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CIPFA and the Association of Directors of Adult Social Services (ADASS) social care risk tool

This survey aims was to check whether unsustainable financial pressures might be faced by the adult social services department. By assessing the extent to which various risk factors apply, the tool gives a broad impression of how challenging it is likely to be to generate future savings.

Answer each question with an answer ranging from Not at all to Very strongly and click Submit when completed.

NB: The final average scores of the completed submissions (but not individual council scores) may be publicised on the CIPFA website and in our health newsletter

Savings
	Are there high % age savings since 2010/11 - local authority as a whole?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there high % age savings since 2010/11 – adult social care?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there low relative spend per head of population - Council as a whole?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there low relative spend per head of population - adult social care?
Not at allVery limitedTo some extentClearlyVery strongly
	Are the relative cost of individual services low?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there a lack of a detailed adult social care savings plan beyond 2017/18?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there a lack of a detailed adult social care savings plan beyond 2018/19?
Not at allVery limitedTo some extentClearlyVery strongly
	If there is a detailed adult social care savings plan, are a high proportion of the savings speculative (i.e. there is a lack of clarity about how the savings will be made in practice?)
Not at allVery limitedTo some extentClearlyVery strongly
Local Pressures
	Is there a relatively low cost of home care taking into account of whether the area is rural or urban?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there a relatively low cost of residential care?
Not at allVery limitedTo some extentClearlyVery strongly
	Is < 10% of adult social care provision provided in-house?
Not at allVery limitedTo some extentClearlyVery strongly
	Is the incidence of provider failure and/or contract handbacks increasing?
Not at allVery limitedTo some extentClearlyVery strongly
	Are local providers relatively poor in terms of quality compared with national performance (based on CQC inspections and/or Safeguarding referrals)?
Not at allVery limitedTo some extentClearlyVery strongly
	Is the NHS purchasing care at higher prices than the council?
Not at allVery limitedTo some extentClearlyVery strongly
	Has the local authority accepted Council Tax freeze grant for some years?
Not at allVery limitedTo some extentClearlyVery strongly
	Has the local authority not made full use of the adult social care precept and its council tax raising powers?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there a financially challenged health economy?
Not at allVery limitedTo some extentClearlyVery strongly
	Are you relying on the local Sustainability and Transformation Plan to find significant savings to benefit adult social care?
Not at allVery limitedTo some extentClearlyVery strongly
	Will the Sustainability and Transformation Plan lead to increased costs for adult social care which are not going to be funded by the NHS?
Not at allVery limitedTo some extentClearlyVery strongly
	Will the Sustainability and Transformation Plan create workforce requirements which cannot be met?
Not at allVery limitedTo some extentClearlyVery strongly
	Are older people demographic pressures above average?
Not at allVery limitedTo some extentClearlyVery strongly
	Are younger adults demographic pressures above average?
Not at allVery limitedTo some extentClearlyVery strongly
	Are carer services comparatively poor?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there high or increasing waiting lists?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there problems in recruiting the social care workforce?
Not at allVery limitedTo some extentClearlyVery strongly
Culture and relationships
	Have there been more than 2 Directors of Adult Social Services in the last 5 years?
Not at allVery limitedTo some extentClearlyVery strongly
	Is the Director of Adult Social Services new?
Not at allVery limitedTo some extentClearlyVery strongly
	Is a high proportion of the corporate leadership team new to their role?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there significant challenges to the Council as a whole - critical inspections; leadership change in challenging circumstances?
Not at allVery limitedTo some extentClearlyVery strongly
	Is there a difficult relationship between Director of Adult Social Services and Chief Executive and / or Chief Finance Officer?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there difficult relationships between Councillors or between Councillors and officers?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there difficult relationships with the local Clinical Commissioning Group(s) or NHS Trusts?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there complex relationships with the local Clinical Commissioning Group(s)?
Not at allVery limitedTo some extentClearlyVery strongly
	Are there difficult or complex relationships with District Councils (if applicable)?
Not at allVery limitedTo some extentClearlyVery strongly