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How was the Complex Care Premium calculated?

The current day time staffing ratio within the 'fair cost of care' model is as follows:

Cost Assumption within model Calculation
Care Assistant Staffing ratio (day) Assumes staffing ratio of 1:6.5 in the day (12 hour shifts) 45 residents divided by 6.5 ratio = 7 staff x 12 hours x 7 days x £8.62ph divided by 45 residents = £112.63

If around 15% of residents may be eligible for the premium, that means of the 45 residents in the model, 37 are not eligible and 8 are. So: 

Rework the calculation above for 37 residents comes out as £111 per person per week for daytime care.

Re-do the calculation above for 8 residents at 1:4 care ratio = 8 residents divided by 4 ratio = 2 staff x 12 hours x 7 days x £8.62ph divided by 8 residents = £181.02

The difference between what’s in the model and what’s additional is therefore £181 minus £111 which is £70 pounds per person per week.

Since this model was agreed, we have been monitoring activity which could suggest a change to the above rationale.  For example, the Premium claim rate has generally been higher than that stated above, at about 29% of total residents.

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