This section provides information about services commissioned by Manchester Adult Social Care.

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Fair cost of care

The Government’s Department of Health and Social Care (DHSC) asked all local authorities responsible for adult social care to survey care homes for older people and home care services in their area about the costs of providing their services. The specific reason for carrying out these surveys in 2022 was the plan to change the statutory framework for adult social care in ways which would entitle anyone needing care home accommodation to ask the local authority to contract for this, regardless of their financial circumstances. After the survey was completed, and the results submitted to DHSC, it was announced that those reforms would be deferred for two years, and we are not certain whether they will now proceed in their original form.

The Council submitted in October 2022 the documents required by DHSC summarising the results of the “fair cost of care” survey and explaining its current plans for assessing the fees required to sustain care homes and home care services. The submitted documents are available below. The Council are now publishing these documents in line with the revised guidance , since it understood that DHSC wished to review the submissions before publication, to ensure that the calculations included in them were robust and based on good quality evidence. Following the decision to defer the planned reforms, DHSC told local authorities they should publish their submitted survey findings by 1st February 2023 without waiting for approval of the documents.

The Council are also required to complete a Market Sustainability Plan. DHSC stated that the purpose of the plan is for local authorities to assess and demonstrate how they will ensure local care markets are sustainable, as they move towards implementing reform. DHSC have told us that we must produce a final Market Sustainability Plan on a different basis following the delay of the reform; we do not yet have final details of their expectations for that. They have also indicated that they may still ask some local authorities to review the documents about the survey that they have submitted. So far we have had no indication that they will ask us to review the documents below, but we will publish revised versions on this page if DHSC contact us and we conclude that we should make changes.

As explained in the documents about this exercise, our conclusion was that, while the surveys provided useful information about the costs of services, there were too many issues about the data for it to act directly as a guide to future fee levels. Our understanding is that a similar conclusion was reached by many other local authorities, though varying assumptions were made about how best to calculate the figures returned to DHSC.

Explanations of how these figures were calculated are included in two separate documents, one covering the survey of older people’s care homes, the other the survey of home care services. The Council is currently reviewing the 2023/24 adult social care fee rates as part of its Annual Price Review Process and will utilise any dedicated funding from the DHSC to support inflationary increases to these rates. Once its budget is approved in March 2023, the Council will notify all care providers of any increases to the 2023/2024 fee rates. The Council’s intended approach to setting fees in future will also be outlined in the Market Sustainability Plan due to be finalised and published by 27 March 2023.

See also Manchester Provider Adult Policies, Procedures and Practice site for domiciliary and residential services.

Commissioned services include:


Age UK Specialist Day Care for over 55s

Dementia Respite and Assessment Service

Dementia Support e.g. Alzheimers, MCF Admiral Nursing

Extra Care Housing


Housing-Related Support

Housing Support e.g. Care and Repair

Independent Statutory Advocacy – The Manchester Advocacy Hub

Manchester City Council Neighbourhood Apartments

Policy Support (Breakthrough)

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