The proposed fees for residential, nursing,
domiciliary care and community based services have been agreed for
2023/24
(i) That fee increases to care homes for both residential and
nursing will be as below:
a) The four Actual Cost of Care (ACOC) rates for 2023/24 will be:
Residential 812, Residential/Dementia 854, Nursing 896 and
Nursing/Dementia 903.
b) The Cost of Care rate will be implemented for all existing
placements by April 2024 where they are currently paid below that
rate.
c) For those above the ACOC rate, inflation will be paid at 3% up
to £1,200 per week, with no inflation above that.
d) All new placements will be paid the ACOC rate, except in
exceptional circumstances and where agreed otherwise.
e) As ACOC rates only apply to placements for over-65s, placements
supporting adults under the age of 65 will be paid an inflation
rate of 9.2% for those below £1,000 per week and 3% for those
above.
f) Specialist residential placements for people over-65 costing
less than £1,000 per week will receive 9.2%, while those
above will receive 3%.
(ii) An 9.2% increase for Community-Based Support/non-regulated
services, including Day Services. This will be rounded up to ensure
it is divisible by 4.
(iii) For domiciliary care: 9.2% uplift to all domiciliary care
packages below £26 per hour. 3% for those between £26
and £33. No inflation will be paid on hourly rates above
£33.
(iv) Increases to supported living care packages will be
9.2%.
(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.