Distribution of funding to support the reform of the adult social care charging system in 2023 to 2024
Updated 6 April 2023
Applies to England
Following an announcement by the Chancellor of the Exchequer on 29 July 2024, the planned adult social care charging reforms, which were inherited from the previous government, will not be taken forward in October 2025.
Executive summary
About this consultation
On 7 September 2021 the Prime Minister announced £5.4 billion of investment in the adult social care system in England, to be delivered over 3 years to transform the sector by introducing a new adult social care charging framework from October 2023. At the heart of the reformed system is an £86,000 cap on the amount anyone in England will need to spend on their personal care over their lifetime. In addition, the reforms increase the point at which a person is eligible for local authority means-tested support. From October 2023:
- the upper capital limit will rise to £100,000 from the current level of £23,250
- the lower capital limit will increase to £20,000 from £14,250
The result is what the government believes is a credible, deliverable and sustainable new charging system.
The government has committed to consulting on its proposals for funding distribution. This consultation seeks views on proposals for distributing funding to support the first year of delivery of adult social care charging reform in 2023 to 2024. There are proposals for distributing funding for needs and financial assessments, the extension to the means test, and the cap on care costs.
If you have further questions on the content of this consultation please contact [email protected]. Please do not use this email address to respond to the consultation.
Our proposals
In developing our distribution proposals, we have tried to balance the principles of funding certainty, transparency, robustness and fairness and sought regular feedback from the sector. We have sought independent expertise from the Adult Social Care Research Unit (ASCRU) at the Personal Social Services Research Unit (PSSRU) at the University of Kent, who we commissioned to update relative needs formulae previously developed during the implementation of the Care Act 2014. These formulae use a bespoke, independently formulated, and robust model to estimate the additional relative needs to local authorities specifically resulting from charging reform.
Besides the ASCRU-PSSRU formulae we also present options to use new Office for National Statistics’ (ONS) estimates of the self-funding population to distribute funding for additional assessments in 2023 to 2024, as well as to distribute funding for the costs associated with extending the means test for adults aged under 65 based on either:
- relative levels of 16 to 64 Personal Independence Payment (PIP) claimants and relative levels of housing wealth, designed by ASCRU-PSSRU
- a simple per capita basis for people aged 18 to 64
Detailed technical information about the distribution formulae described in this consultation can be found in the technical guide on the adult social care charging reform relative needs formulae 2023 to 2024, published in conjunction with this consultation.
Distributing funding for the extension to the means test
The new adult social care charging framework will extend the means test so that more people become eligible for local authority support with their care costs. We estimate the cost of these changes at £490 million in 2023 to 2024.[footnote 1]
We consider that the ASCRU-PSSRU means test extension formula for people aged 65 and over (2022) represents a robust and fair approach for predicting relative demand for people aged over 65 ahead of reform go-live. We therefore propose to use this formula to distribute all costs associated with extending the means test for people aged over 65.
There is more uncertainty about the distribution of costs associated with extending the means test for adults aged under 65. We put forward 3 options for distributing this funding based on:
- relative levels of 16 to 64 year old PIP claimants and relative levels of housing wealth, designed by ASCRU-PSSRU
- a simple per capita basis (for people aged 18 to 64)
- using the ASCRU-PSSRU means test extension formula for people aged 65 and over (2022)
Distributing funding for the cap on care costs
Once people reach the new £86,000 cap, local authorities will pay for all eligible care costs. While the introduction of the cap will be an important change in the way care is paid for, only a small number of people with particularly acute and therefore costly care needs are expected to reach the cap in 2023 to 2024, with an estimated cost of £35 million.[footnote 2] Due to these relatively small costs and lack of robust data, we are not currently introducing a new formula for the costs to local authorities of paying for care once a person reaches the cap in 2023 to 2024.
In the absence of credible data, and because we expect the few people reaching the cap in 2023 to 2024 to be aged under 65, we propose to distribute funding for the cap on the same basis as means test funding for adults aged under 65.
Distributing funding for implementation and additional assessments
Local authorities are required to conduct needs and financial assessments for all individuals who may have a care and support need. The introduction of reforms will generate additional assessments and result in a higher long-term baseline of assessments. The estimated costs of conducting additional assessments generated through the introduction of reforms are £247 million in 2023 to 2024.[footnote 3]
Local authorities have also told us that the number of people who self-fund their care in an area will be a significant driver of the number of assessments they will need to conduct. We are therefore proposing 3 options for distributing funding for additional assessments:
- ASCRU-PSSRU assessments formula (utilisation approach) 2022
- ASCRU-PSSRU assessments formula (normative approach) 2022
- the estimated self-funding population level in care homes by the ONS with area cost adjustment
Further detail about the functionality of these formulae can be found in chapter 5 of this consultation.
Next steps
This consultation will be open until 23 September 2022. We will then study the responses to this consultation and confirm our approach by, at the latest, the 2023 to 2024 provisional local government finance settlement. As per previous commitments, the government will keep charging reform distribution under review in future years.
Future work will include the development of a bespoke approach for distributing local authorities’ costs for people reaching the cap.
1. Introduction to this consultation
Adult social care charging reform
On 7 September 2021 the government published Build Back Better: Our Plan for Health and Social Care, announcing £5.4 billion of investment in the adult social care system in England to be delivered over 3 years to transform the sector and reform the charging system that underpins it.
From October 2023, the government’s new charging framework will:
- introduce a new £86,000 cap on personal care costs
- extend the means test system by raising the lower capital limit to £20,000 and the upper capital limit to £100,000
The reform package includes £3.6 billion to reform the adult social care charging system and enable local authorities to move towards paying providers a fair cost of care.
On 5 January 2022, the Department of Health and Social Care (DHSC) published the adult social care charging reform consultation impact assessment.
On 15 June 2022, we published the operational guidance to implement a lifetime cap on care costs.
Topic of this consultation
This consultation seeks views on proposals for distributing funding for the delivery of adult social care charging reform in 2023 to 2024. The consultation includes options for the distribution of funding for:
- the extension to the means test
- the cap on care costs
- implementation and additional assessments
The scope of this consultation does not include the distribution of the £1.36 billion Market Sustainability and Fair Cost of Care Fund, about which guidance was published on 24 March 2022. Further details about the allocation of the fund in 2023 to 2024 will be made available later this year.
This document is structured as follows:
-
Chapter 1 describes the charging reform policy and sets out the scope of this consultation
-
Chapter 2 explains how we have developed our proposals for distributing the associated funding in 2023 to 2024
-
Chapter 3 sets out our proposals for distributing means test funding
-
Chapter 4 explains our proposals for distributing funding for the cap on care costs
-
Chapter 5 sets out our proposals for distributing implementation and additional assessments funding
-
Chapter 6 details the next steps DHSC will take to finalise allocations for 2023 to 2024 and to develop proposals for future years
-
Annex A shows tables exemplifying options for allocating means test and cap funding
-
Annex B shows tables exemplifying options for allocating implementation and additional assessments funding
In conjunction with this consultation, DHSC has also published the technical guide on the adult social care charging reform relative needs formulae 2023 to 2024. The technical guide includes:
- detailed technical information about the ASCRU-PSSRU formulae
- the formulae that made use of the ONS estimates of the care home self-funding population
- information relating to adults aged under 65 for distributing charging reform funding in 2023 to 2024
The consultation will close on 23 September 2022 and the proposed allocations to local authorities will be confirmed, at the latest, by the 2023 to 2024 provisional local government finance settlement.
Funding profiles
Tables 1 and 2 show our estimates of the funding required in 2023 to 2024 to support local authorities to prepare for and implement the new charging system. This excludes any additional costs in 2023 to 2024 due to the trailblazer initiative (see notes in the ‘Principles of distribution’ section below).
These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed.
Table 1: estimated cash prices for implementing charging reform in 2023 to 2024
Rounded to nearest £1 million, some totals may not add up due to rounding.
Funding stream | Estimated cash prices for people aged 65 or over in 2023 to 2024 (£ million) | Estimated cash prices for adults aged under 65 in 2023 to 2024 (£ million) | Total (£ million) |
---|---|---|---|
Extension to the means test | 355 | 135 | 490 |
Cap on care costs | 0 | 35 | 35 |
Implementation and additional assessments | 223 | 24 | 247 |
Total | 578 | 193 | 771 |
Geographical scope
These proposals relate to England only as adult social care is devolved in Scotland, Wales and Northern Ireland.
Distribution of the Market Sustainability and Fair Cost of Care Fund
The distribution of the Market Sustainability and Fair Cost of Care Fund is out of scope in this consultation. However, the government recognises the importance of that fund to local government.
In the 2022 to 2023 local government finance settlement, £162 million of the fund was allocated using the adult social care relative needs formula, as is the government’s standard approach for allocating adult social care resources. Local government allocations for 2022 to 2023 were published on 7 February 2022 and, on 24 March 2022, DHSC published further detail about the fund in Market sustainability and fare cost of care fund 2022 to 2023: guidance.
A further £600 million per year will be made available in both 2023 to 2024, and 2024 to 2025. The government will review its approach to distributing this fund ahead of finalising allocations for 2023 to 2024, to ensure it best meets the fund objectives. To achieve this, we will work closely with local authorities to monitor market changes and review information received from local authority cost of care exercises and provisional market sustainability plans, which are due to be submitted to DHSC by October 2022.
The government wishes to provide local authorities with as much certainty as possible over their funding allocations ahead of the financial year but recognises that more information about the distribution of costs will become clearer over time, including through the required local authority cost of care exercises.
Impact assessment
The adult social care consultation charging reform impact assessment was published on 5 January 2022.
The adult social care charging reform: public sector equalities duty impact assessment was published on 17 November 2021.
Trailblazers
As the government announced on 25 March 2022, a small number of local authority trailblazers will introduce charging reforms in January 2023, ahead of a national rollout in October 2023. The trailblazers will shape the government’s approach to implementation by allowing DHSC to test key aspects of reform.
As a consequence of introducing charging reform earlier than other local authorities, the costs described in this consultation will arise earlier in trailblazers:
- For the delivery of assessments, trailblazer authorities will require funding in 2022 to 2023 to commence this work. Initial funding of £2,127,351 was distributed in June, and this will be ‘topped up’ later in 2022 in line with the adopted national approach for distributing implementation and assessments funding.
- Trailblazer authorities will go live with the extended means test in January 2023, effectively 3 financial quarters ahead of other local authorities. Accordingly, they will require additional funding to cover the period from January to September 2023, distributed in line with the national approach adopted for distributing means test funding.
For ease of comparison, we have not shown this additional funding requirement in our exemplification of the funding approaches in this consultation document. Therefore, the figures shown exemplify the funding that would be provided if all ‘go live’ were taking place in all local authorities at the same time. DHSC will engage separately with trailblazer authorities to determine what this means for their funding allocations.
2022 to 2023 implementation funding
On 15 June 2022 the government announced a £15.4 million support grant to ensure local authorities have the necessary workforce capacity and technology system in place to successfully deliver charging reform. Further support will be made available to local authorities to enhance capacity and explore digital productivity tools, details of which will be confirmed in due course.
2. Our proposals
Developing our proposals
Local government is crucial to successful delivery of our plans for reform of the adult social care charging framework. We have committed to working closely with local government to develop robust proposals on the detail of charging reform, the underpinning operational guidance and our plans to distribute the required funding.
We have sought regular feedback from a working group of local authority, Local Government Association (LGA) and Directors of Adult Social Services (ADASS) representatives in the development of our distribution proposals. This consultation represents a further step in seeking a wider sector view.
We also drew extensively on the external expertise of researchers in the Adult Social Care Research Unit (ASCRU) at the Personal Social Services Research Unit (PSSRU) at the University of Kent who, in 2014, were involved in developing the distribution formulae for the implementation of the Care Act 2014. In 2021, DHSC asked the ASCRU programme at PSSRU to update these formulae in preparation for the introduction of the new charging framework in October 2023.
Principles of distribution
In developing our distribution proposals, we have tried to balance the following aims and principles:
- funding certainty – the government wishes to provide local authorities with as much certainty as possible over funding allocations ahead of the 2023 to 2024 financial year
- transparency – we have sought to set out how the distribution options are derived and highlight areas of uncertainty
- robustness – we are putting forward options based on robust data, appropriate to the policy aims and have used external expert input to inform our approach
- fairness – we are seeking to ensure distributions are based on underlying relative needs (within recognised data limitations). We have considered the appropriateness of existing datasets and whether data gaps would unduly influence funding distribution
We recognise that more data is becoming available about the impact of the reforms and that our understanding of distribution will continue to develop in the period pre and post October 2023. We will continue to monitor new data sources and consider whether modifications are required to distribution mechanisms in future.
Development of the distribution formulae
To prepare for the implementation of the new charging policy framework in October 2023, DHSC asked the ASCRU programme at PSSRU to update formulae for assessment costs and the extension to the means test previously developed during the implementation of the Care Act 2014.
These updates were completed in June 2022 and ASCRU-PSSRU published their report, Relative need formula allocation of additional funding to local authorities to meet social care charging reforms, on 8 August 2022.
ASCRU-PSSRU’s updated model for the assessment and extension to the means test formulae have been specifically designed to predict the relative size of the new public expenditure required for the extension to the means test, and consequent implementation and assessment costs. It builds on previous small area modelling used to estimate the additional relative needs to local authorities specifically resulting from charging reform. The modelling used the latest pre-COVID-19 utilisation information and individual level data from the English Longitudinal Study of Ageing.
Full details of the formula are available in the technical annex.
3. Distributing funding for the extension of the means test
Background
Under the current adult social care system, through a needs and financial assessment local authorities determine:
- whether a person has a care and support need
- whether those needs are deemed eligible to be met by the local authority
- whether they are eligible for financial support
Financial eligibility is measured against the means test.
