Decision details

Annual Fee Review for Externally Commissioned Adult Social Care Services 2023-2024

Reference: D56124

Decision Maker: Director of Adults and Health

Decision status: For Determination

Is Key decision?: Yes

Is subject to call in?: Yes


Brief Description

The Director of Adults and Health will be recommended to approve the fee uplifts for externally commissioned home care services, care homes, extra care services, shared lives, supported living services and uplifts for direct payments for older adults and working age adults.

Impact On Wards


Financial and procurement implications

All fee uplifts will be contained within the Adults and Health 2023 -2024 financial budget. There are no procurement implications for this decision.

Partnership working




The Interim Director of Adults and Health has:-


a)  Approved an increase in the fee rates as detailed in the table in paragraph 15 i below for the externally commissioned home care services with the Primary and Framework Providers for the financial year 2023/2024.


b)  Approved the fee increase and agree the new cost structure stated in paragraphs 16 ii and 16 iii of this report for the independent sector older people’s care homes overarching agreement for the financial year 2023/2024.


c)  Approved an increase in the hourly rates for Extra Care and the Direct Payments rate for Personal Assistants, in accordance with the home care rate increases to be applied to the Primary and Framework providers as stated in the report.


d)  Approved an increase of in line with the hourly rates for home care services for those services commissioned on a spot purchase basis where relevant.


e)  Approved an increase of 9% in the hourly rates for Community Based Short Breaks Providers to be managed within the overall budget for this service.


f)  Approved the allocation of £11,958,434 to manage all uplift requests for 2023/2024 for all independent sector Learning Disability providers and £6,077,402 to manage all uplift requests for 2023/2024 for all other working age adult independent sector providers.


g)  Approved the process of standardised uplift offers with providers of services for working age adults, during the course of 2023/24, based on the use of our adapted Care Cost Calculator and on rigorous value for money audits of the Service Cost Analysis Form (SCAF) submitted by the providers.


h)  Agreed that all increases in fees shall be applied from, the 3rd April 2023.


i)  Noted the relevant Head of Commissioning will implement this decision immediately following the expiry of the call in period by issuing letters to the care providers to inform them of this decision and updating the Client Information System to allow payments to be made at the new rate or commencing the discussions with providers where relevant.


Reason Key: Financial Impact>£500K;

Wards Affected: (All Wards);

Other reasons / organisations consulted


Consultation will take place with the relevant provider markets concerning the fee uplifts.


CQC registered care home and home care providers.


Contact: Mark Phillott, Commissioning Manager 0113 3783923 Email:

Publication date: 07/03/2023

Date of decision: 15/03/2023

Effective from: 24/03/2023

Accompanying Documents: