Item 8 Charging Policy for Non Residential Care Services 2025_26
West Dunbartonshire Council · 5 March 2025
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WEST DUNBARTONSHIRE COUNCIL Report by Chief Officer - Health and Social Care Partnership (HSCP) Council: 5 March 2025 Subject: Charging Policy for Non-Residential Care Services 2025/2026 1. Purpose 1.1 To present an overview of the proposed changes to West Dunbartonshire Council’s Charging Policy for Non-Residential Care Services 2025/26 for consideration and approval. 2. Recommendations 2.1 It is recommended that Council: Approves the following amendments to the 2025/26 Charging Policy for Non- Residential Care Services after consideration of the consultation outputs and current guidance: i. Strengthening of current policy wording around the inclusion of partners earnings when undertaking a Financial Assessment, to remove current ambiguity; ii. Set Minimum Income Thresholds for a single person or couple based on being either under state pension qualifying age or over pension qualifying age; iii. Agree that people who are in receipt of Independent Living Fund (ILF) will be subject to a Financial Assessment and may be required to make a contribution to their care package; iv. Increase the current percentage taper on disposable income, in excess of the Minimum Income Threshold from 50% to 75%; and v. Retain the maximum weekly charge for services which will increase by 5% to £90.50 in 2025/26. 3. Background 3.1 Levying charges for some non-residential social care services is common practice across Councils and forms part of the delegated budget to the Health and Social Care Partnership (HSCP) Board. While the income derived from charging forms part of the delegated net budget, the legal authority to levy and set charges remains with the local authority. 3.2 Since the introduction of the Community Care & Health (Scotland) Act 2002, the Convention of Scottish Local Authorities (COSLA) has produced annual guidance which defines a set of principles to underpin the development of local charging policies for social care support for people at home. 3.3 The levying of non-residential charges was addressed within “The Independent Review of Adult Social Care” report published in February 2021. In March 2021, ITEM 8
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the Scottish Government and COSLA published a Joint Statement of Intent on how they would work together to deliver on the Review’s recommendations. This included agreement on: “an end to charging for non-residential services as soon as possible”. 3.4 The current Charging Policy was approved by Council on the 9th March 2022. At this time the Council agreed to remove thresholds of income based on age and to remove charging for Independent Living Fund service users. This approval was on the understanding, that charging for social care support was to be abolished by the Scottish Government and Council funding increase to cover the ability to raise income from charging. 3.5 While the abolition of charges remains a joint intent, there is no clear timeline for this, especially in light of national budgetary pressures. Locally, the changes made in 2022 have been revisited via consultation undertaken in October 2024 and the revised policy changes recommended for approval in section 2.1 above, reflect the consultation output as well as remaining consistent with COSLA guidance. 3.6 The proposed changes to the Charging Policy should also aid in reducing the current under-recovery of income from non-residential charges forecasted in 2024/25 as circa £0.465m (flat-rate charges for day centre places and community alarms are £0.408m under-recovered and means-tested support charges are £0.057m under-recovered) against a budget of £1.405m (flat-rate charges budget is £1.003m and means-tested support budget is £0.402m). However it should be noted that £0.286m of the current projection relates to reduction in income from community alarms after a significant data cleanse and providing only personal care services for those eligible for care at home support. 3.7 Each year income thresholds are increased in line with the Department of Work and Pensions (DWP) rates and actual charges levied are updated to in line with Council decisions on the annual percentage uplift to sales, fees and charges. In 2023, a 4% uplift was agreed by Council on the 15 March 2023. In 2024, a 10% uplift was agreed by Council on the 28 March 2024. 3.8 On the 18 December 2024, the Council agreed a 5 % uplift on charges across the Local Authority. The 2025/26 Charging Policy (attached at Appendix 2) schedule of rates has been updated to reflect this uplift. 3.9 The 2025/26 revised Charging Policy continues to comply with COSLA’s latest guidance. West Dunbartonshire Council’s Charging Policy’s main aims are to: a) Provide a consistent, fair and transparent framework for charging; b) Recover appropriate costs of service provision; c) Maintain essential services; and d) Maximise the income of service users and their carers.
