Decision details

To agree and approve the cost of care reports required for publication by 1 February 23.

Decision Maker: Corporate Director of Health and Adult Services

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


To agree and approve two cost of care reports for Care homes for people age 65+ and for Domiciliary care for people age 18+. The reports outline the process undertaken to determine the cost of care for North Yorkshire and the outcomes reached.

The Cost of Care reports are required by Department of Health and Social Care for publication on the North Yorkshire County Council website no later than 1 February 2023.


It has been agreed to publish the adult social care, Cost of Care reports, for 18+ Domiciliary Care and 65+ Residential and Nursing Care by 1 February 2023, as required by the Department of Health and Social Care

Reasons for the decision:

The Department of Health and Social Care (DHSC) announced details of the Market Sustainability and Fair Cost of Care Fund. The primary purpose of the fund was to support local authorities to prepare their care market for reform, including the further commencement of Section 18(3) of the Care Act 2014 in October 2023 (now deferred), and to support local authorities to move towards paying providers a fair cost of care.

The Market Sustainability Fund was linked to a wider piece of Central Government policy on Charging Reform and North Yorkshire County Council were confirmed as one of six Trailblazer sites nationally who would work with DHSC on early implementation of Charging Reform and Cost of Care.

As a condition of receiving market sustainability funding over the next two years, all Local Authorities are expected to complete cost of care exercises for 18+ Domiciliary Care and 65+ Residential and Nursing Care. Despite the delay in Charging Reform, DHSC has requested that Local Authorities publish cost of care reports on websites no later than 1 February

Alongside the completion of the cost of care exercises, the Council undertook the procurement of its Approved Provider Lists (APL). This process updated the specification for care services and involved providers submitting their rates for the coming five years. This process was a thorough one undertaken by all providers working with NYCC and therefore provided a reliable source of information directly from care providers which reflects the demographic variation of delivering care in North Yorkshire.

Given the statistical relevance of the APL procurement data, and the significant limitations of the fair cost of care exercise which has only given a very limited picture of the cost of delivery of domiciliary care, the APL rates are therefore what will inform fee setting going forwards.

Alternative options considered:


Publication date: 31/01/2023

Date of decision: 25/01/2023

Effective from: 07/02/2023