Disability in Kent. Business Intelligence Statistical Bulletin March 2016

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1 Business Intelligence Statistical Bulletin March 2016 Disability in Kent Related documents Benefit Claimants - The number of people claiming a DWP benefit 2011 Census: Health & Unpaid Care looking at health related results from the 2011 Census and compares to 2001 NOTE: When referring to Kent we mean the Kent County Council Area which includes all twelve local authority districts but does not include the Medway Unitary Authority. Further information Strategic Business Development & Intelligence Kent County Council Sessions House Maidstone Kent ME14 1XQ Tel: There is no single measure of disability. This report outlines the data sets that Kent County Council has chosen to use to estimate the number of people with a disability or disabling condition in the county. Comparisons with the regional and national averages are made. Kent Summary Using the broadest definition (2011 Census) 257,038 residents in Kent (17.6%) have a health problem or disability which limits their day-to-day activities Personal Independent payment (PIP) was introduced to replace DLA for working age people in Spring 2013 and began to be phased in in Kent in July % of the population in Kent are claiming a disability benefit - Disability Living Allowance (DLA), Personal Independence Payment (PIP) or Attendance Allowance (AA) - equivalent to 115,306 claimants A higher proportion of women (8.1%) claim disability benefits in Kent than men (7.2%) A physical disability or health condition is the most common reason for a claim for a disability benefit. This accounted for 73.0 % of all claims in Kent A higher proportion of people aged 65 and over (19.1%) claim disability benefits than those aged (5.1%) or those aged 15 and under (4.0%) Thanet district has the highest proportion of disability benefit claimants in the county with 11.2% of the resident population DLA/PIP or AA The employment rate for people who are disabled in Kent is 52.9%. This is lower than the employment rate for people without a disability which is 80.3% in Kent. Dartford district has the highest employment rate for people with a disability (80.3%) Strategic Business Development & Intelligence, Kent County Council

2 This report begins by looking at the number of people with a long term health problem or disability from the 2011 Census. This can be said to be the widest definition of disability. It then goes on to look at claimants of the Department of Work and Pensions (DWP) disability benefits Disability Living Allowance (DLA) and Attendance Allowance (AA). Data from the Annual Population Survey (APS) is also presented providing information about people with disabilities or disabling health conditions and their employment characteristics. Introduction Kent County Council has a statutory requirement to ensure that it provides an equal and fair service to its whole population. An equal society recognises people s different needs, situations and goals, and removes the barriers that limit what people can do and be. Currently there are nine population groups which are protected by discrimination law one of which is disabled people, the focus of this bulletin. This report estimates the number of disabled people in Kent and the nature of their disability in an attempt to understand and have a more informed picture of the Kent community. Definition of disability There are many different definitions of disability but the most common are: The 2010 Equality Act a physical or mental impairment that has a substantial and long-term negative effect on a person s ability to do normal daily activities Disability Discrimination Act 2005 (DDA) This definition preceded the Equality Act and defined a disability as a long term health problem or disability which substantially limits a person s ability to carry out normal day to day activities. Work Limiting Disability (WLD) a long term health problem or disability that affects the amount or type of work that a person can do Estimates of the number of people with a disability There is no single measure of the number of people with a disability. The definitions of disability vary and often rely on an individual s perception of their own health; a condition that one person considers disabling is not necessarily considered in the same way by another with the same condition. The disabling effects of some health conditions may fluctuate so that if the person being interviewed is in a period of remission from their condition at the time of the interview they might not consider themselves disabled at that time. Page 1

3 This report looks at several datasets which give information about people with disabilities. The datasets used in this report are: The 2011 Census this data provides a snap shot of the characteristics of the population as at The data from the census will be available down to small geographical areas and by gender and age group. The Census asks people whether their day to day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months. This question in the census aims to meet the description of disability as defined in the Disability Discrimination Act (DDA) This gives us the widest definition of disability. Department for Works and Pensions disability benefits data this gives a count of the number of people claiming the disability related benefits Disability Living Allowance (DLA) and Attendance Allowance (AA). This data counts the number of people with a disability or health condition who need help with their personal care or have supervision needs, and/or have difficulty getting around. Disability benefits data does not give any information about whether the disability or health condition limits the claimant s ability to work. The Annual Population Survey (APS) this is a residence based labour market survey by the Office for National Statistics. The APS can provide estimates of the number of people of working age that consider themselves disabled, the level of and the employment rate of those people. As this is a sample survey the results do not provide an accurate count and it relies on individuals to evaluate whether they are disabled and to what degree. The data currently available from the APS and used in this bulletin uses the Equalities Act 2010 definition of disability. This report also looks at the number of people who are claiming Personal Independence Payment (PIP), the DWP benefit which replaces DLA for claimants aged Each of these three data sets will be presented in turn, beginning with the 2011 Census Census The last national population census was held on March 27th Everyone is obliged to complete the census form and so it is the only survey which provides a detailed picture of the entire population. Data from the 2011 Census provides a snapshot of the characteristics of the population of England and Wales as at Headline figures are currently available down to local authority district level. More detailed information and smaller geographical level data is due to be released in Spring 2013 and this bulletin will be updated accordingly. The 2011 Census asked the following question: Page 2

