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Supporting health and social care providers in Devon

Cost of Care: Devon provider engagement

Cost of Care

The cost of care exercise taking place over the last few weeks has now closed and no new submissions will be accepted. If you submitted your return before the 7th August deadline, and your return is in query, then you can still amend the return and re-submit it. If you need advice on completing the return, you can email

We’d like to thank all providers who have contributed to the returns or attended our drop-ins to give verbal feedback on the exercise.

Cost of Care Next Steps

We are now working on validating and analysing provider returns from the cost of care which we expect to take until mid September. In the course of this we may contact some providers for clarification of their submissions. We will also begin work on the Market Sustainability Plan, which is a key document required from the cost of care exercise which will be submitted to DHSC in draft form in October 2022, with a final version due in February 2023. The purpose of the market sustainability plan is for local authorities to assess and demonstrate how they will ensure local care markets are sustainable, as they move towards implementing reform. You can read more about the market sustainability plan HERE . We will be engaging with providers on the Market Sustainability Plan in the coming weeks, so please look out for alerts via the PEN.


The Local Government Financial Settlement on 16 December set out additional funding available for councils to support reform and “move towards paying providers a fair cost of care“.

Devon County Council is required to meet the Conditions for access to Fair Cost of Care funding for our area. We must submit a return to the Department of Health & Social Care (DHSC) by 14 October 2022 that includes Cost of Care exercise results for Residential and Nursing Care for people aged 65+ and Home Care for people aged 18+, and we have local discretion on whether to use this approach for other markets.

The Cost of Care exercise means we are surveying local providers to determine a sustainable fee rate and the results need to be comprehensive, accurately reflect local costs and appear in the public domain. We are using the Home Care Cost of Care Toolkit provided by ARCC-HR Ltd and the Care Cubed toolkit provided by iESE for care homes.

Devon County Council is also required to produce a Market Sustainability Plan. This is a three year (2022-25) strategic plan on how councils will meet local need which should consider current challenges and future circumstances, new models of care, existing fees, the cost of care exercise and the move to sustainable fee rates.

Provider participation

Devon County Council is committed to getting this right for Devon as it will impact people who access services,  independent providers and the social care workforce.

We have established a Provider Steering Group for all Markets and Task & Finish Groups for care homes and domiciliary care.

Online sources of support

Background and policy

The ‘People at the Heart of Care’ adult social care reform White Paper includes information on funded proposals the Government will implement over the next three years.

The Government has published this Policy on Market Sustainability and the Fair Cost of Care Fund.

The County Council Network (CCN) has published a preparing for reform report.

The Local Government Association’s Care and Health Improvement Programme (CHIP) have also produced ‘Fair Cost of Care: update support and guidance’

Here are Cost of Care background slides which were shared at the Steering Group and Task and Finish group.

The Department of Health and Social Care (DHSC), CHIP and the Care Providers Association are also working together to produce detailed FAQs and practical implementation guidance, to be shared soon.

Domiciliary care 

Here is the ARCC-HR Ltd Cost of Care Toolkit produced in partnership with the Local Government Association (LGA) for domiciliary care.

ARCC-HR Ltd have produced a Cost of Care Toolkit Support website which includes regularly updated FAQs and videos.

Provider support email to ARCC-HR Ltd

Care homes

Here is iESE’s Care Cubed Cost of Care Toolkit for care homes. iESE have also produced a Cost of Care awareness pack including guidance and useful videos.

YouTube video by iESE on How-To Data Entry Video for Care Providers – Fair Cost of Care Tool – YouTube.

If you have a question on the Cost of Care tool please contact

A quote from Wade Newmark from The Dales and Hay House 

“ For the first time in over a decade we have a chance to tell the government how much it costs to provide care to our residents. The commissioners have been wholly supportive of this initiative so let’s not miss this chance to have our say”


  • 13 June to 19 August 2022: Devon County Council to support Providers to complete the Cost of Care Tool. This will include continued engagement, communications via our PEN Newsletter and PEN website and direct contact with providers.  Closing date for all tools is the 31 July 2022
  • End of August 2022: Analysis of the outcomes and obtain a median of Fair Cost of Care rates for Domiciliary and Care Homes.
  • September 2022: Briefings with Councillors on findings and the development of the Market Sustainability Plan (MSP) for Central Government.
  • 14 October 2022: Cost of care prices for Devon and a market sustainability plan to be  submitted to the Department of Health and Social Care.
  • October 2022: To communicate findings with providers, ECA and relevant organisations.

We have put together responses to the most common questions received from local authorities, care providers and partners; please see the link to the below page which shows these questions and responses and aims to support those involved in Fair Cost of Care Fund exercises to work together to obtain a robust picture of local costs of care and meet the Department of Health and Social Care grant conditions. This information can be viewed and used by anyone involved, in whatever capacity, in FCC exercises conducted as part of the Market Sustainability and Fair Cost of Care Fund: purpose and conditions 2022 to 2023 and in accordance with the Market Sustainability and Fair Cost of Care Fund 2022 to 2023: Guidance. The responses have been created by the Care and Health Improvement Programme (CHIP – jointly delivered through ADASS and LGA) and the Care Provider Alliance (CPA), in consultation with DHSC.

Please read: Important Cost of Care Letter with links to live events.

These are now live here: Fair Cost of Care FAQS

You may also want to view the recording of our session focusing on provider engagement: Recording of LGA, CPA & ARCC Commissioner Webinar – Provider Engagement 29th June 2022

Provider support video.

Other useful email addresses

Managed by Department of Health and Social Care, for clarification about the policy, guidance or funding conditions

Managed by Care Provider Alliance, predominantly for use by care providers colleagues

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