High acuity dementia services - Find a freedom of information request

Information regarding placements and spending for high acuity dementia services.

1). Who within the LA, has the commissioning responsibility for high acuity dementia placements?

Please provide their:

a. Name

b. Job title

c. Telephone number

d. Email address

2) Does the LA categorise dementia care placements using the Seven-Tiered Model of Service Delivery for Behavioural and Psychological Symptoms of Dementia (BPSD), where Tier 1 indicates no dementia and Tier 7 represents very severe BPSD requiring secure specialist inpatient care?

3) If not, what framework or criteria does the LA use to categorise differing levels of complexity in dementia care placements?

4). Please provide the total number of adults (aged over 65) with dementia, funded by the LA, for the financial year 2023/24,2024/25 and 2025/26 (projected), broken down by the following weekly fee bands:

a. Under £2,000 per week

b. Over £2,000 per week

5). Please provide the total number of adults (aged 18-64) with a primary need of early-onset dementia, funded by the LA, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the following weekly fee bands:

a. Under £2,000 per week

b. Over £2,000 per week

6).
a) Please provide a list of all providers currently funded by the LA for adults (aged over 65) with dementia, where the cost of care exceeds £2,000 per week in a care home setting

b) Please provide the full list of providers at 31 March 2025.

7).
a) Please provide a list of the five providers currently funded by the LA for the largest number of adults (aged over 65) with dementia, where the cost of care exceeds £2,000 per week in a care home setting

b) For each of the top five providers by expenditure on placements, please provide the number of service users funded during April 2025 and the corresponding expenditure by the LA during the month of April 2025

8). Please provide a list of the providers with which the LA is funding adults (aged 18-64) with a primary need of early-onset dementia

9).
a) Please provider a list of the five providers with which the LA is funding adults the largest number of adults (aged 18-64) with a primary need of early-onset dementia

b) For each of the top five providers by expenditure on placements, please provide the number of service users funded during April 2025 and the corresponding expenditure by the LA during the month of April 2025

10). During the financial year 2024/25, how many out-of-area placements for dementia patients costing more than £2,000 per week did the LA make?

I can confirm that some of the information requested is held by Lincolnshire County Council.

1) Commissioning responsibilities are held by a single lead commissioner who oversees all adult social care placements. Alina Hackney Head of Commercial services Alina.Hackney@lincolnshire.gov.uk

2) Placements are based on assessed individual need under the Care Act 2014 with consideration given to the complexity of dementia related needs as part of a broader holistic assessment. Where appropriate, input from health colleagues and CHC eligibility may also inform placement decisions.

3) Placements are based on assessed individual need under the Care Act 2014 with consideration given to the complexity of dementia related needs as part of a broader holistic assessment.

Where appropriate, input from health colleagues and CHC eligibility may also inform placement decisions.

4-10) Data specific to dementia services is not currently captured