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Fair Cost of Care

We have launched a survey of local home care and older persons care/nursing home providers. This work coincides with the government’s Market Sustainability and Fair Cost of Care returns due to be completed throughout the remainder of this year.

Deadline extended

The deadline to complete the survey has been extended to Friday 29 July 2022.

Survey details

The survey was launched on Monday 20 June 2022 and has been sent out to all affected care providers across Leicester’s homecare and older person’s care home market.

We sent the survey from Caas.Carehomes@leicester.gov.uk with more information and guidance, including how to return completed surveys.

We have commissioned Care Analytics, an independent specialist consultancy, to carry out a review of the completed surveys, and find the best possible evidence base to improve the sustainability of the local homecare/care home market.

Frequently asked questions

The government is implementing wide-ranging and ambitious reform of adult social care. In December 2021 a white paper was published, People at the Heart of Care, that outlined a 10-year vision that puts personalised care and support at the heart of adult social care, ensuring that people:

  • have the choice, control and support they need to live independent lives
  • can access outstanding quality and tailored care and support
  • find adult social care fair and accessible

It is vital that the right architecture is in place to underpin and support the implementation of this 10-year vision. Implementation of the Market Sustainability and Fair Cost of Care Fund is one of the first steps in the journey to achieve this.

The fund was announced on 16 December 2021. The primary purpose of the fund is to support local authorities to prepare their markets for reform, including the further commencement of Section 18(3) of the Care Act 2014 in October 2023, and to support local authorities to move towards paying providers a fair cost of care.

The government requires local authorities to start building strong foundations and prepare markets for wider charging reform and thereby increase market sustainability.

As a condition of receiving future funding, local authorities will need to evidence the work they are doing to prepare their markets and submit the following to DHSC by 14 October 2022:

  • cost of care exercises for 65+ care homes and 18+ domiciliary care
  • a provisional market sustainability plan, using the cost of care exercise as a key input to identify risks in the local market, with particular consideration given to the further commencement of Section 18(3) of the Care Act 2014 (which is currently in force only for domiciliary care) – a final plan will be submitted in February 2023
  • a spend report detailing how funding allocated for 2022 to 2023 is being spent in line with the fund’s purpose

Ultimately, by completing the survey, providers will support us in gathering the evidence required to submit a market sustainability plan to government, and to access the additional funding available from the government.

Any additional funding to support any upward migration of care fees will be dependant on the local authority presenting a strong case in support of its market sustainability plan. It is therefore extremely important that the authority can evidence a robust case built on strong market engagement which evidences the costs of providing this care in Leicester.

Care Analytics homecare survey can be broadly split into two parts:

  1. Factual questions about your homecare branch/service, covering current homecare delivery, back-office staffing, care worker pay, travel time, travel costs, and other staff terms and conditions.
  2. Financial information based on your most recent completed accounts. The survey is available in Microsoft Excel and should work on any version. It is also available in ODS format for use in other software (such as Google Sheets).

To save provider’s time, rather than transfer your financial information to the survey template, Care Analytics are happy to accept financial information using categories already in your accounts or are exported from your finance system. They will then undertake the work needed to transform the data into the format required for each council’s Fair Cost of Care return, including updating for inflation to 2022-2023. For this to be possible, that cost data must be provided at a detailed level such that it is mappable to the government’s requirements.

The Care Analytics care home survey can be broadly split into two parts:

  1. Factual operational questions about your care home, staffing, and current care rota. These questions are best answered by someone working in the care home.
  2. Financial information based on your most recent completed accounts.

The survey is available in Microsoft Excel and should work on any version. It is also available in ODS format for use in other software (such as Google Sheets).

To save provider’s time, rather than transfer your financial information to the survey template, Care Analytics are happy to accept financial information using categories already in your accounts or are exported from your finance system. Care Analytics will then undertake the work needed to transform the data into the format required for each council’s Fair Cost of Care return, including updating for inflation to 2022-2023. For this to be possible, that cost data must be provided at a detailed level such that it is mappable to the government’s requirements, which is normally the case.

All data you supply via the survey will be treated in the strictest confidence and seen only by representatives from Care Analytics. Our staff will not see identifiable data from any individual provider.

Any data submitted via Care Analytics survey tool will only be used for the purposes of the market review, which includes completing the council’s Fair Cost of Care return.

All answers will be fully anonymised in any reports or other outputs produced as part of this work. 

Care Analytics will only share with council staff which providers have submitted surveys. The contents of those survey responses will remain confidential.

East Midlands Care (EMCARE) is planning to offer some support to EMCARE members who may need it to complete the survey. EMCARE will let providers know about this offer in separate communications to members and information will be on its website in due course.

Any questions from EMCARE members about the process or the work in general should be directed to admin@emcare.org.uk.

The Leicestershire Home Care Association (LHCA) can offer support to any providers who may need it to complete the survey, whether a current member of the association or not. They can be contacted via chair@leics-homecare-alliance.org and you can find out more about the association at their website.

If you need more support then please contact:

For technical support in completing the survey and assistance with understanding the survey:

For questions in respect of the Fair Cost of Care exercise, our approach and enquiries regarding financial assistance: