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Adult Social Care Market Sustainability and Improvement Fund Grant Determination (2023-24): No 31/6646

The Parliamentary Under Secretary of State for Local Government and Building Safety (鈥渢he Minister鈥�),听in exercise of the powers conferred by section 31 of the Local Government Act 2003, makes the following determination:听

Citation

1. This determination may be cited as the Adult Social Care Market Sustainability and Improvement Fund Grant Determination (2023-24): No 31/6646.

Purpose of the grant

2. The purpose of the grant is to provide support to local authorities in England towards expenditure lawfully incurred or to be incurred by them. It is intended to enable local authorities to make tangible improvements to adult social care, in particular to increase social care capacity through reducing social care waiting times, increasing fee rates, and increasing workforce capacity and retention.

顿别迟别谤尘颈苍补迟颈辞苍听听

3. The Minister determines as the authorities to which grant is to be paid and the amount of grant to be paid, the authorities and amounts which are set out in Annex A.

4. The grant will be paid in monthly instalments.

Grant conditions听听

5. Pursuant to section 31(4) of the Local Government Act 2003, the Minister听determines that the grant will be paid subject to the conditions specified in Annex听B.

Treasury consent

6. Before making this determination in relation to local authorities in England, the Parliamentary Under Secretary of State obtained the consent of the Treasury.

Signed by authority of the Parliamentary Under Secretary of State for Local Government and Building Safety.

Lucy Pedrick, Deputy Director
Department for Levelling Up, Housing and Communities
April 2023

Annex A: Adult Social Care Market Sustainability and Improvement Fund allocations to local authorities 2023-24

