Case Studies

Our customers span commissioning organisations, care providers and self funders.  We’ve worked with more than 100 NHS and local authority organisations, and 1,300 providers.

Kirklees Council and Kirklees CCG

Kirklees Council and Kirklees CCG have purchased software that will enable practitioners to build individualised care plans that detail the number of shared care hours, 1 to 1 hours, therapies and  specialist equipment which then calculates a value for money price based on service type and location.
To ensure the generated price represents a true reflection of provider costs a cost of care review was completed with an invitation offered to all CQC registered providers in the area to participate. The software goes live on the 12th April 2021.

Worcestershire Council - Independent review of existing information December 2020

Worcestershire County Council are undertaking a transformation programme which includes a review of the prices paid for generic home care services and older people residential services. The Council commissioned Valuing Care to provide independent specialist advice on what constitutes a fair price for services, to ensure that value for money was being achieved for taxpayers, but also that the market for services was sustainable. The council had collated detailed information about the services they were purchasing and therefore did not require a full local survey: they requested that the company use their pricing model and national intelligence of operating costs, to calculate fair prices for services in Worcestershire. The price review provided the Council with a reliable indication of what it usually costs to provide care services in the area, which could be used to inform future rates for services; also, to assist the Council to develop a range of actions with the aim of ensuring a sustainable market, able to deliver the required quality and capacity of services to meet the needs of the local population. Valuing Care completed a review of the prices currently paid by the Council and benchmarked the prices paid using its pricing model and a review of job advertisements in the local employment market to independently construct Value for Money (VFM) rates for the following types of care:
Home care services
  • Standard Daytime Care (delivered between 7am-10pm)
  • Waking Night Care (delivered between 10pm-7am)
  • Sleep-in Services (delivered between 10pm-7am)
  • Extra Care Services (1:1 hours)
The VFM rates also reflected the average travel times and transport costs identified by VC in recent cost of care surveys undertaken for other County Councils (Cambridgeshire, Somerset, and Oxfordshire).
Care Home Services 
  • Residential
  • Nursing

Oxfordshire County Council - Cost review of Home Care services

In July 2020, Oxfordshire County Council instructed Valuing Care, to undertake a review of the home care market in Oxfordshire. The Council hoped to achieve greater understanding of the cost pressures faced by the sector (including the impact of COVID 19, Brexit, the National Living Wage etc.), and how this affects the supply of services. The objective of the review was to provide the Council with the necessary intelligence to develop a range of actions which ensure a sustainable market, able to deliver the required quality and capacity of service to meet the needs of the local population. The review required Valuing Care to undertake a detailed survey of Home Care Agencies (HCA) operating in the area, to assess the health of the market and to identify the range and usual cost of delivering services locally. The survey results were presented alongside Valuing Care’s independently constructed ‘value for money rates,’ to facilitate comparison against the company's national intelligence of service costs.

Executive summary report

Bath and North East Somerset Council and CCG - Cost of Care Reviews

BaNES Council and CCG were keen to ensure that the prices they paid for services should give regard to the usual cost of delivering services but also ensure that value for money was being achieved for residents and taxpayers To ensure a fair and equitable approach the council commissioned Valuing Care to complete a cost of care review which included an independent survey of the costs of delivering services locally. Every CQC registered provider in the area was invited to participate in the survey and the anonymised results were presented in a report.  This work enabled BaNES to develop pricing and procurement strategies based on improved intelligence, which seek to ensure the sustainability of the market within the limited financial resources available. To date Valuing Care has completed a cost of care review for older peoples' residential and community services and are currently embarking on 2 new projects to include younger adults specialist services both in the community helping people to continue to live at home and residential establishments.

