Councils 'don't pay fair price for care'
Nine out of 10 councils in the UK are failing to pay realistic prices to support older and disabled people in their own homes, the industry says.
By Nick TriggleHealth correspondent The UK Home Care Association calculated the minimum price councils should be paying was £16.70 per hour, but the average was over £2 less. Councils said they had been left with little choice given the squeeze on their finances by the government. But the UKHCA said the situation was threatening the future of the market. It warned agencies were struggling to recruit staff and maintain quality, noting growing numbers of organisations were handing back contracts to councils. It comes after the Care Quality Commission said earlier in the month the sector was at "tipping point" with cuts leading to more pressure on hospitals and deteriorating performance. Council carer: 'You have to be clock-watching' Kimberley Hassall works for Somerset Care, a social enterprise which provides home care for councils across the south of England. She says because of the pressures in the system, there is simply not enough time to do everything she wants to do, and so she has to prioritise things like medication. "I do feel with some people you would want an extra half an hour just so you can put the washing on, change the bed or change their clothes." She says there is constant "juggling" to make sure she can see all her clients. "You have to be clock-watching," she added. Her bosses agree. Currently 80% of the work Somerset Care does is council-funded, but it is looking to shift the balance much more towards private clients in the future as the agency feels it cannot maintain the quality of care with the fees being offered. The home care market looks after nearly 900,000 people, providing help for daily tasks such as washing and dressing. About 80% are funded by local councils. The UKHCA asked all 208 councils about the fees they paid, with 186 providing data under the Freedom of Information Act. It bases its £16.70 minimum price on the cost of paying carers the national living wage and running costs for the businesses with a profit margin of 50p an hour. The average paid by councils was £14.58 an hour, with Sefton, South Tyneside, North Tyneside and Blackburn paying the least at under £12. The average is higher than it was 18 months ago when the UKHCA last did this survey, but the number of councils not paying a "fair price" has increased because the rise has not kept pace with the increased costs that come from paying the national living wage, the UKHCA said. Find out the cost of care in your area Home care What is home care? You stay in your own home while getting help with everyday tasks such as washing, dressing and eating. How your council helps with care EXPLAINER TITLE average amount of care provided per week, by your council average paid per hour by your council, 2014-15 average paid per hour in your region if you pay for your own care, 2016 Residential care What is residential care? You live in a care home that provides round-the-clock support with everyday tasks. How your council helps with care Average contribution per week Paying for yourself TBC pay for their own care Nursing home care What is nursing home care? You live in a care home which provides round-the-clock support for everyday tasks and nursing care. Depending on your medical needs, the NHS may contribute to your costs. How your council helps with care Average contribution per week Paying for yourself TBC pay for their own care Who gets help? How is your contribution decided? Your home Savings, investments and income are assessed, along with the value of your home - unless you or a close relative live there. Will I have anything left? Want to know more? Around the UK The future of care Useful links Colin Angel, of the UKHCA, said another £500m needed to be invested in the market to bring the fees up to a sustainable level. "Underfunded home care is an urgent situation, which must not be allowed to continue," he added. A Department of Health spokeswoman said the government was "committed" to providing high quality and dignified home care. She said money was coming into the sector through the Better Care Fund, which is largely funded by the NHS to encourage joint working between councils and the health service. Local authorities have also been allowed to increase council tax by 2% a year this Parliament to pay for social care - although councils have claimed this is not enough to plug the shortfall in their care budgets because of the wider squeeze on their funding. A Local Government Association spokesman added: "The market for publicly-funded care is simply not sustainable as it stands." Read more from Nick Follow Nick on Twitter