Spending for high acuity dementia services

Under the Freedom of Information Act, I would like to request the following information regarding placements and spending for high acuity dementia services. 

1. Who within the Local Authority (LA), has the commissioning responsibility for specialist nurse-led care home placements for older people (aged 65+)
Please provide their:

a. Name
b. Job title
c. Telephone number
d. Email address

This information is exempt from disclosure under Section 40(2) of the Freedom of Information Act 2000 (Personal Data). 

Devon County Council can confirm the requested information is held; however, the Council cannot disclose personal information if releasing it would contravene any of the provisions in the UK General Data Protection Regulation. In this instance release of this information would contravene the first data protection principle and therefore the information is withheld.

Please direct queries to: socialcarebusinessrelations-mailbox@devon.gov.uk.

2. Does the LA categorise dementia care placements using the Seven-Tiered Model of Service Delivery for Behavioural and Psychological Symptoms of Dementia (BPSD), where Tier 1 indicates no dementia and Tier 7 represents very severe BPSD requiring secure specialist inpatient care?

No.

3. If not, what framework or criteria does the LA use to categorise differing levels of complexity in dementia care placements?

A tiered framework approach is being developed by Devon Council to assess and appropriately measure levels of complexity and need.

4. Please provide the total number of older people (aged 65+) with dementia, funded by the LA, receiving nursing care in a care home, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the

a. Under £2,000 per week
b. Over £2,000 per week

5. Please provide the total number of adults (aged 18-64) with a primary need of dementia (including early-onset dementia), funded by the LA, receiving long-term nursing care in a care home, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the following weekly fee bands

a. Under £2,000 per week
b. Over £2,000 per week

6. Please provide a list of all providers with which the LA is funding older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week.

Please provide the list of providers as of 30th April 2025.

7. Please provide a list of the five providers with which the LA is funding the largest number of older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week.

For each of the top five providers by volume of older people, please provide the number of older people funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.

8. Please provide a list of all providers with which the LA is funding adults (aged 18-64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the cost of care exceeds £2,000 per week

Please provide the full list of providers as of 30 April 2025.

None.

9. Please provide a list of the five providers with which the LA is funding the largest number of adults (aged 18-64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the weekly cost of care exceeds £2,000.

For each of the top five providers by volume of services users, please provide the number of service users funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.

None.

10. During the financial year 2024/25, how many out-of-area placements did the LA make for older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeded £2,000 per week?

3.