“This guidance sets out what individuals should be able to expect from the council that is responsible for funding their care, subject to the individual’s means, when arranging a care home place for them. This guidance is intended to describe the minimum of choice that councils should offer individuals. Even when not required to act in a certain way by the Directions… councils should make all reasonable efforts to maximise choice as far as possible within available resources.”
“ While “guidance” does not compel any particular decision ….especially when prefaced with the word “general” ,in my view Parliament by section 7(1) has required authorities to follow the path charted by the Secretary of State’s guidance ,with liberty to deviate from it where the local authority judges on admissible grounds that there is good reason to do so. “ 19. 13 Besides formal statutory guidance, the Secretary of State can also issue general or non-statutory practice guidance, to which a local authority is also required to have due regard: any departure from such guidance must be justified. This proposition was confirmed by Lord Justice Moses in R (Kaur) v London Borough of Ealing [2008]EWHC 2062 (Admin) which was quoted with approval by His Honour Judge Raynor QC in R ( Sefton Care Association) v Sefton Council[2011] EWHC 2676 ( Admin) as follows : “Formal guidance issued under section 7(1) of the 1970 Act is to be distinguished from general practice guidance issued by the Secretary of State (see Cross on Local Government Law, paragraphs 21-02, 03). However a local authority is obliged to have due regard to non-statutory guidance and would have to justify any departure from it (see R (Kaur) v Ealing LBC[2008] EWHC 2062 (Admin) at paragraph 22 per Moses LJ.) For reasons which will appear, I am satisfied that the distinction between formal statutory guidance and general practice guidance is of no significance in this case.”
“Providers have become increasingly concerned that some commissioners have used their dominant position to drive down or hold down fees to a level that recognises neither the costs to providers nor the inevitable reduction in the quality of service provision that follows. This is short-sighted and may put individuals at risk. It is in conflict with the Government’s Best Value policy. And it can destabilise the system, causing unplanned exits from the market. Fee setting must take into account the legitimate current and future costs faced by providers as well as the factors that affect those costs, and the potential for improved performance and more cost effective ways of working. Contract prices should not be set mechanistically but should have regard to providers’ costs and efficiencies, and planned outcomes for people using services, including patients.”
“20. The consultation process for the 2012/13 fee review started in September 2011.As noted above the PwC model could not continue to be used, given that it was viable for five years at most, and its approach to inflation and borrowing costs was no longer appropriate given changed economic circumstances. As also noted above, not all providers had participated in the PwC data collection exercise, so for this reason too it did not give the complete picture”
“What is the model you are using and how is that calculated?” “Redcar and Cleveland Borough Council have used a benchmarking model by taking the average of the fees /costs across some of the NE areas. The average fee structure has been used to set the base line for the setting the fees for this contract. This is now known as the model” 30. A further meeting with providers took place on1st March 2012 where the Claimants sought to persuade the Defendants that benchmarking was inaccurate and unfair and that the best way to ascertain the actual cost of care was to run the PwC model again. The minutes contain this exchange: “The Council have asked what is the potential impact on the Council’s proposed changes on care homes and their residents. The Association believe that the proposed changes will devastate the R and C care home industry putting many homes out of business create more unemployment and untold distress to residents and families. This has been outlined to the council on many occasions. The effect on residents will be uncertainty of “ will my home close, will I lose my friends?”
“In determining what a reasonable fee level would be, a benchmarking exercise was undertaken by comparing the fees paid by all authorities in the North East. All of these authorities manage to sustain an active range and choice of providers at the fee levels that they pay. The Council has on a number of occasions during this process, invited providers to identify local factors which differentiate the cost base of residential care homes in this borough from neighbouring authorities in the North East, in the Council’s view no reasonable argument has been put forward… The Council has considered very carefully the representations put forward by providers in relation to the proposed fee structure for 2012/13. The Council maintains that an average based on the benchmarked rates is reasonable; however it has decided to set its fees at a level above the benchmark. The new fees will still be in excess of the regional average and will therefore ensure the continued long-term viability of providers and the co-operative working enjoyed between the two parties. The fee structure for next year is summarised below. It is essential that the Council considers the reasonable costs of providing care when setting its fees. The Council believes that by paying its providers significantly more than the average paid to providers in local boroughs, it is paying a more than adequate fee”
"If a public function is being performed, and contract law does not provide an aggrieved person with an appropriate remedy, then action taken under or in pursuance of a contract should be subject to control by judicial review principles. Where a public body enters into a contract with a supplier, a dispute about the rights and duties arising out of the contract will often be determined by private law. However, the decision of a public body to enter, or not [to] enter, into a contract may be subject to judicial review."
