INFORMES PORTAL MAYORES (OLDER PERSONS PORTAL REPORTS)

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1 INFORMES PORTAL MAYORES (OLDER PERSONS PORTAL REPORTS) Number 77 Social Services for Older People in Spain. January 2006 Authors: Sancho Castiello, Mayte, Pezuela Pinto, Mercedes de la, Fernández Moreno, Marta Translation: Whelan, Patricia Editor: Institute of Older Persons and Social Services (IMSERSO) Contact: Creation date: To cite this document: SANCHO CASTIELLO, Mayte, PEZUELA PINTO, Mercedes de la, FERNÁNDEZ MORENO, Marta (2007). Social Services for Older People in Spain. January Madrid, Older Persons Portal, Older Persons Portal Reports, nº. 77. [Publication date: 03/12/2007]. < > An initiative of the IMSERSO and the CSIC 2003 ISSN: Portal Mayores 1

2 7 Mayte Sancho Castiello and Mercedes de la Pezuela Pinto Marta Fernández Moreno Translation: Patricia Whelan 2

3 SOCIAL SERVICES FOR OLDER PEOPLE IN SPAIN. JANUARY 2006 The data presented in this chapter refer to the public and private social service network for older people in Spain on 1st January The Observatory of Older People prepares annual social service indicators for older people in Spain. A homogeneous series by autonomous community is currently available which covers the period. In the 2000, 2002 and 2004 reports Las Personas Mayores en España the indicators for 1999, 2000, 2001 and 2004 are included. The data relating to January 2002 and January 2005 are published in the Bulletin on ageing Perfiles y Tendencias numbers 8 (June 2003) and 22 (April 2006) respectively, which are edited by the Observatory of Older People itself. All of these documents are also available on the Portal Mayores Web page ( The indicators are of a quantitative nature and refer to the following variables: number of users of social services, user profile, number of places and distribution by ownership and funding, coverage rates, unit prices and funding, and assigned budget, or in its absence, estimated expenditure. The indicators are prepared by type of service for each autonomous community and from the total or average, depending on the indicator, the national level indicators are obtained. Social services include: home care services (home help, teleassistance, meals services, technical aids, family support, ), day care services (clubs -hogares y clubes in Spanish- and day centres for dependent older people), and residential care services (residential centres, temporary stays, sheltered housing, apartments and foster care for older people). In the context of the important reform that the implementation of the National System for Dependency in Spain represents, which began with the publication of the Libro Blanco sobre atención de personas en situación de dependencia, new features have been introduced in this edition: information is collected in relation to the number of users who are dependent in all of the services, and there is more information on home care services, including on technical aids for personal autonomy, family support programmes and programmes for dependency. Finally, the variable average age of admission to a residential centre by sex, is included. The sources employed for analysing data and preparing indicators are as follows: the 2000, 2002 and 2004 reports Las Personas Mayores en España (Ministry of Labour and Social Affairs-IMSERSO); Base de datos de Residencias de Portal Mayores; Libro Blanco sobre atención de personas en situación de dependencia en España (January 2005) ( National Statistics Office ( Datos de Población, Padrón Municipal (various years); Cuentas Económicas, Contabilidad Regional de España; records submitted by the autonomous communities, 3

4 Basque provincial governments (Diputaciones Forales in Spanish) and autonomous cities of Ceuta and Melilla on social services for older people in January The Observatory of Older People would like to thank the autonomous communities and local entities for their collaboration in providing information, which was essential for the preparation of the indicators, as well as for the suggestions made in order to gradually improve the information. 1. SOCIAL SERVICES FOR OLDER PEOPLE IN SPAIN. GENERAL DATA. JANUARY 2006 The population aged 65 years and over in Spain on 1st January 2006 represented 16.8% of the total population, with 7,477,761 people aged 65 years and over. The social services available for this older group and to which we are going to refer are: public home care services (home help services -SAD in the Spanish acronym-, teleassistance and other services), public and private day care services (clubs for older people and day centres for dependent older people) and public and private residential care services. The people in receipt of home care services are distributed as follows: 305,801 correspond to SAD, 261,433 to teleassistance and 67,839 people aged 65 years and over benefited from another type of home care service (meals or laundry service) or received some financial assistance related to home care (home adaptation, family support, technical aids). In all, 8.5% of the population aged 65 years and over use home care services. Day care services include clubs for older people, with a total of 3,525,499 members, and day centres for dependent people, with 47,624 private and public places available on 1st January There are 308,021 public and private places available in residential care, of which 97% (298,870) are places in residential centres and the remaining 9,151 places are available in alternative accommodation systems (sheltered housing mainly, foster care and residential apartments). More than 4% of the population aged 65 years and over use residential care services on 1st January The number of residential places for dependent people was 156,973 and the number of temporary stay places in residential homes was 3,068. The average unit price in January 2006 for the SAD service is euros per month (12.12 euros/hour); for the public teleassistance service it is euros per month. The public price of a place for a dependent person in a day centre is approximately 600 euros per month and for a residential place for a non-dependent person, it is 1, euros per month. The distribution of the users of the social services targeted in this study, by sex and age, show that there is a predominance of women users in all of the services. This predominance is more pronounced in the home care service, with approximately 73% of users of this service being women. A total of 53% of users of clubs are women and 67% of users of day centres and residential centres are women. 4

