VGN

Disability Care Core Data

Clients
Production
Personnel
Core data per subdivision
Expenses

Clients
The number of clients in disability care decreased slightly in 2009. An important reason for this are so called package measures that went into effect on 1 January 2009. Because of this, clients with a need for care based on a mild disability, and who only need coaching and day programmes, no longer have access to care financed under the General Exceptional Medical Expenses Act [n1] (AWBZ). The decrease is completely made up of clients who need care without board (- 5580 clients). The number of clients who need care with board increased by 3540. The effect of the package measures seems to be that clients with a limited number of hours of care per week have dropped out. This conclusion is supported by the fact that the number of extramural clients (-5.6%) has decreased more sharply than the volume of extramural production (-2.1%).

Figure 1. Number of clients in disability care, 2002-2009

Figure 1. Number of clients in disability care 2002-2009. In 2002 and 2003 the number of clients in disability care just exceeded 100,000 clients. In 2004 this number was 120,000, in 2005 130,000, in 2006 140,000, in 2007 145,000 en in 2008 the largest number of almost 160,000 clients were registered. In 2009 the number of clients slightly decreased to 155,000.

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

In the years leading up to 2009, there was a steady rise in the number of clients with an average of 6.3% per annum. This rise however differs according to the type of care offered. In 2007 and 2008, the number of clients with extramural care grew by more than 11%; the number of clients with day programmes by 5%; and the number of clients with intramural care by more than 4%. These figures show a continuous shift from care with board in large intramural institutions to care without board in smaller accommodation arrangements.
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Production
Production involves the number of produced units of care. The production unit for care with board is one day; the unit for day programmes is a half-day. The unit for extramural care is an hour.

Figure 2. Production 2007-2009

Figure 2. Production 2007-2009. The number of days boarding grows by an average of 3.8% per annum from 23.5 million in 2007 to almost 26 million days in 2009. The production of daily activities grows at an average of 1.4% per annum from 13.5 million days in 2007 to 14 million in 2009. The production of extramural care remains stable at 10 million half days.

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

The number of days boarding grows by an average of 3.8% per annum, which is less than the rise of the number of clients (4.6% per annum). The production of daily activities grows at an average of 1.4% per annum, which is also clearly less that the rise of the number of clients (4.5% growth per annum).

The conclusion that could be drawn from this is that disability care acquires more clients for the day programme function, but that these new clients take up fewer half-days per person. Another explanation could be that in general clients just take up fewer half-days. The table below presents this in numbers.

Table 1 Production of disability care per client
	2007	2008	2009
Stay (in days)	356.2	348	350.5
Daily activities (half- days)	270	279.5	254.2
Extramural (hours)	132.2	120.5	142.2

Source: JDMV
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Personnel
The growth of the number of working individuals is based on the increasing demand that is made on handicapped care. Figures show that disability care sector is entirely capable of attracting personnel and committing them to the sector. The latter is further supported by the growth of the average duration of the service record and the sharp decline of the amount of employees leaving since 2006. This shows that employees remain with their own employer for a longer period of time.

Table 2 Core Data Personnel in Disability Care
	2004	2005	2006	2007	2008	2009
number of people working	147,928	-	151,320	158,940	167,300	-
of which on the payroll	135,831	140,614	141,730	148,250	152,790	158,700
number of posts	87,779	-	92,920	98,570	103,800	-
of which on the payroll	85,084	85,668	88,680	92,750	95,860	98,870
employees leaving	12.1%	11.2%	14.0%	12.8%	8.7%	6.8%

Sources: 2004-2008: Arbeid in Zorg en Welzijn (Labour in Care and Welfare), 2009; 2009: PGGM, CBS, Vernet

Atracting staff is probably partly advanced by the ever increasing availability of internship placements. The total number of available internship placements increased from 12,676 in 2007 to 17,425 in 2009; an increase of more than 37%.
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Core data per subdivision
Care for the disabled is subdivided into care for people with a physical disability, care for people with a mental disability, and care for people with a sensory limitation (auditory or visual). Because a number of institutions offer care to people with a mental disability and to people with a physical disability, these are seen as a separate subdivision.

Physical disabilities sector core data
The Physical disabilities (LG) sector consists of eleven organisations whose primary target group is made up of people with physical disabilities.

