Decision details

To agree and approve the Market Sustainability Plan required for publication by 27 March 2023

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 the Market Sustainability Plan for Care homes for people age 65+ and for Domiciliary care for people age 18+ for publication on the North Yorkshire County Council website no later than 27 March 2023.


It was agreed to publish the Final Market Sustainability Plan (MSP). Completion of the MSP is a condition of the Market Sustainability and Improvement Funding Grant.

Reasons for the decision:

The purpose of the market sustainability plan is for local authorities to assess and demonstrate how they will ensure local care markets are sustainable, as they move towards implementing reform.

The plan will assess the impact current fee rates are having on the market and the potential future risks (particularly in the context of adult social care reform). This assessment will enable local authorities to inform the development of mitigating actions, including how much they will need to increase fee rates over the three-year Spending Review period.

The completion and publication of a Market Sustainability Plan was a condition of the Fair Cost of Care and Market Sustainability Fund, and remains a condition of any future funding, including the new Market Sustainability and Improvement Funding Grant.

The market sustainability plan needs to take into account the results from the cost of care exercises, considers the impact of future market changes over the next three years, particularly in the context of adult social care reform and sets out an outline action plan for addressing the issues identified and the priorities for market sustainability investment.

If the Council agrees an annual inflationary uplift prior to publishing the MSP, the document will be updated to reflect this.

Alternative options considered:


Publication date: 27/03/2023

Date of decision: 22/03/2023

Effective from: 01/04/2023

Accompanying Documents: