Surrey Cost of Care Report

In 2022 the Department for Health and Social Care (DHSC) mandated that all local authorities undertake 'Cost of Care' (CofC) exercises for older people 65+ nursing and residential care and 18+ home care services and that the findings from this should be published following the submission to DHSC.

The exercise conducted by the council was originally submitted to DHSC in October 2022 and the Annex B (PDF) CofC report and full Annex A (PDF) CofC tables have now been published online in line with DHSC guidance. This report summarises the results from submissions received from Adult Social Care (ASC) providers delivering care services in Surrey to the local CofC exercise.

A letter (PDF) has been issued to Surrey care providers to provide more detail and context on the process.

The report explains:

  • tools used and approach adopted for the cost of care exercises
  • market response rates
  • methodology used to calculate the 2022 to 2023 cost rates and results of the analysed returns submitted by providers
  • the council's view on how representative the returns received from providers are of the whole market and therefore how they should be used
  • the council's planned use of 2022 to 2023 market sustainability and Cost of Care funding.

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Surrey's Care Market Sustainability Plan

Alongside Cost of Care exercises, local authorities are required to develop and submit a final market sustainability plan (PDF). These documents should be read together.

Underpinning these plans is a broad definition of market sustainability as set out in the Care Act 2014, which places a duty on local authorities to assure themselves and have evidence that fee levels are appropriate to provide the agreed quality of care, and also enable providers to effectively support people who draw on care and invest in staff development, innovation and improvement.

Surrey have reworked the original draft submission sent to DHSC in October 2022 to reflect subsequent changes. Changes include but are not limited to local authority budget setting for 2023 to 24, market conditions, grant payments made to care providers utilising cost of care funding and the delay in implementation of the social care reforms.

Files available to download

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