Cllr Rebekah Fletcher, Cabinet Member for Adults, Karen Fuller, Director of Adult Social Services, Victoria Baran, Deputy Director of Adult Social Care, and Level Chingalembe, Head of Social Care Finance Payment Management, have been invited to present a report on the Consultation on proposed changes to Adult Social Care Contributions Policy.
The Committee is asked to consider the report and raise any questions, and to AGREE any recommendations it wishes to make to Cabinet arising therefrom.
Minutes:
Councillor Rebekah Fletcher, Cabinet Member for Adults,
Victoria Baran, Deputy Director, and Level Chingalembe, Head of Social Care
Finance, introduced a report on the consultation regarding proposed changes to
the Adult Social Care Contributions Policy.
The Cabinet Member introduced the report by outlining the
scale of financial pressure facing Adult Social Care, with rising demand,
increasing complexity of need, and wider reductions in government funding
requiring the Council to identify savings whilst continuing to meet its
statutory duties under the Care Act 2014. Officers advised that the Council
supports over 6,800 adults and spends approximately £330 million per annum on
Adult Social Care services.
The report set out three principal proposals. First,
reducing the Disability Related Expenditure (DRE) allowance from 35% to 25% of
disability benefits, while retaining the ability for individuals to request a
full assessment where their actual costs exceed the standard allowance.
Secondly, introducing a flat-rate charge of £10 per day for transport arranged
by Adult Social Care. Thirdly, introducing a charge for all users of telecare
services, increasing from the current £6 per week to the full cost of approximately
£9.87 per week.
Officers explained that benchmarking indicated Oxfordshire’s
current 35% DRE allowance was significantly higher than most other authorities,
and that the proposed 25% rate would align more closely with typical levels of
disability-related expenditure. It was emphasised that this would operate as a
standard allowance rather than a fixed cap, with individuals still able to
undergo a full assessment and receive a higher allowance where their
disability-related costs exceed the standard rate.
The proposals formed part of a wider package of measures to
address a forecast £5.4 million funding gap in 2026/27 and were expected to
generate approximately £0.5 million in that year, rising to around £1.2 million
on a full-year basis in future years.
Members sought clarification on the policy intent and
justification for the proposals. Whilst Officers emphasised that the changes
would improve consistency, fairness, and alignment with national guidance,
Members questioned the extent to which the proposals were driven by financial
pressures. Officers advised that both factors were relevant, noting that the
Council was required to take action to ensure financial sustainability whilst
maintaining a lawful and equitable charging framework.
The Committee explored the proposal to reduce the DRE
allowance from 35% to 25%, with Members acknowledging the benchmarking evidence
that Oxfordshire’s current rate was comparatively generous. However, Members
raised concerns that the proposed reduction would represent a tangible
financial impact on many service users, citing examples from the report which
showed reductions of approximately £11.46 per week for higher-rate benefits and
£7.67 for standard rates.
Members questioned whether alternative approaches, including
a more gradual reduction, had been fully considered. Officers confirmed that
alternative scenarios had been modelled at a high level but advised that the
proposed approach reflected the scale and immediacy of the financial challenge.
Members noted that limited comparative detail had been provided, which
constrained the Committee’s ability to assess proportionality.
A significant part of the discussion focussed on the
operation of the revised DRE model. Members sought reassurance regarding the
extent to which service users would be required to evidence expenditure.
Officers clarified that the proposed model retained a standard 25% allowance
which would apply automatically, with individual assessments only required
where a person’s costs exceeded that figure.
Members nevertheless expressed concern that this approach
would increase reliance on case-by-case assessment and could therefore lead to
greater administrative complexity for both staff and service users. Officers
acknowledged that individual assessments were more resource-intensive but
reiterated that the “top-up” model was intended to balance administrative
efficiency with fairness.
The Committee then examined the proposal to introduce a £10
per day charge for transport arranged by Adult Social Care. Members noted that
transport provision was already limited to circumstances where individuals
could not reasonably access alternative options and queried the extent to which
the proposed charge would generate additional income. Officers advised that, in
many cases, transport costs could be met through disability benefits or
considered as Disability Related Expenditure within financial assessments,
meaning that income generation may vary.
Members raised concerns about the potential impact of
transport charges on access to services and social participation, particularly
where individuals relied on transport to access day opportunities or community
support. Officers confirmed that exemptions and discretionary adjustments would
remain available where required.
The Committee also considered the proposal to introduce
charges for telecare services, noting that approximately 3,500 residents
currently used the service. Members acknowledged that telecare provided
preventative support but raised concerns regarding the potential impact of
increasing charges from £6 to £9.87 per week and extending them to all users.
Members referred to the consultation material which
identified mixed evidence regarding the extent to which telecare reduces demand
on other services and queried whether the proposals risked creating a false
economy if increased charges reduced uptake of preventative support
services. Officers advised that
benchmarking indicated such charges were common across other authorities but
acknowledged that behavioural impacts and wider system effects were difficult
to predict with certainty.
Members also considered the cumulative impact of the
proposals, particularly for individuals affected by multiple changes
simultaneously, including reduced DRE allowance alongside new or increased
charges. Concerns were raised regarding affordability for those just above
eligibility thresholds. Officers confirmed that statutory safeguards would
remain in place, including Minimum Income Guarantee requirements, and that
discretionary adjustments could be applied on a case-by-case basis.
The Committee AGREED to make recommendations under
the following heading:
Supporting documents: