Children's Social Work Statistics: Secure Care 2023-24

Secure Care Statistics for Scotland for 2023-24 that cover data on children in secure care accommodation in Scotland.


Secure care accommodation

Secure accommodation is a form of residential childcare that restricts the freedom of children under the age of 18. It is for the small number of children who may be at significant risk to themselves, or others in the community, and whose needs and risks can only be managed in secure care’s controlled settings. It aims to be a nurturing environment that is able to address specific needs and behaviours whilst providing care, including health and education. There are various legal routes to secure care[1], but the majority of children are placed there via the children’s hearing system or the court.

Bed cost and complement

Across the four secure care accommodation services in Scotland, up to 71 beds were available for those under the age of 18 in 2023-24 (Table 1). This is a reduction from the 78 beds reported at the same time the previous year due to a reduction in capacity in St. Mary’s Kenmure (from 24 to 17 beds), and a further reduction from 84 beds prior to the closure of Edinburgh Secure Services the previous year. All four of the services providers reported having at least one additional emergency/short-term use bed.

Table 1 Secure care accommodation bed complement on 31 July 2024 [Note 1]

Accommodation

Number of beds

Good Shepherd Secure Unit

18

Kibble

18

Rossie Secure Accommodation Services

18

St Mary's Kenmure

17

All units

71

[Note 1] Excludes emergency or short-term beds.

Capacity and usage

During 2023-24, there were 149 admissions to secure care accommodation  - down 3% from the previous year. On average there were 60 residents, a 2% increase on the previous year, and the first increase since 2020. Of these, 48 residents were from within Scotland (up 30% on 2023) and 12 were from outside Scotland (down 45% on 2023), as seen in Chart 1.

Chart 1: Average number of residents in secure care accommodation during the year, 2014-2024 [Note 1]

A chart showing the average number of residents in secure care accommodation during the year from 2014 to 2024. This data is a subset of data presented in Table 2.

[Note 1] Children can be admitted and discharged more than once during the year.

Emergency beds were used for a total number of 11 nights – continuing the noticeable reduction starting in 2020 (Table 2). In total, six residents used an emergency bed during the year.

 

Table 2 Secure care accommodation usage during the year, 2014-2024 [Note 1]

Usage during the year

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

Percentage change since previous year

Admissions

232

249

256

248

210

217

194

177

149

154

149

-3%

Discharges

226

245

253

257

213

210

194

178

160

144

150

4%

Average number of residents

74

82

85

76

80

79

82

76

74

59

60

2%

Average number of residents from within Scotland

67

76

72

56

45

53

53

47

41

37

48

30%

Average number of residents from outside Scotland

7

6

13

19

35

26

28

29

33

22

12

-45%

Minimum number of residents

60

71

77

67

73

71

75

64

65

45

49

9%

Maximum number of residents

84

89

90

87

86

88

88

84

82

70

68

-3%

Number of nights emergency/ short-term beds used [Note 2]

5

146

50

90

284

398

209

40

20

17

11

-35%

Number of residents using emergency/ short-term beds [Note 2]

3

13

11

25

42

55

28

17

8

5

6

20%

 [Note 1] Children can be admitted and discharged more than once during the year.

Resident characteristics and length of stay

On 31 July 2024, there were 54 residents in secure care accommodation. This continues the downward trend seen since 2019 and the lowest number of residents at year end since recording began in 2010. Of these, 39 (72%) were male and 15 (28%) were female. Just over half of residents were aged 16 or over (52%); 15-year-old residents made up a further third (33%) of all residents. A total of 37% of residents had a recorded disability. Of the 54 residents in secure care accommodation on 31 July 2024, over half had a length of stay of less than 6 months, 19% of residents had a stay of between 6 months to under 1 year and a further 6% stayed for a year or more.

Table 3 Children in secure care accommodation by sex, age, disability, and length of stay on 31 July 2014-2024 [Note 1], [Note 2]

Category

Subcategory

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

Percentage of 2024 total

Sex

Male

52

59

65

46

39

60

44

44

33

36

39

72%

Sex

Female

29

26

23

34

43

24

37

34

34

24

15

28%

Age

13 years old or under

5

7

9

14

12

*

5

9

7

5

5

9%

Age

14 years

12

18

18

18

18

*

13

13

18

16

3

6%

Age

15 years

31

28

27

26

25

21

26

16

18

13

18

33%

Age

16 years or over

33

32

34

22

27

55

37

40

24

26

28

52%

Disability [Note 2]

Yes

-

-

34

27

39

27

7

18

21

17

20

37%

Disability [Note 2]

No/unknown

-

-

54

53

43

57

74

60

46

43

34

63%

Length of stay at year end

Less than 1 month

13

17

20

26

10

21

17

17

12

9

7

13%

Length of stay at year end

1 month to under 2 months

14

16

14

13

14

16

14

10

10

12

6

11%

Length of stay at year end

2 months to under 3 months

14

13

14

12

13

9

6

5

10

11

9

17%

Length of stay at year end

3 months to under 6 months

23

26

24

25

27

22

18

29

18

12

19

35%

Length of stay at year end

6 months to under 1 year

9

*

10

*

14

11

16

14

13

14

10

19%

Length of stay at year end

1 year or more

8

*

6

*

0

5

2

3

4

2

3

6%

Total

 

81

85

88

80

82

84

81

78

67

60

54

100%

 [Note 1] For cells shown as " - ", figures are not available. Cells containing " * " represent small numbers that are suppressed to maintain confidentiality. Other cells may be suppressed to avoid calculation of other suppressed values.