5 Social service users tend to be in the more advanced age groups, and in half or more of the cases, depending on the type of service, they are aged 80 years and over. In the case of clubs the average age drops to 72 years. The age of admission to residential centres is approximately 81 years; for men it is somewhat lower. TABLE 1 Social services for older people. General data. January 2006 No. users (Places) Coverage (%/Pop=>65 ) Price euros (Average) Population aged 65 years and over: 7,477,761 Public home help service 305,801* 4.09 Public teleassistance service 261, Other home care services 67, Clubs for older people 3,525, Places in day centres for dependent people 47, Places in residential centres 298, Places for dependent people in resident. 156,973 centres 3,068 Places for temporary stays 9,151 Places in alternative accommodation systems (1) Public price. (2) Price in special agreement system. * This figure increases by 172 users (Data supplied by the community of Andalucía when the publication was being printed) euros/month (12.12 euros/hour) euros/month euros/month (1) 1, euros/month (1) 1, euros/month (2) 2. HOME CARE SERVICES Home care services for older people include home help service (SAD), the teleassistance service and other resources which can be considered as home care and are rendered as a service (such as domiciliary meal service or laundry service), as well as financial benefits of a public nature (assistance for home help, home adaptations, aids to family carers and technical aids). With regard to the public or private nature of these services, it is worth mentioning that the data presented below refer to the services offered in the public sector (with public contributions in their funding) and managed, mostly, by entities of a private nature under the system of special agreements with the administration (sistema de concertación in Spanish) PUBLIC HOME HELP SERVICE (SAD) The number of people in receipt of the SAD service in January 2006 was 305,801 people aged 65 years and over. Madrid, with 54,631 users, is the autonomous community with the highest number of users. Other communities with a high number of SAD users are: Cataluña (47,866), Andalucía (38,229) and Castilla-La Mancha and Castilla y León, each with more than 23,000 users. The coverage rate at national level, defined as the percentage of people aged 65 years and over who are users of the service, is situated at an average of Extremadura is the community with the highest coverage rate, with 9.82, almost six points above the national average. Castilla-La Mancha and Madrid also stand out, with coverage rates of 6.37 and 6.29, respectively. 5

6 The hourly intensity, defined as the number of hours of attention per user per month, is situated at an average of hours/month/user, of which an average of 5.97 hours/month are devoted to the personal care of the user and to domestic tasks. However, this distribution is not the same for all of the autonomous communities. In seven of the fifteen communities which provide information on this indicator, the time devoted to the personal care of the beneficiary is greater or much greater than the time devoted to domestic tasks. This is the case in Asturias (52%), Baleares (84), Cataluña (73), Madrid (53), Navarra (54), País Vasco (70) and La Rioja (51). The profile of the distribution of time in home care has changed throughout the period, with a progressive increase in the number of communities in which more time is devoted to the personal care of the older person than to domestic tasks. With regard to the profile of the users of the SAD service, by sex and age, there are more women users, with percentages ranging between 53% in País Vasco and 95 in Castilla-La Mancha. In almost all of the autonomous communities, the majority of users are aged 80 years and over. The public price of the SAD service is situated at a national average of euros/hour/user. There are important fluctuations between communities, most notably Navarra and Melilla, with a price of and euros/hour, respectively. Extremadura and Cantabria are the communities with the lowest public price: 6.18 and 7.30 euros/hour, respectively. The number of users has substantially increased between January 1999 and January 2006; an increase of 193,004. This increase is reflected in the coverage rate which is 2.4 percentage points higher than in 1999, and is situated at 4% of the older population in January PUBLIC TELEASSISTANCE SERVICES The public teleassistance service is used by 3.5 of every 100 people aged 65 years and over, according to the January 2006 data. The total number of people in receipt of this service was 261,433. Once again, Madrid is the autonomous community with the highest number of users of this resource, with 31% of the total (80,024). Andalucía has 41,174 and at a greater distance, Castilla-La Mancha can be found with 20,826 users. The community of Valencia has 22,508, Castilla y León has 17,143, and Cataluña and País Vasco have 15,040 and 12,815 users, respectively. The national coverage rate is situated at 3.5 users per 100 people aged 65 years and over, with Madrid (9.22), Castilla-La Mancha (5.74) and Navarra (5.22) having rates which are much higher than the national average. Canarias, Cataluña, Galicia and La Rioja can be found among the autonomous communities with the lowest coverage rates, around 1% or slightly higher. The user profile is characterised by a majority of women, between 57 and 89%, depending on the community. We see greater differences between the autonomous communities with regard to age: for example, the proportion of users aged 80 years and over is much lower in communities such as Aragón (28%), Ceuta (26) or Melilla (36), while in others, the users aged over 80 years represent 70% or more, as is the case in Asturias (72%), Baleares (68) and La Rioja (79). 6