Table 3.1 LG sector core data 2007-2009
		2007	2008	2009
Clients	Residential	1,525	1,529	1,564
	Day programmes	2,927	3,310	3,226
	Extramural	1,132	1,350	1,518
Production	Residential days( x 1,000)	543.4	546.8	560.3
	Day programmes half-days (x 1,000)	660.7	741.4	778.9
	Hours extramural care (x 1,000)	448.5	360.1	375.6
Personnel	People	4,024	4,043	4,109
Personnel	FTE	2,556	2,631	2,750
Capacity (beds/places)		1,637	1,641	1,663
Expenses	Budget (x 1,000)	165,745	173,624	187,774
	Other income (x 1,000)	6,845	9,559	13,197
	Total (x 1,000)	172,591	183,182	200,971

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

Core data for the physical and mental disabilities sector (LG-VG sector)
The LG-VG sector consists of organisations whose primary target group are people with multiple disabilities, and of organisations where both people with a physical disability and people with a mental disability are the target group. This group is made up of 14 organisations.

Table 3.2 LG-VG sector core data 2007-2009
		2007	2008	2009
Clients	Residential	6,808	7,673	8,156
	Daytime programmes	8,240	7,948	8,331
	Extramural	5,443	5,907	5,987
Production	Residential days ( x 1,000)	2,516.30	2,623.30	2,747.10
	Day programmes half-days (x 1,000)	2,057.40	2,020.50	2,071.10
	Hours extramural care (x 1,000)	1,147.70	1,152.80	1,085.30
Personnel	People	16,282	16,862	16,740
Personnel	FTE	9,440	9,703	10,004
Capacity (beds/places)		6,396	7,705	8,027
Expenses	Budget (x 1,000)	583,704	649,290	677,840
	Other income (x 1,000)	33,232	38,024	37,667
	Total (x 1,000)	616,916	687,314	715,508

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

Core data for the mental disabilities (VG) sector
The VG sector consists of organisations whose primary target group are people with a mental disability. This group is made up of 123 institutions.

Table 3.3 VG sector core data 2007-2009
		2007	2008	2009
Clients	Residential	55,828	57,726	60,636
	Day programmes	37,054	38,709	41,181
	Extramural	33,177	36,245	34,505
Production	Residential days ( x 1,000)	19,847.00	20,124.60	21,383.30
	Day programmes half-days (x 1,000)	10,394.30	11,510.90	10,661.00
	Hours extramural care (x 1,000)	7,517.30	7,435.60	7,272.30
Personnel	People	117,536	118,595	122,335
Personnel	FTE	73,268	75,553	76,117
Capacity (beds/places)		56,837	58,494	60,085
Expenses	Budget (x 1,000)	4,266,184	4,689,276	5,117,635
	Other income (x 1,000)	312,989	334,382	346,238
	Total (x. 1,000)	4,579,173	5,026,450	5,463,873

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

Core data for the sensory disabilities (ZG) sector
The ZG sector consists of ten organisations whose primary target group are people with a sensory disability.

Table 3.4 ZG sector core data 2007-2009
		2007	2008	2009
Clients	Residential	2,743	2,701	2,813
	Day programmes	1,971	2,022	2,087
	Extramural	39,289	44,432	40,344
Production	Residential days ( x 1,000)	922.6	939.5	973.2
	Day programmes half-days (x 1,000)	441.3	394.4	426.6
	Hours extramural care (x 1,000)	1,333.20	1,651.30	1,649.20
Personnel	People	7,945	9,067	8,989
	FTE	5,155	5,781	5,688

Capacity (beds/places)		2,754	2,714	2,728
Expenses	Budget (x 1,000)	324,564	353,826	376,053
	Other income (x 1,000)	15,422	45,681	44,330
	Total (x 1,000)	339,986	399,507	420,384

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)

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Expenses
The amount of money spent on care for the disabled increased in the period 2004-2009 from € 4.6 billion to € 6.4 billion. In 2008, there was a strong rise as a result of the processing of an administrative backlog in the calculation of the capital burden of care institutions in this sector.

Figure 3 Disability care budget

Figure 3. Disability care budget. The amount of money spent on care for the disabled increased in the period 2004-2009 from € 4.6 billion to € 6.4 billion.

Source: College voor Zorgverzekeringen (Board for Health Insurances)

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