Adult Social Care Client Level Data (ASC-CLD)

All Datasets All Measures

Measures describe a question asked to a participant during a survey or an item of information requested from a manager when they fill out a data return. For example, ‘Who do you live with?’ is a measure and the possible responses might be, mother, father, brother, sister etc.

Need/provision/receipt	Description of measure	Start Year	Age range	Age to	Informant	Multiple rater	Reporting term	Sweep title	Standard instrument	Question/Data item	Response scale	Dataset
Receipt;	Planned units per week - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Planned units per week for service user or carer	Numeric (0.00)	ASC-CLD
Need;	Method of assessment - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Assessments only: Method of assessment for service user or carer	Defined List… Carer only Service user only Service user and carer	ASC-CLD
Provision;	Total hours caring - carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Total hours caring per week by carer	Defined List 1 – 7 hrs 8 – 14 hrs 15 – 21 hrs 22 – 28 hrs 29 – 35 hrs 36 – 42 hrs 43 – 49 hrs 50+ hrs	ASC-CLD
Provision;	No. adults cared for - carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	No. of adults being cared for by carer	Integer	ASC-CLD
Provision;	Linked persons to carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Linked person IDs for people carer looks after	Integer or Alpha-numeric (up to 3 linked people)	ASC-CLD
Receipt;	Service type - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Service type for service user or carer	Defined List… Short Term Support: ST-Max Short Term Support: Ongoing Low Level Short Term Support: Other Short Term Long Term Support: Nursing Care Long Term Support: Residential Care Long Term Support: Community Long Term Support: Prison Carer Support: Direct to Carer Carer Support: Support involving the person cared-for	ASC-CLD
Receipt;	Service component - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Service component for service user or carer	Defined List… Rabblement Short Term Nursing Care Short Term Residential Care Long Term Nursing Care Long Term Residential Care Home Support Day Support Meals Transport Equipment Direct Payment Shared Lives Community Supported Living Professional Support- Social Worker Professional Support- Other Learning/Education/Employment Support End of Life Care Emergency Support Other Short Term Support Other Long Term Support Carer Respite Carer Sitting Service Carer Universal Services Other Carer Support	ASC-CLD
Receipt;	Delivery mechanism - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Delivery mechanism for service user or carer	Defined List… Direct Payment CASSR Managed Personal Budget CASSR Commissioned Support Self-Funder Metering Only	ASC-CLD
Receipt;	Provider CQC location - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Provider CQC location name for service user or carer	Alpha-numeric	ASC-CLD
Receipt;	Provider CQC location ID - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Provider CQC location ID for service user or carer	Alpha-numeric	ASC-CLD
Receipt;	Review reason - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Reviews only: Review reason for service user or carer	Defined List… Planned Unplanned – Hospital (Planned and unplanned episodes) Unplanned – Carer related Unplanned – Safeguarding concern Unplanned – Other Reason Unplanned – Provider Failure Unplanned – Change in Commissioning arrangements	ASC-CLD
Receipt;	Review outcomes - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Reviews only: Review outcomes achieved for service user or carer	Defined List… Fully Met Partially Met Not Met	ASC-CLD
Receipt;	Review method - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Reviews only: Method of review for service user or carer	Defined List… Carer only Service user only Service user and carer	ASC-CLD
Receipt;	Service unit cost - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Unit cost for service user or carer	Numeric (0.00)	ASC-CLD
Receipt;	Service cost freq - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Services only: Cost frequency (unit type) for service user or carer	Defined List… Per Session Hourly Daily Weekly Fortnightly 4-weekly Monthly Quarterly Annually One-off	ASC-CLD
Receipt;	Route of access - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Request only: Route of access for service user or carer	Defined List… Planned Entry (Transition) Discharge from Hospital Diversion from Hospital Services Community / Other route Prison Self-Funder Discharge from Rabblement Transfer from Other LA	ASC-CLD
Need;	Eligible needs - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Assessments only: Eligible needs identified for service user or carer	Defined List… Eligible needs identified Non-eligible needs identified No needs identified	ASC-CLD
Receipt;	Assessment type - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Assessments only: Assessment type for service user or carer	Defined List… Short Term Assessment Long Term Assessment Financial Assessment	ASC-CLD
Receipt;	Dementia - service user	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Does service user have dementia?	Defined List… Yes No Unknown	ASC-CLD
Need;	Primary support reason - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Primary support reason of service user or carer	Defined List… Physical Support: Access & mobility only Physical Support: Personal care support Sensory Support: Support for visual impairment Sensory Support: Support for hearing impairment Sensory Support: Support for dual impairment Support with Memory & Cognition Learning Disability Support Mental Health Support Social Support: Substance misuse support Social Support: Asylum seeker support Social Support: Support for Social Isolation/Other Social Support: Support to Carer Unknown	ASC-CLD
Receipt;	Postcode - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Postcode of service user or carer	Alpha-numeric Unknown	ASC-CLD
Receipt;	Accom status - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Accommodation status of service user or carer	Defined List… Owner occupier or shared ownership scheme Tenant Tenant – private landlord Settled mainstream housing with family / friends Supported accommodation / supported lodgings / supported group home Shared Lives scheme Approved premises for offenders released from prison or under probation supervision Sheltered housing / extra care housing / other sheltered housing Mobile accommodation for Gypsy / Roma and Traveller communities Rough sleeper / squatting Night shelter / emergency hostel / direct access hostel Refuge Placed in temporary accommodation by the council (inc. homelessness resettlement) Staying with family / friends as a short-term guest Acute / long-term healthcare residential facility or hospital Registered care home Registered nursing home Prison / Young offenders institution / detention centre Other temporary accommodation Unknown	ASC-CLD
Receipt;	Employment status - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Employment status of service user or carer	Defined List… Paid: Less than 16 hours a week Paid: 16 or more hours a week Not in Paid Employment (seeking work) Not in Paid Employment (not actively seeking work / retired) Not in Paid Employment (voluntary work only) Paid: Hours per week unknown Unknown	ASC-CLD
Need;	Unpaid care receipt - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Has unpaid carer’ for service user or carer	Defined List… Yes No Unknown	ASC-CLD
Receipt;	Autism - service user	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Does service user have Autism Spectrum Disorder (ASD)?	Defined List… Yes No Unknown	ASC-CLD
Receipt;	Visual impairment - service user	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Does service user have visual impairment?	Defined List Blind/severely sight impaired Partial sight/sight impaired No visual impairment Visual impairment – severity unknown Unknown	ASC-CLD
Receipt;	Hearing impairment - service user	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Does service user have hearing impairment?	Defined List Deaf with speech Deaf without speech Hard of hearing No hearing impairment Hearing impairment – severity unknown Unknown	ASC-CLD
Receipt;	Client type - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Client type – service user or carer	Defined List Service User Carer Carer known by association Unknown	ASC-CLD
Receipt;	Funding status - service user	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Client funding status of service user	Defined List… 18(3) (full cost client) Self-Funder – Metering Only Joint Client and Social Care Funded Fully Health Funded Joint Health and Social Care Funded Fully Social Care Funded Unknown – System Level Unknown – Individual Level	ASC-CLD
Receipt;	Event type - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event type for service user or carer	Defined List… Request Assessment Service Review	ASC-CLD
Receipt;	Event reference - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event reference for service user or carer	Integer or Alpha-numeric	ASC-CLD
Receipt;	Event start date - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event start date for service user or carer	dd/mm/yyyy	ASC-CLD
Receipt;	Event end date - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event end date for service user or carer	dd/mm/yyyy	ASC-CLD
Receipt;	Event description - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event description for service user or carer	Free text	ASC-CLD
Receipt;	Event outcome - service user/carer	2024	0-120	120	Data manager	No	Current	ASC-CLD Feb v2	No	Event outcome for service user or carer	Defined List… Progress to Rabblement/ST-Max Progress to Assessment Admitted to hospital Progress to Re-assessment / Unplanned Review Progress to Support Planning / Services Progress to End of Life Care No change in package Service ended as planned NFA – Moved to another LA NFA – 100% NHS funded care NFA – Self-funded client (Inc. 12wk disregard) NFA – Support declined NFA – Information & Advice / Signposting only NFA – Deceased NFA – No services offered: Other reason NFA – Support ended: Other reason Progress to financial assessment Provision of service NFA- Other	ASC-CLD