From October 2023, the new adult social care charging framework will introduce changes to the means test:
- the upper capital limit will increase to £100,000, from its current level at £23,250
- the lower capital limit will increase to £20,000, from its current level at £14,250
Like the current system, the means test will be based on total assets, including both the value of a person’s home and their savings. If a person needs to continue to live in their own home, it will be excluded from the assessment of total chargeable assets. This is known as the housing disregard and is unchanged from the current system.
By raising the lower and upper capital limits, the new adult social care charging framework will extend the means test so that more people become eligible for local authority support with their care costs.
We have estimated the costs of these changes at £490 million in 2023 to 2024. This included £355 million for costs associated with extending the means test for people aged 65 or over, and £135 million for costs associated with extending the means test for adults aged under 65.
These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed.
Distributing funding for costs associated with the means test for people aged 65 or over
The ASCRU-PSSRU means test extension formula for people aged 65 and over (2022) has been specifically designed to predict the relative size of the new public expenditure required for the extension to the means test. It uses relevant proxy indicators for need, income and wealth, and informal care. The formula modelling includes intermediate steps that estimate the relative additional number of people with care needs expected to become eligible for local authority support with their care costs due to the means test changes.
As well as residential care, the formula also includes a community setting element, which was not the case when the formula was originally developed in 2013 to 2014. This means we can better capture the relative needs of local authorities due to the capital limit changes.
Metrics in the ASCRU-PSSRU means test extension formula for people aged 65 and over 2022
The formula uses the following metrics. The corresponding rates for each local authority are inserted into the formula to give a ‘relative need’ adjustment for local authority funding allocations:
- Attendance Allowance claimants aged 65 and over per person aged 65 and over
- people with limiting (significantly) conditions aged 85 and over per person aged 65 and over
- home-owner households aged 65 and over per households aged 65 and over, multiplied by properties in Council Tax bands A, B, C, D and E per all properties
- home-owner households aged 65 and over per households aged 65 and over multiplied by properties in Council Tax bands F, G and H per all properties
- Pension Credit claimants aged 65 and over per capita aged 65 and over
- couple households per households aged 65 and over
No area cost adjustment is applied to the means test formula as regional unit costs are included in the estimation of the formula.
Full details of the formula are available in section 2 of the technical annex.
Do you agree or disagree with the proposal to use the ASCRU-PSSRU means test extension formula for people aged 65 and over (2022) for distributing means test funding for people aged 65 and over in 2023 to 2024?
- strongly agree
- agree
- neither agree nor disagree
- disagree
- strongly disagree
Please explain your preference.
Distributing funding for costs associated with the means test for adults aged under 65
As noted in the consultation stage charging reform impact assessment, there is limited high-quality data on adults aged under 65 with care needs.
There is also limited high-quality data over how these costs are distributed locally. There are few existing datasets which can help us predict the distribution of additional adults aged under 65 meeting the needs and financial eligibility requirements in the extended means test.
We have considered whether the ONS estimates of the self-funding population in care homes, published in May 2022, represented a reasonable proxy for possible future demand. These new estimates are a welcome addition to our understanding of the distribution of people funding their own care. However, for self-funder population estimates in care homes for younger adults, only 6 local authority level estimates are available. This is insufficient to provide a basis for funding distribution. Moreover, we were concerned that a distribution based only on residential care might not be a fair reflection of need since we expect a significant portion of current self-funding individuals aged under 65 to be receiving support in the community.
For costs associated with extending the means test for adults aged under 65, we propose 3 distribution options which we consider to meet the principles of distribution set out in the ‘Principles of distribution’ section above. Given the uncertainty, we have favoured simplicity in the options selected and intend to conduct further work in the period pre and post October 2023 to understand the distribution of pressures better and make improvements to the funding distribution mechanism.
Option 1: ASCRU-PSSRU means test extension formula for people aged 18 to 64 (2022)
ASCRU-PSSRU have developed a simplified formula for the extension to the means relative needs formula for adults aged 18 to 64. It takes the distribution of entitled cases for PIP[footnote 4] among the population aged 16 to 64 as a proxy measure for the distribution of care needs in the population. The distribution of home ownership rates among households aged 25 to 64, as per census data, are included as a proxy to variation in local wealth levels. No area cost adjustment is applied to the means test formula as regional unit costs are already included.
The formula assumes that the relative importance of both the need and wealth effects are the same for younger adults as they are for older adults, an assumption which is untested. Nevertheless, we consider this to be a rational approach to modelling the spread of likely additional demand.
Full details of the formula are available in section 2 of the technical annex.
Option 2: distribute based on a simple per capita basis for people aged 18 to 64
Under this option we do not attempt to control for variation in need or financial eligibility and assume that additional demand is even across the population of people aged 18 to 64.
Full details of this option are available in section 2 of the technical annex.
Option 3: distribute funding for adults aged under 65 using the ASCRU-PSSRU means test extension formula for people aged 65 and over (2022)
Using the older adults’ formula would assume that the cost pressures for younger adults are correlated with those for people aged 65 and over, which we cannot be certain of. However, given the data limitations for predicting new demand among people aged 18 to 64 noted earlier, we would propose an option whereby all funding is distributed using the formula for people aged 65 and over.
Full details of the formula are available in section 2 of the technical annex.
Do you have a preferred approach for distributing means test funding for adults aged under 65 in 2023 to 2024?
- option 1 – ASCRU-PSSRU means test extension formula for people aged 18 to 64
- option 2 – per capita (people aged 18 to 64) distribution formula
- option 3 – ASCRU-PSSRU means test extension formula for people aged 65 and over (2022)
- other
Please explain your preference. We are particularly interested in any evidence that would add to our understanding of the distribution of pressures.
4. Distributing funding for the cap on care costs
Background
The new charging framework will introduce a new £86,000 cap on the amount anyone in England will need to spend on their personal care over their lifetime from October 2023. Once the £86,000 cap is reached, local authorities will pay for all eligible care costs. People may choose to ‘top up’ their care costs by paying the difference towards a more expensive service, but this will not count towards the cap. The cap will be implemented using legislation already in place under the 2014 Care Act.
While the introduction of the cap in October 2023 will be an important change in the way care is paid for, only a small number of people, predominantly aged under 65, with particularly acute care needs are expected to reach the cap in 2023 to 2024, with an estimated cost of £35 million.
These estimates are provided for indicative purposes only, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed.
Approach to distributing funding
We will distribute the estimated costs in 2023 to 2024. However, due to the relatively small costs and lack of robust data, we are not currently introducing a new formula for the costs to local authorities of paying for care once a person reaches the cap in 2023 to 2024. The distribution of these costs is a very important issue, which the government wants to get right and will be the subject of future consultation.
Since 2023 to 2024 costs are expected to be concentrated among adults aged under 65, and since the drivers of costs are similar to those for the extension to the means test, we propose that the cap costs during 2023 to 2024 will be distributed on the same basis as means test funding for adults aged under 65 (see the ‘Distributing funding for costs associated with the means test for adults aged under 65’ section above).
Do you agree or disagree with the proposal to distribute cap funding in the same way as means test funding for adults aged under 65 in 2023 to 2024?