“While there are aspects of the Commissioning Guidance which may be characterised as aspirational or as indicating "best practice", the guidance was issued by the Welsh Ministers undersection 7 of the Local Authority Social Services Act 1970 . The relevant legislative authority, here the UK Parliament in section 21 of the 1948 Act andsection 7 of the 1970 Act , and the Welsh Assembly Government in section 26 of the 1948 Act, has entrusted responsibility for providing or making arrangements for care and accommodation for those who by reason of age, illness or disability need it. The Commissioning Guidance makes it clear that, in performing these functions, a Welsh local authority such as the Council in these proceedings, must actively consult providers. Providers themselves are under a duty to "carry on" the care homes they run in such manner as are likely to ensure they "will be financially viable":Care Home (Wales) Regulations 2002 SI 2002 No. 324, reg. 26. I reject Miss Laing's submission that the purpose of the Commissioning Guidance and its terms mean that its sole effect is to provide a framework of standards against which the effectiveness of a local authority's commission could be measured by the Annual Council Reporting Framework and each local authority's scrutiny committee.”
“ In my judgment the Agreement was not intended to be, and did not state that it was, formal statutory Guidance, unlike what seem to have been identical provisions issued as formal Guidance in Wales and referred to in the Forest Care Home case. However, I am also of the view that Mr Bartley Jones was right to accept that it made little difference whether the Agreement constituted such Guidance. The Defendant, as previously stated, would have to justify departure from it: as I understand it, not only does it not seek to do that but it contends that in substance it complied with the Agreement by taking reasonable steps to ensure that "appropriate fees are paid".”
“ In my view, taken as a whole, the statutory Guidance and the Agreement do not contemplate that there will be any significant imbalance between the usual cost of care and the actual cost. If a local authority consciously fixes the usual cost in a sum significantly less than actual costs, then I do not see how it could be said to be having "due regard to the actual costs of providing care" as required by paragraph 2.5.4 of the Guidance. Furthermore, such action by a local authority would in my judgment amount to a breach of the guidance contained in paragraphs 6.2 and 6.7 of the Agreement, namely to take account in fee setting of the legitimate, current and future costs faced by providers, as well as the factors that affect those costs, and to ensure that appropriate fees are paid. If fee levels are set significantly below actual cost, then, in the words of paragraph 6.2 of the Agreement, there will be "inevitable reduction in the quality of service provision", which "may put individuals at risk".”
“Whilst it is true that these fees are not out of line with those of other authorities, that does not mean that the fees are adequate, or indeed that these other authorities had due regard to the actual cost of the provision of care”
“… where a local authority has a statutory duty to provide services and to fund them in part or in whole out of monies provided by its taxpayers it must balance two duties one against the other. On the one hand it must provide the statutory services required of it; on the other, it has a fiduciary duty to those paying for them not to waste their money. It must fairly balance those duties one against the other.”
“The fee structure was not based on any particular model but instead took account of the average paid across the region; this is believed to represent a sustainable and reasonable fee. The council believes that the PwC model is out of date, as demonstrated by the issue you refer to in your letter and a fee structure based on average payments in the North East is a more accurate reflection of a reasonable fee”
“Both providers and the Council recognised at a meeting in August 2011 that it would be costly to repeat the Fair Cost of Care exercise and that the outcome could represent a financial risk on both sides as the recommended fee levels would be uncertain until the exercise had been run”
“ In determining what a reasonable fee level would be as a starting point for negotiating a benchmarking exercise was undertaken using the fees paid by all authorities in the North East - taking into account the highest fees paid in the area. All of these authorities manage to sustain an active range and choice of providers at the fee levels that they paid. The exercise showed that RCBC pay the highest fees in the region”
“In determining what a reasonable fee level would be as a starting point for negotiating , a benchmarking exercise was undertaken by comparing the fees paid by all authorities in the North East”
"F. Consultation 108 It is common ground that, whether or not consultation of interested parties and the public is a legal requirement, if it is embarked upon it must be carried out properly. To be proper, consultation must be undertaken at a time when proposals are still at a formative stage; it must include sufficient reasons for particular proposals to allow those consulted to give intelligent consideration and an intelligent response, adequate time must be given for this purpose, and the product of consultation must be conscientiously taken into account when the ultimate decision is taken: R v Brent London Borough Council, Ex p Gunning(1985) 84 LGR 168 ."
"It has to be remembered that consultation is not litigation: the consulting authority is not required to publicise every submission it receives or (absent some statutory regulation) to disclose all its advice. Its obligation is to let those who have a potential interest in the subject matter know in clear terms what the proposal is and exactly why it is under positive consideration, telling them enough (which may be a good deal) to enable them to make an intelligent response. The obligation, although it may be quite onerous, goes no further than this"
“It had already been stated in evidence on behalf of the Defendant Local Authority that it does not maintain an approved care home providers list in other words a list of care home providers who are the only care home providers with which it will contract. (iii) I accept the contention that as a matter of law it would be prohibited from maintaining any such list, because of the choice of accommodation directions, which require the Defendant to enter into arrangements with any care home chosen by a prospective resident, providing the relevant conditions are met at the time. I respectfully consider that there is nothing in this point.”