Agenda item - Proposed Fees for Adult Social Care Providers 2020 -21

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Agenda item

Proposed Fees for Adult Social Care Providers 2020 -21

Report of the Executive Director Health and Adult Social Care (copy attached)

Decision:

RESOLVED – (1) That the Board agrees to the recommended fee increases as set out in the table below. The underpinning background to the fee changes is set out in the main body of the report.

 

Tables of Fees

 

Service

Current fee 2019-20

New fee 2020-21

% uplift

 

Care Homes and Care Homes with Nursing

In city care homes – set fees per week

£571

£582

 

 

2%

In city care homes with nursing – set fees per week

£736.56 Includes FNC at £165.56

£747.56 Includes FNC at £165.56

NB this may change as 2020-21 rate not yet set by NHS

2%

 

In city Learning Disability care homes not on set rates (individually negotiated)

Variable

Variable

Variable

In city care homes not on set rates 

(individually negotiated)

Variable

Variable

Variable

In city care homes with nursing  not on set rates

(individually negotiated)

Variable

Variable

Variable

Block Contract Arrangements

Variable

Variable

Variable

Out of City Care Home and Care Home with Nursing Placements

Out of city care homes on set rates

 

 

Host Authority Rates

Host Authority Rates

·  Match set rates for new placements.

·  2% to existing placements

Out of city care homes with nursing on set rates

Host Authority Rates

Host Authority Rates

·  Match set rates for new placements.

·  2% to existing placements

Out of city care homes individually negotiated

 

Variable

Variable

Variable

 

Out of city care homes with nursing individually negotiated

Variable

Variable

Variable

 

Supported Living & Community Support: Learning & Physical Disabilities, functional mental health

Supported Living for people with learning disabilities

Variable

Variable

2%

Supported Living for adults with Physical and/or Sensory Disabilities and Acquired Brain Injury

Variable

Variable

Variable

 

Community support for people with learning disabilities

Variable

Variable

2%

Community support for adults with Physical and/or Sensory Disabilities and Acquired Brain Injury

Variable

Variable

2%

Community support for adults with functional mental health issues

Variable

Variable

variable

Home Care

Home care main area/back up provider –

core fee

£17.83

£18.19

2%

Home care main area/back up provider – enhanced fee

£19.83

£20.23

2%

 

Dynamic Purchasing System Approved Provider Packages

Variable

Variable

variable

 

 

Direct Payments

 

Direct Payments Monday to Friday hourly rate for those employing Personal Assistants

£10.80

£11.00

2%

Direct Payments Weekend hourly rate for those employing Personal Assistants

£11.80

£12.00

2%

Other Direct Payment agreements

Variable

Variable

2%

Shared Lives

Shared Lives Management Fee

Variable

Variable

2%

 

Shared Lives fee to carers

Variable

Variable

2% to care element

Day Support

Day support for people with Learning Disabilities

Variable

Variable

2%

Day support for people with Acquired Brain Injury

Variable

Variable

2%

 

Minutes:

45.1    The Board considered a report of the Executive Director, Health and Adult Social Care setting out the proposed fees for Adult Social Care Providers 2020/21.

 

45.2    It was explained that the paper set out the recommended fee levels and uplifts to be paid to Adult Social Care Providers from April 2020. The services that were considered in the report were integral to the proper functioning of the wider health and care system which included managing patient flow in and out of hospital. It was recognised that public finances were under increasing pressure but that this needed to be balanced with the need to manage and sustain the provider market to support the increasing complexity and demand to comply with the duties placed on the Council by the Care Act 2014 to meet the needs of those requiring care and support and to seek to ensure provider sustainability and viability. As there had been no uplift for the 2019/20 financial year supporting and sustaining the provider market was of particular significance for 2020/21 financial year.

