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Towards Scottish Social Care Reference Costs

This project aims to establish a standardized approach to determine social care costs in Scotland. It explores methodologies, analyses spend, and identifies areas for improvement. The goal is to have a comprehensive understanding of social care costs by December 2009, with feasible gaps filled by April 2010.

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Towards Scottish Social Care Reference Costs

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  1. Towards Scottish Social Care Reference Costs Tony Homer

  2. Introduction • Reference Social Care Costs…. what we are trying to achieve and why • Methodologies • Realistic Aspirations

  3. Social Care Analysis of Spend? Other =?% Per Capita £? Locality/CHP =?% Team Programmes =?% Costed Client Activity =?%

  4. About Social Care Costs? • Are we talking the same language NHS & Local Authorities • Procurement, investment and cost • Do we understand opportunity cost? • What do we want to cost, that we can’t? • What have we got just now?

  5. Social Care: • What can we count? • What can we cost? • What can we cost and count?

  6. Towards an agreed approach to determine Scottish Social Care Costs • PSSRU Costs and other • Which specific inputs and composite services do we wish to compile costs for? • What is our reference period? • Do we wish to include estimates for new services? • Overheads

  7. Costing Separates & Composites • Components of Services • Pathways • Unbundling Service Costs e.g assessment • Estimates for services yet to be identified (eg. re-enablement)

  8. The Question We Asked • What do we want to understand as a priority? • How close are we? • What do we need to do? • Who can do it? • By When?

  9. The Agreed Way Forward • Priorities are... • Social Care Staff Costs • Residential and Day Care costs • Specific activity cost, eg. Assessment (in first instance) • High; medium; Low care package costs • Complex cases & dementia • How close?.... a local and national body of work exists, but we need to reflect on methodology. • Next steps, to consider and agree what we have by end December 2009 with a view to filling (feasible) gaps by April 2010

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