Care Homes for Older People

COSLA, Scotland Excel, Scottish Care, CCPS, Care Inspectorate, Scottish Government, and other key stakeholders have made significant progress in advancing the quality agenda for the care home sector. We have collectively looked to enhance the quality of care being provided within care homes and to deliver consistency, efficiency, fairness and stability in the contractual relationship between commissioners and providers of care.

Since 2006, we have had a National Care Home Contract (DOC, 253Kb) in place, which defines the terms of local authority placements into private or voluntary sector care homes. The fee structure of local authority placements is negotiated annually between COSLA,  Scottish Care and CCPS with the 2017/18 fees being set at £667.09 for nursing care and £574.42 for residential care from 10th April 2017. The NCHC also applies a payment for quality agenda, to ensure that a system of reward is retained for best practice with penalties being applied to poorly performing homes.

COSLA, Scottish Care and other partners last reviewed the National Care Home Contract in 2013, a further review is currently underway.  The contract is not updated annually, changes are identified in a Minute of Variation, see the latest version from April 2017.

Diminishing public finance has placed local authority budgets under real pressure but by the same token, inflationary pressures are creating significant challenges for providers. We also want to develop an outcomes based approach, stimulating new types of service provision within the residential sector, including step-up and step-down care.