 

45.3    Councillor Shanks noted that that the living wage was paid to those working for adult social care providers. Councillor Shanks enquired regarding mechanisms in place to ensure that was the case, any ongoing monitoring carried out to ensure that remained the case and, whether contracts entered into contained a specific clause/clauses requiring that to be the case. Councillor Shanks also enquired regarding whether a review process existed to check that provision was being managed in accordance with the contracts entered into and that staff were paid in line with what had been agreed, stating that she would have expected that to be evidenced. Councillor Shanks stated that she did not consider that the information provided was sufficient for her to agree the report recommendations. Councillor Nield concurred in that view.

 

45.4    Councillor Bagaeen queried why an uplift of 2% had been recommended in a number of instances, particularly as figures in relation to some provision appeared to change month on month. It was explained that this figure was in line with that for the general Council budget which ensured that the fees set could be paid from the budget provision available, plus any addition element which might also be payable.

 

45.5    Councillor Appich stated that she met with officers to discuss some of the figures provided in more detail and the approach which had been taken was a reasonable one in her view. It should be noted that a wider review of commissioning strategies currently in place was to be undertaken for the following financial year and would be reflected in the recommendations put forward then.

 

45.6    No further matters were raised and the Chair therefore moved on to the vote and the recommendations set out in the report were agreed on a vote of 4 with 5 abstentions.

 

45.7    RESOLVED – (1) That the Board agrees to the recommended fee increases as set out in the table below. The underpinning background to the fee changes is set out in the main body of the report.

 

Tables of Fees

 

Service

Current fee 2019-20

New fee 2020-21

% uplift

 

Care Homes and Care Homes with Nursing

In city care homes – set fees per week

£571

£582

 

 

2%

In city care homes with nursing – set fees per week

£736.56 Includes FNC at £165.56

£747.56 Includes FNC at £165.56

NB this may change as 2020-21 rate not yet set by NHS

2%

 

In city Learning Disability care homes not on set rates (individually negotiated)

Variable

Variable

Variable

In city care homes not on set rates 

(individually negotiated)

Variable

Variable

Variable

In city care homes with nursing  not on set rates

(individually negotiated)

Variable

Variable

Variable

Block Contract Arrangements

Variable

Variable

Variable

Out of City Care Home and Care Home with Nursing Placements

Out of city care homes on set rates

 

 

Host Authority Rates

Host Authority Rates

·  Match set rates for new placements.

·  2% to existing placements

Out of city care homes with nursing on set rates

Host Authority Rates

Host Authority Rates

·  Match set rates for new placements.

·  2% to existing placements

Out of city care homes individually negotiated

 

Variable

Variable

Variable

 

Out of city care homes with nursing individually negotiated

Variable

Variable

Variable

 

Supported Living & Community Support: Learning & Physical Disabilities, functional mental health

Supported Living for people with learning disabilities

Variable

Variable

2%

Supported Living for adults with Physical and/or Sensory Disabilities and Acquired Brain Injury

Variable

Variable

Variable

 

Community support for people with learning disabilities

Variable

Variable

2%

Community support for adults with Physical and/or Sensory Disabilities and Acquired Brain Injury

Variable

Variable

2%

Community support for adults with functional mental health issues

Variable

Variable

variable

Home Care

Home care main area/back up provider –

core fee

£17.83

£18.19

2%

Home care main area/back up provider – enhanced fee

£19.83

£20.23

2%

 

Dynamic Purchasing System Approved Provider Packages

Variable

Variable

variable

 

 

Direct Payments

 

Direct Payments Monday to Friday hourly rate for those employing Personal Assistants

£10.80

£11.00

2%

Direct Payments Weekend hourly rate for those employing Personal Assistants

£11.80

£12.00

2%

Other Direct Payment agreements

Variable

Variable

2%

Shared Lives

Shared Lives Management Fee

Variable

Variable

2%

 

Shared Lives fee to carers

Variable

Variable

2% to care element

Day Support

Day support for people with Learning Disabilities

Variable

Variable

2%

Day support for people with Acquired Brain Injury

Variable

Variable

2%

 

            Note: Councillors Nield and Shanks wished it to be recorded that they had abstained from voting in respect of the report recommendations.

Supporting documents:

 


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