Cameron’s hidden dementia taxes hit vulnerable hardest

REVEALED:

• Older and disabled people will pay an average of £655 more for home help this year compared to four years ago
• Dial-a-ride transport services double in price over same period
• ‘Meals on wheels’ cost 65p more – older people paying an extra £235 per year

Government cuts to local authority care budgets have left the most vulnerable people in society paying spiralling charges for their own care.

A Labour survey of council social care departments reveals the care charges older and disabled people will pay this year.
Government cuts to local authority budgets, which pay for social care, have left councils no choice but to increase the costs billed to individuals and families. These support services include home help – that help people get up, washed and dressed – alongside ‘meals on wheels’ and dial-a-ride transport services.

Last week, an independent survey of social care finances by the Association of Directors of Adult Social Services (ADASS) revealed that Government cuts to councils will mean a further £800m taken from care budgets in the next year – totalling £2.68 billion so far under the current Government.

More than a third of local authorities supplied information to the Labour survey – 64 out of 150 responsible councils.
Labour’s findings show the average charges for an hour of home care increased by 10.6% between 2009/10 and 2013/14 – from £11.87 to £13.13.

An average care user – defined by experts as an individual receiving 10 hours of care each week (The Personal Social Services Research Unit’s report ‘Unit Costs of Health and Social Care 2010’) – will pay £655 more this year compared to four years ago (from £6,172 in 2009/10 to £6,827 in 2013/14).

The cost of council-run ‘Ring and Ride’ and other transport services, to assist people with reduced mobility to travel to day centres and medical appointments, has more than doubled in 4 years – from an average of £1.98 to £4.12 per ride.
Additionally, the average price of a ‘meal on wheels’ has increased from £3.01 in 2009/10 to £3.66 in 2013/14. An extra 65p per meal will add £237 over a year – on the basis of one council-provided meal per day – taking the 2009/10 average annual total of £1095 to £1332 in 2013/14.

Growing ‘postcode lottery’ in care

The survey findings show considerable variation in the price of home care, meals and transport services between different councils.

Whilst responsibility for such huge cuts to care services lies squarely with central Government, it is noticeable that older and disabled people in Conservative areas pay more for each of these on average than friends and family in Labour-controlled areas.

Home care:

An hour of home help costs £20 in Brighton and Hove, whilst Tower Hamlets in London offers it for free.

Older and disabled people receiving services from Conservative councils pay on average £15 per week, or £780 per year, more than neighbours in Labour-controlled areas (based on Conservative councils charging £1.50 per hour more and people receiving an average of 10 hours care per week).

Transport

Several councils provide free transport services to people with reduced mobility, whilst Warwickshire charge as much as £12 per ride. Conservative-run Warwickshire has increased its fare by almost £11 in last four years, now charging three times the national average.

Conservative councils charge £5 on average, £2.10 more than in Labour-controlled areas.

Meals

The most expensive council charges close to three times more for a meal than the cheapest – £5.99 in Richmond compared to £2.30 in Warrington.
A meal in a Conservative area costs 45p more on average than in a Labour-controlled area – adding up to an extra £160 a year on the basis of one meal per day.

Meals services:

Cost of a meal in £

Authority Control 2009/10 2010/11 2011/12 2012/13 2013/14
East Riding of Yorkshire Council Con 3 3.1 3.2 3.35 Service not provided
Bournemouth Borough Council Con 4 4.1 4.1 4.1 Service not provided
London Borough of Bromley Con 3.1 3.2 3.3 n/a Service not provided
Cheshire West and Chester Con 3.03 3.1 3.18 3.26 Service not provided
Milton Keynes Council Con 4 4.2 4.98 5.19 5.19
Isle of Wight Council Con 3 3.1 n/a n/a 5
Dorset County Council Con 4.1 4.1 4.1 4.2 4.5
Herefordshire Council Con 4.4
West Sussex County Council Con 3.3 3.4 3.7 4 4.1
Lancashire County Council Con 3.25 3.25 4.05 4.05 4.05
Essex County Council Con 3.5 3.5 3.5 3.95 3.95
Buckinghamshire County Council Con 3.45 3.5 3.6 3.8 3.9
Spelthorne Borough Council Con 3.3 3.5 3.6 3.7 3.8
Kent County Council Con 3.3 3.4 3.5 3.65 3.75
Surrey Heath Borough Con 2.95 3.5 3.6 3.6 3.6
Waverley Con 3.3 3.4 3.5 3.6 3.6
Gloucestershire County Council Con 2.5 3 3.5 3.5 3.5
Hampshire County Council Con 3.1 3.2 3.3 3.4 3.5
East Sussex County Council Con 3.3 3.3 3.35 3.35 3.4
Woking Con 3.3 3.3 3.3 3.3 3.4
Norfolk County Council Con 3.18 3.24 3.3 3.3 3.37
Lincolnshire County Council Con n/a 2.7 2.79 2.79 2.85
North Yorkshire County Council Con 1.9 2.1 2.2 2.25 2.3
Kensington and Chelsea Con 3.2 3.2 3.3 3.4 3.55
Richmond Con 3.1 3.15 3.3 3.4 5.99
St Helens Metropolitan Borough Council Lab 3.08 3.16 3.24 3.32 Service not provided
Doncaster Metropolitan Borough Council Lab 2.3 2.4 2.5 3 Service not provided
Birmingham City Council Lab 2.7 3.2 3.9 4.1 Service not provided
Barnsley Metropolitan Borough Council Lab N/A N/A N/A N/A N/A
City of York Council Lab 2.45 2.5 2.5 2.5 n/a
Wigan Metropolitan Borough Council Lab 2.8 2.95 3.2 3.85 4.2
Wolverhampton Council Lab 2.4 3.4 3.4 3.95 4.15
Bury Metropolitan Borough Council Lab 3.4 3.5 3.7 3.7 3.9
Hartlepool Borough Council Lab 3.6 3.65 3.65 3.65 3.65
London Borough of Enfield Lab 3.4 3.47 3.5 3.5 3.5
London Borough of Brent Lab 3.5 3.5 3.5 3.5 3.5
Plymouth City Council Lab 2.65 2.65 3 3 3.5
London Borough of Haringey Lab 3 3.2 3.2 3.3 3.4
City of Wakefield Metropolitan District Council Lab 3.1 3.2 3.2 3.3 3.3
Derby City Council Lab 3 3 3.1 3.1 3.2
Halton Borough Council Lab 2.82 2.88 2.94 3.1 3.2
Blackburn with Darwen Borough Council Lab 2.97 2.97 2.97 2.97 2.97
Tameside Metropolitan Borough Council Lab 1.99 2.05 2.6 2.68 2.78
Metropolitan Borough of Wirral Lab 2.6 2.6 2.6 2.68 2.68
Stoke-on-Trent City Council Lab 2.4 2.4 2.4 2.5 2.6
Kingston-Upon-Hull City Council Lab 1.95 2 2.1 2.15 2.55
Warrington Borough Council Lab 2.15 2.2 2.24 2.27 2.3
Gateshead Lab 2.4 2.6 3 3.15 3.2
Islington Lab 3 3 3 3 No extra cost
Newham Lab 2.2 2.2 2.2 5.35 Service not provided
Darlington Lab 3.6 3.65 3.65 3.65 3.65
Waltham Forest Lab 3.61 3.66 3.77 3.94 4.05
Nottingham City Lab 2.5 2.6 3 3.25 3.25
Hounslow Lab 4 4.1 4.1 5.1 5.1
Newcastle City Council Lab 2.45 2.45 2.45 3 3
Hackney Lab 3.6 3.65 3.75 3.75 3.8
Knowsley Lab 2.55 2.55 Service not provided Service not provided Service not provided
Oldham Lab 3.6 3.7 3.8 3.9 4

Community Transport Services

(Charge per ride):

Authority Political control 2009/10 2010/11 2011/12 2012/13 2013/14
Norfolk County Council Con 1.16 1.18 1.2 1.22 1.22
Chesire West and Chester Con 1.63 1.67 1.71 1.75 1.79
Trafford Metropolitan Borough Council Con 1 1 1 2 2
North Yorkshire County Council Con 1.8 2 2.2 2.3 2.4
Dorset County Council Con 2.5 2.5 2.5 2.5 2.5
Milton Keynes Council Con 2 2.3 2.3 2.65 2.65
Woking Con 4 4 4 4 4.2
Surrey Heath Con 3.45 4.1 4.1 4.5 4.5
West Sussex County Council Con 3 3.2 5 5 5.1
Lincolnshire County Council Con 0 0 5 5 5.1
Spelthorne Borough Council Con 4.5 5 6 6.5 6.7
Bournemouth Borough Council Con 5.55 5.7 5.7 5.7 7.81
Buckinghamshire County Council Con n/a n/a n/a 8 8
Warwickshire County Council Con 1.27 1.3 5.29 12.23 12.13
Kensington and Chelsea Con 0 8 8.3 8.7 8.9
Richmond Con 5 5 5 5 5
Plymouth City Council Lab 0 0 0 0 0
Rotherham Metropolitan Borough Council Lab 0.5 0.5 0.5 0.5 0.5
Blackburn with Darwen Borough Council Lab 1 1 1 1 1
Barnsley Metropolitan Borough Council Lab 0.5 0.5 0.5 0.5 1
City of Wakefield Metropolitan District Council Lab 0.45 1 1 1 1.1
Halton Borough Council Lab 1.03 1.05 1.07 1.09 1.31
Tameside Metropolitan Borough Council Lab 1.4 1.45 1.49 1.53 1.59
Doncaster Metropolitan Borough Council Lab n/a n/a n/a n/a 2
Derby City Council Lab 3 3 3.1 3.1 3.2
Warrington Borough Council Lab 1.6 1.6 3.35 3.35 3.38
St Helens Metropolitan Borough Council Lab 2.56 2.62 3.71 3.8 3.9
City of York Council Lab 1.8 1.8 3 3 4
Stoke-on-Trent City Council Lab 0.42 0.45 0.5 0.55 4
Bury Metropolitan Borough Council Lab 3.7 3.8 4 4.1 4.2
Metropolitan Borough of Wirral Lab 4.64 4.78 4.78 4.78 4.78
Hartlepool Borough Council Lab 0 0 0 6.9 6.9
Gateshead Lab 1.09 1.2 1.38 1.45 1.5
Islington Lab 5 5 5 5 5
Darlington Lab n/a n/a n/a 6.9 6.9
Nottingham City Lab 2.5 2.6 4 5 5
Hackney Lab 0 0 0 0 0
Oldham Lab 2.5 2.5 2.6 2.7 2.8

Home Care Costs:

