Decision details

Fee Levels For Adult Commissioned Services In Cardiff 2020/21 And Residential, Nursing Placements Outside The Cost Of Care Exercise.

AGREED: that

1. a price uplift (calculated to be 1.3%) be applied to:

i) The price set out under the Framework Agreement (dated 9 December 2016) for the provision of the domiciliary care service at the Llys Enfys and Plas Bryn Extracare Schemes in line with the terms and conditions of the said Framework Agreement which provide for a CPI rate increase.

ii) The price set out under the Framework Agreement for the provision of the domiciliary care service at Ty Onnen, Supported Living scheme for people with physical disability and sensory impairment, in line with the terms and conditions of the said Framework Agreement which provide for a CPI rate increase.

2. a price uplift (calculated to be 1% ) be applied to the existing contracts put in place with effect from 1 November 2019 in relation to the Supported Living Services provision of personal domiciliary care services for Adults with learning disabilities which provide for a CPI rate increase.

3. a price uplift of 2% be applied to:

i) The contractual arrangements in place for Adult Respite Care services.

ii) The spot contracts put in place in relation to the Day Services.

iii) The spot contracts in place in relation to the Supported Living Services provision of personal domiciliary care services for Adults receiving Mental Health care and support.

iv) The spot contracts in place in relation to the Supported Living Services provision of personal domiciliary care services for Adults receiving older persons care and support.

v) The contractual arrangements in respect of commissioned Adult Placement Scheme.

vi) The arrangements in respect of commissioned Emergency Accommodation Service. vii) The arrangements in respect of commissioned Advocacy Services.

viii) The arrangements for the provision of services for financial advice and assistance to vulnerable adults.

 ix) The contracts labelled under Third Sector Contracts.

 x) The arrangements for Supported Lodgings.

 4.  a price uplift of 2% be applied to the Council’s fees in respect of residential and nursing care contracts for Learning Disability, Physical and Sensory impairment, Substance Misuse, and Mental Health, all outside of the Cost of Care exercise for Older Persons. (The uplift does not apply to the Funded Nursing Care element of the contract price which is funded separately by the Cardiff and Vale Health Board).

5.  a price uplift of 2% be applied to the jointly funded services commissioned by Cardiff Council Social Services and Cardiff and Vale University Health Board. The 2% uplift for 2020/21 will ensure that the same increase is applied by both organisations.

 6.  Subject to Recommendations being approved, payment of the uplifts is backdated as usual, so as to take effect from 1st April 2020 in respect of all contracts with the exception of the residential and nursing care contracts for Learning Disability, Physical and Sensory impairment, Substance Misuse, and Mental Health, all outside of the Cost of Care exercise for Older Persons, which will be uplifted with effect from 6th April 2020, which is the first Monday in April 2020.

The reasons for the recommended decisions are, taking account of all relevant factors, to: i) Ensure quality services are sustained and commissioned for Cardiff citizens through appropriate contractual arrangements, which includes the provision of continuity of service delivery and the minimising of any upheaval and disruption. ii) Ensure the appropriate level of care and support is delivered to citizens who are in receipt of services. iii) Make a fair and equitable investment in service provision within available resources, in order to manage the financial impacts of changing workforce costs and arrangements within the social care sector, particularly but not exclusively, pressures arising from the National Living Wage (NLW), so that employers will create a more valued workforce, reducing the high turnover in staff currently being experienced.