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Commissioning Care Special Report - Key policy developments

7 mins read Social Care
Children's care commissioning is being made harder by a shortage of placements that is driving up costs to councils and has prompted action by policymakers to develop more regional collaboration.
Good partnership working can help commissioners ensure children's needs are met. Picture: AdobeStock - PEOPLEIMAGES.COM/ADOBE STOCK

The longstanding tension between local authorities and care providers over fee levels shows little sign of abating.

Research by Mutual Ventures into the view of local authority commissioners found some believe independent provider fees are “expensive, inflexible and unjustified” and there was a perception they are reluctant to accept children with complex needs, and if they do “they may insist on blocking out additional beds or increasing the number of staff per child, at the authority's expense”.

Evidence gathered by the Local Government Association (LGA) earlier this year found that the number of “high cost” placements had risen from around 100 a decade ago to 1,500 now. High-cost placements are deemed to be those that attract fees of more than £10,000 a week or £250,000 annually.

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