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Decision details

*Re-Published - no longer subject to call in* Fee Levels for HAS contracted services 2016- 17

Decision Maker: Executive Member for Adult Social Care & Health Integration, incl Health & Wellbeing Board and Extra Care

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: No

Decision:

Fee levels were agreed for 2016 -17 as follows:

1. The fee levels for care homes for older people will be:
Residential £499.73
Nursing £490.28

2. A 1% inflationary uplift will be paid to those providers of residential or nursing care for older people whose current fee rates are above the proposed new rates

3. An inflationary uplift of 3% will be paid to specialist care homes

4. An hourly increase will be paid to domiciliary care providers of 60p an hour

5. A 3.3% fee uplift will be paid for other non-regulated contracts

6. For out of county placements we will honour an uplift agreed by the host
authority where they have undertaken an Actual Cost of Care exercise, and will
consider individual business cases where there is no Actual Cost of Care exercise in
place

7. Letter to the Independent Care Group to follow up on issues raised

Reasons for the decision:

*PLEASE NOTE This decision was originally published on or near the date of the decision and so call in no longer applies. It has been re-published as part of the change in committee management system that we use.*

The Council has a commitment to review fee levels on an annual basis.

From April 2015 the Council has new statutory responsibilities under the Care Act 2014 to shape and sustain its markets.

In reaching this decision due regard has been paid to the Cost of Care exercise for residential and nursing care homes, undertaken by Mazars LLP; to the results of consultation with providers and the Independent Care Group; and to information and judgements of officers regarding the care and support market in North Yorkshire.

The new fee levels will address increased costs across the care and support providers due to the National Living Wage and other wage related costs, as well as inflationary pressures. .

The higher increases in fee for Nursing homes will help address issues
we have in the nursing care market around capacity and sustainability and where strategically we want to support the market to respond to growing needs.



Alternative options considered:

Option 2 – to agree higher fee levels as proposed by the Independent Care Group
Option 3 – to reduce proposed fee levels for care homes with nursing, in the light of an increase in the new Funded Nursing Care rates, paid by the NHS, and use the monies released to enhance rates for residential care homes or domiciliary care providers
Option 4 – to introduce market supplements for local areas if there is clear
evidence that the market is restricted at the proposed fee rates

Publication date: 10/05/2021

Date of decision: 28/10/2016