4 Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? Respondents were directed to include problems related to old age. The respondent could answer yes limited a lot, yes limited a little or no. This question relies on individuals to self-evaluate their health. Many people who have an impairment or ill health may not consider themselves disabled while others suffering with a similar condition may consider that they are. In addition the census question is very broad. It is not solely capturing counts of people with a disability but counts of people who believe they have any longterm illness or health problem. As a result of the wide definition, the census data provides the broadest count of disability. Table 1 shows the results from the 2011 Census for local authority district areas in Kent. At the time of the 2011 Census 257,038 people (17.6% of the total population) in Kent considered themselves to have a health problem or disability which limited their day-to-day activities, lower than the national average of 17.9%. Table 1: People with a long term health problem or disability Source: 2011 Census, Table KS301EW, Office for National Statistics (Crown Copyright) Presented by: Reseach & Evaluation, Kent County Council All People All People All People with without Longterm health Long term health problem or problem or disability disability % People % People with without Longterm health Long term health problem or problem or disability disability Ashford 117,956 19,085 98, % 83.8% Canterbury 151,145 27, , % 81.9% Dartford 97,365 14,735 82, % 84.9% Dover 111,674 23,257 88, % 79.2% Gravesham 101,720 17,342 84, % 83.0% Maidstone 155,143 24, , % 84.2% Sevenoaks 114,893 17,091 97, % 85.1% Shepway 107,969 22,718 85, % 79.0% Swale 135,835 25, , % 81.4% Thanet 134,186 31, , % 76.6% Tonbridge & Malling 120,805 17, , % 85.1% Tunbridge Wells 115,049 16,371 98, % 85.8% Kent 1,463, ,038 1,206, % 82.4% Medway 263,925 43, , % 83.6% Kent + Medway 1,727, ,392 1,427, % 82.6% South East 8,634,750 1,356,204 7,278, % 84.3% England & Wales 56,075,912 10,048,441 46,027, % 82.1% People living in the east of the county (in Thanet, Dover, Shepway, Canterbury and Swale) are more likely to consider themselves to have a limiting health problem or disability than the average for the county. Thanet has the highest proportion with almost a quarter (23.4%) of the resident population stating that a health condition or disability limited their day to day activities to some degree. The districts in the west of the county (Tunbridge Wells, Tonbridge and Malling and Sevenoaks) have the lowest proportion of Page 3

5 their population whose day to day activities were limited by their health condition or disability, all below 15%. This is shown in chart 1. Chart 1: Percentage of the population with a long term health problem or disability 30.0% 25.0% 20.0% 15.0% Percentage of people with a long term health problem or disability which limits their day to day activities 2011 Source: 2011 Census, Table KS301EW 10.0% 5.0% 0.0% Thanet Shepway Dover Swale Canterbury Kent Gravesham Ashford Maidstone Dartford Sevenoaks Tonbridge & Malling Tunbridge Wells % with health problem or disability England & Wales average % with health problem or disability Table 2 shows to what degree the day-to-day activities of those people with long term health problems or disabilities are limited. Table 2: Degree of limitation of people with a long term health problem or disability Source: 2011 Census, Table KS301EW, Office for National Statistics (Crown Copyright) Presented by: Reseach & Evaluation, Kent County Council Number % of people with along term health problem or disability All People with Day to day Long term health activities limited problem or disability a little Day to day activities limited a lot Day to day activities limited a little Day to day activities limited a lot Ashford 19,085 10,669 8, % 44.1% Canterbury 27,318 14,891 12, % 45.5% Dartford 14,735 8,114 6, % 44.9% Dover 23,257 12,404 10, % 46.7% Gravesham 17,342 9,546 7, % 45.0% Maidstone 24,505 13,845 10, % 43.5% Sevenoaks 17,091 9,872 7, % 42.2% Shepway 22,718 11,965 10, % 47.3% Swale 25,322 13,580 11, % 46.4% Thanet 31,348 15,979 15, % 49.0% Tonbridge & Malling 17,946 10,367 7, % 42.2% Tunbridge Wells 16,371 9,399 6, % 42.6% Kent 257, , , % 45.3% Medway 43,354 23,621 19, % 45.5% Kent + Medway 300, , , % 45.3% South East 1,356, , , % 43.8% England & Wales 10,048,441 5,278,729 4,769, % 47.5% Page 4

6 A smaller proportion of people in Kent (45.3%) with a long term health problem or disability find that their condition limits their day to day activities a lot than the national average (47.5%). The exception to this is seen in Thanet where people say that their health problem or disability is more limiting to them. This can be seen in chart 2. Chart 2: Percentage of people with a long term health problem or disability whose day to day activities are limited a lot 60.0% 50.0% 40.0% Percentage of people with a long term health problem or disability whose day to day activities are limited a lot, 2011 Source: 2011 Census, Table KS301EW 30.0% 20.0% % limited a lot 10.0% 0.0% England & Wales average Thanet Shepway Dover Swale Canterbury Kent Gravesham Dartford Ashford Maidstone Tunbridge Wells Sevenoaks Tonbridge & Malling DWP disability benefits This section looks at the total number of claimants by age, gender and main disabling condition for each of the following disability related benefits: Total disability benefits claimants (those claiming DLA or AA) Disability Living Allowance (DLA) Attendance Allowance (AA) Personal Independence Payment (PIP) These benefits contribute towards the extra cost of a health condition or disability. They can be claimed whether or not a person works and can be claimed in combination with other benefits. DLA can be claimed by a person who has a disability or health condition which requires them to have help with their personal care or have supervision needs, and/or those who have difficulty getting around provided they claim before the age of 65. AA can be claimed by those people who become disabled from the age of 65. Page 5

