Adult social care providers

Providers are recommended to regularly review these pages.

In this section:
Market sustainability and fair cost of care

Market sustainability and fair cost of care

On 16 December 2021, the government announced the Market Sustainability and Fair Cost of Care Fund. The purpose of the fund is to support councils to move towards paying providers a fair cost of care and to prepare their local markets for the adult social care reform, such as the introduction of the £86,000 cap on care costs. The care cap takes effect from October 2023 and will mean that no one in England will have to pay more than this sum towards meeting their care costs in their lifetime.

Fair cost of care exercise

We are required to complete a fair cost of care exercise, so that we can:

  • arrive at a shared understanding with providers of the local cost of providing care
  • see how far away, on average, providers' current rates are from the fair cost of care
  • to create and publish a market sustainability plan, which details how we plan to move towards a fair cost of care (where this is not already being paid).

Please note: For the purposes of the exercise, the Department of Health and Social Care (DHSC) consider 'fair' to mean the median actual operating costs for providing care in the local area (following completion of the exercise). 'Fair' also means what is sustainable for the local market. This is, on average, what Councils are required to move towards paying providers.

Our ambition is for as many providers to engage in this exercise as possible. This is your opportunity to put across the actual costs of delivering care in Hillingdon. We would encourage any provider, regardless of whether they contract with the council, or not, to participate in the exercise.

The 65+ care services involved in this exercise are:

  • standard residential care
  • residential care for enhanced needs
  • standard nursing care
  • nursing care for enhanced needs

This exercise and the funds being made available to councils are designed to support:

  • preparation by councils of their markets for reform, including the further commencement of Section 18(3) of the Care Act 2014 in October 2023
  • councils moving towards paying provides a fair cost of care.

Domiciliary care

The process for domiciliary care has already begun following release of the LGA Domiciliary Care ToolKit and we encourage all providers to read through the guidance and seek support from the council - contact email below.

Domiciliary care providers should complete and return the toolkit by Sunday 26 June.

Important: Please ensure your submission is based on 2022/23 (actual) costs; please do not base your submission on desired or future costs.

Visit the ARCC website for resources, guidance and support to model the cost of homecare services.


Care homes

The iESE Fair Cost of Care tool for care homes is now live and available to download and use for free. The tool is based on the CareCubed platform (formerly Care Fund Calculator) already available.

The completion of this tool is a significant step in determining what is a 'fair' local cost of care and assisting us in understanding what is required to work towards this. All care homes are, therefore, strongly encouraged to participate and complete the tool for their home by Sunday 26 June.

For a range of helpful documents and videos to get you started in the fair cost of care tool, use the Fair Cost of Care Awareness Pack For Care Providers

Please note: The iESE tool will be the only tool Hillingdon Council will be using to complete the Fair Cost of Care exercise.

Log into iESE

Residential care provider drop-in sessions

iESE has arranged some residential care provider drop-in sessions regarding their Fair Cost of Care toll. There's no need to book, providers can just select the relevant link below to join the meeting on that date's session.


Help and support

Page last updated: 13 Jun 2022