7 The public price per user is situated at a national average of euros/year. The price in La Rioja (452.5 euros/year), Cataluña (320.6) and the community of Valencia (315 euros/year) is above the national average. Between 1999 and 2006 the number of users of the public teleassistance service increased by 212,859 and the coverage rate increased by almost three percentage points OTHER HOME CARE SERVICES The information available on other home care service is scarce. However, the most frequently used ones are the public domiciliary meal service and the financial assistance for home adaptations, the average amount of which ranges between euros per year per user in the case of Melilla and 5,020 in Cataluña. 3. PUBLIC AND PRIVATE DAY CARE SERVICES Day care services include clubs for older people and day centres for dependent older people, also known as day stays in some autonomous communities CLUBS FOR OLDER PEOPLE There are 3,988 centres in Spain in January 2005, with 3,525,499 members aged 65 years and over. This figure represents 47.15% of the population aged 65 years and over. It is important to note that the calculation of number of users (members) of this resource is not homogeneous due to the complexity, in some cases, of obtaining information on the number of members of private centres or on the numbers relating to local entities. Therefore, the information on users of this service should be treated with caution. The communities which register the highest number of members are Andalucía (606,033) and Madrid (531,162), with coverage rates which exceed 50%. Other communities with high coverage rates are: Navarra (93.62%), Ceuta (93.16), La Rioja (89.8) and Baleares (81.62). On the other hand, the communities with the lowest coverage rates are: Canarias (14.48%) and Cataluña (15.86). In the case of Cataluña, the low rates are due to the difference in methodological procedures; members of local entities or private centres are not included DAY CENTRES FOR DEPENDENT OLDER PEOPLE In January 2006 there were 47,624 places distributed between 1,872 publicly and privately owned centres. Private ownership carries the most weight in terms of centres (62%) and places available (64% of the places are privately owned). With regard to the funding of the places, public sector participation is the most important: 60 of every 100 places receive public funding, of which 36 in turn are managed by the public sector and 24 by the private sector under the system of special agreements. The rest, 40 of every 100, are places which are entirely financed by the user at market prices and are managed by private entities. 7

8 The public price of a place for a dependent person in a day centre is situated at a national average of just over 7,000 euros per year. In the different autonomous communities, it ranges between 14,600 euros per year per place in País Vasco, 11,000 in Madrid and over 6,000 euros per year per place in communities like Asturias, Baleares, Castilla La Mancha, Cataluña, Galicia and Navarra. With regard to the price in private facilities under the system of special agreements, the information available for autonomous communities is insufficient to find a national average price. The communities with the highest annual price under the special agreement system are País Vasco (13, euros/year place) and Madrid (9,344.4). Murcia is the community with the lowest price under this system (4, euros/year place). The information available in relation to the psychogeriatric places on offer and on the price of these places is very limited. In some communities such as Aragón, Cantabria, La Rioja or Ceuta, all of the places in day centres are classified as psychogeriatric. As regards the price of a psychogeriatric place under the special agreement system, it is only in Aragón that a significant difference (11,989 euros/year) is appreciated compared to a place for a dependent person under the special agreement system (7,980 euros/year). As with the other resources, the user profile is characterised by a predominance of women users, although the proportion varies considerably from one community to another, and is situated between 54 and 78%. The differences between autonomous communities are even greater if we consider the proportion of users aged 80 years and over. In seven of the twelve communities which provided information, the majority of the users of this resource are aged 80 years and over and the percentage ranges between 52% in Melilla and 80 in Asturias. The average age of a day centre user is 80 years. The evolution of day centres for dependent older people throughout the period has been very dynamic. Between January 2000 and January 2006, there has been an annual increase of more than 7,000 new places, reaching 47,624 places in January PUBLIC AND PRIVATE RESIDENTIAL CARE SERVICES Residential care for older people includes the following resources: residential centres, public temporary stay services and alternative accommodation systems: sheltered housing, public foster care services, residential apartments and any other resource of a residential nature RESIDENTIAL CENTRES The total number of residential places in January 2006 was 298,870, distributed between 6,052 centres. This figure represents an increase of 15,736 places and 923 centres compared to January A total of 83% of residential centres (4,993) are privately owned and these centres manage 76% of the residential places available (225,882). Twenty per cent of the residential places (58,905) are managed through the system of special agreements with 8

