Annex B Care Homes - Hounslow Cost of Care Exercise

Future Approach to Inflation

Providers submitted inflationary rates and costs that varied significantly across cost lines including staff costs, Employer’s National Insurance (ENI) contributions, energy costs, training and insurance. These inconsistencies present concerns regarding the accuracy of the data. However, in the absence of clear guidance from the Department on appropriate benchmarks for these cost lines, and within the short timeframe allocated to local authorities to complete the exercise, Hounslow judged that it was not feasible to amend the figures to a single value that could be clearly evidenced. Therefore, Hounslow did not amend these cost lines, despite concerns about the accuracy of the information submitted.

For the Care Home IESE / Care Cubed Tool, providers were asked to submit costs for 2021/22 and an 8% uplift was applied to the costs.

There are several interdependencies that will significantly impact the costs of providing care. Since the deadline for data submissions closed, several new developments have emerged which are relevant to provider costs. These include:


  • Energy costs: on 8 September 2022, central government announced a policy to provide financial support for households (“energy price guarantee”) alongside a new 6-month scheme for businesses and other non-domestic energy users. The details of the scheme are yet to be published.
  • Inflation: rate of inflation is unpredictable and continuously changing. The inflation rate for 2022/23 is not a reliable benchmark for determining fees in future financial years; it is necessary to have a dynamic approach to working with providers to understand actual costs. 
  • London Living Wage: on 22 September, the Living Wage Foundation announced an uplifted London Living Wage rate for the 2022/23 financial year of £11.95.


Further consideration is needed to understand the cost-of-living pressures that will be impacting the rates submitted as part of this exercise.

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