July 2017 Care Markets - LaingBuisson...fee rates for nursing and residential care every year since...

Annual Survey of UK Local AuthorityUsual Costs2017/2018

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Fee rates for:

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Introduction

laingbuissonnews.com | JULY 2017 | 3

Care Markets has conducted its annual survey of local authority fee rates for nursing and residential care every year since the community care reforms were introduced in 1993. Published alongside expert analysis in the pages of LaingBuisson’s social care news magazine, this exercise has become a well respected dataset which is used extensively by care providers and commissioners alike.

Usual Costs are defined as the gross weekly fees that local authorities are prepared to pay independent sector residential and nursing homes for the care of individuals for whom they accept financial responsibility. The survey focuses exclusively on figures for elderly care and dementia care due to the practice among other client groups to avoid usual costs as the amounts they will pay are negotiated on a case-by-case basis.

Fees are presented as a range, or as a maximum if a council pays a single rate or if they have a set ceiling. Most local authorities only operate one set of fees for both new and existing residents, although some do offer higher payments for new residents and in these cases fee information for new placements is displayed.

All fees for authorities in England and Wales include NHS Funded Nursing Care at the appropriate rates - see table key - unless otherwise indicated. Additional information about the fees, e.g. details of premium payments for quality, are contained in thenotes alongside each entry.

This year fee information has been supplied by 80% of the 208 local authorities in the UK.

For a full analytical breakdown of the survey results, please refer to the July 2017 edition of Care Markets where we outline trends and forecast the future of funded elderly care.

For further information and to purchase additional copies of the survey, and a range of options to purchase survey results from previous years dating back to 1996, please contact us on 020 7841 0045.

Care Markets and LaingBuissonAnnual Survey Of UK Local Authority Usual Costs 2017/2018

Usual CostsCMCONTACT US [email protected]

EDITOR Eleanore [email protected]+44 (0)20 7923 5398

PUBLISHING DIRECTOR [email protected] +44 (0)20 7841 0049

SUBSCRIPTION SERVICES Janet [email protected]+44 (0)20 7923 5396

DISPLAY [email protected]+44 (0)20 7841 0045

DATA ENQUIRIES [email protected] +44 (0)20 7923 5395

Distributed with CareMarkets July 2017

JULY 2017

ISSN 2399-7079

CM is published ten times a year by LaingBuisson Ltd, 29 Angel Gate, City Road, EC1V 2PT. +44 (0)20 7923 5390 Printed by Rapidity, Citybridge House, 235-245 Goswell Road, London, EC1V 7JD ©LaingBuisson Limited 2017. No responsibility can be taken by the publisher or contributors for action taken as a result of information provided in this publication. All rights reserved; no part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise without either the prior written permission of the publisher or a licence permitting restricted copying issued in the UK by the Copyright Licensing Agency Ltd and in the USA by the Copyright Clearance Center Inc.

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Indepth

4 | JULY 2017 | CM - LaingBuisson

According to CM’s Annual Survey of UK Local Authority Usual Costs 2017/18, English councils have given an average uplift of 3.6%, most likely in an effort to compensate for increased payroll costs, essentially bringing about a standstill.

Of the 145 councils providing figures in the 2017/18 survey, the majority (91 CASSRs, or 63%) reported fee revisions at a rate of 3% or above.

An additional 23 increased their baseline fees by 2-2.9%. Sixteen gave uplifts below ‘standstill’ in margins levels, while four had made no uplift at all. The remaining councils had not defined an uplift at the time of our survey.

Operators in West Midlands can expect to receive the least uplift in the

UK, at 2.06% on average, whereas their counterparts in east of England will be receiving an inflation-busting rise of 5.77%.

Among placements for older people, Hampshire reported the lowest resi-dential care fee at £357 per week, with Wiltshire offering the highest maximum rate at £1,852 per week.

With regards to nursing care, Merton Council in Greater London pays the highest fee rate for its placements, up to £1,456 per week, while Wiltshire paid the lowest minimum at £362 per week.

For dementia patients, prices paid by local authorities for residential care ranged from a mere £366 (Dorset) to £1,226 (Islington Borough Council). Islington reportedly also paid the lowest fee for nursing care for dementia (£426),

while at the other end of the spectrum Bracknell Forest offered more than triple that amount (£1,505), making it the highest paying council in that category.