The London Borough of Merton Council Care Act Assessments, Reviews and Value for Money price checks March 2020 - October 2020

Valuing Care has completed over 270 Care Act Assessments and Reviews on behalf of the Borough as well as completing a placement audit for each case to highlight how prices compared to the company's cost model. Remote access to the client database ensured that records could be recorded in real time. If a case was identified as above the model price then a more in depth costing report was produced and used to commence a negotiation with the provider and the outcome recorded in the "case notes" of the client database enabling the finance teams to make informed decisions about annual uplifts. The work commenced in the first week of March 2020 and has continued throughout the Covid 19 Pandemic with the Valuing Care team making use of available technology to support them to ensure that clients and their families were at the centre of the process.

Focus on: Stoke-on-Trent City Council
A joint review of the cost of home care services for older people was instigated in response to local providers reporting increased difficulties in the recruitment and retention of staff.

The objective was to provide commissioners with the necessary data to ensure a sustainable
market in Stoke, and to deliver the quality and capacity of service to meet the needs of the local population.

A survey of providers helped understand the usual cost of providing services, and
identify options for improving recruitment and retention.

Key benefits:

  • Provides critical insight into market conditions and the issues affecting providers.
  • Ensures a clear understanding of the usual cost of delivering services locally.
  • Provides commissioners with greater confidence they are achieving value for money.

Focus on:  Sunderland City County

The Council commissioned Valuing Care to undertake a cost review of specialist home care and support services for adults with learning disabilities. The purpose of the review was primarily to help the Council identify and achieve savings, but also to inform future pricing strategy.

Through established processes Valuing Care undertook a survey of service provider costs to identify the usual cost of providing services locally. Providers reporting costs in excess of the local average were subsequently challenged to achieve efficiencies and pass the saving back to the Council.

Key benefits:

  •  Established processes for engaging service providers and evidencing the usual cost of providing services
  • Cross corroboration of local survey results with Valuing Care’s cost model and national intelligence
  • Achievement of savings from service providers who want to partner the Council and offer competitively priced services

Focus on:  Buckinghamshire County Council

Valuing Care was awarded a contract to calculate unit costs for Buckinghamshire County Council’s in-house foster care service, to benchmark these services against the cost of services provided by Independent Foster Agencies, and to make an assessment of value for money.

This project required Valuing Care to work closely with the Council’s operational management to understand the varying level of resource input into short-term, long-term, family and friends, and special needs placements.

The intelligence gained enabled the cost of team budget to be apportioned between function, and the calculation of unit costs for each type of service.

A comparison of unit costs for the in-house service against Valuing Care’s cost model for IFA services highlighted areas of variance in both service levels and cost efficiency; key to informing future service strategy and outsourcing decisions.

Key benefits:

  • Calculation of actual unit costs covering different types of foster care placements.
  • Greater understanding of differences in service levels and cost efficiency.
  • Increased intelligence to inform service strategy and outsourcing decisions.

Focus on: Dorset Joint Commissioning Group

In response to a request for a large increase in fees from a national provider organisation, Dorset Joint Commissioning Group worked in partnership with Valuing Care to undertake a cost review of all the specialist care home services delivered by the provider. The objective was to assess the reasonableness of the current fees, thereby informing a decision on the requested fee uplift.

Valuing Care benchmarked the reported cost of the provider’s services against its cost model and national intelligence of care home costs. The review concluded current fees were in excess of a fair price.

Key benefits:

  • Established processes for engaging service providers and reviewing the reported cost of delivering services.
  • Service audits to obtain first hand evidence of the level of service being provided and to ensure commissioners are getting what they are paying for.
  • Achievement of savings from service providers that want to partner the Council and offer competitively priced services.

Focus on: Staffordshire County Council

Valuing Care completed a cost review of Post 16 High Needs Learner (HNL); to develop greater understanding
of HNL support costs and whether it represented value for money. A pricing model was also developed to purchase
packages of support on a fair and consistent basis.

Valuing Care surveyed all FE colleges in Staffordshire to identify the level of staff input, and the associated cost of supporting a sample of HNL. The identification of median costs, and corroboration against our benchmark data, provided the Council with a good indication of the usual cost of delivering support locally.

The results helped to develop and populate a cost model to inform future HNL funding decisions.

