Placements and spending for older person's care home services

I would like to request the following information regarding placements and spending for older person's care home services. Please provide answers on the attached accompanying Excel spreadsheet.

Please report all fees without Funded Nursing Contribution (FNC).

1. Who within the Local Authority, has the commissioning responsibility for care home placements for older people (aged 65+)? Please provide their:

a. Name
b. Job title
c. Telephone number
d. Email address

2. Please provide the gross total expenditure on older person's (age 65+) services for financial years 2023/24, 2024/25 (actual) and financial year 2025/26 (projected):

For question 2a, please provide total spend on personal social services for people aged 65+. This will include spend on residential, nursing, and domiciliary care (2b, 2c, and 2d) as well as other social care for older people such as day services, etc

a. Gross total expenditure on older person's (65+) services
b. Gross total expenditure on residential home placements (65+)
c. Gross total expenditure on nursing home placements (65+)
d. Gross total expenditure on domiciliary care/home care (65+)

3. Please provide figures for the total number of older people (aged 65 and over) that the council has funded during the financial years 2023/24, 2024/25 (actual), and 2025/26 (projected). This should include both new placements made during each year and ongoing placements funded by the council:

a. Residential care
b. Residential dementia care
c. Nursing care
d. Nursing dementia care
e. Domiciliary care/home care

4. Please provide the total number of adults (aged 18-64) with a primary need of dementia (including early-onset dementia), funded by the LA, receiving long-term nursing care in a care home, 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 a list of all providers with which the LA is funding older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week.

6. Please provide the highest, average (mean), lowest weekly fees paid for care home placements for older people (aged 65+) in financial years 2023/24, 2024/25 (actual) and 2025/26 (projected):

a. Older person's residential
b. Older person's residential dementia
c. Older person's nursing
d. Older person's nursing dementia

7. Please provide the set or banded weekly fees paid for care home placements for older people (aged 65+) in financial year 2023/24, 2024/25 (actual) and 2025/26:

a. Older person's residential
b. Older person's residential dementia
c. Older person's nursing
d. Older person's nursing dementia

8. Please provide the proposed average percentage uplift to the weekly rate paid by the council between 2024/25 and 2025/26:

a. Older person's residential
b. Older person's residential dementia
c. Older person's nursing
d. Older person's nursing dementia
 

1. Martin Samuels,

 Executive Director of Adult Care and Community Wellbeing

Martin.samuels@lincolnshire.gov.uk

2a-d.

3a,c,e.

 The information for b and d is not available

4. Lincolnshire County Council does not record this information

5. All care packages over the £2,000 a week amount are fully funded by the Integrated Care Board (ICB)

6a,c.

The information for question b and d is not available

7-8. Details on fee rates paid to older people’s residential care is published in annual reports to the Executive under the title Residential Care and Residential Care with Nursing Usual Costs. These are available at https://www.lincolnshire.gov.uk/council-business/search-committee-records