Whitby Community Network:

Health and Social Care

OFFICIAL

Our Approach to Social Care

OFFICIAL

Funding Issues Across North Yorkshire

​

Compared with CIPFA Neighbours:

• Public Health funding - £3.4m less
• Better Care Fund - £9m less
• CHC reduction in funding from ICBs compared with last year
• Discharge costs – higher than grant and pre-Covid spend by approx. £4.5m
• Cash freeze for most 2025/26 government grants in 2025/26
• No funding for employers’ NIC increase to pass on to care providers
• End of Rural Services Delivery Grant (loss of £14.3m)

​

​

​

OFFICIAL

Whitby & District Population

The area has a population of around 24,400 people. It has an older age profile than that of England.

Census 2021 Data

Levels of unpaid care provision are similar to England. A larger proportion of people are disabled under the Equality Act than nationally.

OFFICIAL

����Our Social Care services in Whitby��Living Well��Community Social Work and Occupational Therapists (c200-250 people supported at any one time)��Social Care Mental Health (c16 MHA Assessments per quarter including Whitby)��Larpool Lane��Care Providers��Leisure Services include Escape Pain programme�

OFFICIAL

�����Local Care Market��Nursing home intervention��Quality team “flying squad”: 4 local interventions in the last 12 months (3 local providers and 1 other that serves Whitby)��Whitby Homecare Alliance community commissioning pilot: submissions Spring 25 and operational Autumn 25���

OFFICIAL

Whitby Homecare Alliance Community Commissioning Pilot: what problems are we trying to solve?

• Limited established home-based support provider market in Whitby.
• Recruitment challenges – limited local workforce competing with higher paid seasonal opportunities.
• Capacity requirements are not large enough to sustain provision.
• Where new providers have come into the area, this has destabilised established providers and has relied on a 100% sponsorship recruitment model, which has seen packages handed back with limited available contingency.
• Increased spend on high-cost residential placements.

How we are going to solve this…

• 1-year Community Commissioning pilot
• Small group of providers operating across the Whitby district with sourcing on per package basis
• Sustainable workforce models across the Whitby district
• Trialling new ways of working:
• Trusted reviews
• Provider deciding call times with person
• Tolerances and contingencies
• Reablement-focus
• Providers working collaboratively as alliance
• TEC-first approach and potential for care responder service

OFFICIAL

�����Future Ambitions for Whitby��Prevention Plus ��Extra Care Housing in the town��Supported accommodation for working age adults���

OFFICIAL

North Yorkshire Council – Care & Support Hubs

What are the proposals?

• To develop up to five new Council-run Care & Support Hubs to replace our existing seven Elderly Person’s Homes
• 250 beds delivering specialist residential dementia care & bed-based intermediate care

Why?

• Current gaps in the care market and unsustainable exceptionally high costs in the market for specialist OP residential care
• Growing demand for dementia service and intermediate care provision
• Need for market intervention; to use limited budget more effectively
• Council’s long-standing commitment to be a direct care provider
• Current EPHs require modernisation; new build determined most effective, value for money option

When will they be delivered?

• Phased approach; 5 – 10 year delivery programme
• Ongoing monitoring of capacity and value for money in the market
• Individual locality business cases to be brought forward for each site to demonstrate need and value for money
• Phase one will focus on Harrogate and Scarborough; areas of the county with the greatest demand & highest costs

What does this mean for independent sector providers?

• Over 90% of resi / nursing care will still be commissioned in independent sector
• Remain committed to quality, competition, sustainability and value for money within the care sector
• Continued work to upskill and develop capacity in the care market around specialist dementia care

What does this mean for people in North Yorkshire?

• Improved services, choice and value for money
• No imminent changes to provision for people receiving support from the Council’s EPHs.

OFFICIAL

Working with �our NHS

• 50-100% more discharges than pre-COVID – and c£4m under-funded to support this demand, which is fuelling ASC overspend
• Only about 20% of discharges require social care intervention
• 5 community providers, most within acute-focused FTs, with different offers and funding levels

10

OFFICIAL

Working with our NHS

OFFICIAL

�North Yorkshire Health Collaborative

North Yorkshire Health Collaborative

• Joint Committee, chaired by NYC Chief Executive, from April 2025
• Influence/control over £600m of NYC and NHS spend: aligned budgets plus nationally-pooled BCF

Ambitious for Health multi-year programme for Neighbourhood Health: Prevention, Health inequalities/health barriers to work, Children and Young People, Community Health and Integrated Neighbourhood Teams, Intermediate Care/Reablement, Complex Mental and Physical Health, Unpaid Carers, Healthy Places, Co-production, System performance and improvement

​

OFFICIAL

Our national asks

• More investment in community health services and social care
• Recognition of specific needs of rural and coastal communities
• Support to change the NHS culture from treatment to prevention and hospital to community
• Longer-term planning certainty and funding to grow and support Neighbourhood Health
• Louise Casey’s Independent Commission on Social Care – tangible, funded reform programme

​

OFFICIAL