Key benefits:

  •  Established processes for engaging service providers and reviewing the reported cost of delivering services.
  • Increased intelligence on how support costs vary to meet the needs of HNL.
  • Development of a cost model based on identification of the usual cost of delivering services.

Focus on: Barnsley Metropolitan Borough Council
The Council contracted Valuing Care to undertake a cost review of residential and nursing services for older people. The purpose of the review was to inform the setting of future rates for services that are fair, sustainable and evidenced based. Valuing Care used its established processes to undertake a survey of care home costs to identify the usual cost of providing services locally.

The survey also gathered information on the overall health and sustainability of the market with specific regard to occupancy levels and the range of fees.  The cross corroboration of the survey results with Valuing Care’s cost model and national database comparator, provided the Council with clear guidance of what represents a fair rate for care home services. The review also highlighted some of the inefficiencies in the market arising from the current oversupply of places.

Key benefits:

  • Established processes for engaging care home providers, and evidencing the usual cost of providing services.
  • Cross corroboration of local survey results with Valuing Care’s national database comparator.
  • Increased intelligence about the range of fees charged to different customer groups, levels of profitability, market efficiency and sustainability.

Focus on: Gloucestershire County Council
The Council commissioned Valuing Care to undertake a cost review of care home services for working age  adults. The purpose of the review was to help the Council update its ‘Residential Pricing Tool,’ which was no longer considered fit for purpose.

Through established processes Valuing Care undertook a survey of care home costs to identify the usual cost of providing services locally. The cross corroboration of the survey results with Valuing Care’s cost model, and national database comparator, provided the Council with clear guidance of what represents a fair rate for care
home services.

Key benefits:

  • Established processes for engaging care home providers and evidencing the usual cost of providing services.
  • Cross corroboration of local survey results with Valuing Care’s national database comparator.
  • Increased intelligence about the range of fees charged to different customer groups, levels of profitability, market efficiency and sustainability.

We’ve also worked with:

Aberdeen, Angus, Argyll and Bute, Barnet LB, Barnsley, Bassetlaw, Bedford, Bedfordshire, Berkshire, Birmingham ,Blackburn Council, Blackpool, Blaenau Gwent, Bornel Care, Bournemouth & Poole, Bradford and Airedale, Brent, Bridgend, Bristol, Bromley , Buckinghamshire, Caerphilly, Calderdale, Cardiff, Central Bedfordshire, Central Midlands, Cheshire East, Coventry, Cumbria, Derby City, Devon, Doncaster, Dorset, Dumfries and Galloway, Dundee , Ealing, East Lothian, East riding, Edinburgh, Enfield, Fife, Gloucester, Greenwich, Hackney, Hammersmith & Fulham, Havering, Haringey , Hereford, Hertfordshire, Hillingdon , HMRPCT, Hounslow, Huddersfield, Hull, Inverclyde, Isle of Wight , Jersey, Kensington and Chelsea, Kent ,Lambeth , Lancashire , Leeds, Leicester City, Leicester County, Lewisham, Lincolnshire, Luton , Medway, Merthyr Tydfil , Mid Essex, Middlesbrough, Monmouthshire , Newcastle, Newport, Norfolk, Norse Care, North East Lincolnshire, North Somerset, North Tyneside, Northamptonshire, Northern Health and Social Care Trust, Northumberland, Nottingham, Oldham, Oxfordshire , Perth & Kinross, Peterborough, Plymouth , Redbridge, Redcar, Renfrewshire, Rhondda Cynon Taf , Rochdale, Rotherham, Royal Borough of Chelsea, Royal borough of Kensington and Chelsea, Royal borough of Windsor & Maidenhead, Salford, South Gloucester, Sheffield, Shropshire, Slough, Somerset, South Lanarkshire, Southend, Southwark, Staffordshire, Stockport, Stoke on Trent, Suffolk, Sunderland, Telford & Wrekin, Torfaen, Tower Hamlets, Vale of Glamorgan, Wakefield, Waltham Forest, Westminster, Wiltshire, Wirral ,Worcestershire, York