Over the last two years the CQC has been working towards ‘full chargeable cost recovery’ for most providers, including NHS trusts, care homes, general practices and dental services, fulfilling the government’s commitment to reduce grant-in-aid funding to public regulatory bodies.
The exception has been providers of community adult social care (which includes care in people’s own homes). The CQC's new consultation sets out the third year (of four) towards ‘full cost recovery’ for this sector.
In addition to considering the appropriate way to increase fees to providers of community adult social care, the CQC's proposals also look at the structure of the overall fee scheme, to ensure that fees are charged and distributed proportionately. The options being consulted on over the next three months could result in changes to what individual providers and services in three sectors are required to pay:
- For NHS trusts, by moving away from the current fee bandings, the proposals could see 75% of individual trusts paying reduced fees and the largest 25% seeing an increase.
- For NHS general practices, the proposals could see fees being calculated by registered patients (list sizes) rather than number of ‘registered locations’. Broadly, NHS general practice providers that have a below average list size could pay a lower fee, while those with a higher list size could pay a higher fee.
- Community adult social care providers could see around 70% of (mainly smaller) providers paying lower fees and around 30% higher fees.
The consultation will run until midday on Thursday 18 January 2018.
Find out more and have your say by clicking here.
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