- strongly agree
- agree
- neither agree nor disagree
- disagree
- strongly disagree
Please explain your preference.
5. Distributing funding for implementation and additional assessments
Background
As described in chapter 3, local authorities are required to conduct needs and financial assessments for all individuals that may have a care and support need. This is to determine:
- whether or not a person has a care and support need
- which of those needs are eligible to be met by the local authority
- how the support provided to meet those eligible needs is paid for
The introduction of reforms generates additional assessments for existing self-funders with care and support needs and those who are impacted by the changes to the means test. The reforms also result in a higher long-term baseline of assessments, as people who do not contact their local authority in the current system may now do so in order to access means test support and/or the cap.
To help manage the overall demand for assessments, the operational guidance to implement a lifetime cap on care costs recommends that local authorities conduct these needs and financial assessments of self-funders (newly captured for the means test or seeking to access the cap) from April 2023 onwards (6 months in advance of ‘go live’). Local authorities have discretion to determine when (following April 2023) and for whom assessments are conducted early.
The government estimates a requirement of £247 million in funding to local authorities in financial year 2023 to 2024 to cover the costs of conducting the additional assessments generated through the introduction of reforms.[footnote 5]
Approach to distributing funding
The ASCRU programme at PSSRU has produced 2 formulae designed to predict the relative demand for new assessments. These formulae calculate additional assessments as the difference between the estimated total number of people seeking assessments post-reform and the number already assessed. They also take the number of people already assessed to equal the current number of local authority supported people accessing care.
Two different approaches are taken to quantify the number of assessments, by calculating the total demand for assessments using either a utilisation-based approach or a normative (needs proxy) approach. Further detail can be found in option 1 and option 2 below. Aside from a formula-based approach, local authorities have also told us that the number of people who self-fund their care in an area will be a significant driver of additional assessments. We have therefore developed a third option using ONS estimates of the numbers of self-funders.
We are therefore proposing 3 options for distributing implementation and assessments funding in 2023 to 2024. Under all 3 options, an area cost adjustment is applied to reflect differences in wages and prices in different local authorities.
Option 1: use ASCRU-PSSRU assessments formula (utilisation approach) 2022
This formula uses a utilisation-based approach, which takes the total demand for assessments to be equal to the number of people that would satisfy the current needs test for adult social care.
At the local authority level, the potential eligible need is multiplied by the population, and then the number of people currently receiving local authority support is subtracted.
This approach has the virtue of considering the people estimated to pass a needs eligibility assessment in the current system, but might underestimate the number of additional assessments from people with a lower level of need.
Option 2: use ASCRU-PSSRU assessments formula (normative approach) 2022
ASCRU-PSSRU assessments formula (normative approach) 2022 uses a normative approach, which calculates the total demand for assessments using an estimate for ‘potential eligible need’. This is measured by the England Longitudinal Study of Ageing (ELSA) data on the number of people in the population with 3 or more activities of daily living (ADLs) difficulties such as washing, dressing and feeding.
At the local authority level, this potential eligible need is multiplied by the population and then the number of people currently receiving local authority support is subtracted.
This approach offers an expansive and uniform definition of need which is not tied to the current needs eligibility test. It is focused on a person’s ADL difficulties (rather than potential care services used), and not affected by the availability of informal care. Data on ADLs is not routinely available, and so this is estimated using data from the ELSA.
Both the ASCRU-PSSRU assessments formula (utilisation approach) 2022 and the ASCRU-PSSRU assessments formula (normative approach) 2022 use the following metrics. The corresponding rates for each local authority are inserted into the formulae to give a ‘relative need’ adjustment for local authority funding allocations:
- Attendance Allowance claimants aged 65 and over per person aged 65 and over
- people with limiting (significantly) conditions aged 65 and over per person aged 65 and over
- home-owner households aged 65 and over per household aged 65 and over, multiplied by properties in Council Tax bands A, B, C, D and E per all properties
- home-owner households aged 65 and over per household aged 65 and over multiplied by properties in Council Tax bands F, G and H per all properties
- Pension Credit claimants aged 65 and over per person aged 65 and over
- couple households per households aged 65 and over
Full details of both formulae are available in section 3 of the technical annex.
Option 3: use ONS estimates of the number of self-funders
Throughout our stakeholder engagement, the sector has consistently told us that local authorities are using estimates of the numbers of self-funders locally as a basis for forecasting future demand, and have advised DHSC to consider self-funder numbers for the purpose of distributing funding. ONS estimates of the number of self-funders in 2021 to 2022 in care homes , published on 30 May 2022, represent an alternative option as a basis for distributing funding. However, it is worth noting that the ONS estimates we used only cover residential care settings, not care provided in the community.
Full details of this option are available in section 3 of the technical annex.
Tables exemplifying the results for each option can be found in Annex B.
Which option do you prefer for distributing £247 million of funding for assessments in 2023 to 2024?
- option 1 – ASCRU-PSSRU assessments formula (utilisation approach) 2022
- option 2 – ASCRU-PSSRU assessments formula (normative approach) 2022
- option 3 – ONS estimates on the number of self-funders
- none
Please explain your preference.
Is there anything else about the options for distributing funding that you wish to comment on?
6. Next steps
Finalising allocations for 2023 to 2024
We will study the responses to this consultation carefully. We will publish a written response to the submissions received and confirm our preferred approach by, at latest, the 2023 to 2024 provisional local government finance settlement.
Bringing forward proposals for future years
The distribution approaches proposed in this consultation predict relative funding needs based on current available information. We foresee that, as more information becomes available on the distribution of pressures, we will adjust our distribution approach to take those patterns into account, and that we will have a much stronger evidence base by the time of the next spending review period (from 2025 to 2026 onwards). We will continue to work with the care sector.
We anticipate the need for a further consultation for 2024 to 2025 funding. This will include the development of an approach for distributing local authorities’ costs for people reaching the cap on care costs.
If you have further questions on the content of this consultation please contact [email protected]. Please do not use this email address to respond to the consultation.
