SC as at ) 620 (scaling up as % of 20,200 workers) 690 (scaling up as % of 26,600 workers) 1,310 Number of registered managers (estimated using NMDS-SC as at ) 434 (scaling up as % of 20,200 workers) 652 (scaling up as % of 26,600 workers) 1,086

Turnover (NMDS-SC November 2015) Norfolk Care Workers PVI Home Care – 52.5% PVI Care Homes % PVI Nursing Homes – 43.4% Local Authority – 2.3% PVI Nursing Homes - Nurses 40.7% Registered Managers (all PVI Adult Social Care) – 16.1%

Even if we can attract people, if nothing changes there won’t be enough of them to deliver the care that is required! Recruitment and retention initiatives won’t be enough, we need to transform the way services are delivered.

Norfolk Social Care Provider Quality Risk Profile The Local Picture