Purpose

To present the annual fees review for adult
social care and support providers

Content

1.    
That the proposed increases in care fee levels for
2024-2025 as set out in the table below be approved to ensure
sufficiency and sustainability across the external Adult Social
Care market.

 

Type of Care Provision

Recommendation

Current Rate

2023-2024

£

% Increase

Proposed Rate

2024-2025

 £

Home Care

Increase to reflect the cost
impact of the National Living Wage (NLW) and Consumer Price Index
(CPI) inflation. To be applied to care and support delivered
through the CWC19112 – Home Care – Light Touch Flexible
Framework, as well as spot purchased care commissioned outside of
the contract.
 

18.84*
(Hourly rate)

7.45

20.28*
(Hourly rate)

Home Care
–Reablement

20.12
(Hourly rate)

7.45

21.64*
(Hourly rate)

Home Based Respite

18.00
(Hourly rate)

7.45

19.36*
(Hourly rate)

Direct Payments for Adults,
Carers and Children’s – Agency Rate

Aligned to the Supported Living
rate. Increase to reflect cost impact NLW and CPI
Inflation.

18.00
(Hourly rate)

7.45

19.36
(Hourly rate)

Direct Payments for Adults,
Carers and Childrens – Employed Personal Assistant

Increase to reflect cost impact
of the NLW.

12.80
(Hourly rate)

9.79

14.08
(Hourly rate)

Direct Payments for Adults,
Carers and Childrens – Self-Employed Personal
Assistant

Increase to reflect cost impact
of the NLW.

15.68
(Hourly rate)

9.79

17.24
(Hourly rate)

Individual Service
Funds

Aligned to the Supported Living
rate. Increase to reflect cost impact of the NLW and CPI
Inflation.

Dependent on care type

7.45

Dependent on care type

Residential Care – Older
People

Increase to reflect cost impact
of the NLW and CPI inflation. All placements are spot purchased
rather than through a framework or contract.

551.18
(Weekly rate)

7.45

592.27
(Weekly rate)

Residential Care – Older
People with Dementia

592.55
(Weekly rate)

7.45

636.72
(Weekly rate)

Nursing Care – Older
People

620.76
(Weekly rate)

7.45

667.03
(Weekly rate)
 

Nursing Care – Older
People with Dementia

667.10
(Weekly rate)

7.45

716.87
(Weekly rate)

Residential and Nursing –
under 65 years old

Individually Negotiated

7.45

Increase to current placements

Supported Living Disabilities
Framework

Increase fees to reflect the
cost impact of the NLW and CPI Inflation. To be applied to the
CWC19045 – Supported Living for Adults with Disabilities
contract and spot purchased care outside of the
contract.

18.00
(Hourly rate)

7.45

19.36
(Hourly rate)

Supported Living Forensic
Framework

Increase fees to reflect the
cost impact of the NLW and CPI Inflation. Applied to CWC20029
– Supported Living Framework for Individuals with Forensic
History or Significant Complex Behaviour

21.28
(Hourly rate)

7.45

22.88*
(Hourly rate)

Supported Living Block
Contracts
 

Increase fees to reflect the
cost impact of the NLW and CPI Inflation

Negotiated with provider

7.45

Negotiated with provider

Day Care Sessional
Rates

Increase fees to reflect the
cost impact of the NLW and CPI Inflation.

34.32
(Sessional rate)

7.45

36.88
(Sessional rate)

Day Care Hourly
Rates

Increase fees to reflect the
cost impact of the NLW and CPI Inflation. Ensure that the rate is
consistent with the supported living rate and proportionate to 1:1
1:2 1:3 staffing ratios

18.00
per hour for 1:1 staffing
9.00
per hour for 1:2 staffing
6.00
per hour for 1:3 staffing

7.45

19.36
per hour for 1:1 staffing
9.68
per hour for 1:2 staffing
6.46
per hour for 1:3 staffing

 
The proposed percentage uplifts
have been applied to 2023-2024 rates and rounded up so that hourly
and weekly rates are divisible by four and seven respectively. This
is to allow corporate systems to accurately and
correctly facilitate payment to providers. Actual rates
would be communicated with each individual provider through
implementation.
 
*This is the current maximum
rate. Where providers have tendered lower than this rate then the
same percentage uplift and rounding will apply.

 

2.    
That increases be approved with effect from 1 April
2024 to align to corporate payment systems.
 

3.    
That it be noted that engagement had been undertaken
with providers and the feedback received had informed the fee
review amongst other factors such as the increase to the National
Living Wage (NLW), Consumer Price Index (CPI) inflation and the
legal duties for a sustainable market and setting a balanced
budget.

 

4.    
That it be noted that this report was presented to
the Fulfilled Adult Lives Scrutiny Panel on 20 February 2024. The
Panel’s comments were fed in verbally at the meeting of the
Cabinet (Resources) Panel on 21 February 2024.
 

5.    
That it be noted that any proposed care fee
increases would create an ongoing expectation to continue paying
fees at this new minimum level.
 

6.    
That it be noted that all other care contracts not
explicitly referred to within the report are out of scope for the
care and support provider review 2024-2025 and therefore any price
adjustments to such contracts are managed through separate
mechanisms.
 

7.    
That it be noted that new contracts, including
re-tendering, would include indexation clauses which would set out
the mechanism for adjusting prices throughout the contract period.
Indexation may include linking prices to changes in the National
Living Wage (NLW) and indices for inflation, to be determined based
on the specific nature of services being procured.