Authority Control 2009/10 2010/11 2011/12 2012/13 2013/14
East Riding of Yorkshire Council Con 10.4 10.6 10.6 10.7 10.8
Bournemouth Borough Council Con 16 13.96 13.96 13.96 13.95
London Borough of Bromley Con 15.76 16.2 14.64 14.64 14.64
Cheshire West and Chester Con 12.78 12.78
Milton Keynes Council Con 14 15 14.12
Trafford Metropolitan Borough Council Con 7.7 8.1 8.5 8.92 12.5
Dorset County Council Con 15 15 15 15 15
Herefordshire Council Con 15.15
Solihull Metropolitan Borough Council Con 16.25 16.65 16.65 16.65 12.68
Lancashire County Council Con 11.9 11.96 11.96 11.96 11.96
Essex County Council Con 13.32 13.52 13.52 13.52 13.64
Buckinghamshire County Council Con 13.8 14.2 18 18 18
East Sussex County Council Con 13 13 13 13 13
Warwickshire County Council Con 9.22 11.36 13.37 14.24 14.24
Kensington and Chelsea Con 7.2 14.3 14.3 14.3 14.3
Hampshire County Council Con 14.4 14.8 15.2 Up to Actual Cost Up to Actual Cost
Norfolk County Council Con 14.04 14.32 14.62
Lincolnshire County Council Con 10.5 10.5 11.93 11.93 11.93
North Yorkshire County Council Con 15 16 16.5 16.9 17.3
Bexley Con n/a n/a n/a n/a 12.6
Richmond Con n/a n/a n/a n/a 12.5
St Helens Metropolitan Borough Council Lab 9.36 9.59 9.83 10.08 10.33
Doncaster Metropolitan Borough Council Lab 9.85 10.15 10.72 11.28 11.28
Birmingham City Council Lab 14.91 16.4 17 17 15
Barnsley Metropolitan Borough Council Lab 5 5 13 13 13
City of York Council Lab 15.75 16 16 16 16
Wigan Metropolitan Borough Council Lab 9.64 9.8 10.8 13.05 13.48
Wolverhampton Council Lab 13.48 13.48 13.48 13.48 13
Bury Metropolitan Borough Council Lab 11.5 11.5 12 12.4 12.7
Greenwich Lab 9.7 9.7 11.2 12.5 13
London Borough of Enfield Lab 16.6 16.6 16.6 16.6 16.6
London Borough of Brent Lab 17.48 17.48 17.48 full cost full cost
Rotherham Metropolitan Borough Council Lab 11.9 12.85 13.9 14.5 14.85
London Borough of Haringey Lab 10.85 11 11 11 11.35
City of Wakefield Metropolitan District Council Lab 9.2 10.45 10.45 11 11
Derby City Council Lab 8 8 11.31 11.72 12.08
Halton Borough Council Lab 11.35 11.35 11.35 11.35 11.46
Blackburn with Darwen Borough Council Lab 9.64 9.72 11.04 11.04 11.04
Tameside Metropolitan Borough Council Lab 10.92 11.25 11.58 11.93 12.37
Metropolitan Borough of Wirral Lab 12 12.28 12.28 12.28 12.28
Stoke-on-Trent City Council Lab 12.8 13.2 13.8 13.2 13.2
Gateshead Lab 9.5 11 10.5 11.48 11.48
Islington Lab 13.64 13.52 13.66 13.66 13.64
Newham Lab n/a n/a n/a 11.62 11.62
Darlington Lab 10.51 full cost full cost full cost full cost
Waltham Forest Lab 15.04 15.28 15.94 16.45 16.94
Nottingham City Lab 8.9 9.2 11.5 13.66 13.66
Newcastle City Council Lab 9.75 10 10 11.72 11
Hackney Lab 10.85 11 11 11 11.35
Tower Hamlets Lab 0 0 0 0 0
Oldham Lab 12.5 12.5 12.95 12.95 12.95

Weekly Care Charge Cap:

Authority Control 2009/10 2010/11 2011/12 2012/13 2013/14
Lincolnshire County Council Con 126 126 250 250 250
Stockport Metropolitan Borough Council Con 245 250 258 271 278
Norfolk County Council Con 273 278 283.56 283.56 289.22
Essex County Council Con 439.11 445.69 459.48 459.48 464.1
Lancashire County Council Con 595 595 625 655 655
Bournemouth Borough Council Con 440 no cap no cap no cap no cap
Buckinghamshire County Council Con 280 no cap no cap no cap no cap
Hampshire County Council Con 435.82 440.23 440.23 no cap no cap
North Yorkshire County Council Con 260 no cap no cap no cap no cap
Trafford Metropolitan Borough Council Con 176 185 194.25 203.96 no cap
Richmond Council Con 310 320 no cap no cap no cap
Kingston-Upon-Hull City Council Lab 99 99 99 99 99
Barnsley Metropolitan Borough Council Lab 60 60 90 9 105
Derby City Council Lab 80 80 125 125 125
Tameside Metropolitan Borough Council Lab 182.52 188 193.64 199.44 206.82
Rotherham Metropolitan Borough Council Lab 200 200 230 240 246
Doncaster Metropolitan Borough Council Lab 338.91 342.3 335.46 335.46 335.46
Bury Metropolitan Borough Council Lab 400 400 400 400 400
City of Wakefield Metropolitan District Council Lab 113 402 402 402 402
London Borough of Brent Lab 415.44 415.44 415.44 no cap no cap
Plymouth City Council Lab 270 270 no cap no cap no cap
St Helens Metropolitan Borough Council Lab no cap no cap no cap no cap no cap
Stoke-on-Trent City Council Lab 128 132 no cap no cap no cap
Gateshead Lab 150 160 184 194 199
Newham Lab n/a n/a n/a 200 200
Waltham Forest Lab 230 233.5 233.5 233.5 no cap
Nottingham City Lab 78.5 81 no cap no cap no cap
Newcastle Lab 150 150 150 200 400
Knowsley Lab 150 150 200 200 200
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