Local authority*	Allocations to local authorities 2023-24 from the 拢162m portion	Allocations to local authorities 2023-24 from the 拢400m portion	Allocations to local authorities 2023-24
Barking and Dagenham	拢616,316	拢1,521,769	拢2,138,085
Barnet	拢977,055	拢2,412,482	拢3,389,537
Barnsley	拢835,921	拢2,064,002	拢2,899,922
Bath and North East Somerset	拢492,583	拢1,216,255	拢1,708,838
Bedford	拢419,048	拢1,034,687	拢1,453,735
Bexley	拢626,653	拢1,547,291	拢2,173,944
Birmingham	拢3,780,199	拢9,333,826	拢13,114,025
Blackburn with Darwen	拢515,981	拢1,274,027	拢1,790,009
Blackpool	拢609,987	拢1,506,141	拢2,116,128
Bolton	拢938,319	拢2,316,837	拢3,255,157
Bournemouth, Christchurch and Poole	拢1,181,178	拢2,916,490	拢4,097,669
Bracknell Forest	拢244,239	拢603,060	拢847,299
Bradford	拢1,550,616	拢3,828,682	拢5,379,299
Brent	拢906,550	拢2,238,395	拢3,144,944
Brighton and Hove	拢829,346	拢2,047,767	拢2,877,112
Bristol	拢1,369,147	拢3,380,610	拢4,749,757
Bromley	拢803,557	拢1,984,092	拢2,787,649
Buckinghamshire Council	拢1,128,140	拢2,785,531	拢3,913,671
Bury	拢551,280	拢1,361,185	拢1,912,465
Calderdale	拢621,416	拢1,534,361	拢2,155,778
Cambridgeshire	拢1,568,738	拢3,873,427	拢5,442,166
Camden	拢867,889	拢2,142,937	拢3,010,826
Central Bedfordshire	拢584,531	拢1,443,287	拢2,027,818
Cheshire East	拢979,180	拢2,417,729	拢3,396,910
Cheshire West and Chester	拢990,373	拢2,445,365	拢3,435,738
City of London	拢32,934	拢81,318	拢114,251
Cornwall	拢1,885,534	拢4,655,640	拢6,541,174
Coventry	拢1,046,967	拢2,585,103	拢3,632,070
Croydon	拢945,904	拢2,335,565	拢3,281,469
Cumberland**	拢1,034,121	拢2,272,142	拢3,306,263
Darlington	拢338,291	拢835,286	拢1,173,577
Derby	拢775,284	拢1,914,282	拢2,689,566
Derbyshire	拢2,448,432	拢6,045,510	拢8,493,941
Devon	拢2,413,484	拢5,959,221	拢8,372,705
Doncaster	拢1,019,169	拢2,516,466	拢3,535,635
Dorset Council	拢1,152,060	拢2,844,591	拢3,996,651
Dudley	拢1,054,094	拢2,602,701	拢3,656,795
Durham	拢1,905,104	拢4,703,959	拢6,609,063
Ealing	拢956,859	拢2,362,614	拢3,319,473
East Riding of Yorkshire	拢976,029	拢2,409,947	拢3,385,976
East Sussex	拢1,745,314	拢4,309,418	拢6,054,732
Enfield	拢876,579	拢2,164,393	拢3,040,971
Essex	拢3,995,659	拢9,865,824	拢13,861,482
Gateshead	拢764,967	拢1,888,808	拢2,653,775
Gloucestershire	拢1,707,739	拢4,216,641	拢5,924,380
Greenwich	拢897,937	拢2,217,128	拢3,115,065
Hackney	拢948,377	拢2,341,672	拢3,290,049
Halton	拢431,414	拢1,065,220	拢1,496,634
Hammersmith and Fulham	拢619,907	拢1,530,635	拢2,150,542
Hampshire	拢3,209,285	拢7,924,161	拢11,133,447
Haringey	拢775,037	拢1,913,670	拢2,688,707
Harrow	拢654,634	拢1,616,381	拢2,271,015
Hartlepool	拢338,258	拢835,206	拢1,173,464
Havering	拢678,836	拢1,676,138	拢2,354,975
Herefordshire	拢594,414	拢1,467,689	拢2,062,103
Hertfordshire	拢2,790,730	拢6,890,692	拢9,681,422
Hillingdon	拢702,748	拢1,735,179	拢2,437,927
Hounslow	拢674,556	拢1,665,570	拢2,340,125
Isle of Wight	拢517,330	拢1,277,359	拢1,794,689
Isles of Scilly	拢8,546	拢21,102	拢29,648
Islington	拢867,975	拢2,143,148	拢3,011,123
Kensington and Chelsea	拢585,094	拢1,444,676	拢2,029,770
Kent	拢4,160,993	拢10,274,057	拢14,435,050
Kingston upon Hull	拢980,737	拢2,421,572	拢3,402,308
Kingston upon Thames	拢386,896	拢955,298	拢1,342,194
Kirklees	拢1,255,420	拢3,099,802	拢4,355,222
Knowsley	拢659,513	拢1,628,426	拢2,287,939
Lambeth	拢1,018,518	拢2,514,860	拢3,533,379
Lancashire	拢3,724,752	拢9,196,920	拢12,921,672
Leeds	拢2,234,742	拢5,517,882	拢7,752,625
Leicester	拢1,062,273	拢2,622,897	拢3,685,171
Leicestershire	拢1,629,617	拢4,023,746	拢5,653,363
Lewisham	拢923,320	拢2,279,803	拢3,203,124
Lincolnshire	拢2,273,366	拢5,613,250	拢7,886,616
Liverpool	拢1,996,048	拢4,928,513	拢6,924,560