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4. Main Issues 4.1 As stated above, the Council has the legal power to set and levy charges. Therefore any material changes made to the Charging Policy must be considered and approved by Council and are summarised in the recommendations at section 2.1 above. 4.2 Further details on the proposed changes are provided in the sections below. With the exception of the “inclusion of partners earnings”, the other proposals, if accepted would align to the current guidance and improve the robustness of the financial assessment process by reflecting the impact age related benefits have on a service users ability to contribute to an element of the cost of their care. 4.3 The application of the Minimum Income Threshold and the change to the taper from 50% to 75% will increase the level of income being collected from charges by circa £0.300m and help to reduce the current shortfall as set out in section 3.6 above. 4.4 The 2022 revision to the current charging policy removed people in receipt of Independent Living Fund from any non-residential charges for HSCP services, in recognition that they may make a contribution to their ILF package. However, as stated in section 3.4 above, the 2022 recommendations were approved against the expectation that social care charges would soon be abolished. The maximum service user contribution to their ILF package has remained frozen since 2021 at £43 per week but all social care charges for HSCP delivered services has increased annually. The current weekly maximum charge is £86.20, rising by 5% to £90.50. This is a significant difference and the proposal below seeks to address this. Inclusion of partner earnings 4.5 In September 2023, it was identified that there was an error in the formatting of the Charging Policy 2023/24. This led to ambiguity and an inconsistency regarding the inclusion of a partner’s earnings when undertaking a Financial Assessment. The 2024/25 policy was corrected, however the change requires to be ratified by Council. 4.6 COSLA guidance states “Where one member of a couple is in receipt of social care support at home, most Scottish Local Authorities take account of the joint income and capital in the financial assessment”. 4.7 The 2022/23 Charging Policy, section 14.1 stated “where a service user or their partner is in receipt of earned income, only net earnings are considered, and a minimum earnings disregard of £20 is applied. For example if someone earns £100 after tax then the council would take £80 into consideration when undertaking a Financial Assessment”. 4.8 This sentence is consistent with COSLA guidance that a partner’s income should be considered as part of the supported person’s overall Financial Assessment.
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4.9 However, the inconsistency arises in section 14.2 “Income which will be disregarded” that lists “partner’s earnings” are to be disregarded. This formatting error was contradictory to the intention set out at section 14.1 above and led to confusion when undertaking a Financial Assessment. 4.10 Subject to Council approval, the 2025/26 Charging Policy has been updated to remove “partner’s earnings” from the “disregarded list” as set out in Recommendation 2.1 (i) above. Minimum Income Thresholds, Independent Living Fund, Tapers and Maximum Charge 4.11 In late October 2024, a range of stakeholders including; members of the public, service users, their carers, partner organisation’s and HSCP operational services were engaged in three separate face to face consultation events held in Clydebank and Dumbarton, to review, comment and challenge four significant proposed changes to the current charging policy. 4.12 These changes and their impacts are summarised in Table 1 below and approvals to implement them are set out in Recommendation 2.1 (ii) to (v) above. Table 1: Summary of Proposed Changes Consulted On Proposed change Current procedure Impact Add in upper limits based on age for Minimum Income Thresholds. If a service user income is below £273 per week and they are single, and are any age, then there is no requirement to pay. If a service user lives as a couple and is any age, and their income is less than £417 per week, then there is no requirement to pay. If the service user was of pension age and single, the threshold of income the service user would need to reach before they would pay a charge would be £273 per week, for a couple it would be £471. If the service user is between 18 year old to pension age and single the limit would be £167 and for a couple it would be £254. This means the younger you are the less income needs to be brought into the household before the service user would pay a charge.
