Decision details

Proposed Adult Social Care Provider Fee Rates 2021/2022 Financial Year

Decision Maker: Integrated Commissioning Board

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


Set fees for commissioned adult care services for the year 2021/22


Consideration was given to a report of the Cabinet Member for Social Care and Ageing Well / Assistant Director – Commissioning seeking approval for the adult social care fee rates for the financial year 2021/22.


Alternatives considered

At the meeting of the Integrated Commissioning Board held on 27th October 2020 it was determined that the fee rates for 2021/22 would enable the real living wage to be paid to care workers therefore no alternatives were considered.



1.    That the externally commissioned care and support fees for 2021/22 be approved as:

a.    Supported Living Hourly Rate £16.30

b.    Complex cases hourly rate £17.30

c.    Sleep in Rate (per night) £74.00

d.    Home Care (hourly rate) £17.25

e.    Outreach £15.98

2.    That the proposed banding be approved for Residential Care Homes Weekly Rate

                                  i.    Band 1 £546.00

                                ii.    Band 2 £595.00

                               iii.    Band 3 £644.00

3.    That the introduction of an individual pricing tool be approved to enable improved care cost calculations for expensive care packages for people with the most complex needs that fall outside of the standard rates.

4.    That it be noted the proposed rates allow for a 6.7% increase in day services and a 5.8% increase in respite care which is included within the personal budget day services and respite care section.

5.    That respite care fees for older people be uplifted in line with the residential fees for 2021 and the results of consultation with other respite providers supporting people of working age be reported to a future meeting of the Integrated Commissioning Board.

6.    That the personal expenditure allowance for residential and nursing care at the minimum rate defined by the Department of Health be retained.


Reason for resolution

The fees are assessed as being sufficient to maintain the adult social care market in its current state and allow providers to pay the real living wage to all care staff.

Report author: Mike O'Keeffe

Publication date: 15/02/2021

Date of decision: 26/01/2021

Decided at meeting: 26/01/2021 - Integrated Commissioning Board

Effective from: 05/02/2021

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