Adult Social Care Client Level Data (ASC-CLD)

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.

Question/Data item wording	Response scale wording	Need OR provision OR receipt	Description of measure	Start Year	Age of interest	Age from	Age to	Informant	Multiple rater	Reporting term	Sweep title	Standard instrument	Dataset
General practitioner practice name	Insert GP info	Receipt;	GP ID of care recipient/carer	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Unitary authority of residence (derived)	Details typed/inserted	Receipt;	Client location: UA	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Electoral ward of residence (derived)	Details typed/inserted	Receipt;	Client location: electoral ward	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Local authority of residence (derived)	Details typed/inserted	Receipt;	Client location: LA	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
CCG of residence (derived)	Details typed/inserted	Receipt;	Client location: CCG	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
LSOA of residence (derived)	Details typed/inserted	Receipt;	Client location: LSOA	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
MSOA of residence (derived)	Details typed/inserted	Receipt;	Client location: MSOA	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
LSOA of residence (2011 boundaries; derived)	Details typed/inserted	Receipt;	Client location: LSOA 2011	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Based on carers’ self-reported hours	1 – 7 hrs 8 – 14 hrs 15 – 21 hrs 22 – 28 hrs 29 – 35 hrs 36 – 42 hrs 43 – 49 hrs 50+ hrs	Receipt;	Total Hours Caring per week	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
The number of adults cared for by the carer. This can include people who are not known to the local authority, to describe the full extent of the caring role	Insert number	Receipt;	Number of adults being cared for	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
First adult cared for by the carer, but only where they are known to the local authority (where 1 or more) Second adult cared for by the carer, but only where they are known to the local authority Third adult cared for by the carer, but only where they are known to the local authority	Insert IDs	Receipt;	Care recipient ID	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Description of carer and service user participation during the review	Carer only Service user only Service user and carer	Receipt;	Informant type	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Year of birth	Insert year	Receipt;	Year of birth of care recipient/carer	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Month of birth	Insert month	Receipt;	Month of birth of care recipient/carer	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
MSOA of residence (2011 boundaries; derived)	Details typed/inserted	Receipt;	Client location: MSOA 2011	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Additional details of the service provided	Reablement 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	Receipt;	Service component	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Service type	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	Receipt;	Service type	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Whether eligible needs were identified under the Care Act 2014 (long term assessments only)	Eligible needs identified Non-eligible needs identified No needs identified	Receipt;	Method of assessment	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Assessment type	Short Term Assessment Long Term Assessment Financial Assessment	Receipt;	Assessment types	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Request route of access	Planned Entry (Transition) Discharge from Hospital Diversion from Hospital Services Community / Other route Prison Self-Funder Discharge from Reablement Transfer from Other LA	Receipt;	Routes of access	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Event outcome	Progress to Reablement/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	Receipt;	Event outcomes	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Whether the individual has been diagnosed with dementia	Yes No Unknown	Need;	Dementia diagnosis	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Visual impairment status	Blind/severely sight impaired Partial sight/sight impaired No visual impairment Visual impairment – severity unknown Unknown	Need;	Visual impairment status	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Accommodation status	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	Receipt;	Accommodation setting including care homes	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Whether the individual receives support from an unpaid carer	Yes No Unknown	Receipt;	Support from an unpaid carer	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Delivery mechanism. This is specific to the service line	Direct Payment CASSR Managed Personal Budget CASSR Commissioned Support Self-Funder Metering Only	Receipt;	Delivery mechanism (Long term community or prison only)	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
CQC Location Name of provider	Typed here	Receipt;	CQC Location Name of provider	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
CQC Location ID	Typed here	Receipt;	CQC Location ID	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Review reason	Planned Unplanned – Hospital (Planned and unplanned episodes) Unplanned – Carer related Unplanned – Safeguarding concern Unplanned – Other Reason Unplanned – Provider Failure Unplanned – Change in Commissioning arrangements	Receipt;	Review reason	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Whether the support services have met the stated outcomes	Fully Met Partially Met Not Met	Receipt;	Have support services met stated outcomes	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Part 1: Unit cost Part 2: The frequency at which the unit cost occurs Part 3: Number of planned units per week	Part 1: Insert unit cost Part 2: Per Session Hourly Daily Weekly Fortnightly 4-weekly Monthly Quarterly Annually One-off Part 3: Insert number of units per week	Receipt;	Unit cost and frequency of care intervention	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