Annex A: tables exemplifying indicative results for options to allocate funding for the extension to means test and cap on personal care costs (2023 to 2024)
Results for allocating funding for people aged 65 and over
Local authority | ASCRU-PSSRU means test extension formula for people aged 65 and over (2022) (£) |
---|---|
Barking and Dagenham | 638,197 |
Barnet | 1,931,429 |
Barnsley | 1,619,100 |
Bath and North East Somerset | 1,314,004 |
Bedford | 1,085,108 |
Bexley | 1,518,602 |
Birmingham | 4,977,978 |
Blackburn with Darwen | 716,587 |
Blackpool | 973,923 |
Bolton | 1,650,024 |
Bournemouth, Christchurch and Poole | 3,099,172 |
Bracknell Forest | 622,592 |
Bradford | 2,660,680 |
Brent | 1,270,063 |
Brighton and Hove | 1,311,899 |
Bristol, City of | 2,180,349 |
Bromley | 1,994,973 |
Buckinghamshire | 3,371,042 |
Bury | 1,200,862 |
Calderdale | 1,306,161 |
Cambridgeshire | 4,337,524 |
Camden | 859,570 |
Central Bedfordshire | 1,793,237 |
Cheshire East | 3,156,443 |
Cheshire West and Chester | 2,651,393 |
City of London | 45,171 |
Cornwall | 4,988,900 |
County Durham | 3,631,206 |
Coventry | 1,831,057 |
Croydon | 1,849,018 |
Cumbria | 4,423,398 |
Darlington | 732,126 |
Derby | 1,499,829 |
Derbyshire | 6,267,886 |
Devon | 7,381,050 |
Doncaster | 2,026,738 |
Dorset | 3,933,738 |
Dudley | 2,264,971 |
Ealing | 1,458,990 |
East Riding of Yorkshire | 3,035,196 |
East Sussex | 5,240,244 |
Enfield | 1,517,106 |
Essex | 10,782,725 |
Gateshead | 1,261,292 |
Gloucestershire | 5,018,968 |
Greenwich | 911,013 |
Hackney | 489,616 |
Halton | 798,617 |
Hammersmith and Fulham | 519,773 |
Hampshire | 10,390,903 |
Haringey | 763,625 |
Harrow | 1,374,706 |
Hartlepool | 604,007 |
Havering | 1,715,394 |
Herefordshire, County of | 1,664,381 |
Hertfordshire | 6,959,522 |
Hillingdon | 1,451,866 |
Hounslow | 1,035,222 |
Isle of Wight | 1,495,695 |
Isles of Scilly | 13,906 |
Islington | 494,369 |
Kensington and Chelsea | 596,503 |
Kent | 11,081,374 |
Kingston upon Hull, City of | 1,118,051 |
Kingston upon Thames | 873,009 |
Kirklees | 2,611,666 |
Knowsley | 826,745 |
Lambeth | 714,842 |
Lancashire | 9,062,315 |
Leeds | 3,994,493 |
Leicester | 1,362,185 |
Leicestershire | 5,358,969 |
Lewisham | 864,698 |
Lincolnshire | 6,198,809 |
Liverpool | 2,225,815 |
Luton | 883,146 |
Manchester | 1,459,206 |
Medway | 1,547,867 |
Merton | 892,659 |
Middlesbrough | 741,535 |
Milton Keynes | 1,281,126 |
Newcastle upon Tyne | 1,434,617 |
Newham | 742,428 |
Norfolk | 7,816,479 |
North East Lincolnshire | 1,157,367 |
North Lincolnshire | 1,277,808 |
North Northamptonshire | 2,260,837 |
North Somerset | 1,856,291 |
North Tyneside | 1,421,576 |
North Yorkshire | 5,306,067 |
Northumberland | 2,655,530 |
Nottingham | 1,254,027 |
Nottinghamshire | 6,223,493 |
Oldham | 1,286,645 |
Oxfordshire | 4,465,397 |
Peterborough | 1,052,779 |
Plymouth | 1,655,968 |
Portsmouth | 1,071,714 |
Reading | 691,655 |
Redbridge | 1,408,742 |
Redcar and Cleveland | 1,038,072 |
Richmond upon Thames | 1,056,398 |
Rochdale | 1,176,486 |
Rotherham | 1,751,820 |
Rutland | 334,636 |
Salford | 1,147,037 |
Sandwell | 1,638,990 |
Sefton | 2,313,504 |
Sheffield | 3,073,722 |
Shropshire | 2,842,316 |
Slough | 496,179 |
Solihull | 1,610,854 |
Somerset | 5,036,077 |
South Gloucestershire | 1,968,093 |
South Tyneside | 958,701 |
Southampton | 1,125,942 |
Southend-on-Sea | 1,292,034 |
Southwark | 713,335 |
St Helens | 1,315,632 |
Staffordshire | 6,751,206 |
Stockport | 2,123,194 |
Stockton-on-Tees | 1,248,244 |
Stoke-on-Trent | 1,501,821 |
Suffolk | 6,410,775 |
Sunderland | 1,754,559 |
Surrey | 7,728,378 |
Sutton | 1,121,954 |
Swindon | 1,261,198 |
Tameside | 1,333,863 |
Telford and Wrekin | 1,047,661 |
Thurrock | 826,161 |
Torbay | 1,348,062 |
Tower Hamlets | 476,900 |
Trafford | 1,449,987 |
Wakefield | 2,167,221 |
Walsall | 1,687,540 |
Waltham Forest | 968,769 |
Wandsworth | 901,655 |
Warrington | 1,389,907 |
Warwickshire | 4,189,402 |
West Berkshire | 1,017,892 |
West Northamptonshire | 2,468,586 |
West Sussex | 7,181,579 |
Westminster | 821,308 |
Wigan | 2,085,527 |
Wiltshire | 3,785,388 |
Windsor and Maidenhead | 920,771 |
Wirral | 2,543,139 |
Wokingham | 1,028,186 |
Wolverhampton | 1,472,990 |
Worcestershire | 4,818,032 |
York | 1,430,748 |
Total | 355,000,000 |
Results for allocating means test and cap funding for adults aged under 65
Local authority | Option 1: ASCRU-PSSRU means test extension formula for people aged 18 to 64 (£) | Option 2: per capita (18 to 64) distribution (£) | Option 3: ASCRU-PSSRU means test extension formula for people aged 65 and over (2022) (£) |
---|---|---|---|
Barking and Dagenham | 469,237 | 684,670 | 305,616 |
Barnet | 1,148,449 | 1,332,534 | 924,910 |
Barnsley | 847,893 | 715,241 | 775,344 |
Bath and North East Somerset | 653,527 | 609,537 | 629,241 |
Bedford | 510,424 | 512,117 | 519,629 |
Bexley | 719,579 | 781,568 | 727,218 |
Birmingham | 3,503,243 | 3,474,753 | 2,383,821 |
Blackburn with Darwen | 531,007 | 424,806 | 343,155 |
Blackpool | 434,059 | 385,085 | 466,386 |
Bolton | 916,103 | 815,069 | 790,153 |
Bournemouth, Christchurch and Poole | 1,127,525 | 1,118,130 | 1,484,111 |
Bracknell Forest | 312,238 | 400,920 | 298,142 |
Bradford | 1,701,892 | 1,518,411 | 1,274,128 |
Brent | 849,467 | 1,140,496 | 608,199 |
Brighton and Hove | 873,350 | 987,607 | 628,233 |
Bristol, City of | 1,434,940 | 1,590,873 | 1,044,111 |
Bromley | 974,944 | 1,035,830 | 955,339 |
Buckinghamshire | 1,589,749 | 1,622,155 | 1,614,302 |
Bury | 605,653 | 552,467 | 575,061 |
Calderdale | 677,761 | 594,359 | 625,486 |
Cambridgeshire | 1,961,034 | 1,941,687 | 2,077,124 |
Camden | 746,743 | 1,094,685 | 411,625 |
Central Bedfordshire | 851,438 | 874,369 | 858,733 |
Cheshire East | 1,229,706 | 1,052,480 | 1,511,536 |
Cheshire West and Chester | 1,109,948 | 977,311 | 1,269,681 |
City of London | 25,228 | 35,107 | 21,631 |
Cornwall | 2,021,376 | 1,570,188 | 2,389,051 |