7 Personal Independence Payment (PIP) is paid to eligible people aged 16 to 64. It is a new benefit which will replace Disability Living Allowance (DLA) for working age people. While these benefits are designed to help with the additional costs incurred by having a disability there is no requirement to spend the benefits received on personal care or additional mobility costs. Recipients of DLA, AA and PIP are free to spend them as they wish. The number of disability benefit claimants does not necessarily reflect all those with a disability. There will be people who feel they do not need assistance with personal care or mobility and therefore do not apply for these benefits. Equally there will be people who apply but their claim may be turned down because their disability is not considered severe enough. As a result the population of disabled people is not the same as those claiming disability benefits. The count of disability benefit claimants has been taken from the Department for Work And Pensions (DWP) Longitudinal Study 100% data and is rounded to the nearest 10 at source. The number of claimants broken down by main disabling condition is derived from DWP Benefits Claimants 5% Sample Data and is subject to sampling error. Figures derived from 5% data should be considered as a guide and not an actual count of claimants. From April 2013, the government introduced a new benefit called Personal Independence Payment (PIP) to replace Disability Living Allowance (DLA) for eligible working age people aged 16 to 64. From June 2013 this incorporated all new disability related claims in the country from anyone aged Gradually existing year old claimants of DLA will be asked to claim PIP until be 2017 all existing DLA claimants will have been invited to claim PIP and reassessed accordingly. New and existing claimants under the age of 16 will continue to be able to claim DLA. Early statistics of those claiming PIP have now been released. These are new official statistics which are still undergoing evaluation and as such are considered as experimental statistics. These early statistics have been included in this report as an individual count of people claiming PIP and also included in the total number of people claiming a disability benefit. This bulletin presents data for August Page 6

8 Total disability benefits (DLA, AA or PIP) As a person may only claim DLA or PIP or AA it is possible to combine the counts of each of these benefits to estimate the total number of disabled people claiming a disability benefit. Table 3 shows the total number of people claiming a disability benefit as at August Table 3: Total disability benefits claimants (DLA/PIP and AA), August 2015 Quarterly Summary of DLA/AA/PIP Claimants Change Since Previous Quarter Change Since Last Year Number % of total population Number % Number % Ashford 8, Canterbury 12, Dartford 6, Dover 10, Gravesham 7, Maidstone 10, Sevenoaks 6, Shepway 11, Swale 13, Thanet 15, Tonbridge & Malling 7, Tunbridge Wells 6, Kent 118, , , Medway 21, , Kent + Medway 140, , , GoSE 579, , , England & Wales 4,670, , , Source: NOMIS DWP Work & Pensions Table presented by Research & Evaluation, Kent County Council August % of people in Kent were claiming a disability benefit as at August 2015, this equates to 118,767 claimants. This percentage is below the national average of 8.1%. The number of claims in Kent has increased by 5.4% since the previous year. In Kent, Thanet district has the highest number of disability benefits claimants with 15,838 people claiming either DLA/PIP or AA, equivalent to 11.4% of the population of the district. Tunbridge Wells has the lowest number of claimants in the county with 6,538 claimants (5.6% of its resident population). This is the lowest proportion of disability benefits in the county. As counts of people claiming PIP are currently not available for small geographies we are currently unable to map the total count of disability benefit claimants across Kent and Medway areas. The DWP also publish benefit claimants by main medical reason for the claim. This data is based on a 5% sample of all claims. Percentages derived from this sample data are applied to the total number of disability benefits claims to create an estimated count of claims for each condition. Tables Page 7

9 showing the estimated proportion of claims by individual medical condition are available in Annex 1 at the end of this report. Chart 3 combines the individual medical causes for a claim into three groups; those with a physical disability or health condition, those with a learning difficulty and those who are claiming because of other mental health conditions. The term physical disability is used to include all medical conditions except mental health conditions or learning difficulty. The chart shows that in Kent the most common cause for claiming a disability benefit was a physical disability or health condition. This accounts for just under three quarters of all claims. Chart 3: Disability benefit claimants by condition Disability benefit claimants (DLA+AA+PIP) in Kent by combined Medical Condition Aug 2015 Learning Difficulty 11.0% Mental Health Problem 15.8% Physical disability 72.6% Source: DWP Females are more likely to be claiming a disability benefit than males. A higher proportion of females claim a disability benefit in all of the Kent local authority district areas. This pattern is also reflected regionally and nationally. This is shown in chart 4. Page 8

10 Chart 4: Disability benefits claimants by gender Total Disability Benefits (DLA + AA + PIP) Claimants by Gender Aug % 12.0% Source: DWP 10.0% % of total population 8.0% 6.0% 4.0% 2.0% 6.8% 7.5% 7.4% 8.5% 6.2% 6.8% 9.1% 10.1% 6.9% 7.7% 5.9% 7.0% 5.4% 6.4% 9.8% 11.2% 9.2% 9.4% 11.0% 11.8% 5.8% 6.7% 5.1% 6.1% 7.4% 8.3% 7.5% 8.2% 7.4% 8.3% 7.2% 8.4% 6.0% 7.1% Male Female 0.0% Chart 5 shows disability benefits claimants by age group. Chart 5: Disability benefit claimants by age group 25.0% Percentage of each age group who are claiming disability benefit (DLA + AA + PIP) Aug % 23.0% 15.0% 19.3% 17.4% 10.0% 5.0% 4.1% 3.2% 3.4% 5.4% 4.3% 5.4% 0.0% Source: DWP Kent GoSE England & Wales By far those aged 65 and above are more likely to claim a disability benefit than those aged under 65. This may be due in part not only to the increase of disability due to health conditions related to aging but also to lower levels of income once people are no longer working and finding themselves unable to meet the additional cost relating to a disability. In Kent 19.3% of people aged 65 and over claim a disability benefit, 5.4% of those aged 16 to 64 claim and Page 9