9 the public sector and 56% (166,977) are places which are privately financed at market prices. Seventeen per cent of the remaining centres (1,059) are publicly owned (managed) and provide 72,988 residential places (24% of all places). In terms of funding, 56% of residential places are offered at market prices and 44% receive public funding. Although the structure outlined above is the structure in the majority of autonomous communities, the following points are worth highlighting: in Extremadura, residential care is predominantly in the public sector, both in terms of the number of publicly owned centres (65.2% of the total) and the number of places which receive public funding, 54%, compared to 46% for privately funded places. Likewise, in the community of Valencia, País Vasco, Ceuta and Melilla there are more places on offer which receive public funding than places which are privately funded. Another feature of the Spanish residential care model is that the majority of residential centres (84%) have less than 100 places. To be more precise, 58% of centres have less than 50 places per centre, 26% have between 50 and 100, 9% have between 100 and 150 and only 7% have more than 150 residential places per centre. The coverage rate for residential places is situated at a national average of 4% of the population aged 65 years and over. Almost all of the autonomous communities provide information relating to user profile. Approximately 67% are women users and the majority (64%) are aged 80 years and over. In the case of women, 78% are aged over 80 years. The average age of residential centre users is 82 years, with an average age of admission to a residential home of 83 years for women and a little lower in the case of men, at 78 years. The public price of a residential place is situated at an average of just over 15,800 euros per year per place (43 euros/day). The autonomous communities with a price which is much higher than the average are: País Vasco (32,400 euros/year place) and Madrid (24,757). On the other hand, in Aragón, Castilla y León and Navarra the price is much lower than the national average: between 6,800 and 8,600 euros/year per place. Throughout the period, there has been a year-on-year increase of more than 14,000 places in residential care, with 99,812 more places on offer between 1999 and 2006 and 2,332 new centres. As regards the distribution of places, there has been an increase in the participation of places which belong to the system of special agreements; these places have increased by 6.5 percentage points at the expense of a reduction in the participation of private places (managed and funded privately) of 5 percentage points and to a lesser extent, in public places which have reduced 1.5 percentage points. 9

10 Places for dependent people and psychogeriatric places in residential centres The number of places on offer in residential centres in January 2006 for dependent older people was 156,973. With regard to distribution between the public sector, the system of special agreements and the private sector, the autonomous communities can be divided into three groups. The first group is made up of the autonomous communities in which the majority of places for dependent people are in the public sector, as is the case in Asturias, Canarias, Extremadura, Galicia and Madrid. The second group includes the communities in which the majority of places for dependent people belong to the system of special agreements with the public sector, as is the case in Andalucía, Cantabria, the community of Valencia, La Rioja and País Vasco. Finally, in Castilla y León, Cataluña and Navarra, it is in the private sector that there are more places for dependent people, particularly in Cataluña where there are 25,157 places for dependent people in the private sector. The information on the number of private places for dependent people is very limited, which means that this distribution could be very different if more information was available. The average price of a residential place for a dependent person in the system of special agreements with the public sector is 16,311 euros per year (45 euros/day). With regard to psychogeriatric places, the communities which have a higher number on offer are Cataluña and Galicia, with 8,842 and 5,265 places respectively, followed by the community of Valencia (2,674) and Extremadura (1,801). The average price of a psychogeriatric residential place in the system of special agreements is 17,815 euros per year (49 euros/day). In Andalucía, Cataluña, País Vasco and La Rioja the price in this system of special agreements is higher than the average, ranging between 20,300 and 27,300 euros per year per place. Extremadura is the community with the lowest price for psychogeriatric places in the system of special agreements, at approximately 33 euros/day. Twelve of the nineteen autonomous communities provide information on the number of dependent users in residential centres. The total number of dependent users in residential centres is 59,738. On a national basis, this figure represents 61.6% of all users in residential centres, although the differences between autonomous communities are important. In Andalucía, Asturias, the community of Valencia and Melilla, dependent users are an important majority, representing between 72 and 86% of all residential centre users. In other communities such as Aragón, Castilla y León, Galicia and País Vasco, they represent approximately 69%, and in autonomous communities such as Baleares, Castilla-La Mancha or Murcia they do not even represent 50%. These differences can be partly explained by the different criteria which currently exist in the autonomous communities for evaluating dependency. The implementation of the National System for Dependency will involve the application of standard criteria for the evaluation of dependency in the whole country, thus correcting the differences which can be explained by this cause. 10

