Adult care policies and strategies

Adult care strategies

• Wiltshire Technology Enabled Care (TEC) Strategy 2023 to 2028 - this strategy sets out our vision to integrate technology into the Care Act Assessment process, utilising it to support improved health and wellbeing outcomes in Wiltshire
• Wiltshire Autism Strategy 2022 to 2027 - this strategy describes how we aim to create an inclusive community where individuals with autism, both children and adults, can exercise control over their lives, make informed decisions, fulfill their potential, and participate and be valued in their communities
• Wiltshire Independent Living Strategy 2022 to 2027 - this strategy aims to give people with mental health conditions, learning disabilities, and autism, the ability to live independently in their communities, by providing housing and support in the right place at the right time
• Wiltshire Dementia Strategy 2023 to 2028 - this strategy outlines our commitment to making Wiltshire an inclusive and supportive environment for people with dementia, and their caregivers. It addresses the local context, co-production efforts, priorities, and strategies for the next five years, emphasising collaboration and measurable outcomes

Adult care policies

• Statement of Policy on Adult Social Care and Support - this policy sets out our approach, and other relevant legislation, for adult social care and support
• Adult care charging policy (PDF) [188KB] (opens new window)  - this policy explains how we make decisions on Adult Social Care charges
• Adult care personalisation policy (PDF) [220KB] (opens new window)  - this policy explains how we ensure adults have a say, and a choice, over how they will be supported
• Eligible needs policy (PDF) [185KB] (opens new window)  - this policy sets out our approach to help prevent, reduce, or delay the development of eligible needs by promoting wellbeing, independence and resilience, and giving people access to information and a choice over the support they may need
• Adult care deferred payment policy (PDF) [225KB] (opens new window)  - this policy provides detail on the situations where we will usually enter into a Deferred Payment Agreement (DPA), who may be entitled to it, the procedure and details

Additional information

Whole life commissioning

Whole life commissioning - market position statement (PDF) [1MB] (opens new window)

Market Sustainability and Fair Cost of Care Fund

In December 2021, the government announced the Market Sustainability and Fair Cost of Care Fund. The primary purpose of the fund was to support local authorities to prepare their markets for reform (which has now been delayed until 2025) and to support local authorities to move towards paying providers a fair cost of care. 

Fair Cost of Care exercise

As a part of the grant conditions, councils were required to undertake a Fair Cost of Care exercise, and submit the results of this to the DHSC in a prescribed format. Wiltshire Council completed the exercise with providers. The details of the exercise, and the outputs, can be found in the cost of care reports attached below:

Annex B Cost of Care Report - Age 65+ Care Homes (PDF) [414KB] (opens new window)

Annex B Cost of Care Report - 18+ Domiciliary Care (PDF) [239KB] (opens new window)

It is important to note that the Cost of Care exercise was a data gathering exercise undertaken by the council on behalf of the DHSC, it is not a replacement for the fee setting process. We want to work towards a fair cost of care that is built on sound judgement, evidence and negotiation and, critically, one that is affordable through the funding provided by government.

Market Sustainability Plan

In addition to the cost of care exercise, councils had to produce a Market Sustainability Plan and submit this to the DHSC. This document can be found in the published Agenda, Cabinet - Tuesday 28 March 2023 10am (opens new window).

Whole life market sustainability plan (LD/MH/A)