11 4.1% of those aged 15 and under. Kent has a higher proportion of people in all age groups claiming a disability benefit than is seen in the South East and a higher proportion of claims for children aged under 16 than is seen nationally. Overall females are more likely to be claiming a disability benefit than males, however this is not necessarily reflected when looking at the age groups in more detail. Chart 6 shows the gender breakdown of those people aged 0-15 for whom disability benefits are claimed. Chart 6: Disability benefit claimants aged 0-15 (DLA) Disability Benefits Claimants Aged 0 15 by Gender Aug % 8.0% Source: DWP 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 1.0% 5.1% 1.8% 5.4% 2.4% 5.8% 2.0% 6.1% 2.3% 6.6% 2.5% 4.7% 2.1% 4.5% 1.9% 7.1% 3.0% 8.4% 3.8% 7.2% 3.0% 4.7% 2.1% 3.6% 1.4% 5.8% 2.4% 6.9% 2.9% 5.9% 2.4% 4.5% 1.9% 4.7% 2.1% Male Female 0.0% Overall disability benefits are claimed for 4.1% of the population aged 0-15 accounting for 10.0% of the total number of disability benefit claimants. This age group would only be eligible for Disability Living Allowance. Males are responsible for at least twice as many claims for disability benefits than females in the 0-15 age group. In Kent 72.0% of claimants aged 0-15 are male. This is because there are significantly more males aged 0-15 for whom DLA is claimed due to a learning difficulty, behavioural or hyperkinetic disorder than females. These disorders account for 6,670 claims for males in this age group (78.0% of all 0-15 male claims), while they account for 1,910 claims for females (57.5% of female 0-15 claims). A higher proportion of both males (5.8%) and females (2.4%) aged 0-15 in Kent are claiming disability benefits than is seen nationally. Swale district has the highest number of claimants in the county with DLA being claimed for 1,730 young people aged 15 and under. 8.4% of males and 3.8% females aged 0-15 living in Swale claim benefit. Chart 7 shows disability benefits claimants aged Page 10

12 A much more equal proportion of males and females claim disability benefits in the age group than can be seen in those aged 15 and under. 5.4% of the population in Kent aged 16 to 64 claims a disability benefit. This is higher than the south east average of 4.3%. This age group would be claiming either DLA or PIP. Thanet, Dover, Shepway and Swale districts all have a higher proportion of claimants in this age group than the KCC, South East and England & Wales average. Thanet has the highest proportion of claimants aged (8.6%) in Kent. Chart 7: Disability benefit claimants aged Disability Benefits Claimants Aged by Gender (DLA/PIP) Aug % 9.0% Source: DWP 8.0% 7.0% 6.0% 5.0% 4.0% 3.0% 2.0% 5.4% 4.9% 4.9% 5.0% 4.3% 4.1% 6.6% 6.8% 5.3% 4.9% 4.4% 4.3% 3.6% 3.6% 7.4% 7.6% 6.6% 6.8% 8.3% 8.9% 4.2% 4.1% 3.9% 3.8% 5.4% 5.4% 5.8% 5.6% 5.5% 5.4% 4.4% 4.2% 5.5% 5.3% Female Male 1.0% 0.0% Disability benefit claimants aged 65 and over could be claiming either DLA or PIP (if their claim was made before their 65 th birthday) or AA (if their claim was made after reaching the age of 65). In Kent almost a fifth (19.3%) of the population aged 65 and over claim a disability benefit, below the national average of 23.0%. Chart 8 shows disability benefits claimants aged 65 and over. The chart shows that a higher proportion of females over the age of 65 are claiming disability benefits than males Females in this age group who claim a disability benefit are significantly more likely to claim because of arthritis, muscle/joint/bone disease or frailty. There are also twice as many female claimants suffering with mental health problems than males in this age group. Overall in Kent females account for 62.0% of all disability benefit claimants aged 65 and over. 26.6% of females aged 65 and over in Thanet are claiming a disability related benefit. Page 11

13 Chart 8: Disability benefit claimants aged 65 and over Disability Benefits Claimants Aged 65 and Over by Gender (DLA/PIP or AA) Aug % Source: DWP 25.0% 20.0% 15.0% 10.0% 5.0% 15.8% 19.8% 17.9% 23.1% 16.9% 22.3% 18.4% 24.3% 15.7% 21.4% 13.4% 19.3% 12.3% 17.6% 18.3% 25.7% 18.4% 23.6% 20.8% 26.6% 13.3% 18.7% 11.7% 17.5% 16.2% 21.9% 17.0% 23.5% 16.3% 22.1% 14.1% 20.0% 19.4% 25.9% Male Female 0.0% Individual disability benefits This section shows the number of people claiming AA and DLA separately and the reasons for which the claims are made. Disability Living Allowance Disability Living Allowance was awarded to people who become disabled before the age of 65 and made their claim for benefit before June Existing claimants aged over 16 will still receive DLA until they are asked to reapply for Personal Independence payments (PIP). People aged under 16 will continue to be able to claim DLA. The number of people who were claiming DLA as at August 2015 is shown in table 5. The table shows that at 4.7%, Kent had a higher proportion of its population claiming DLA than the average for the South East Region (3.7%). The number of claimants in Kent had decreased by 920 since last year, a reduction of 1.3%. Much of this reduction is due to the introduction of PIP. Looking at the Kent local authority districts, Thanet had the highest number and proportion of claimants at 9,720, equivalent to 7.0% of the resident population. Tunbridge Wells had the lowest number of DLA claimants with 3,610, which was equivalent to a claimant rate of 3.1%. Page 12

14 Table 5: Disability Living Allowance Claimants in Kent Districts August 2015 Quarterly Summary of Disability Living Allowance Claimants Change Since Previous Quarter Change Since Last Year Number % of total population Number % Number % Ashford 5, Canterbury 7, Dartford 4, Dover 6, Gravesham 4, Maidstone 6, Sevenoaks 3, Shepway 6, Swale 8, Thanet 9, Tonbridge & Malling 4, Tunbridge Wells 3, Kent 71, Medway 13, Kent + Medway 84, , GoSE 329, , , England & Wales 2,725, , , Source: NOMIS DWP Work & Pensions Table presented by Research & Evaluation, Kent County Council Map 2 shows more distinctly the variation in the proportion of people claiming DLA across the county. Map 2: Disability Living Allowance Claimants in Kent Page 13

