Cost of care exercise

As part of the government’s adult social care reform agenda, local authorities were required to complete a cost of care exercise to arrive at a shared understanding with providers of the local cost of providing care.

In undertaking this exercise, local authorities looked to identify the lower quartile, median and upper quartile costs in the local area for the following care categories:

  • 65+ care homes
    • standard residential care
    • residential care for enhanced needs
    • standard nursing care
    • nursing care for enhanced needs
  • 18+ domiciliary care

We want to take this opportunity to thank all care providers who took part in the exercise.

You can download the final cost of care report which was submitted to the Department of Health and Social Care (DHSC) in January 2023.

 Please note for the purposes of the exercise, the Department of Health and Social Care (DHSC) recognise the complexity of local care markets, and the risk of oversimplification, but that it is necessary to find a way of standardising cost reporting; the median is designed to reflect that there are a range of local costs.

If you have any enquiries, email

The median, upper and lower quartiles are defined as the following:

  • Median - relating to a value or quantity lying at the midpoint of a frequency distribution of observed values or quantities
  • Lower quartile - the value under which 25% of data points are found when they are arranged in increasing order
  • Upper quartile - the value under which 75% of data points are found when arranged in increasing order


Market Sustainability Plan

Local Authorities are required by the Department of Health and Social Care to publish a Market Sustainability Plan.

The Market Sustainability Plan requires the local authority to identify the key risks to the 18+ domiciliary market and the 65+ residential and nursing markets and to set out its plans to address the sustainability risks identified.

We are grateful to the many providers who have supported the local authority during this activity. 

If you have any enquiries, email

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