Luton	拢531,984	拢1,313,541	拢1,845,525
Manchester	拢1,799,584	拢4,443,416	拢6,243,000
Medway	拢673,563	拢1,663,119	拢2,336,682
Merton	拢504,839	拢1,246,516	拢1,751,356
Middlesbrough	拢511,608	拢1,263,229	拢1,774,837
Milton Keynes	拢612,953	拢1,513,463	拢2,126,416
Newcastle upon Tyne	拢1,013,061	拢2,501,385	拢3,514,445
Newham	拢991,179	拢2,447,355	拢3,438,534
Norfolk	拢2,820,608	拢6,964,463	拢9,785,071
North East Lincolnshire	拢526,304	拢1,299,517	拢1,825,821
North Lincolnshire	拢513,620	拢1,268,198	拢1,781,819
North Northamptonshire	拢851,913	拢2,103,488	拢2,955,401
North Somerset	拢623,663	拢1,539,909	拢2,163,572
North Tyneside	拢695,977	拢1,718,461	拢2,414,438
North Yorkshire**	拢1,635,931	拢4,039,335	拢5,675,265
Northumberland	拢1,026,980	拢2,535,754	拢3,562,734
Nottingham	拢1,046,269	拢2,583,380	拢3,629,648
Nottinghamshire	拢2,380,772	拢5,878,450	拢8,259,223
Oldham	拢757,589	拢1,870,591	拢2,628,180
Oxfordshire	拢1,546,799	拢3,819,258	拢5,366,057
Peterborough	拢535,721	拢1,322,769	拢1,858,490
Plymouth	拢866,771	拢2,140,174	拢3,006,945
Portsmouth	拢601,032	拢1,484,029	拢2,085,060
Reading	拢384,414	拢949,170	拢1,333,584
Redbridge	拢753,284	拢1,859,960	拢2,613,244
Redcar and Cleveland	拢486,152	拢1,200,375	拢1,686,527
Richmond upon Thames	拢446,068	拢1,101,403	拢1,547,472
Rochdale	拢748,142	拢1,847,264	拢2,595,406
Rotherham	拢908,069	拢2,242,145	拢3,150,214
Rutland	拢91,611	拢226,200	拢317,812
Salford	拢889,426	拢2,196,113	拢3,085,539
Sandwell	拢1,247,351	拢3,079,880	拢4,327,231
Sefton	拢1,029,298	拢2,541,475	拢3,570,773
Sheffield	拢1,826,053	拢4,508,772	拢6,334,825
Shropshire	拢940,831	拢2,323,039	拢3,263,870
Slough	拢347,931	拢859,088	拢1,207,019
Solihull	拢587,490	拢1,450,594	拢 2,038,084
Somerset**	拢1,685,858	拢4,162,612	拢5,848,470
South Gloucestershire	拢631,156	拢1,558,409	拢2,189,565
South Tyneside	拢617,801	拢1,525,434	拢2,143,235
Southampton	拢748,836	拢1,848,977	拢2,597,812
Southend-on-Sea	拢556,200	拢1,373,334	拢1,929,534
Southwark	拢1,060,187	拢2,617,746	拢3,677,933
St. Helens	拢649,928	拢1,604,759	拢2,254,687
Staffordshire	拢2,390,826	拢5,903,274	拢8,294,100
Stockport	拢866,170	拢2,138,692	拢3,004,863
Stockton-on-Tees	拢570,536	拢1,408,731	拢1,979,267
Stoke-on-Trent	拢899,030	拢2,219,826	拢3,118,856
Suffolk	拢2,201,444	拢5,435,665	拢7,637,110
Sunderland	拢1,058,250	拢2,612,963	拢3,671,212
Surrey	拢2,696,380	拢6,657,729	拢9,354,109
Sutton	拢497,666	拢1,228,804	拢1,726,470
Swindon	拢519,247	拢1,282,092	拢1,801,340
Tameside	拢778,974	拢1,923,394	拢2,702,368
Telford and Wrekin	拢522,646	拢1,290,484	拢1,813,130
Thurrock	拢441,588	拢1,090,340	拢1,531,928
Torbay	拢559,291	拢1,380,966	拢1,940,258
Tower Hamlets	拢988,851	拢2,441,608	拢3,430,459
Trafford	拢638,351	拢1,576,174	拢2,214,525
Wakefield	拢1,112,991	拢2,748,126	拢3,861,117
Walsall	拢966,482	拢2,386,375	拢3,352,856
Waltham Forest	拢734,867	拢1,814,487	拢2,549,354
Wandsworth	拢875,783	拢2,162,427	拢3,038,209
Warrington	拢556,023	拢1,372,896	拢1,928,918
Warwickshire	拢1,508,344	拢3,724,307	拢5,232,651
West Berkshire	拢338,106	拢834,829	拢1,172,935
Westmorland and Furness**	拢658,253	拢1,906,561	拢2,564,815
West Northamptonshire	拢982,135	拢2,425,025	拢3,407,160
West Sussex	拢2,229,830	拢5,505,753	拢7,735,583
Westminster	拢893,132	拢2,205,265	拢3,098,398
Wigan	拢1,074,750	拢2,653,705	拢3,728,455
Wiltshire	拢1,230,568	拢3,038,440	拢4,269,008
Windsor and Maidenhead	拢321,609	拢794,095	拢1,115,704
Wirral	拢1,215,250	拢3,000,617	拢4,215,866
Wokingham	拢271,073	拢669,315	拢940,388
Wolverhampton	拢929,122	拢2,294,129	拢3,223,251
Worcestershire	拢1,609,622	拢3,974,375	拢5,583,997
York	拢493,965	拢1,219,668	拢1,713,633
England	听	听	拢562,000,000