15 The DWP publishes data looking at DLA claimants by main medical reason for the claim. A table showing the breakdown of claims for DLA, by individual medical cause, is shown in Annex 1 at the end of this bulletin. Chart 9 combines the individual medical causes for a claim into three groups, those with physical disabilities or health conditions; those with a learning difficulty and those who are claiming because of other mental health conditions. It shows that a physical disability or health condition accounted for the largest proportion of DLA claims with 65.1% of all claims being made for that reason. Chart 9: DLA claimants by condition DLA claimants in Kent by combined Medical Condition Aug 2015 Learning Difficulty 18.1% Physical disability 65.1% Mental Health Problem 15.8% Source: DWP When looking at the individual conditions in more detail we can see that the single condition accounting for the highest number of claims is a learning difficulty (12,840 claimants) and accounts for 18.1% of DLA claims. This is shown in chart 10. Page 14

16 Chart 10: DLA claimants by individual condition Kent DLA claimants by individual condition Aug 2015 other disabling condition Multiple Sclerosis Frailty skin disease AIDS renal disorders diabetes melitus parkinsons disease heart disease back ailments chest disease malignant disease deafness epilepsy other mental health causes learning difficulty stroke related blindness muscle / joint / bone disease arthritis Source: DWP 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0% 20.0% Chart 11 shows the percentage of males and females claiming DLA in Kent by local authority district area. A higher proportion of males claim DLA than females. In Kent the proportion of males who claim DLA is 5.1%, equal to the national average. The proportion of females who claim DLA is lower than males with 4.3% females claiming DLA in Kent. Chart 11: DLA claimants by gender 10.0% Percentage of Males and Females Claiming DLA Aug % 8.0% 7.0% 7.7% 6.0% 5.0% 4.0% 3.0% 2.0% 4.6% 4.1% 4.9% 4.2% 4.3% 3.6% 6.2% 5.3% 4.9% 4.3% 4.0% 3.5% 3.6% 3.0% 6.6% 5.7% 6.7% 5.6% 6.4% 3.9% 3.3% 3.4% 2.8% 5.1% 4.3% 5.5% 4.7% 5.1% 4.4% 4.0% 3.5% 4.9% 4.6% Males Females 1.0% 0.0% Source: DWP Page 15

17 Attendance Allowance Attendance Allowance (AA) is a benefit paid to people who become disabled or unwell from the age of 65 onwards. It is a tax-free benefit which can be claimed by a person who needs help with personal care because of physical or mental disability. AA claimant rates are calculated as a percentage of all people aged 65 and above. 13.0% of people aged 65 and over in Kent claim AA. This is higher than the average in the South East (12.4%) and below the national average of 14.3%. Thanet district has the highest number of people aged 65 and over claiming AA (4,800 claimants, 15.3%). Dartford has the lowest number of claimants (1,990) however Sevenoaks has the lowest proportion (10.8%) of the population aged 65 and over claiming Attendance Allowance. Table 6 shows the number of people claiming AA in Kent districts as at August Table 6: Attendance Allowance Claimants in Kent Districts Quarterly Summary of Attendance Allowance Claimants Number Change Since Previous Quarter Change Since Last Year % of total population Number % Number % Ashford 2, Canterbury 4, Dartford 1, Dover 3, Gravesham 2, Maidstone 3, Sevenoaks 2, Shepway 3, Swale 3, Thanet 4, Tonbridge & Malling 2, Tunbridge Wells 2, Kent 38, Medway 5, Kent + Medway 43, GoSE 204, , England & Wales 1,454, , , Source: NOMIS DWP Work & Pensions Table presented by Research & Evaluation, Kent County Council August 2015 The following map shows the proportion of people aged 65 and above in Kent lower super output areas claiming AA. Page 16

18 Map 3: Attendance Allowance Claimants in Kent The DWP publishes data looking at AA claimants by main medical reason for the claim. A table showing the breakdown of claims for AA, by individual medical cause, is shown in Annex 1 at the end of this bulletin. Chart 12 shows these medical causes combined into three groups to show those with physical disabilities or health conditions, those with a learning difficulty and those who are claiming because of other mental health conditions. The main reason for claiming AA is for a physical disability or health condition. There are very few claims for AA due to a learning difficulty. This is unsurprising as AA can only be claimed from the age of 65 and it is less likely that a new claim because of a learning difficulty would arise as learning difficulties are usually diagnosed earlier in life. Page 17

19 Chart 12: AA Claimants by condition AA claimants in Kent by combined Medical Condition Aug 2015 Learning Difficulty 0.3% Mental Health Problem 13.0% Physical disability 86.7% Source: DWP When looking at the individual conditions in more detail we can see that arthritis is the single biggest cause of claims for AA, accounting for 27.6% of all AA claims in Kent. In actual terms this equates to 10,760 claims. Age related conditions such as arthritis, stroke related problems and heart disease all account for a significantly higher proportion of AA claims than was seen with DLA claims. This is shown in chart 13. Chart 13: AA Claimants by individual condition Kent AA claimants by individual condition Aug 2015 other disabling condition Multiple Sclerosis Frailty skin disease AIDS renal disorders diabetes melitus parkinsons disease heart disease back ailments chest disease malignant disease deafness epilepsy other mental health causes learning difficulty stroke related blindness muscle / joint / bone disease arthritis 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% Source: DWP Page 18

