Purpose

Rates and fees paid
to independent providers of adult social care
provision in the community and in accommodation based services are
subject to annual review. The review will consider usual maximum rates for care homes
and care homes with nursing; individually agreed rates paid to care
homes and care homes with nursing and rates for supported living,
shared lives; extra care and other community-based
services.
 
Decisions on fees to be paid in the financial year 2024-25
will take account of a range of information, including but not
limited to; recent decisions on National Living Wage,  the current market position, the need and demand
for services, the Council’s strategic priorities, financial
challenges for providers of care and support services and the
financial position for the Council and the adult social care
budget.  During 2023 commissioners have
engaged with representatives of the adult social care market to
reflect feedback on both the challenges for the market and in the
fees review process and in preparation for the review of
fees. 
 
The Director of Adults and
Health will be asked to agree the fees and rates paid for
commissioned services related to the adult social care and health
portfolio for 2024-25.
 
SUPPLEMENTARY REPORT,
November 2024 – A supplementary
report has been added to update this decision.  In March 2024 the NHS could not confirm their
budget so the fees uplifts agreed excluded mental health, as
outlined in paragraphs 1.5 and 1.6 of the
March 2024 report. Adults Services have now received NHS Sussex
agreement and this confirmation is outlined in the supplementary
report para 1.8 and reflected in the Supplementary
Appendix. 
 
 
 

Decision

The Director of Adults and Health has approved
the 2024/25 fee increases to independent sector providers in line
with the proposals set out in section 2 of the report.