[Note 2] Since 2016, the binary question was asked: “does the young person have a mental or physical impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities?”. Prior to 2016,  additional support needs categories were asked for.

Placement prior to admission

In 2023-24, 40% of children admitted to secure care had a prior placement in a residential school. 30% had a prior placement with relatives, friends or in the parental home. A further 21% were from foster care or a children’s home (Table 4). 

This pattern has varied over time. The previous year, 34% of children had a prior placement in a residential school, 14% had a prior placement with relatives friends or in the parental home, and 30% were from foster care or a children’s home.

 

 

Table 4 Number of children admitted to secure care during the year by sex and placement prior to admission, 2023-24 [Note 1]

Sex [Note 2]

Parental home / Relative / Friend

Foster care / Children's home

Residential school

Young offenders institution / Prison

Secure care

Other [Note 3]

Unknown

Total

Male

39

17

35

1

3

7

0

102

Female

5

14

24

0

2

2

0

47

Total

44

31

59

1

5

9

0

149

Percentage of total

30%

21%

40%

1%

3%

6%

0%

100%

 [Note 1] Children can be admitted more than once during the year.

[Note 2] Where Male or Female sex was not specified these children have been included in the total.

 

[Note 3] 'Other' placement prior to admission may include supported accommodation, independent living, hospital, assessment centre and close support.

 

Destination on discharge

A total of 150 children were discharged from secure care during 2023-24. Of these the most common destination after discharge was to a residential school (35%), or to a parental home, relatives or friends (25%). A further 15% were discharged to foster care or a children’s home (Table 5).

Table 5 Number of children discharged from secure care during the year by sex and destination on discharge 2023-2024 [Note 1], [Note 2]

Sex

Parental home / Relative / Friend

Foster care / Children's home

Residential school

Young offenders institution / Prison

Secure care

Other [Note 2]

Total

Male

31

11

29

5

2

21

99

Female

6

12

24

0

1

8

51

Total

37

23

53

5

3

29

150

Percentage of total

25%

15%

35%

3%

2%

19%

100%

[Note 1] Placement immediately after discharge during the year. Children can be discharged more than once during the year.

[Note 2] ‘Other’ placement after discharge includes supported accommodation, independent living, hospital, assessment centre or close support.

Medical care during stay

A total of 144 (96%) children received medical care during their stay (Table 6). Common types of medical care were: general physical health care or treatment (94%), general health discussions or advice (93%) and care or treatment to assist mental well-being (91%). Further to this, 87% received dental treatment or check-ups and 75% of children received sexual health care during their stay. These proportions are broadly in line with figures reported for the previous year, with the largest differences being for dental treatment (82% in 2022-23) and sexual health care (86% in 2022-23).

Table 6 Number and percentage of children discharged from secure care who received medical care during their stay, 2022-24 [Note 1]

Type of medical care

Number

Percentage of all children

Percentage of those receiving medical care

Any medical care

144

96%

100%

General health discussion or advice received

139

93%

97%

Immunisations

44

29%

31%

Dental check-up or treatment

130

87%

90%

Mental health care or treatment

57

38%

40%

Sexual health care or treatment

112

75%

78%

Care or treatment to assist mental well-being

137

91%

95%

General physical health care or treatment

141

94%

98%

Medical care or treatment received - details unknown

113

75%

78%

 [Note 1] Children can be discharged more than once during the year.                                     

Cross UK Comparisons

Secure Care Accommodation data for Scotland, England, and Wales can be found below (Table 7).  Please note that Scotland totals include children who are from elsewhere in the UK. Similarly, the totals for England and Wales may include some children from other parts of the UK.

 

 

Table 7 Cross UK comparisons of number of secure care accommodation services, places approved, and children accommodated, 31 March 2014-2024 [Note 1], [Note 2], [Note 3], [Note 4], [Note 5], [Note 6], [Note 7]

UK nation

Category

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

England

Number of secure children's homes

16

14

14

14

14

14

13

13

13

13

13

England

Places approved

276

232

232

232

233

237

232

231

231

208

219

England

Children accommodated

211

194

192

184

189

162

171

130

157

131

145

Wales

Number of secure children's homes

1

1

1

1

1

1

1

1

1

1

1

Wales

Places approved

22

22

22

22

22

22

22

22

18

22

18

Wales

Children accommodated

18

11

18

19

15

10

13

12

8

8

11

Scotland

Number of secure care accommodation services

5

5

5

5

5

5

5

5

5

5

4

Scotland

Places approved

90

90

90

84

84

84

84

84

84

84

71

Scotland

Children accommodated

80

85

84

81

81

84

82

72

68

62

60

 [Note 1] Please note that the legal routes into secure care can vary between the UK countries.

[Note 2] Source for England and Wales available from Statistics: secure children’s homes.

[Note 3] For Northern Ireland, official/national statistics are not produced on secure care accommodation.

[Note 4] The figures from outside Scotland include children placed on welfare grounds only.

[Note 5] Scotland total includes a number of children from the rest of the UK, so trends in each country based on the children's origin may be different.

[Note 6] To allow for comparison with England and Wales, Scotland's data within this table is at 31 March for all years with the exception of 2020 for which it is at 29 February.

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