Disability Care Core Data

Clients
Production
Personnel
Disability Care Core Data
Indexed Care Packages
Revenues

Clients
After many years of consistent growth the number of clients receiving disability care has been declining slightly since 2009. This can be attributed largely to the ‘package measures’ that were adopted as of 1 January 2009. As a result, clients with a minor disability whose care needs are restricted to supervision and participation in day-time programmes are no longer eligible for financial compensation through the Exceptional Medical Expenses
Act (AWBZ).

Figure 1 - Total number of clients receiving care for the disabled in 2002-2010

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

Client numbers rose by an average of 6.3% per annum in 2007 and 2008. Figure 2 shows that the development in client numbers is contingent upon
the type of care provided. In 2007 and 2008 the number of clients needing extramural care rose by over 11%, the number of clients participating in day-time programmes rose by 5% and the number of clients needing intramural care rose by over 4%. As a result of the package measure the number of extramural clients began to drop in 2009. This concerns extramural clients with a mental disability or a sensory impairment. This decline continued in 2010 among extramural clients in the latter group, while the number of extramural clients with a mental disability began to grow once again.

Figure 2 – Number of clients per care category in 2007-2010

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

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Production
In disability care the term ‘production unit’ is used to express the number of 24-hour periods a person spends at a care institution and the amount of time a client participates in a day-time programme (in half-days) or receives extramural care (in hours).

Figure 3 – Production units per care category in 2007-2010

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

In the 2007-2010 period the increase in the number of institutionalised care days (an average of 2.8%) was less than the increase in the number of clients, which rose by 3.8% per annum during this period. The number of mornings or afternoon units of day-time programmes fell by an average of 1% per annum, while the number of clients participating in day-time programmes rose by an average of 3.1%. The number of clients receiving extramural care and the number of hours of extramural care given fell by an average of 0.2% and 1.5% a year, respectively.

As client numbers have been expanding more rapidly than the number of hours of care given, the average amount of care a client receives has decreased slightly over the past four years. In 2010 an institutionalised client would, on average, receive 346 days of care a year, a client participating in day-time activities would spend 247 half-days a year in these programmes and an extramural client would receive an average of 128 hours of care.
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Personnel
Employee numbers in disability care have been growing in proportion to demand. Figures show that a sufficient number of professionals are attracted to long-term employment in disability care. This is substantiated by the fact that the average length of service has increased, coupled to a strong decrease in staff turnover since 2006. This implies that employees tend to stay with their employers for a longer period of time.

Table 1 – Core data for staffing in disability care

Sources: 2004-2008: Arbeid in Zorg en Welzijn, 2009 en 2010:  PGGM, CBS, Vernet.

The rise in staff numbers can also be attributed to the increasing number of work placement positions made available by various institutions. The total number of work placement positions rose from 12,676 in 2007 to 17,425 in 2009: almost a 37% increase.
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Disability Care Core Data
Table 2 offers a comprehensive overview of disability care core data. Approximately 95% of clients participating in day-time programmes also receive other forms of care.

Table 2 – Core data for disability care

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

Core data per sub-sector
Disability care comprises three categories: care provided to the physically disabled, care given to people with a mental disability and care for people with a sensory impairment (auditory or visual). As a number of institutions provide care to both the mentally and physically disabled, these are presented as a separate sector.

Core data for the physical disabilities sector
The ‘PD sector’ includes institutions that provide care to the physically disabled.

Table 3 – Core Data PD Sector 2007-2010

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

Core data for the physical and mental disabilities sector
The institutions in this category provide care to persons with multiple disabilities and persons with both mental and physical disabilities.

Table 4 – Core Data PD/MD Sector 2007-2010

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

Core data for the mental disabilities sector
The ‘MD sector’ comprises institutions that provide care to persons with a mental disability.

Table 5 – Core Data MD Sector 2007-2010

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

Core data for the sensory impaired sector
The ‘SI sector’ is composed of ten institutions whose primary task is to provide care to the sensory impaired.

Table 6 – Core Data SI Sector 2007-2010

Source: Jaardocument maatschappelijke verantwoording (Annual Report of Social Responsibility)
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Indexed Care Packages
Institutionalised care is provided as part of an Indexed Care Package (zorgzwaartepakket, ZZP). Twenty-five different packages were defined for disability care in 2010. Seven of these Indexed Care Packages were tailored to persons with a mental disability, another seven to the physically disabled, four to the hearing impaired, five to the visually impaired, one to persons with a minor mental disability and another to persons suffering from a minor mental disability paired with a behavioural disorder. Care providers set a fixed rate for each Indexed Care Package. A total of 26,633,247 production days were registered in 2010.

Figure 4 – Number of production days per Indexed Care Package in 2010

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Revenues
From 2007 to 2010, the revenue generated by providers of disability care increased from nearly € 5.7 billion to almost € 7 billion. The total budget is composed of the statutory budget for acceptable costs and other revenue. 2008 saw a relatively strong growth resulting from the processing of an administrative backlog in the calculation of the capital burden of care institutions in this sector. This growth levelled off slightly in 2009.

Figure 5 – Disability care revenues 2007-2010 (x 1 million)


Source: College voor Zorgverzekeringen, Jaardocument maatschappelijke verantwoording

The graph below illustrates the revenue generated per Indexed Care Package in 2010. A total revenue of € 4,332,919,404 was derived from Indexed Care Packages in 2010.

Figure 6 – Revenue per Indexed Care Package in 2010

 
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