Decision details

Fee Uplifts For Adult Domicilary Care Services Commissioned By Cardiff Council For 2019/20 and 2020/21.

Decision Maker: Director of Social Services

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


Appendix 1 is exempt from publication pursuant to Paragraph 12.1 of Part 4 of Schedule 12A to the Local Government Act 1972.


Agreed: that


o   All existing individual domiciliary care contracts in place under the Accredited Provider List (APL) system and spot arrangements for individuals in place up to 1st April 2019 be uplifted by the published CPI rate for April 2019, which was 2.1%.  This will cover the financial year for 2019/20. 


oAll existing packages placed before the 1st April 2019 to be paid the uplift amount and to be backdated to the 1st April 2019. Packages placed after 1st April 2019 will not get an uplift as those packages will have taken into account the known financial pressures for that financial year.  


oPackages placed before the 1st April 2020 to get an uplift based on the CPI rate for January 2020, to cover the period April 2020 to 3rd November 2020. Packages placed after 1st April 2020 will not be paid an uplift as those packages will take into account the known financial pressures for that financial year.


oThe domiciliary care services contract will end as of 3rd November 2020, and new recommissioning of the service will be in place by 4th November 2020.  Arrangements for future annual uplifts from November 2020 and beyond will be included in the terms and conditions of the new contract that will be put in place from 4th November 2020.


oCare packages commissioned by Health, where the percentage uplift is within the Council proposal (CPI or below) will be automatically uplifted but any uplift in excess of this will need to be the subject of separate discussion between Council officers and Health.


The report is based on planned hours of care and the actual hours delivered usually being below these figures.  It is noted that there is an annual budget set for 2019/20 of £22.9 million for domiciliary care for all client groups. This does not include day care, direct payments, extra care, supported living or the internal Community Resource Team (CRT). It is anticipated that the CPI increase to be circa £500,000 for each year.

Reasons for the decision:

The proposal takes into account the providers’ cost pressures as far as is reasonable and practicable, balanced against the Council’s available resources.


This report addresses proposed uplifts primarily in light of the various financial    impacts along with all of the feedback received from providers. This includes all the costs associated with the delivery of a domiciliary care service which includes:


·    Direct Care Cost –All staffing cost pressures based on the increased NLW and pensions contributions.

·    Management Cost –To provide appropriate level of management and supervision, recruitment and retention of staff.

·    Running and Administration Cost- the service to operate effectively and efficiently in order to continue to deliver the service in Cardiff. 



Publication date: 21/11/2019

Date of decision: 31/10/2019

Effective from: 04/12/2019