Aims

Adult Social Care Client Level Data (ASC-CLD) is a DHSC project set up as an extension to a North West pilot, building on the pilot's successes of working to a standardised social care data specification and linking this data with health data to provide a more holistic view of their system. The pilot system collected and analysed client-level adult social care data from participating local authorities who provided the mandatory information specified, to support local health and care systems. The client level data specification has now been agreed in collaboration with social care data leads from 21 local authorities (LAs) who represent all regions in England and the Directions were then published in December 2020 to allow ASC CLD data submissions. Its purpose is to: 1. Monitor, at a population level, particular cohorts of service users and designing analytical models which support more effective interventions in health and adult social care. 2. Monitor service and integrated care outcomes across a pathway or care setting involving adult social care. 3. Develop, through evaluation of person-level data, more effective prevention strategies and interventions across a pathway or care setting involving adult social care. 4. Design and implement new payment models across health and adult social care. 5. Understand current and future population needs and resource utilisation for local strategic planning and commissioning purposes including for health, social care and public health needs.

Institution

NHS Digital

Geographic coverage - Nations

England;

Start date

2024

Minimum age at recruitment

Sample Size

1,000,000

Sample

Study design

Data return

Sample details

The client level data specification has been agreed in collaboration with social care data leads from 21 local authorities (LAs) who represent all regions in England.

Sex

All

Sample Characteristics

Local authority

Sample size at most recent sweep

21 local authorities submit data

Data Access

https://www.ardengemcsu.nhs.uk/adult-social-care-client-level-data/

Complementary Data

Ethnicity
Geographical Data

Genetic Data Collected

Linked Data

Demographic data

HDR UK Innovation Gateway

Website

https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/directions-and-data-provision-notices/secretary-of-state-directions/collection-of-client-level-adult-social-care-data-no-2

Notes

Related Measures

Ethnicity and race, Housing,

Study Code

ASC-CLD

Reference paper(s)

None yet

Funders

Department of Health and Social Care

Overview