20 Chart 14 shows the gender breakdown of AA claimants. In Kent 15.6% females and 9.9% of males aged 65 and over claimed Attendance Allowance. This is below the national average (17.3% females and 10.8% of males). Thanet district has the highest proportion of AA claimants in the county with 18.3% of females and 11.5% males claiming. Chart 14: Attendance Allowance claimants by gender 30.0% Percentage of Males and Females Claiming AA Aug % 20.0% 15.0% 10.0% 5.0% 9.6% 14.2% 11.2% 17.0% 10.2% 15.5% 10.4% 17.0% 9.3% 15.0% 8.8% 14.2% 8.0% 13.2% 11.4% 18.5% 10.1% 15.2% 11.5% 18.3% 8.9% 14.0% 7.9% 14.2% 9.9% 15.6% 9.9% 16.0% 9.9% 15.7% 9.2% 15.0% 10.8% 17.3% Males Females 0.0% Source: DWP Personal Independence payment Personal Independence Payment (PIP) is a benefit introduced in 2013 paid to people who become disabled or unwell between the age of 16 and 64. It is a tax-free benefit that can help cover the additional cost of personal help within the home or additional mobility needs outside the home. A person Can claim PIP if they have had problems with daily living or mobility for at least three months, and those problems are expected to continue for at least another nine months. PIP was first introduced in April 2013 in a number of pilot areas across the country. From June 2013 this was expanded to include all new disability related claims in the country from anyone aged Existing claimants of DLA in the country aged will gradually be invited to claim PIP until all existing claimants have been reassessed. This process should be complete by late New and existing claimants under the age of 16 will continue to be able to claim DLA until they reach the age of 16. The data for August 2015 (table 7) shows that in Kent there were 9,387 people claiming PIP an increase of 2,188 since last quarter. Page 19

21 Thanet had the highest number of claimants (1,318 claimants, equivalent to 1.2% of the population aged 16 and above). Sevenoaks had the lowest number of claimants (457claimants, 0.5% of the 16+ population). Table 7: Personal Independence Payment Claimants in Kent Districts Quarterly Summary of Personal Independence Payment Claimants Number Change Since Previous Quarter Change Since Last Year % of total population Number % Number % Ashford Canterbury Dartford Dover Gravesham Maids tone Sevenoaks Shepway Swale 1, Thanet 1, , Tonbridge & Malling Tunbridge Wells Kent 9, , , Medway 1, , Kent + Medway 11, , , GoSE 45, , , England & Wales 490, , , Source: Stat Xplore DWP Work & Pensions Table presented by Research & Evaluation, Kent County Council August 2015 Chart 15 shows the month on month increase in PIP claimants in Kent since July 2013 Chart 15: PIP claimants in Kent Pip claimants in Kent Source: DWP Stat Xplore Page 20

22 The DWP publishes data looking at PIP claimants by main medical reason for the claim. A table showing the breakdown of claims for PIP, by individual medical cause, is shown in Annex 1 at the end of this bulletin. Chart 16 shows these medical causes combined into three groups to show those with physical disabilities or health conditions, those with a learning difficulty and those who are claiming because of other mental health conditions. The main reason for claiming PIP is for a physical disability or health condition. Chart 16: PIP Claimants by condition PIP claimants in Kent by combined Medical Condition Aug 2015 Learning Difficulty 1.8% Mental Health Problem 0.9% Physical disability 71.2% Source: DWP When looking at the individual conditions in more detail we can see that Other Mental Health is the biggest cause of claims for PIP, accounting for 27.0% of all PIP claims in Kent. In actual terms this equates to 2,529 claims. This is shown in chart 17. Page 21

23 Chart 17: PIP Claimants by individual condition Kent PIP claimants by individual condition Aug 2015 Other mental health Learning Difficulty Unknown or missing Diseases of the immune Multisystem and extremes Respiratory disease Endocrine disease Genitourinary disease Autoimmune disease Musculoskeletal disease Musculoskeletal disease Skin disease Diseases of the liver, Gastrointestinal disease Cardiovascular disease Hearing disorders Visual disease Neurological disease Metabolic disease Malignant disease Infectious disease Haematological Disease 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% Source: DWP Chart 18 shows the gender breakdown of PIP claimants. In Kent 0.8% females and 0.7% of males claimed PIP as at August Chart 18: PIP claimants by gender 1.6% Percentage of Males and Females Claiming PIP Aug % 1.2% 1.0% 0.8% 0.6% 0.4% 0.6% 0.8% 0.6% 0.7% 0.6% 0.8% 0.9% 1.0% 0.8% 0.8% 0.6% 0.7% 0.4% 0.5% 1.0% 1.1% 0.9% 1.0% 1.2% 1.2% 0.6% 0.7% 0.4% 0.6% 0.7% 0.8% 0.8% 1.0% 0.7% 0.9% 0.6% 0.7% 1.0% 1.1% Series1 Series2 0.2% 0.0% Source: DWP Page 22

24 Annual Population Survey The Annual Population Survey (APS) is a residence based labour market survey of 170,000 homes (360,000 persons) in Great Britain a year carried out by the Office for National Statistics. The survey results provide estimates of aspects of the workforce such as employment, unemployment and inactivity rates and educational qualifications. It looks at people aged Part of the survey asks people about their activity or inactivity levels and the reasons for any inactivity. Respondents self-evaluate whether they are disabled and to what degree and so the results are not based on a medical assessment. Many people who have an impairment or ill health may not consider themselves disabled while others suffering with a similar condition may consider themselves disabled to varying extents. The data is available to local authority district level and estimates the number of people who have a disability either based on the Equalities Act 2010 definition of disability which defines disability as a physical or mental impairment that has a substantial and long-term negative effect on the person s ability to do normal daily activities (EA core disabled), or those who have a long term disability or health problem which affects the work that they can do (WL core disabled). This data set therefore provides an indication of how many people in the Kent workforce are disabled. The latest data available is for October 2014 to September In Kent 21.1% of people considered themselves to be disabled, this is a higher proportion than was seen in the South East (18.2%) and Great Britain as a whole (19.3%). Chart 19 shows the proportion of the Kent population who considered themselves disabled compared to those who did not. Page 23