11 4.2. TEMPORARY STAYS IN RESIDENTIAL CENTRES The temporary stay in residential centre service can be defined as an intermediate resource for assisting, during short periods of time, dependent older people who normally live in their own homes1. This resource caters for older people, offering a temporary care service at times of illness, crisis situations, or convalescence after an illness or accident, as well as for family carers as a respite service during holidays. The information available on the temporary stay service is very limited and scarce, and as a result, we cannot prepare national indicators which are representative. However, the number of autonomous communities providing the necessary information is increasing. The autonomous communities offering the highest number of places are: Castilla-La Mancha (1,098), País Vasco (537), Andalucía (498), Madrid (400) and the community of Valencia (241) ALTERNATIVE ACCOMMODATION SYSTEMS In this section, and still under the heading residential services, we include accommodation for older people in sheltered housing, foster care or residential apartments. These alternative residential arrangements or any others with similar characteristics, have an advantage over being admitted to a residential centre, in that they allow the older person to stay in a more familiar environment, and in some cases, in their usual physical setting, with the availability of certain services, help and infrastructures, appropriate for older people. The information available to date is very limited due to, among other reasons, the differences in how these resources are developed in the autonomous communities. This means that we cannot evaluate the scale and characteristics of the alternative accommodation systems on a national basis. We focus on the sheltered housing service, for which we have information from fourteen autonomous communities relating to the number of housing schemes and places. In January 2006 there were 824 sheltered housing schemes with a total of 6,922 places available. Castilla-La Mancha and Cataluña are the communities with the highest number of places available. The price of a place in a sheltered housing scheme ranges between 16, euros per year (45.87 euros/day) in the case of País Vasco and 2,157 euros per year in Castilla-La Mancha. 5. INDICATORS FOR PUBLIC EXPENDITURE ON SOCIAL SERVICES FOR OLDER PEOPLE The indicators for public expenditure on social services for older people have been prepared using the budgetary information provided by the autonomous communities. For those communities for which information on the assigned budget has not been made available (Andalucía, Aragón, Baleares, Cantabria, Madrid, Murcia and Ceuta), expenditure on 1st January 2006 was estimated. To do this, the unit prices of the different services and the corresponding consumption units (users or places) were 1 Ministry of Labour and Social Affairs (2005), Libro Blanco sobre Atención a Personas en Situación de Dependencia en España (Chapter IV, pg. 75). 11

12 calculated using the information provided by the autonomous communities. The estimated overall expenditure figure is the sum total of the estimated expenditure on each of the social services considered. Given that this delimitation refers to public expenditure, resources funded by the public sector have been considered, in other words, those which come directly under the public sector as well as those included in the system of special agreements with the public sector. Using the budgetary or estimated public expenditure figure, two basic expenditure indicators are calculated: expenditure per person aged 65 years and over and expenditure with respect to Gross Domestic Product (GDP). Public expenditure on social services for older people amounts to 2,866.5 million euros on the 1st January In terms of GDP, at national level, it represents 0.32 %. The communities which make a greater effort, measured using the expenditure/gdp relationship, are Castilla-La Mancha (0.77%), La Rioja (0.56) and Asturias (0.51), all of which are communities with an ageing population structure. Aragón, Galicia and Cataluña are situated around the average ( % of GDP) and Canarias comes last with a weight of expenditure in terms of GDP of 0.11%. If we consider the expenditure per person aged 65 years and over, it would signify an expenditure of euros per person per year at national level. The communities which easily exceed this amount are: Madrid ( ), and País Vasco, Castilla-La Mancha and La Rioja, with an average amount of over 650 euros per person aged 65 years and over. Canarias is situated at the other end of the scale with expenditure per person aged 65 years and over of euros per year. NOTE: Tables 7.31 and 7.32 which are included at the end of this chapter (pages 436 and 437), present the latest data relating to social services in the autonomous communities of Andalucía and Navarra, which were received during the printing process and are not taken into account in the calculation of the other indicators included in this Report. 12

13 SOCIAL SERVICES FOR OLDER PEOPLE IN SPAIN GLOBAL DATA. JANUARY 2006 Number of users and places for some social services for older people. Spain-January SAD Teleasistencia Centros Día Serv. Residenciales Source: Autonomous communnities and Diputacione Forales. Own Elaboration OBSERVATORIO DE PERSONAS MAYORES Explotación de los datos:alboma 2000 S.L.