County Durham | 1,845,849 | 1,518,753 | 1,738,888 |
Coventry | 1,200,484 | 1,236,563 | 876,844 |
Croydon | 988,817 | 1,225,178 | 885,445 |
Cumbria | 1,767,284 | 1,343,213 | 2,118,247 |
Darlington | 314,164 | 294,178 | 350,595 |
Derby | 794,077 | 748,176 | 718,228 |
Derbyshire | 2,798,520 | 2,287,806 | 3,001,523 |
Devon | 2,706,263 | 2,209,010 | 3,534,587 |
Doncaster | 1,014,934 | 893,379 | 970,551 |
Dorset | 1,187,869 | 951,854 | 1,883,762 |
Dudley | 1,054,533 | 913,972 | 1,084,634 |
Ealing | 883,663 | 1,118,872 | 698,671 |
East Riding of Yorkshire | 1,091,941 | 896,926 | 1,453,474 |
East Sussex | 1,661,951 | 1,479,409 | 2,509,413 |
Enfield | 905,309 | 1,052,974 | 726,502 |
Essex | 4,511,388 | 4,302,374 | 5,163,559 |
Gateshead | 603,655 | 587,785 | 603,999 |
Gloucestershire | 1,989,439 | 1,837,933 | 2,403,449 |
Greenwich | 707,176 | 1,131,871 | 436,260 |
Hackney | 624,055 | 1,167,617 | 234,464 |
Halton | 404,968 | 368,962 | 382,436 |
Hammersmith and Fulham | 501,838 | 753,626 | 248,905 |
Hampshire | 3,960,148 | 3,943,370 | 4,975,926 |
Haringey | 666,615 | 940,959 | 365,680 |
Harrow | 712,957 | 794,542 | 658,310 |
Hartlepool | 295,541 | 260,524 | 289,243 |
Havering | 792,385 | 812,361 | 821,456 |
Herefordshire, County of | 657,361 | 530,935 | 797,028 |
Hertfordshire | 3,316,882 | 3,631,336 | 3,332,729 |
Hillingdon | 848,920 | 1,031,417 | 695,260 |
Hounslow | 688,297 | 917,541 | 495,740 |
Isle of Wight | 477,806 | 381,704 | 716,248 |
Isles of Scilly | 4,601 | 7,347 | 6,657 |
Islington | 631,403 | 1,046,384 | 236,740 |
Kensington and Chelsea | 482,526 | 578,235 | 285,649 |
Kent | 4,743,751 | 4,532,956 | 5,306,568 |
Kingston upon Hull, City of | 694,658 | 778,135 | 535,405 |
Kingston upon Thames | 501,039 | 604,566 | 418,060 |
Kirklees | 1,456,396 | 1,256,388 | 1,250,657 |
Knowsley | 468,177 | 432,950 | 395,906 |
Lambeth | 760,301 | 1,376,271 | 342,319 |
Lancashire | 4,145,568 | 3,424,254 | 4,339,700 |
Leeds | 2,314,393 | 2,394,647 | 1,912,856 |
Leicester | 1,058,405 | 1,118,418 | 652,314 |
Leicestershire | 2,385,356 | 2,075,132 | 2,566,267 |
Lewisham | 734,628 | 1,230,389 | 414,081 |
Lincolnshire | 2,441,169 | 2,099,642 | 2,968,444 |
Liverpool | 1,528,412 | 1,589,579 | 1,065,883 |
Luton | 547,852 | 629,053 | 422,915 |
Manchester | 1,459,244 | 1,843,941 | 698,775 |
Medway | 795,368 | 807,101 | 741,232 |
Merton | 564,134 | 701,854 | 427,471 |
Middlesbrough | 430,638 | 396,007 | 355,101 |
Milton Keynes | 673,076 | 833,619 | 613,497 |
Newcastle upon Tyne | 897,328 | 946,621 | 687,000 |
Newham | 813,507 | 1,269,816 | 355,529 |
Norfolk | 2,980,198 | 2,507,904 | 3,743,103 |
North East Lincolnshire | 468,515 | 434,253 | 554,232 |
North Lincolnshire | 540,584 | 476,433 | 611,908 |
North Northamptonshire | 1,055,005 | 1,022,393 | 1,082,654 |
North Somerset | 647,210 | 607,346 | 888,928 |
North Tyneside | 618,627 | 596,977 | 680,755 |
North Yorkshire | 1,996,058 | 1,645,485 | 2,540,934 |
Northumberland | 1,028,127 | 868,529 | 1,271,662 |
Nottingham | 924,282 | 1,081,733 | 600,520 |
Nottinghamshire | 2,825,112 | 2,396,586 | 2,980,264 |
Oldham | 772,030 | 690,180 | 616,140 |
Oxfordshire | 2,041,289 | 2,118,402 | 2,138,359 |
Peterborough | 569,262 | 614,710 | 504,148 |
Plymouth | 772,063 | 767,941 | 792,999 |
Portsmouth | 596,400 | 701,312 | 513,215 |
Reading | 411,192 | 547,516 | 331,215 |
Redbridge | 872,785 | 983,442 | 674,609 |
Redcar and Cleveland | 460,330 | 373,295 | 497,105 |
Richmond upon Thames | 579,511 | 647,273 | 505,881 |
Rochdale | 700,079 | 652,834 | 563,388 |
Rotherham | 862,041 | 751,239 | 838,900 |
Rutland | 125,652 | 106,929 | 160,248 |
Salford | 743,714 | 826,636 | 549,285 |
Sandwell | 1,024,217 | 975,334 | 784,869 |
Sefton | 877,828 | 742,794 | 1,107,875 |
Sheffield | 1,871,445 | 1,818,591 | 1,471,923 |
Shropshire | 1,083,034 | 897,007 | 1,361,109 |
Slough | 343,092 | 481,928 | 237,607 |
Solihull | 688,736 | 604,148 | 771,395 |
Somerset | 1,769,852 | 1,505,108 | 2,411,643 |
South Gloucestershire | 909,470 | 891,548 | 942,467 |
South Tyneside | 457,016 | 429,072 | 459,096 |
Southampton | 678,150 | 837,286 | 539,183 |
Southend-on-Sea | 513,533 | 532,157 | 618,721 |
Southwark | 710,075 | 1,337,094 | 341,597 |
St Helens | 611,892 | 514,070 | 630,021 |
Staffordshire | 2,922,357 | 2,488,834 | 3,232,972 |
Stockport | 917,989 | 832,514 | 1,016,741 |
Stockton-on-Tees | 601,229 | 557,165 | 597,750 |
Stoke-on-Trent | 822,715 | 745,142 | 719,182 |
Suffolk | 2,333,438 | 2,055,927 | 3,069,949 |
Sunderland | 881,857 | 786,503 | 840,211 |
Surrey | 3,462,701 | 3,678,947 | 3,700,913 |
Sutton | 557,737 | 675,060 | 537,274 |
Swindon | 601,641 | 676,303 | 603,954 |
Tameside | 697,963 | 663,527 | 638,751 |
Telford and Wrekin | 540,963 | 529,147 | 501,697 |
Thurrock | 473,476 | 554,469 | 395,627 |
Torbay | 411,283 | 359,765 | 645,551 |
Tower Hamlets | 737,435 | 1,417,107 | 228,375 |
Trafford | 719,387 | 686,540 | 694,360 |
Wakefield | 1,135,605 | 1,029,629 | 1,037,824 |
Walsall | 887,681 | 822,207 | 808,118 |
Waltham Forest | 712,998 | 947,648 | 463,917 |
Wandsworth | 922,738 | 1,360,561 | 431,778 |
Warrington | 652,304 | 606,586 | 665,589 |
Warwickshire | 1,807,990 | 1,691,863 | 2,006,193 |
West Berkshire | 430,426 | 467,842 | 487,441 |
West Northamptonshire | 1,181,206 | 1,185,076 | 1,182,140 |
West Sussex | 2,511,552 | 2,412,248 | 3,439,066 |
Westminster | 734,768 | 1,060,643 | 393,302 |
Wigan | 1,064,723 | 960,446 | 998,703 |
Wiltshire | 1,471,978 | 1,424,096 | 1,812,721 |
Windsor and Maidenhead | 419,107 | 460,897 | 440,933 |
Wirral | 1,031,603 | 885,457 | 1,217,841 |
Wokingham | 518,583 | 532,654 | 492,371 |
Wolverhampton | 813,217 | 775,761 | 705,376 |
Worcestershire | 1,879,836 | 1,659,758 | 2,307,227 |
York | 679,576 | 643,313 | 685,147 |
Total | 170,000,000 | 170,000,000 | 170,000,000 |
Allocations are subject to change as there will be some updates to the DHSC charging reform model for the final impact assessment.
