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Model for a Fair Cost of Care and Accommodation

Model for a Fair Cost of Care and Accommodation. Monday 22 October 2012 National Commissioning and Contracting Conference. Iain MacBeath. Assistant Director Hertfordshire County Council iain.macbeath@hertfordshire.gov.uk. What is it…?. A starting point One of the available models

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Model for a Fair Cost of Care and Accommodation

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  1. Model for a Fair Cost of Care and Accommodation Monday 22 October 2012 National Commissioning and Contracting Conference

  2. Iain MacBeath Assistant Director Hertfordshire County Council iain.macbeath@hertfordshire.gov.uk

  3. What is it…? A starting point One of the available models A set of assumptions to be configured locally Still developing in consultation In draft and not agreed by ADASS Exec

  4. The Context Financial challenges for local government Judicial reviews Dilnot Commission Needs-led personalised approach Changes in demand and supply

  5. The Purpose Common understanding of the real costs of care and accommodation Better conversations An efficient and sustainable market Costs must be varied locally

  6. The Principles Care to meet essential CQC quality standards Model to represent actual costs of delivery Overheads, profit and capital costs transparent All costs must be verified locally The model cannot produce a national price

  7. The Draft Model (1)

  8. The Draft Model (2) Splitting of care costs and non-care costs Hours of staffing alongside cost of staffing Includes cost of capital for accommodation Profit element and overheads separated Currently focussed on older people’s care…

  9. Hertfordshire’s Assumptions Frail/elderly at substantial or critical FACS Residential care with some day ops ‘Efficient’ home in Hertfordshire 48 bed homes with 94% occupancy Local authority is lead commissioner

  10. Hertfordshire’s Fair Price Model: £460 pppw elderly residential 2011/12 price: £448 pppw

  11. Group work Please consider: Key risks and issues Principles of the model Local assumptions Next steps

  12. Feedback

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