14 Table 7.1. Number of users and places for some social services for older people. Spain. January 2006 Territory Users Users Places Places (1) SAD Teleassistance Day centres Residential s. Andalucía 38,229 41,174 4,265 32,367 Aragón 9,592 11,813 1,494 14,682 Asturias 9,102 5,771 1,041 9,818 Baleares 4,325 4, ,997 Canarias 7,534 2,396 1,036 7,891 Cantabria 3,030 2, ,584 Castilla y León 23,567 17,143 2,709 35,848 Castilla-La Mancha 23,109 20,826 1,370 21,800 Cataluña 47,886 15,040 11,133 54,424 C.Valenciana 18,600 22,508 5,838 22,921 Extremadura 20,506 7,052 1,166 9,072 Galicia 13,932 6,413 2,279 15,928 Madrid 54,631 80,024 9,525 44,028 Murcia 3,502 4,671 1,034 4,026 Navarra 4,211 5, ,942 País Vasco 21,181 12,815 2,891 17,516 La Rioja 2, ,707 Ceuta Melilla Spain 305, ,433 47, ,021 COVERAGE RATE (2). JANUARY 2006 Territory Cover. rate Cover. rate Cover. rate Cover. rate SAD Teleassistance Day centres Residential s. Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Ceuta Melilla Spain Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006). Datos de Población. Padrón Municipal 01/01/2006. Own elaboration. (1) Residential services include: number of places in: residential services, sheltered housing, foster care and residential apartments. (2) Coverage rate: (No. of users or places/population>65)*100. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

15 Figure 7.1. Number of users or places for some social services for older people in Spain. January , , ,433 47,624 SAD Teleassistance Day Centres Residential Serv.

16 Figure Coverage rate for some social services for older people in Spain. January SAD Teleassistance Day Centres Residential Serv. Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006) Datos de Población. Padrón Municipal 01/01/2006. Own elaboration.

17 Table 7.2. Social services for older people in Spain. Number of dependent users. January 2006 Territory Dependent Dependent Dependent Dependent Dependent Dependent users users users users users users SAD Teleassistance Day centres Residential c. Alternative s. (1) Other services (2) Andalucía 23, Aragón 2,877 2, ,855 Asturias 5,469 1,158 3, Baleares 720 2, ,260 Canarias 851 1,036 Cantabria Castilla y León 3,264 4, Castilla-La Mancha 222 3,570 3,380 Cataluña 47,886 15,040 6,508 44,318 C.Valenciana 11,614 20,562 1,130 Extremadura 7,241 1,166 3,864 Galicia 10,000 1,933 9, Madrid 22,399 26,408 9, ,459 Murcia 660 1, Navarra País Vasco 5,994 1,835 2,003 5, La Rioja Ceuta Melilla Spain 102,971 45,740 68,889 56, ,400 Source: Autonomous communities, autonomous cities and Diputaciones Forales. (1) Alternative systems: Sheltered housing + Foster care. (2) Other services: Public and private domiciliary meals and laundry services; Financial assistance for home adaptation, financial assistance for family carers, other family support and dependency programmes and financial assistance for technical aids for personal autonomy. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

18 Table 7.3. User profile for some social services for older people. Spain. January 2006 SAD TELEASSISTANCE CLUBS DAY CENTRES RESIDENTIAL C. Territory % women %>80 years % women %>80 years % women Average age % women %>80 years % women %>80 years Andalucía % 27% % 61% Aragón 62% 25% 84% 72% 62% 71 60% 80% 60% 80% Asturias 64% 56% % 52% 73 71% 47% 74% 61% Baleares* 86% 58% 88% 53% 60% 74 72% 55% 64% 59% Canarias 79% 5% Cantabria % 60% Castilla y León 66% 56% 71% 48% % 75% Castilla-La Mancha 95% 22% 78% 36% 50% 70 78% 69% 64% 63% Cataluña 74% 72% 79% 53% 56% 74 75% 66% 76% 75% C.Valenciana % 67% Extremadura 70% 65% 81% 59% % 61% Galicia 72% 62% 77% 58% 60% 70 63% 68% 71% 62% Madrid 81% 61% % 74 54% 15% 78% 81% Murcia 81% % 65% % 43% 73% 43% Navarra 65% 58% 82% 66% País Vasco* 53% 46% 75% 69% 56% 72 47% 42% 43% 43% La Rioja 69% % 26% % 64% Ceuta % 36% 58% 67 68% 48% Melilla 84% 31% 0% 0% 58% 74 76% 52% 73% 69% Average 73% 48% 73% 50% 57% 72 67% 54% 67% 64% Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. *Baleares: Day centre profile, data refers to January *País Vasco: SAD, teleassistance, day centres and residential c. profile, data refers to Álava+Guipúzcoa. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

19 Table 7.4. Social services for older people in Spain. Comparative chart of prices of some social services. January 2006 SAD Teleassistance service Dependent place Dependent place Non-dependent place Territory Public price Public price Day centre Residential Residential (Euros/month/user) (Euros/month/user) Public price (Euros/month) Sp. agr. price (Euros/month) Public price (Euros/month) Andalucía , Aragón , Asturias Baleares , , Canarias , , Cantabria , , Castilla y León , Castilla-La Mancha Cataluña , C.Valenciana , , Extremadura , , Galicia , , Madrid , , Murcia , , Navarra , País Vasco , , , La Rioja , , Ceuta , Melilla , Spain , , Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

