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1.         Agreed
the following changes to the mechanism for setting the Adult Social
Care fees and charges for the financial year 2024-25:

    
i.A one-off alignment
of fees and charges for City Council clients in In-House
Residential and Nursing services to the external market average
rates (as defined at paragraphs 5.7 and 5.8).

  
ii.A one-off alignment
of fees and charges for City Council clients in In-House Older
Persons Day Services, to the mid-point between the current daily
fee rate and the daily cost of providing the services for
2024-25.

 
iii.The alignment of
fees and charges for Other Organisations, to the cost of provision
of services, together with the introduction of a 15% overhead
charge, for the following:

a)   
In-House Residential and Nursing
Services

b)   
In-House Day Services

c)    
Supported Living Services at Temple
Court and Moorings Way

2.    
Delegated authority to the Director of Adult Social
Care and in consultation with the Finance Manager for Adult Social
Care to adjust the fees and charges for 2024-25 in line with the
CPI Inflation Rate at September 2023,                                                                                                                                                                                                                                                                                                  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         or
in line with the proposals set out at recommendation (a),
(up to a maximum value for full cost recovery)
subject to the necessary rounding adjustments highlighted at
paragraph 3.2 and recommendation (d).

3.    
Delegated authority to the Director of Adult Social
Care in consultation with Finance Manager for Adult Social
Care:
 

    
i.To adjust annually, (commencing
financial year 2025-26) existing fees and charges on the 1st April
each year in line with the CPI inflation rate in the preceding
September (up to a maximum value for full cost recovery), and
subject to (ii) and (iii) below.

  
ii.Fees and charges
for Other Organisations, will be set at a rate to enable the
recovery of the cost of providing the services, together with a 15%
overhead contribution rate, for the following:

d)   
In-House Residential and Nursing
Services

e)   
In-House Day Services

f)     
Supported Living Services at Temple
Court and Moorings Way

 
iii.To align the City Council client
fee rates, every third year, for In-House Residential and Nursing
services to the average external provider rates (based on the
average cost of new placements between April and September in the
preceding year, adjusted for expected inflationary uplifts in the
relevant year). The first realignment will be for financial year
2027-28.
 
The above will also be subject to the necessary
rounding adjustments highlighted at paragraph 3.2 and
recommendation (d).
 

4.    
Agreed that where it is proposed to amend an
existing fee or charge by an amount different to that calculated in
accordance with recommendation (c), that the proposal is published
within the Members Information Service in advance of the start of
the financial year to which the fee and charge relate.
 

5.    
Noted that the proposed In-House Residential and
Nursing care rates to City Council clients will be significantly
less than the current cost of provision of these services and
therefore will not fulfil the full-cost recovery principles
generally applied by the City Council.
 

6.    
Noted that whilst there are references to full cost
recovery within this report, the relevant fee rates will be set in
advance of the commencement of the relevant financial year, based
on the initial budget estimates. This initial budget will include
provisional pay-award assumptions for the forthcoming year, which
may differ from the final agreed pay award.

 

7.    
Noted that the Director of Adult Social Care will
bring forward a policy proposal during 2024 on the use of transport
that ensures equity for all residents who access transport in
connection with meeting care needs. This policy will also contain
proposals on how to move closer to cost recovery in
charging.