Disclosure Log

Question

I would like the following information about adult neurological care in residential and nursing homes.

All questions relate to adults aged 18 to 64 funded by the Local Authority in long-term residential or nursing care.

1. Please supply the name, job title, telephone number and email address of the commissioner with responsibility for neurological (or complex physical and cognitive care) placements for adults aged 18 to 64.

2. Please provide the total number of adults aged 18 to 64 with a neurological need funded by the Local Authority in long-term residential care, and separately in nursing care. Please give an end-of-year snapshot (at 31 March) for each of 2022/23, 2023/24, 2024/25 and 2025/26, and the most up-to-date figure available for 2026/27.

3. Please provide the number of new long-term placements made for adults aged 18 to 64 with a neurological need - residential and nursing separately. Please give the number during 2025/26 (year to 31 March 2026) and during 2026/27 to date.

4. Please provide the highest, lowest and average weekly rate paid for residential and nursing placements for adults aged 18 to 64 with a neurological need, for 2025/26 and 2026/27. If you use weekly rate bands, please give these too.

5. Please provide a list of providers of residential and nursing care used by the Local Authority to place adults aged 18 to 64 with a neurological need in long-term care. For each provider, please give the setting (residential or nursing), the number of service users, and the gross expenditure, using the latest month available (or financial year 2025/26 if not), and state the month used.

6. Does the Local Authority consider there is sufficient residential and nursing provision to meet the needs of adults with neurological needs in the local authority area?

Definitions

By ‘neurological’ I mean: brain injury (acquired or traumatic), spinal injury, Parkinson’s disease, early-onset dementia, multiple sclerosis, motor neurone disease, Huntington’s disease, cerebral palsy, epilepsy, stroke, and neuro-rehabilitation. This is a guide, not an exhaustive list.

If you do not record ‘neurological’ as a category, please use these Primary Support Reasons instead, which cover most neurological needs at this age: Physical Support (access and mobility), Physical Support (personal care), and Support with Memory and Cognition. A combined total is fine (a split by category is welcome if easy). Please tell me which basis you used.

Answer

Please see the attached document.