20 Table 7.5. Public home help service in Spain. Number of recipients of service and coverage rate (1). January 2006 Territory Population>65 Number Coverage rate (1) 01/01/2006 recipients Andalucía ,26 Aragón ,67 Asturias ,85 Baleares ,13 Canarias ,06 Cantabria ,86 Castilla y León ,13 Castilla-La Mancha ,37 Cataluña ,08 C.Valenciana ,38 Extremadura ,82 Galicia ,34 Madrid ,29 Murcia ,85 Navarra ,01 País Vasco ,39 La Rioja ,09 Ceuta ,65 Melilla ,49 Spain ,09 Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006). Datos de Población. Padrón Municipal 01/01/2006. Own elaboration. (1) Coverage rate: (users/population>65)x100

21 Figure 7.3. Public home help service. Number of users. January ,631 47,886 38,229 23,567 18,600 20,506 23,109 13,932 9,592 9,102 7,534 4,325 3,030 3,502 4,211 21,181 2, La Rioja Ceuta Melilla Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration.

22 Figure Public home help service. Coverage rate. January Ceuta Melilla Spain Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006), Datos de Población. Padrón Municipal 01/01/2006. Own elaboration.

23 Table 7.7. Public home help service in Spain. Number of hours spent and hourly intensity. January 2006 Territory No. hours spent Hourly intensity (month) Hourly intensity (month) (year) (tasks+care) (1) on personal care (2) Andalucía* 3,500, Aragón 1,230, Asturias 1,301, Baleares Canarias 2,169, Cantabria 642, Castilla y León 3,695, Castilla-La Mancha 2,939, Cataluña 5,367, C.Valenciana Extremadura 3,975, Galicia 4,204, Madrid 6,185, Murcia 687, Navarra 497, País Vasco 2,977, La Rioja 329, Ceuta 156, Melilla 65, Spain Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. (1) Hourly intensity: Number of hours of care per month per user. (2) Hourly intensity: Number of hours of personal care per month per user. *Andalucía: Data refers to January 2004, latest information available. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

24 Figure 7.5. Public home help service. Hourly intensity. January Ceuta Melilla Spain Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration.

25 Table 7.8. Public home help service in Spain. Price and funding. January 2006 Territory Public price (1) Public price hour/user monthly/user Euros Euros Andalucía * 12,11 96,88 Aragón 10,00 100,00 Asturias 10,56 125,88 Baleares 16,00 197,28 Canarias 11,00 264,00 Cantabria 7,30 130,82 Castilla y León 12,29 232,16 Castilla-La Mancha 9,25 157,71 Cataluña 13,52 208,21 C.Valenciana 9,89 115,61 Extremadura 6,18 104,75 Galicia 8,43 212,01 Madrid* 12,93 174,52 Murcia 10,26 164,16 Navarra 22,32 223,20 País Vasco 17,40 335,82 La Rioja 10,25 150,47 Ceuta 10,50 220,50 Melilla 20,09 427,11 Spain 12,12 191,64 Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. (1) Price published in the public announcements for home help. *Madrid: Monthly price calculated from price in special agreement system (9,81euros/hour). *Andalucía: Data refers to January 2004, latest information available. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

26 Figure 7.6. Public home help service. Public price (euros/hour). January Spain Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Ceuta Melilla Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration.

27 Table 7.9. Indicators for social services for older people. Public home help service. Spain, January 1999 January 2006 Variation 2006/1999 Population > Indicators Number of users Coverage rate 1,67 4,09 2,42 Pub. price/hour (Euros) 8,97 12,12 35,11% Source: Ministry of Labour and Social Affairs (2000). Las Personas Mayores en España. Informe Autonomous communities, autonomous cities and Diputaciones Forales. INE (various years). Datos de Población. Padrón Municipal 01/01/1999 y 01/01/2006. Own elaboration. Figure 7.7. Indicators for social services for older people. Public home help service. Number of users, 1999 and 2006 January January SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

28 Figure 7.8. Indicators for social services for older people. Public home help service. Coverage rate, 1999 and ,67 4,09 January 1999 January 2006 Figure 7.9. Indicators for social services for older people. Public home help service. Public price (euro/hour), 1999 and 2006 January ,12 January ,97