The client’s most recent funding status	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	Receipt;	Client funding status	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Client’s age at event start date (derived)	Insert age	Receipt;	Client age	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Postcode sector of residence (derived)	Details typed/inserted	Receipt;	Client location: postcode	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Constituency code of residence (derived)	Details typed/inserted	Receipt;	Client location: constituency	2025	18-120	18	120	Data manager	No	Current	Release 2 Technical Output Specification (mandatory from October 2025)	No	ASC-CLD
Services only: Planned units per week for service user or carer	Numeric (0.00)	Receipt;	Planned units per week - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Assessments only: Method of assessment for service user or carer	Defined List… Carer only Service user only Service user and carer	Need;	Method of assessment - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Provision;	Total hours caring - carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
No. of adults being cared for by carer	Integer	Provision;	No. adults cared for - carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Linked person IDs for people carer looks after	Integer or Alpha-numeric (up to 3 linked people)	Provision;	Linked persons to carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Service type - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Service component - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Services only: Delivery mechanism for service user or carer	Defined List… Direct Payment CASSR Managed Personal Budget CASSR Commissioned Support Self-Funder Metering Only	Receipt;	Delivery mechanism - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Services only: Provider CQC location ID for service user or carer	Alpha-numeric	Receipt;	Provider CQC location ID - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Review reason - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Reviews only: Review outcomes achieved for service user or carer	Defined List… Fully Met Partially Met Not Met	Receipt;	Review outcomes - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Reviews only: Method of review for service user or carer	Defined List… Carer only Service user only Service user and carer	Receipt;	Review method - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Services only: Unit cost for service user or carer	Numeric (0.00)	Receipt;	Service unit cost - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Service cost freq - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Services only: Provider CQC location name for service user or carer	Alpha-numeric	Receipt;	Provider CQC location - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Does service user have dementia?	Defined List… Yes No Unknown	Receipt;	Dementia - service user	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Hearing impairment - service user	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Does service user have visual impairment?	Defined List Blind/severely sight impaired Partial sight/sight impaired No visual impairment Visual impairment – severity unknown Unknown	Receipt;	Visual impairment - service user	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Does service user have Autism Spectrum Disorder (ASD)?	Defined List… Yes No Unknown	Receipt;	Autism - service user	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Has unpaid carer’ for service user or carer	Defined List… Yes No Unknown	Need;	Unpaid care receipt - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Employment status - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Accom status - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Postcode of service user or carer	Alpha-numeric Unknown	Receipt;	Postcode - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Client type – service user or carer	Defined List Service User Carer Carer known by association Unknown	Receipt;	Client type - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Need;	Primary support reason - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Funding status - service user	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Event type for service user or carer	Defined List… Request Assessment Service Review	Receipt;	Event type - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Event reference for service user or carer	Integer or Alpha-numeric	Receipt;	Event reference - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Event start date for service user or carer	dd/mm/yyyy	Receipt;	Event start date - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Event end date for service user or carer	dd/mm/yyyy	Receipt;	Event end date - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Event description for service user or carer	Free text	Receipt;	Event description - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Event outcome - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
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	Receipt;	Route of access - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Assessments only: Assessment type for service user or carer	Defined List… Short Term Assessment Long Term Assessment Financial Assessment	Receipt;	Assessment type - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD
Assessments only: Eligible needs identified for service user or carer	Defined List… Eligible needs identified Non-eligible needs identified No needs identified	Need;	Eligible needs - service user/carer	2024	0-120	0	120	Data manager	No	Current	ASC-CLD Feb v2	No	ASC-CLD

England

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

Individual data available (e.g. upon special request)?

Yes

Data Access Level

Restricted access only (application required)

Data Access

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

Regional variable present?

Yes

Local Authority variable present?

Yes

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