Annex B: table exemplifying indicative results for options to allocate funding for implementation and additional assessments (2023 to 2024)
Local authority | Option 1: 2022 ASCRU-PSSRU assessments formula (utilisation approach) 2022 (£) | Option 2: 2022 ASCRU-PSSRU assessments formula (normative approach) 2022 (£) | Option 3: ONS reported self-funder population in care homes (£) |
---|---|---|---|
Barking and Dagenham | 444,479 | 550,167 | 162,551 |
Barnet | 1,473,936 | 1,467,531 | 1,221,920 |
Barnsley | 1,099,704 | 1,249,792 | 1,028,537 |
Bath and North East Somerset | 918,353 | 821,441 | 933,172 |
Bedford | 775,252 | 708,953 | 773,287 |
Bexley | 1,155,140 | 1,008,491 | 1,162,002 |
Birmingham | 3,455,578 | 3,981,812 | 3,187,284 |
Blackburn with Darwen | 506,653 | 578,084 | 454,120 |
Blackpool | 701,219 | 763,538 | 612,010 |
Bolton | 1,156,068 | 1,223,882 | 679,239 |
Bournemouth, Christchurch and Poole | 2,080,333 | 1,895,912 | 2,953,286 |
Bracknell Forest | 454,611 | 422,563 | 375,930 |
Bradford | 1,822,098 | 1,927,341 | 1,809,686 |
Brent | 964,370 | 1,146,577 | 270,056 |
Brighton and Hove | 921,684 | 826,054 | 1,212,309 |
Bristol, City of | 1,541,900 | 1,530,458 | 1,729,479 |
Bromley | 1,524,399 | 1,319,021 | 1,350,304 |
Buckinghamshire | 2,461,372 | 2,330,745 | 3,370,540 |
Bury | 860,145 | 818,317 | 420,336 |
Calderdale | 898,836 | 829,393 | 740,121 |
Cambridgeshire | 2,919,329 | 2,770,728 | 2,696,759 |
Camden | 710,911 | 720,135 | 151,220 |
Central Bedfordshire | 1,253,745 | 1,132,946 | 1,002,467 |
Cheshire East | 2,199,735 | 2,067,544 | 2,508,277 |
Cheshire West and Chester | 1,845,491 | 1,816,049 | 1,536,206 |
City of London | 49,307 | 29,123 | 20,678 |
Cornwall | 3,338,753 | 3,182,775 | 2,703,670 |
County Durham | 2,456,423 | 2,846,501 | 1,604,458 |
Coventry | 1,281,110 | 1,253,201 | 927,541 |
Croydon | 1,410,925 | 1,328,671 | 1,332,600 |
Cumbria | 3,083,899 | 2,886,605 | 2,622,470 |
Darlington | 504,174 | 497,155 | 401,491 |
Derby | 1,034,083 | 1,036,326 | 1,514,236 |
Derbyshire | 4,211,756 | 4,224,839 | 3,687,096 |
Devon | 4,912,096 | 4,549,729 | 5,139,680 |
Doncaster | 1,356,201 | 1,501,891 | 971,397 |
Dorset | 2,608,959 | 2,411,315 | 3,108,168 |
Dudley | 1,546,537 | 1,653,470 | 1,354,937 |
Ealing | 1,151,322 | 1,222,401 | 720,149 |
East Riding of Yorkshire | 2,023,098 | 2,001,162 | 2,487,136 |
East Sussex | 3,585,756 | 3,259,168 | 5,980,019 |
Enfield | 1,139,134 | 1,182,712 | 661,472 |
Essex | 7,423,066 | 7,257,171 | 6,460,398 |
Gateshead | 831,635 | 1,019,043 | 503,743 |
Gloucestershire | 3,455,957 | 3,122,888 | 4,542,797 |
Greenwich | 708,347 | 825,609 | 176,424 |
Hackney | 361,884 | 679,052 | 54,007 |
Halton | 575,376 | 642,131 | 84,924 |
Hammersmith and Fulham | 432,452 | 474,538 | 144,019 |
Hampshire | 7,220,017 | 6,506,470 | 10,126,006 |
Haringey | 578,835 | 685,243 | 90,128 |
Harrow | 1,043,392 | 1,081,245 | 470,098 |
Hartlepool | 420,970 | 526,969 | 255,631 |
Havering | 1,300,488 | 1,166,965 | 1,268,223 |
Herefordshire, County of | 1,112,626 | 1,074,455 | 1,354,843 |
Hertfordshire | 5,008,917 | 4,845,112 | 7,036,593 |
Hillingdon | 1,139,927 | 1,079,943 | 913,523 |
Hounslow | 795,420 | 808,785 | 443,425 |
Isle of Wight | 1,062,570 | 954,896 | 954,023 |
Isles of Scilly | 12,894 | 13,878 | 11,278 |
Islington | 377,107 | 609,143 | 237,632 |
Kensington and Chelsea | 512,541 | 518,653 | 237,632 |
Kent | 7,575,827 | 7,308,132 | 8,554,038 |
Kingston upon Hull, City of | 718,071 | 993,007 | 406,002 |
Kingston upon Thames | 686,742 | 560,805 | 851,843 |
Kirklees | 1,787,787 | 1,733,582 | 1,608,109 |
Knowsley | 619,424 | 774,633 | 205,036 |
Lambeth | 579,615 | 781,654 | 178,224 |
Lancashire | 6,329,081 | 6,264,985 | 5,738,157 |
Leeds | 2,707,427 | 2,708,319 | 2,682,187 |
Leicester | 904,513 | 1,140,400 | 987,937 |
Leicestershire | 3,606,062 | 3,326,680 | 3,246,509 |
Lewisham | 713,072 | 754,830 | 505,868 |
Lincolnshire | 4,078,006 | 4,242,664 | 4,808,864 |
Liverpool | 1,622,508 | 2,057,217 | 793,008 |
Luton | 638,891 | 659,746 | 271,274 |
Manchester | 1,009,635 | 1,400,350 | 595,476 |
Medway | 1,083,206 | 993,437 | 617,569 |
Merton | 710,931 | 605,308 | 655,136 |
Middlesbrough | 525,638 | 603,240 | 457,128 |
Milton Keynes | 887,626 | 952,298 | 1,155,535 |
Newcastle upon Tyne | 974,483 | 1,141,081 | 1,112,745 |
Newham | 528,646 | 814,995 | 149,676 |
Norfolk | 5,064,985 | 5,075,857 | 5,616,356 |
North East Lincolnshire | 781,889 | 815,224 | 696,218 |
North Lincolnshire | 846,359 | 891,462 | 747,344 |
North Northamptonshire | 1,496,168 | 1,510,139 | 1,566,808 |