The exclusive survey found that 27.6% of responding councils expected a drop in the numbers of older people support-ed by the end of the year, presumably due to some people requiring care being redirected towards homecare or support-ed living as an alternative to registered care homes. The majority (42.5%) of councils projected an increase in care home placements during 2016/17. The remaining respondents indicated they didn’t expect any changes.

The introduction of the National Living Wage (NLW) has been the cause of much concern for providers.

Without mitigation, gross margins of

LaingBuisson head of research Eleni Giatsi explains the key findings of CM’s annual survey of usual costs.

Uplift in usual costs does little more than cover NLW impact

0

10

20

30

40

50

60

70

80

90

100

0% or minus 0.1% to 0.9% 1.0% to 1.9% 2.0% to 2.9% 3% or more Uplift not defined

England Wales Scotland N. Ireland

SOURCE LAINGBUISSON

LOCAL AUTHORITY USUAL COST FEE INCREASES %, 2017/18

laingbuissonnews.com | MONTH YEAR | 25laingbuissonnews.com | JULY 2017 | 25

Inpictures

Indepth

care homes for older people would take a hit.

LaingBuisson’s Care Cost Benchmarks model estimates that care homes with high exposure to public pay would require an average 3.5% increase in fees in order to maintain operating profit margins

as they were. An average uplift of 3.6% in English council fees is therefore a positive development, but it doesn’t allow a lot of ‘breathing room’.

In the context of the funding shortfall, the precise size of which is still being debated, and providers handing back

contracts, there are signs that the funds raised through the social care precept are being reflected in the rates councils’ pay and the National Living Wage (NLW) is being factored in.

But the figures do indicate that main-taining a status quo in terms of fees paid

£357

£361

£366

£368

£369

£890

£1,070

£1,379

£1,834

£1,852

£0 £200 £400 £600 £800 £1,000£1,200£1,400£1,600£1,800£2,000

Hampshire

Conwy

Dorset

Windsor & Maidenhead

Leicester City

Bracknell Forest

Merton


Islington

Wiltshire

SOURCE LAINGBUISSON

6 | JULY 2017 | CM - LaingBuisson

USUAL COSTS - RESIDENTIAL CARE FOR FRAIL OLDER PEOPLE WEEKLY FIGURE, £

North East

North WestYorkshire and the Humber

East Midlands

West Midlands

East of England

Inner London

Outer London

South East

South West

WALES

SCOTLAND

N. IRELAND

ENGLAND

0%

1%

2%

3%

4%

5%

6%

7%

UK Average

SOURCE LAINGBUISSON

DISTRIBUTION OF AVERAGE REGIONAL FEE INCREASES FOR NURSING AND RESIDENTIAL OLDER PEOPLE CARE CARE COMPARED WITH THE UK AVERAGE, 2017/18 %

£362

£422

£536

£556

£559

£1,055

£1,228

£1,293

£1,400

£1,456

£0 £200 £400 £600 £800 £1,000 £1,200 £1,400 £1,600

Wiltshire

Islington


Staffordshire

Wolverhampton

Slough

Wiltshire

Bracknell Forest

Islington

Merton

USUAL COSTS - NURSING CARE FOR FRAIL OLDER PEOPLE WEEKLY FIGURE, £

SOURCE LAINGBUISSON

laingbuissonnews.com | JULY 2017 | 7

0%

1%

2%

3%

4%

5%

6%

7%

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17

Councils' baseline fee uplifts, % change in year*

Actual fees paid by English councils for residential care, % change in year**

Composite (all payors) nursing and residential care fees (UK), % change in year

USUAL COSTS INFLATION AND INFLATION IN COMPOSITE (ALL PAYORS) AVERAGE CARE HOME FEES FOR OLDER PEOPLE %

SOURCE LAINGBUISSON

for publicly-funded residents is the best that local authorities can currently offer.

Looking forward, LaingBuisson’s head of research Eleni Giatsi said: ‘We expect the sector will continue to be challenged by expected payroll cost inflation of 6% a year as NLW moves towards the £9.00

per hour target in 2020/21.’ LaingBuisson founding William Laing

added: ‘Being margin neutral, nationally, this year’s fee uplifts could have been worse. But they do nothing to roll back the real terms loss in fee value over six years of austerity.

‘With exceptions, therefore, council fees remain unsustainably low and with no light as yet at the end of the tunnel we can expect the slow loss of care home capacity to continue.’

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8 | 2017/2018 | CM - LaingBuisson Annual Survey of UK Local Authority Usual Costs

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laingbuissonnews.com | 2017/2018 | 9


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