*Funding paid to local authorities with responsibility for adult social care only

**On 1 April 2023 the following unitary authorities will be established:

• Cumberland, comprising the areas of Allerdale, Carlisle, Copeland and part of Cumbria County Council.

• Westmorland and Furness, comprising the areas of Barrow-in-Furness, Eden, South Lakeland and part of Cumbria County Council.

• North Yorkshire, comprising the areas of Craven, Hambleton, Harrogate, Richmondshire, Ryedale, Scarborough and Selby.

• Somerset, comprising the areas of Mendip, Sedgemoor, South Somerset and Somerset West and Taunton.

Annex B: Grant conditions

In this Annex:

• 鈥渢he Department鈥� means the Department of Health and Social Care
• 鈥渇ee rate鈥� means the rate determined and paid by a local authority to providers for care and support services.
• 鈥済rant鈥� means the amounts set out in Annex A for each recipient authority
• 鈥渞ecipient authority鈥� means the relevant local authority as listed on Annex A to this determination
• 鈥淢arket Sustainability Plan鈥� means a written assessment of the current rates the local authority pays for care, the impact this is having on the market and the potential future risks in the local market. The plan will also need to outline mitigating actions for managing these risks and developing a more sustainable market. For the purpose of the grant, recipient authorities will be required to submit an update to the Market Sustainability Plans that they submitted as part of the Market Sustainability and Fair Cost of Care Fund in March 2023. The update will include a capacity plan.
• 鈥淢inister鈥� means the Parliamentary Under Secretary of State for Local Government and Building Safety

This grant determination is supported by the Market Sustainability and Improvement guidance that sets out further detail on the grant and recipient authorities responsibilities in administering it.

Use of the grant

1. The first condition is that the recipient authority must allocate its full grant allocation on adult social care, as part of a substantial increase in planned adult social care spending.

a. The maintained 拢162 million element of the grant must be used to continue to support the progress local authorities and providers have already made in 2022-23 on increasing fee rates to move towards paying a fair cost of care.

b. The additional 拢400 million element of the grant must be used on adult social care, in accordance with condition 2 below.

2. The second condition is that the 拢400 million element of the grant must be used to make improvements in at least one of the Target Areas. The Target Areas are the priority areas, as specified by the Department, to improve through use of the grant. The Department will monitor these areas through specified performance metrics in order to assess levels of improvement. The Target Areas are:

• Increasing fee rates paid to adult social care providers in local areas
• Increasing adult social care workforce capacity and retention
• Reducing adult social care waiting times

a. Further information on each of the Target Areas is provided in the supporting Market Sustainability and Improvement Fund guidance.

b. In accordance with condition 3 below the recipient authority must provide evidence of improvement in at least one of the Target Areas by reporting on performance metrics which are set out in the Market Sustainability and Improvement Fund guidance provided by the Department. The Target Areas chosen by the recipient authority should support the most pressing needs in their local area. The recipient authority must confirm in their Initial Report which of the Target Areas it will be aiming to improve alongside planned spend on each.

c. In addition to this, recipient authorities should provide assurance that other target areas have not worsened and as such, recipient authorities must report on all the performance metrics as set out in the Market Sustainability and Improvement Fund guidance provided by the Department.

d. The Department will provide guidance, templates and wider, ongoing support to help authorities meet the grant conditions and achieve the purpose of the funding as set out in paragraph 2 of the grant determination.