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Re-instate Financial Assessments for ILF service users, to assess if they could contribute towards chargeable services to equate their maximum charge to that as non-ILF service users? A service user who is in receipt of Independent Living Fund (ILF) and makes a weekly contribution (which is set at a maximum of £43/week, unchanged since 2021) directly to ILF Scotland is exempt from further charges under the Council’s Charging Policy. After financial assessment a service user in receipt of ILF may be charged up to a maximum of £47.50. I.e. the difference between the Council’s Charging Policy maximum charge of £90.50 - £43.00. Decrease discount from 50% to 25%. Also referred to as increasing the Taper from 50% to 75% A discount or taper of 50% is applied after deducting housing costs, income and weekly living costs. Decrease the discount from 50% to 25% meaning the individual would receive 25% discount. Removal of a maximum charge for means tested services. The maximum charge is £86.20 for means tested services for 2024/2025. This will rise to £90.50 in 2025/26. The individual would pay the full cost of the service. 4.13 At the consultation sessions, attendees were presented with the proposed changes to the Charging Policy and the implications for the supported person, their partner where relevant, carers as well as the future of social care services in a challenging public sector financial landscape. These were considered in officer facilitated roundtable discussions who provided additional detail to stakeholders where required. Appendix 1 details the extensive feedback from these three public sessions. 4.14 In summary Table 2 below details the general consensus on the proposed changes. Table 2: Summary of feedback at public consultations 4.15 A survey was created to capture the views of those who could not attend the face to face public consultation events. The survey was sent out via the Council’s Facebook page, HSCP Twitter page, partner organisations and HSCP operational managers. 4.16 Table 3 below summaries the feedback from the survey of which 43 responses Proposed change Feedback Add Minimum Income Thresholds based on age General agreement in implementing this proposed change. Increase taper General agreement in implementing this proposed change. Charge ILF service users General agreement in implementing this proposed change. Removal of a maximum charge. This would mean that those who are able to pay would pay full cost recovery of the services they receive. There was a consensus across all three sessions that this proposed change should not be implemented.
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were received. Detailed feedback from the survey can be found in Appendix 1. Table 3: Summary of feedback from online consultation Proposed change Feedback Add Minimum Income Thresholds based on age 34 responses from the survey stated they disagreed with implementing this change. 8 agreed to the change. Increase taper 31 responses from the survey stated they disagreed with implementing this change. 11 agreed to the change. Charge ILF service users 9 responses from the survey stated they disagreed with implementing this change. 33 agreed to the change. Removal of a maximum charge. This would mean that those who are able to pay would pay full cost recovery of the services they receive. 28 responses from the survey stated they disagreed with implementing this change. 15 agreed to the change. 4.17 The online survey results differed from the overall general consensus of support gathered at the face to face sessions. One of the main reasons for this is likely to be that the face to face sessions included detailed presentations from officers on the policy landscape of charging, the principles of the COSLA guidance, how this is reflected in neighbouring local authorities non-residential charging policies, self- directed support legislation and working through detailed examples of how the changes would impact on supported people across age ranges and differing financial circumstances. 4.18 The feedback within the online survey was mainly negative towards the proposed changes. However, based on the comments provided by the public, it could be concluded that the responses provided revealed a general disagreement with principles charging at all for social care services. This is not unreasonable given the raised expectations given by the joint intent statement by COSLA and the Scottish Government to remove social care charging. However, this must be balanced against the challenging financial landscape for both the Council and the HSCP. The proposed changes to the 2025/26 policy do not contradict current COSLA guidance and are broadly reflective of neighbouring local authority’s non- residential policies which strive to be fair and consistent across all those eligible of social care services. 4.19 Allowing for the added benefits of the three face to face consultation events and compliance with COSLA guidance, the Council is asked to consider the following recommendations detailed in Table 4 below and set out in section 2.1 above: Table 4: Summary of Recommended Changes Proposed change Recommendation Add Minimum Income Thresholds based on age Approve Increase taper Approve Charge ILF service users Approve