29 Table Public teleassistance service in Spain. Number of recipients of service and coverage rate. January 2006 Territory Population>65 Number Coverage rate (1) 01/01/2005 recipients Andalucía ,51 Aragón ,52 Asturias ,44 Baleares ,00 Canarias ,97 Cantabria ,82 Castilla y León ,01 Castilla-La Mancha ,74 Cataluña ,28 C.Valenciana ,88 Extremadura ,38 Galicia ,08 Madrid ,22 Murcia ,47 Navarra ,22 País Vasco ,26 La Rioja ,15 Ceuta* ,14 Melilla ,51 Spain ,50 Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006), Datos de Población. Padrón Municipal 01/01/2006. Own elaboration. (1) Coverage rate: (users/population>65)x100 *Ceuta: January SERVICIOS SOCIALES PARA PERSONAS MAYORES.ENERO 2006

30 Figure Public teleassistance service. Number of users. January ,024 41,174 17,143 20,826 22,508 15,040 11,813 12,815 5,771 7,052 4,150 6,413 2,396 2,996 4,671 5, Ceuta Melilla Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration.

31 Figure Public teleassistance service. Coverage rate. January Ceuta Melilla Spain Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Source: Autonomous communities, autonomous cities and Diputaciones Forales. INE (2006), Datos de Población. Padrón Municipal 01/01/2006. Own elaboration.

32 Table Public teleassistance service in Spain. Other characteristics. January 2006 Territory % women %>80 years Public price per user Euros/year Andalucía 81% 54% 178,00 Aragón* 57% 27% 180,00 Asturias 84% 72% 274,08 Baleares % 284,64 Canarias 88% 53% 276,24 Cantabria ,68 Castilla y León 74% 60% 269,12 Castilla-La Mancha 71% 48% 203,24 Cataluña* 78% 36% 320,60 C.Valenciana 79% 53% 315,00 Extremadura ,76 Galicia 81% 59% 283,67 Madrid 77% 58% 244,00 Murcia ,84 Navarra 80% 65% 199,41 País Vasco 82% 66% 227,59 La Rioja 75% 69% 452,53 Ceuta* 76% 26% 225,00 Melilla 89% 36% 265,20 Spain 261,51 Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. *Cataluña: >85 years; Aragón: January 2004 price; Ceuta: January 2005 data. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006

33 Figure Public teleassistance service. Public price (euros/year). January Melilla Spain Andalucía Aragón Asturias Baleares Canarias Cantabria Castilla y León Castilla-La Mancha Cataluña C.Valenciana Extremadura Galicia Madrid Murcia Navarra País Vasco La Rioja Ceuta Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration.

34 Table Indicators for social services for older people. Public teleassistance service. Spain, January 1999 January 2006 Variation 2006/1999 Population > Indicators Number of users Coverage rate 0,72 3,50 2,78 Public price/year (euros) 261,51 Source: Ministry of Labour and Social Affairs (2000). Las Personas Mayores en España. Informe Autonomous communities, autonomous cities and Diputaciones Forales. INE (various years): Datos de Población. Padrón Municipal 01/ y 01/01/2006. Own elaboration. Figure Indicators for social services for older people. Public teleassistance service. Number of users, 1999 and 2006 January January Source: Ministry of Labour and Social Affairs (2000). Las Personas Mayores en España. Informe Autonomous communities, autonomous cities and Diputaciones Forales. INE. Inebase (Padrón 1999 y 2006). Own elaboration. Figure Indicators for social services for older people. Public teleassistance service. Coverage rates, 1999 and ,50 0,72 January 1999 January 2006 Source: Ministry of Labour and Social Affairs (2000). Las Personas Mayores en España. Informe Autonomous communities, autonomous cities and Diputaciones Forales. INE. Inebase (Padrón 1999 y 2006). Own elaboration.

35 Table 7.13 Other home care services for older people in Spain. Number of users and average expenditure per user. January 2006 Home Family Tech. Meals Laundry adapt. carer aids Other Territory No. users /year/user No. users /year/user No. users /year/user No. users /year/user No. users /year/user No. users /year/user Andalucía ,141 1, Aragón Asturias , Baleares ,260 1, Canarias Cantabria , Castilla y León* Castilla-La Mancha Cataluña 1, , ,493 2, C.Valenciana 1,945 1, , , Extremadura Galicia , Madrid* 1, ,890 1, * Murcia , , , ,561.2 Navarra , País Vasco* 143 3, , , La Rioja Ceuta* * * Melilla 99 1, , Source: Autonomous communities, autonomous cities and Diputaciones Forales. Own elaboration. *Castilla y León: Domiciliary meals: no. of public services, ; no. of private services, *Madrid: Other programmes - average annual expenditure/user: 691 euros Madrid local council; euros Community of Madrid. *País Vasco: data refers to Álava. *Ceuta: Domiciliary meals; expenditure, euros/year. SOCIAL SERVICES FOR OLDER PEOPLE. JANUARY 2006