Adult autism spend - Find a freedom of information request

I would like to make the following request for information relating to adult autism and learning disability services in your local authority.



Question 1

Please tell us the average (arithmetic mean in £ and pence) rate you pay for externally provided adult learning disability and autism services (not your in-house services) for each of the service types as follows:

a. The weekly rate for Residential homes (including profound and multiple learning disability (PMLD) services and respite care)

b. The hourly rate for Domiciliary care

c. The hourly rate for Supported living for people with non-complex support needs

d. The hourly rate for Supported Living for people with complex support needs (please provide your criteria for the application of the complex rate)

e. If the rates you apply to framework and non-framework contracts differ, please indicate the difference and provide a rationale



If the service is not commissioned on an hourly basis, please provide an estimated average hourly rate based on the average number of hours per week.



Question 2

Please tell us the average (arithmetic mean as a percentage) annual fee rate uplift (inflationary uplift) you have implemented in 2024/25 for externally provided adult learning disability and autism services (not your in-house services) for each of the service types as follows:

a. Residential homes (including profound and multiple learning disability (PMLD) services and respite care)

b. Supported living

c. Day services

d. Domiciliary care



Question 3

In question 3, we are asking for two different service fee rates relating to adult learning disability and autism day services.

3i. Supported in a group

a. Please tell us the average (arithmetic mean in £ and pence) rate you pay per hour for someone supported in externally-commissioned day services in a group (for example, the day rate divided by 6 hours + staff and people present)

b. What is the expected ratio of staff to supported persons at these day services?

c. Do your day services for those supported in a group include transport? Yes/No

d. Do your day services for those supported in a group include food/refreshments? Yes/No



3ii. 1-1 support

a. Again focusing on day services, please tell us the average (arithmetic mean in £ and pence) rate you pay per hour for someone who needs 1-1 support?

b. Do your 1-1 support day services include transport? Yes/No

c. Do your 1-1 support day services include food/refreshments? Yes/No



Please note: If two staff are supporting up to 8 people, we would expect the hourly rate for the service to be approximately a quarter of the hourly rate for a one-to-one service.



Question 4

Which of your externally-commissioned services do you consider to be offering preventative interventions that generate savings elsewhere for the council and what is your brief rationale for thinking this?

1a. £1,822.40

b. Home Care £21.53 per hour

c. £20.89 per hour

d. Not applicable as we don’t differentiate

e. Not applicable

2a. 7.30%

b. 8.08%

c. 8.00%

d. 8.85% (Homecare)

3i. a. The contracted rate is £20.70 per hour

b. This is not specified, but the provider will be expected to recruit Staff in sufficient numbers and deploy Staff of a level of competence, with experience and qualifications to ensure and maintain Service delivery of a quality consistent with this Specification and shall provide an appropriate level of continuing training and professional support in the pursuit of best practice and national standards of competence.

c. If required, yes

d. If required, yes

3ii a. £14.16 per hour

b. If required, yes.

c. If required, yes

4. Lincolnshire County Council are unable to answer this question as it is not a request for factual information.