Proposal
Cynnig
1:
Adult Social Care Charges
There are a number of areas where our charging
arrangements for social care are more generous
than the levels stipulated by Welsh Government
and below the levels charged by most other
local authorities in Wales. With this in mind, a
number of changes are proposed.
Importantly, in relation to the proposals on
Disability Related Expenditure Disregard and
Hourly Charging Rates, clients receiving a
service are subject to a means tested financial
assessment to determine their ability to pay and
any charge would, as per current national
requirements, be a maximum of £50 per week.
•
Disability Related Expenditure (DRE)
Disregard
– Attendance Allowance and
Disability Living Allowance (Care) are benefits
paid to help with personal care and it is our
current policy to disregard 40% of this benefit
when assessing any contribution to the cost of
care. Because these benefits are paid for care
needs, we think it is reasonable to take more of
them into account when we work out what
someone has to pay and the proposal is
therefore to reduce the level of disregard to 5%
of Attendance Allowance and Disability Living
Allowance (Care). This would result in £0.790m
being generated in additional income per year
and still leave the Council offering greater levels
of income protection than stipulated by Welsh
Government.
•
Charging rates for care services
–
Current charges for domiciliary care of £12.05
per hour and for day services of £13.40 per
visit are heavily subsidised, which means that
the actual cost of providing the service is
significantly more than the cost that is passed
on to the service user. It is proposed to increase
the charge for domiciliary care and day services
to £17 per hour / visit in order to reduce the
levels of subsidy provided by the Council. This
proposal would generate additional income of
£0.134m per year.
•
Charging for Tier 1 Telecare Services
–
The proposal is to remove the current subsidy
from the tier 1 telecare service by increasing the
charge from £1.58 to £2.35 per week to reflect
the cost to the Council of providing the service.
This proposal would generate additional income
of £0.118m per year.
•
Charging for Elderly and Mentally Infirm
(EMI) Residential Care
– The proposal is to
introduce the current Independent sector EMI
residential care maximum rate of £533 per
week to council run EMI residential care
provision and thereby ensure equity of charging
structures across the residential care home
sector. The council run maximum EMI rate will
increase from £503 per week and all service
users will be financially assessed to determine
the actual charge applied. This proposal
would generate additional income of £0.060m
per year.
•
Charging for Respite Care Services
–
Current charging arrangements for residential
respite care are not consistent in the treatment
of service users receiving services from
independent sector and council run residential
care homes. In addition, young people with a
learning disability aged 18-21 years are not
charged for respite care. The proposal is to
introduce a fairer and more consistent
financially assessed charging model for all
respite care services (with the exception of
those services provided under provisions of
the Children’s Act, 1989). This proposal
would generate additional income of
£0.032m per year.
Overall saving (additional income)
£1.134m per year
PHASE 2 proposals are detailed as follows...
CAM 2 dyma’r manylion am y cynigion…
4
1,2,3 5,6,7,8,9,10,11,12