The proposed fees for Residential, Nursing,
Domiciliary Care and Community Based Services have been agreed for
2022/23
(i) That fee increases to care homes for both residential and
nursing will be as below:
a) There will be four Actual Cost of Care (ACOC) rates and these
include an amount for return on investment.
Nursing 819
Nursing with Dementia 826
Residential 742
Residential with Dementia 784
b) The Cost of Care rate will be implemented for existing packages
over three years. In essence that means that each package would
receive 1/3rd of the difference between the current rate and the
ACOC rate, reaching full ACOC by April 2024. However we will commit
to reviewing this position and subject to funding, look to move
remaining packages to ACOC levels in 2023/24. This review will look
at funding available, including any unspent grants, plus the amount
of packages still above ACOC level.
c) Each year the ACOC rate will be inflated.
d) For those below the ACOC rate, inflation will be applied at the
full level.
e) For those above the ACOC rate, no inflation will be
applied.
f) For those already above ACOC and not receiving inflation, a
safeguard will be put in place to ensure they do not drop below the
ACOC rate (as this is inflated each year).
g) All new packages will be paid the ACOC rate, except in
exceptional circumstances and where agreed otherwise.
(ii) A 3.1% increase for all non-residential services and learning
disability residential services. This will include day
opportunities.
(iii) For domiciliary care:
• A flat rate increase of £1.68 to contracts currently
at or below £21.52
• This will reduce by 1p for every 1p currently above
£21.52. In effect every package currently between
£21.52 and £23.20 will now be at UKHCA rate of
£23.20
• A flat rate increase of 36p for rates currently between
£23.20 and £25
• A flat rate increase of 20p for rates currently between
£25 and £25.40, up to maximum of £25.40
• Any rates above this to have 0% inflation, pending the
domiciliary care ACOC
(iv) Increases to supported living care packages will also be
targeted to support those currently receiving lower fee rates. The
offer for 2022/23 is below:
• 5% to those packages currently paid below £19 per
hour
• 3.1% to those above that rate
(v) For placements of people in care homes outside of North
Yorkshire County Council 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
(vi) For placements of working age adults in care homes within
North Yorkshire County Council area 3.1% will be applied to all
residential/nursing placements.
(vii) That a review with the Independent Care Group (ICG) to begin
no later than 30 September 2022 to look at the impact of this award
on providers and, subject to grant conditions, the distribution of
any additional funding from government. This review will also look
at those packages receiving the inflation award of 3.1%, such as
Supported Living.