25 Chart 19: Disabled population aged % of population in Kent who are disabled October 2014 September 21.1% People aged who are EA core or WL core disabled People who are not disabled 78.9% Source: Annual Population Survey Presented by Research & Evaluation, Kent County Council Table 8 shows the number of people aged in Kent local authority districts who considered themselves disabled in the 12 month period October 2014 to September Table 8: People aged who consider themselves disabled October 2014 September 2015 Population aged People aged who are EA or WL disabled % People aged who are disabled Ashford 73,400 12, % Canterbury 98,700 20, % Dartford 64,700 14, % Dover 67,800 14, % Gravesham 63,800 16, % Maidstone 100,000 21, % Sevenoaks 71,500 14, % Shepway 63,800 16, % Swale 84,500 16, % Thanet 79,300 22, % Tonbridge and Malling 75,100 11, % Tunbridge Wells 70,800 13, % Kent 913, , % Medway 175,000 44, % Kent + Medway 1,088, , % GoSE 5,477, , % GB 39,531,900 7,625, % Source: Annual Population Survey Page 24

26 Thanet had the highest proportion with 27.9% saying that they were disabled (equivalent to 22,100 people) and Tunbridge Wells had the lowest proportion 18.6% (13,200) saying that they were disabled in some way. The employment rate of people with a disability in Kent is 52.0%.This is below the South East average rate of 56.5% but above the national average rate of 49.3%. In all areas the employment rate of people with a disability is lower than the employment rate of those people without a disability. This is shown in chart 20. Of the working age population who are disabled in Kent 52.0% are in employment compared to 78.9% of people who state that they don t have a disability. The difference in employment rates of those with a disability and those without varies across Kent. In Dartford, Tonbridge and Malling and Tunbridge Wells districts the employment rate for people both with and those without a disability is closest (Dartford: 72.3% for those with a disability and 72.5% for those with no disability. Tonbridge & Malling: 74.6% for those with a disability and 83.8% for those with no disability. Tunbridge Wells: 68.2% for those with a disability and 73.6% for those with no disability). However in Thanet district there is a far greater difference, with only 38.9% of disabled people in employment as opposed to 80.8% of people without a disability. Canterbury district has the lowest employment rate of people with a disability in the county (38.2%). Chart 20: Employment rate of people with a disability compared to those without 100.0% Employment rate of those who are disabled compared to those who are not October 2014 September % 80.0% 70.0% 60.0% 73.2% 73.3% 68.3% 86.1% 67.0% 73.3% 80.7% 81.3% 81.0% 69.4% 77.4% 78.3% 78.5% 80.1% 78.9% 83.2% 76.2% 78.6% 77.9% 79.0% 50.0% 40.0% 30.0% 56.5% 55.6% 54.6% 53.9% 53.3% 52.5% 52.3% 51.3% 49.0% 48.5% 45.4% 42.4% 39.6% 38.2% Employment rate of people aged who are disabled 20.0% 10.0% Employment rate of people aged who are not disabled 0.0% Source: Annual Population Survey Presented by Research & Evaluation, Kent County Council Page 25

27 Summary It is very difficult to achieve an accurate estimate of the number of people with a disability. The data sets presented in this bulletin show that the number of Kent residents with a disability can be anywhere in the region of 118,760 and 257,038. Benefits data gives an accurate count of people claiming disability benefits and the age and gender of those claimants. It also provides detailed estimates of the medical conditions that give rise to claims. However this only gives information about those people whose disability or health condition means that they need additional help with day to day activities, have supervision and/or mobility needs. It does not count those people with a disability who do not have such needs and therefore cannot claim, neither does it include those people whose condition is not considered severe enough to warrant these benefits, but who nonetheless have some form of disability. The Annual Population Survey questions only a sample of households every year and can only give an estimate and not a count of people with disabilities. It also relies on people to self-evaluate their health condition and the level to which it disables them. This will vary depending on the individuals questioned. How one person feels about their condition is not necessarily the same as another person s. This data is also restricted to looking at people of working age which in Kent equates to only 60% of the total population. The 2011 Census is the only survey that questions everybody in England and Wales. However questions about health are quite general and rely on each individual s view of their own condition. The Census is undertaken on a ten yearly cycle so data is infrequently updated and often out of date with no guarantee that questions included in future Censuses will be comparable with those previously asked. General Notes Benefit rates are calculated using the Office for National Statistics Mid Year Population Estimates All data is rounded to the nearest 10 at source. All benefits data is shown as a snapshot in time. Total disability benefits claimants counts are created by summing rounded Disability Living Allowance and Attendance Allowance counts. Benefits data by individual disabling condition are based on 5% samples of claimants. The statistics produced from them are therefore subject to sampling error and may be slightly lower or slightly higher than the true population value. Page 26

