16 December 2017

FOI replies reveal vulnerable pensioners at risk of poor outcome under care home funding lottery - Royal London

4 min read

 
Steve Webb - Director of Policy

Steve Webb

Director of Policy, Royal London

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Freedom of Information replies from local authorities the length and breadth of England reveal a care funding ‘lottery’ which could leave vulnerable pensioners losing out, according to new research by mutual insurer Royal London.

Royal London sent FOI inquiries to the 150 English local authorities with responsibility for funding social care and has received information from over 125 to date. The replies show a huge variation not only in the amount councils are willing to pay towards care home costs, but the extent to which people have to ‘haggle’ with their local authority to get a good deal. Where elderly people enter care in a ‘crisis’ situation and do not have family members to advocate on their behalf, this process of negotiating care fee packages could leave the vulnerable elderly losing out according to Royal London.

The research identified three different approaches taken by local authorities to funding care.

Authorities which have a fixed ceiling for care home funding which they will not exceed, regardless of actual care costs. Examples include:

  • Blackpool, which will not exceed a fixed limit of £476 per week
  • Bury, which has a standard fee limit of £460 per week;
  • Hartlepool, which will not go above £521 per week;
  • Luton, which has a limit of £735 per week which it will not exceed for ‘in-borough’ placements;

Authorities which have a published ceiling but which regularly exceed it on a case-by-case basis. Examples include:

  • Oxfordshire, which has a stated rate of £493 per week for residential care but breaches this in 94% of cases;
  • Poole, which says it will pay £490 per week for care home places, but exceeds this limit in 84% of cases;
  • Solihull, which says it will pay £549 per week, but exceeds this limit in 74% of cases;
  • Sandwell, which says it will pay £408 per week (or £459 for those with dementia), but exceeds this limit in 56% of cases;

Authorities which say they have no set fee limit but negotiate each placement on a case by case basis. These include:

  • Buckinghamshire, which says it has no set rate;
  • Cornwall, which says it does not operate a ‘tariff’ system but funds on an individual basis;
  • Croydon, which funds on an individual basis ‘according to need’;

In all, roughly one third of councils had a fixed limit which they never (or rarely) breached, around half had a limit which they routinely breached, and the remaining one sixth said everyone was treated on a case-by-case basis.

Commenting on the findings, Steve Webb, Director of Policy at Royal London said:

We have uncovered a disturbing patchwork of support for people needing residential care, which varies hugely depending on where you live. The most worrying variation is the extent to which residents are expected to haggle with the council in some parts of the country. Whilst responding to individual needs and circumstances sounds like a good thing, it is very likely that older people who have vocal family members to support them will be able to strike a better deal. Local authorities must be very careful to ensure that they do not take advantage of the poor bargaining power of vulnerable elderly people, leading them to accept the cheapest care provision rather than the most suitable”.

- ENDS -

For further information please contact:

Steve Webb, Director of Policy, Royal London

About Royal London:

Royal London is the largest mutual life, pensions and investment company in the UK, with funds under management of £117 billion, 8.8 million policies in force and 3,745 employees. Figures quoted are as at 30 June 2018.