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Removal of a maximum charge. This would mean that those who are able to pay would pay full cost recovery of the services they receive. Reject 4.20 Dependent on the outcome of the Council meeting on the 5 March 2025, the revised draft Charging Policy 2025/26, contained within Appendix 2 may require to be updated to reflect any material changes agreed. 5. Options Appraisal 5.1 Options on how the proposed changes could impact on supported people, dependent on individual circumstances were provided at the consultation sessions. 6. People Implications 6.1 Any known people implications are covered throughout this report. 7. Financial and Procurement Implications 7.1 The income received from levying charges forms part of the net funding contribution made by West Dunbartonshire Council to the HSCP Board for services delegated, as set-out in section 3.6 above. The HSCP finance team have been working through a range of scenarios based on the proposed changes. Excluding those in receipt of ILF, which is shown below, it is projected that the changes to calculation thresholds and tapers for means-tested charges, coupled with the 5% increase in the maximum charge could increase income collected by approximately £0.300m, subject to new financial assessments and maximisation of income calculations being undertaken in 2025/26. 7.2 There are currently 71 service users in receipt of ILF funding. Of this total, 60 of those service users currently pay ILF Scotland a charge towards their care package, up to a maximum of £43/week. Given the HSCP does not current financial assessment information for those ILF service users, it is not possible to accurately predict how much additional income may be raised. It would be dependent on other services provided e.g. flat-rate charges for day care places or means-tested social support. If after applying the Minimum Income Threshold and the 75% taper, if a person in receipt of ILF had the financial means, the maximum additional charge that could be levied under the proposed 2025/26 Charging Policy would be £47.50/week or £2,470 per annum. 8. Risk Analysis 8.1 Failure to implement a revised Charging Policy, reflective of current guidance, could leave the Council and HSCP exposed to reputational risk. 8.2 There is a risk that if agreement is reached to abolish non-residential charges, any replacement funding from the Scottish Government could fall short of the loss of income from charges levied. This would have a detrimental impact on the HSCP’s delegated net budget and could require the Council to increase their contribution.
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9. Equalities Impact Assessment (EIA) 9.1 An Equalities Impact Assessment (EIA – 1210) has been undertaken and is provided within Appendix 3. 10. Consultation 10.1 Three public consultations took place held on the 21, 29 and 30 October 2024 across Clydebank and Dumbarton. The session held on the 21 October was open to partner organisations and HSCP operational services only and the sessions on the 29 and 30 October were open to members of the public, partner organisations and HSCP operational services. 10.2 The two public consultations were promoted via Twitter and Facebook, and partner organisations and operational managers within HSCP were asked to share with their service users. 10.3 The partner organisations and HSCP operational services invited to the three sessions were; Carers of West Dunbartonshire; Improving Lives; Shop Mobility; Glasgow Disability Alliance; HSCP Adult Day services Mental Health Network Greater Glasgow and Clyde; Golden Hands of Friendship; Kinship Carers; HSCP Learning Disability service; Adult Social Work team; HSCP Self-Directed Support Team; HSCP Mental Health services; and HSCP Addiction services. 10.4 On the 21 October, ten service users and/or carers attended with representatives from Carers of West Dunbartonshire. HSCP staff facilitated this session. 10.5 On the 29 October, six members of the public attended, with members from Improving Lives, Mental Health network and elected members attended. HSCP staff facilitated this session. 10.6 On the 30 October, seven members of the public attended, with members from Kinship Carers, Shop Mobility and Glasgow Disability Alliance. HSCP staff facilitated this session. 10.7 An online survey was created to capture the views of those who could not attend the face to face public consultation. The survey was sent out via West Dunbartonshire Council Facebook page, HSCP Twitter page, partner organisations and HSCP operational managers. This survey closed on Monday 6 January 2025.
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11. Strategic Assessment 11.1 The Council’s Long Term Financial Plan contains projections on income raised from Sales, Fees and Charges that will increase based on annual uprating to account for inflationary pressures. 11.2 The Charging Policy will provide a consistent, fair and transparent framework for charging and does not inhibit any of the key strategic priorities of the Council. Name: Beth Culshaw Designation: Chief Officer, West Dunbartonshire HSCP Date: 5th March 2025 Person to Contact: Julie Slavin Chief Financial Officer West Dunbartonshire HSCP Email: Julie.Slavin@ggc.scot.nhs.uk Appendices: Appendix 1: Detailed feedback from public engagement Appendix 2: Draft Charging Policy 2025/2026 Appendix 3: Equalities Impact Assessment Background Papers: COSLA-Social-Care-Charging-Guidance-2025-26-2.pdf Wards Affected: All Council Wards