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Adult social care reforms

Find out about planned changes to adult care services in England

The government has delayed its adult social care charging reforms from October 2023 to October 2025.

The delay covers the implementation of:

  • the extended means test
  • the lifetime cap on personal care costs
  • the extension of Section 18(3) to enable self-funders in residential care to access local authority commissioning

We'll add more information to this page as it becomes available.

Find out more about adult social care charging reforms on GOV.UK

Fair cost of care and market sustainability

As part of the government’s adult social care reform agenda, councils were required to complete a ‘Fair Cost of Care’ exercise by the Department of Health & Social Care (DHSC). This involved working with adult social care providers to determine the local cost of providing care.

Councils must also publish a Market Sustainability Plan, showing how they will support local providers over the next three years.

This included the following types of services:

  • care homes for people aged 65 and over (standard residential care, residential care for enhanced needs and nursing care)

  • home care for people aged 18 and over

‘Fair’ means the average actual operating costs for providing care in the local area. ‘Fair’ also means what is sustainable for local providers and what the council can afford to pay.

Funding

We received £91,600 of DHSC funding for the year 2022/23 and £227,000 for 2023/24. This was used to complete the work and support improvements needed locally.



The reports for our Cost of Care Exercise for care homes and for home care show how we worked with providers, how costs were calculated and the results. These reports were submitted to the DHSC in October 2022.

We have also written a Market Sustainability Plan setting out the state of our market in Rutland and how we will support it in the future.

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