28 Annex Attendance Allowance Claimants, Aug 2015 muscle / any disabling joint / bone stroke mental health malignant chest back heart parkinsons diabetes renal Multiple learning other disabling Number condition arthritis disease blindness related causes epilepsy deafness disease disease ailments disease disease melitus disorders frailty Sclerosis difficulty condition Ashford 2, Canterbury 4,550 1, Dartford 1, Dover 3,530 1, Gravesham 2, Maidstone 3, Sevenoaks 2, Shepway 3,880 1, Swale 3,360 1, Thanet 4,800 1, Tonbridge and Malling 2, Tunbridge Wells 2, Kent 38,380 10,760 2,260 1,700 2,490 4, ,020 2,150 1,470 2,720 1, , ,210 Medway 5,530 1, Kent + Medway 43,910 12,580 2,520 1,940 2,740 5, ,260 2,520 1,830 2,970 1, , ,950 GoSE 204,590 54,920 12,830 8,890 13,500 30, ,240 5,740 9,680 8,100 14,070 5,740 3,600 1,460 5, ,800 England & Wales 1,454, ,430 87,040 51,590 88, ,030 3,950 8,810 42,220 74,280 56, ,970 36,910 25,630 11,630 41,200 2,140 1, ,110 Source:NOMIS DWP 5% data sets for individual benefits "0" These figures are nil or negligible. Figures under 500 are subject to high sampling variation and should be used with caution. Benefit claimants counts are rounded to the nearest 100 and are subject to sampling variation. Page 23

29 Attendance Allowance Claimants, Aug 2015 Percentage of claimants any disabling condition arthritis muscle / joint / bone disease blindness stroke related mental health causes epilepsy deafness malignant disease chest disease back ailments heart disease parkinsons disease diabetes melitus renal disorders frailty Multiple Sclerosis learning difficulty other disabling condition Ashford 100.0% 21.7% 4.3% 0.0% 4.3% 8.7% 0.0% 0.0% 0.0% 4.3% 4.3% 8.7% 4.3% 4.3% 4.3% 4.3% 0.0% 0.0% 17.4% Canterbury 100.0% 27.0% 5.4% 5.4% 8.1% 13.5% 0.0% 0.0% 2.7% 5.4% 2.7% 8.1% 2.7% 0.0% 2.7% 2.7% 0.0% 0.0% 10.8% Dartford 100.0% 17.6% 5.9% 5.9% 11.8% 17.6% 0.0% 0.0% 0.0% 5.9% 0.0% 5.9% 5.9% 0.0% 0.0% 0.0% 0.0% 0.0% 17.6% Dover 100.0% 34.5% 3.4% 3.4% 3.4% 10.3% 0.0% 0.0% 3.4% 6.9% 3.4% 10.3% 0.0% 0.0% 0.0% 3.4% 0.0% 0.0% 10.3% Gravesham 100.0% 25.0% 10.0% 5.0% 10.0% 5.0% 0.0% 0.0% 5.0% 5.0% 0.0% 10.0% 0.0% 5.0% 0.0% 0.0% 0.0% 0.0% 20.0% Maidstone 100.0% 25.0% 7.1% 3.6% 7.1% 14.3% 0.0% 0.0% 3.6% 3.6% 3.6% 10.7% 7.1% 0.0% 0.0% 3.6% 0.0% 0.0% 10.7% Sevenoaks 100.0% 24.0% 4.0% 4.0% 4.0% 20.0% 0.0% 0.0% 0.0% 4.0% 8.0% 4.0% 4.0% 0.0% 0.0% 4.0% 0.0% 0.0% 12.0% Shepway 100.0% 29.7% 8.1% 5.4% 5.4% 10.8% 0.0% 0.0% 2.7% 8.1% 5.4% 10.8% 5.4% 0.0% 0.0% 2.7% 0.0% 0.0% 8.1% Swale 100.0% 35.7% 7.1% 3.6% 3.6% 10.7% 0.0% 0.0% 3.6% 7.1% 3.6% 7.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 14.3% Thanet 100.0% 33.3% 2.4% 4.8% 4.8% 9.5% 0.0% 0.0% 2.4% 7.1% 7.1% 4.8% 2.4% 2.4% 0.0% 4.8% 0.0% 0.0% 14.3% Tonbridge and Malling 100.0% 25.8% 6.5% 6.5% 6.5% 16.1% 0.0% 0.0% 3.2% 6.5% 3.2% 3.2% 0.0% 3.2% 0.0% 3.2% 0.0% 0.0% 12.9% Tunbridge Wells 100.0% 22.7% 4.5% 4.5% 4.5% 22.7% 0.0% 0.0% 4.5% 0.0% 4.5% 0.0% 4.5% 0.0% 0.0% 4.5% 0.0% 0.0% 18.2% Kent 100.0% 28.0% 5.9% 4.4% 6.5% 13.0% 0.6% 0.3% 2.7% 5.6% 3.8% 7.1% 2.9% 1.5% 0.9% 2.7% 0.3% 0.3% 13.6% Medway 100.0% 33.3% 4.4% 4.4% 4.4% 13.3% 0.0% 0.0% 4.4% 6.7% 6.7% 4.4% 4.4% 2.2% 0.0% 2.2% 0.0% 0.0% 13.3% Kent + Medway 100.0% 28.6% 5.7% 4.4% 6.3% 13.0% 0.5% 0.5% 2.9% 5.7% 4.2% 6.8% 2.9% 1.6% 1.0% 2.3% 0.3% 0.3% 13.5% GoSE 100.0% 26.8% 6.3% 4.3% 6.6% 14.7% 0.3% 0.6% 2.8% 4.7% 4.0% 6.9% 2.8% 1.8% 0.7% 2.8% 0.2% 0.1% 13.6% England & Wales 100.0% 31.9% 6.0% 3.5% 6.1% 11.8% 0.3% 0.6% 2.9% 5.1% 3.9% 7.6% 2.5% 1.8% 0.8% 2.8% 0.1% 0.1% 12.1% Source:NOMIS DWP 5% data sets for individual benefits "0" These figures are nil or negligible. Figures under 500 are subject to high sampling variation and should be used with caution. Benefit claimants counts are rounded to the nearest 100 and are subject to sampling variation. Page 24

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