Keep Us Hanging On

Care England, the largest representative body for independent providers of social care, has again expressed its disappointment about the conduct of some Clinical Commissioning Groups (CCGs) and Commissioning Support Units (CSUs). 

Professor Martin Green OBE, Chief Executive of Care England says:

“The system simply fails to hold CCGs, or CSU’s as their agents, to account.  If the care sector is to plan efficiently to provide the necessary high quality care it is unfathomable as to how this can happen with such poor communication, uncertainty and of course negligible or zero uplifts”.    

With the Green Paper on Social Care looming it has never been more apparent the strain that the health and social care sector is under.  A degree of professionalism is therefore needed from Local Authorities and CCGs where fee offers are made promptly at the beginning of the financial year rather than a month, or two, or more, later.

Whilst many fee rates for 2018/19 remain a mystery, a few LAs and CCGs have issued notices about what they will pay for care home placements this year. Of those known, there is already a worrying trend of rates not keeping pace with rising costs - putting increasing pressure on an already fragile care market. There have been particular instances of poor communication from the CSU and CCGs with providers in the North West.

Despite pleas, once again care homes are left unsupported and have no option but to be in receipt of late notification on the outcome of the CSU’s decision on CHC fees for the financial year 2018/19. 

Martin Green continues:

“We have always urged our members to work with CCGs but if this doesn’t cut both ways with meaningful engagement it may be too late and the bottom will fall out of the market leaving untold repercussions on the NHS”.


Notes to editors:

  1. Care England is the largest representative body for independent providers of adult social care
  2. Care England works to ensure that care services are commissioned fairly, efficiently and on a properly funded basis, to meet the true costs of providing quality care.  A Care England survey in July 2017 noted that 45% of providers are projecting to take on less Local Authority placements over the next 3 years due to low rates being paid by councils
  3. For Care England press enquiries related to this release, please contact Antonella Corby (020) 7492 4843 or email
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