3. The third condition is that recipient authorities must provide:

a. An Initial Report by 11:59pm on 24 May 2023 which must include:

i. Confirmation that the recipient authority鈥檚 share of the grant has been allocated in full to adult social care;

ii. Confirmation that the recipient authority鈥檚 share of the continued 拢162 million component of the fund has been used to maintain fee uplifts originally made as part of the 2022-23 Market Sustainability and Fair Cost of Care Fund;

iii. Confirmation of which of the three Target Areas the authority will be aiming to improve alongside planned spend on each; and

iv. Reporting of all the required performance metrics specified in the guidance.

b. A Final Report by 11:59pm on 22 May 2024 which must include:

i. Confirmation that the grant has been spent in full on adult social care;

ii. Confirmation that the recipient authority鈥檚 share of the continued 拢162 million component of the fund has been used to maintain fee uplifts;

iii. A completed 鈥楽pend Return鈥� section of the Final Report template; and

iv. A record of all the performance metrics specified in the guidance.

c. Recipient authorities should make use of any templates provided by the Department.

4. The fourth condition is that recipient authorities must provide an update to their Market Sustainability Plan by 11:59pm on 30 June 2023, which involves providing a capacity plan. The exact data that the authority must input into the plan is set out in the supporting guidance.

5. Final templates for the Initial Report, Final Report and updated Market Sustainability Plan will be provided by the Department in due course. Final reports must be approved by the recipient authority鈥檚 chief executive or s151 officer. To assist the recipient authority with the additional cost of completing the returns, it may use up to a limit of, and must not exceed, the highest value of either:

• 拢10,000 of their overall grant allocation, or,
• 0.3% of their overall grant allocation

6. The contact details for submitting the returns at conditions 3 and 4 are: MSIFCorrespondence@dhsc.gov.uk. The Department reserves the right to provide for a later date for submission, update the means by which returns are submitted, and may provide alternative methods for submission in future, including a web-based system for greater efficiency.

7. Where a recipient authority identifies Target Areas where the performance metrics do not indicate any improvement, Officials from the Department may engage with the recipient authority to understand what additional support may be required to meet the grant conditions or to explain why the performance metrics indicate no improvement. This may include asking the recipient authority to provide more performance data, repeat exercises, or work with a neighbouring recipient authority with a similar market to ascertain the reason for any failure to improve.

8. The Secretary of State for Health and Social Care may at any time require a further external validation to be carried out by an appropriately qualified independent accountant or auditor, on the use of the grant.

Payment arrangements

9. The grant funding set out in Annex A will be paid in monthly instalments. The Minister reserves the right to alter the timing or amount of grants payments.

10. Funding from the grant must be spent within the designated financial year. If any funding from the grant is not spent within the designated financial year, the Minister may require repayment of the grant monies paid, as may be determined by the Minister and notified in writing to the recipient authority.

Financial management听

11. A recipient authority must maintain a sound system of internal financial controls.

12. If a recipient authority has any grounds for suspecting financial irregularity in the use of any grant paid under this funding agreement, it must notify the Department immediately, explain what steps are being taken to investigate the suspicion and keep the Department informed about the progress of the investigation. For these purposes 鈥渇inancial irregularity鈥� includes fraud or other impropriety, mismanagement, and the use of grant for purposes other than those for which it was provided.

Breach of conditions and withholding future funding

13. If the recipient authority fails to comply with any of these conditions, or if any overpayment is made under this grant, or any amount is paid in error, or any unspent funding is not returned, the Minister may reduce, suspend or withhold grant payments or require the repayment of the whole or any part of the grant monies paid, as may be determined by the Minister and notified in writing to the recipient authority. Such sum as has been notified will immediately become repayable to the Minister who may offset the sum against any future amount due to the recipient authority from central government.

14. The list below contains examples of a breach of the grant conditions:

a. Inappropriate use of funding, or no evidence of funding having been spent on the specified purpose.

b. Failure to submit one or more of the documents as specified in paragraphs 3-4, and/or submission of incomplete documents, and/or documents that are not submitted by the deadline.

c. No improvements in any of the target areas. In this case, as set out in Condition 2 above, the Department will take steps to provide authorities with the opportunity to explain how they have used the funding and any additional context before considering further measures.

d. An updated Market Sustainability Plan that does not include a full capacity plan as required by the relevant template.