North Somerset | 1,298,670 | 1,205,818 | 1,650,160 |
North Tyneside | 965,678 | 1,001,568 | 551,861 |
North Yorkshire | 3,574,178 | 3,362,770 | 3,953,253 |
Northumberland | 1,747,157 | 1,856,750 | 1,242,064 |
Nottingham | 861,037 | 969,016 | 806,687 |
Nottinghamshire | 4,278,342 | 4,238,815 | 4,252,890 |
Oldham | 917,864 | 950,819 | 587,862 |
Oxfordshire | 3,146,375 | 2,802,859 | 4,592,700 |
Peterborough | 714,826 | 766,735 | 766,741 |
Plymouth | 1,127,702 | 1,145,668 | 1,105,227 |
Portsmouth | 759,963 | 696,787 | 522,071 |
Reading | 515,429 | 475,938 | 369,196 |
Redbridge | 1,045,396 | 1,056,626 | 244,632 |
Redcar and Cleveland | 713,697 | 765,464 | 556,373 |
Richmond upon Thames | 858,191 | 659,854 | 511,773 |
Rochdale | 834,561 | 914,935 | 720,359 |
Rotherham | 1,141,949 | 1,363,128 | 751,855 |
Rutland | 217,405 | 208,852 | 473,669 |
Salford | 794,230 | 896,330 | 332,005 |
Sandwell | 1,091,243 | 1,454,323 | 460,739 |
Sefton | 1,675,518 | 1,670,499 | 1,632,752 |
Sheffield | 2,010,792 | 2,291,736 | 2,339,772 |
Shropshire | 1,917,169 | 1,851,914 | 2,141,283 |
Slough | 363,243 | 407,249 | 181,370 |
Solihull | 1,124,466 | 1,089,282 | 1,623,196 |
Somerset | 3,350,881 | 3,098,732 | 3,802,882 |
South Gloucestershire | 1,378,761 | 1,283,927 | 1,208,458 |
South Tyneside | 633,468 | 768,040 | 356,379 |
Southampton | 780,003 | 774,057 | 651,035 |
Southend-on-Sea | 887,663 | 828,128 | 923,360 |
Southwark | 522,656 | 817,515 | 127,817 |
St Helens | 940,250 | 1,023,712 | 453,793 |
Staffordshire | 4,592,813 | 4,561,965 | 4,241,965 |
Stockport | 1,532,521 | 1,406,627 | 1,408,735 |
Stockton-on-Tees | 857,103 | 929,158 | 509,758 |
Stoke-on-Trent | 1,040,716 | 1,138,703 | 634,566 |
Suffolk | 4,185,677 | 4,027,022 | 5,174,783 |
Sunderland | 1,191,705 | 1,529,425 | 830,048 |
Surrey | 5,903,034 | 5,322,796 | 10,705,768 |
Sutton | 887,265 | 739,184 | 885,184 |
Swindon | 852,999 | 822,257 | 599,357 |
Tameside | 949,789 | 976,246 | 581,770 |
Telford and Wrekin | 693,090 | 809,461 | 604,491 |
Thurrock | 579,782 | 603,670 | 131,161 |
Torbay | 902,700 | 910,813 | 1,021,019 |
Tower Hamlets | 329,901 | 750,886 | 176,424 |
Trafford | 1,030,534 | 949,737 | 1,038,657 |
Wakefield | 1,443,649 | 1,608,850 | 1,125,225 |
Walsall | 1,147,161 | 1,382,738 | 842,668 |
Waltham Forest | 715,949 | 736,975 | 263,945 |
Wandsworth | 776,091 | 756,084 | 820,910 |
Warrington | 997,883 | 965,500 | 909,895 |
Warwickshire | 2,885,688 | 2,745,557 | 3,010,890 |
West Berkshire | 730,947 | 651,096 | 679,840 |
West Northamptonshire | 1,648,516 | 1,585,645 | 2,074,430 |
West Sussex | 5,006,788 | 4,417,009 | 7,564,529 |
Westminster | 686,420 | 722,105 | 185,425 |
Wigan | 1,487,647 | 1,576,567 | 702,083 |
Wiltshire | 2,550,591 | 2,388,483 | 3,401,963 |
Windsor and Maidenhead | 690,187 | 649,879 | 1,079,976 |
Wirral | 1,829,834 | 1,808,739 | 1,598,077 |
Wokingham | 764,348 | 676,353 | 1,210,051 |
Wolverhampton | 1,008,535 | 1,174,322 | 1,003,320 |
Worcestershire | 3,229,685 | 3,161,343 | 3,757,771 |
York | 991,802 | 840,207 | 1,180,412 |
Total | 247,000,000 | 247,000,000 | 247,000,000 |
Notes:
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Allocations are subject to change as there will be some updates to the DHSC charging reform model for the final impact assessment.
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The ONS report did not include the proportion of self-funding people in care home beds for all upper tier local authorities (UTLAs). For UTLAs with no values, we assumed that the proportion at the UTLA level is the same as at the regional level. Where UTLAs were combined, we assumed the proportions for the UTLAs separately are the same as the proportion for the combined UTLAs.
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These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed. ↩
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These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed. ↩
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These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed. ↩
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Personal Independence Payments are available to adults aged 16 to 64 with a long-term physical or mental health condition or disability with difficulty completing certain everyday tasks or getting around. ↩
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These estimates are indicative, based on the consultation stage impact assessment, and may change before final funding allocations are confirmed. ↩