This document sets out the rates for 2026/27 to be paid for commissioned adult social care services. The amounts detailed in the document under each section are subject to annual review.
The following service areas are covered:
- Residential and nursing care
- Residential care, learning disability, mental health and physical disability
- Support to live at home
- Older people
- Other client groups
- Extra Care
- Direct Payments
- PA Rates
- Independent supported living
- learning disability and mental health
- Shared lives
- Older People’s Day Service Framework
- Day services, learning disability, mental health
- Other adult social care commissioned services
NHS funded arrangements
The Integrated Care Board (North Tyneside placements) has agreed the rates as set out in this document for:
- Continuing healthcare placements and packages of care, where the ICB is lead commissioning these services. At present the Local Authority is making payments for these services on behalf of the ICB.
Where LA is lead commissioning, the rates as set out will be applied:
- S117 funded placements and packages of care, where these are joint funded by the Local Authority and the ICB, where the Local Authority is case managing, lead commissioning and making payments in full.
- Shared funding packages of care, where these are joint funded by the Local Authority and the ICB, where the Local Authority is case managing, lead commissioning and making payments in full.
Residential and nursing care, older people
Care home fees from April 2026
| Care Type |
Banding |
2025/26 Weekly Payment |
2026/27 Weekly Payment (4% interim uplift from 1st April) |
| Residential - General Care |
Grade 1 |
£907.42 |
£943.72 |
|
Grade 2 |
£852.90 |
£887.02 |
|
| Residential – Dementia Care |
Grade 1 |
£959.16 |
£997.53 |
|
Grade 2 |
£902.61 |
£938.71 |
|
| Nursing – General, residential rates plus FNC |
Grade 1 |
£907.42 |
£943.72 |
|
Grade 2 |
£852.90 |
£887.02 |
|
| Nursing – Dementia, residential rates plus FNC |
Grade 1 |
£959.16 |
£997.53 |
|
Grade 2 |
£902.61 |
£938.71 |
|
|
|
|||
| Care Type |
2025/26 Weekly Payment |
2026/27 Weekly Payment (5.4% uplift) |
|
| FNC* |
£254.06 |
£267.68 |
|
| Care Type |
2025/26 Weekly Payment |
2026/27 Weekly Payment (4% interim uplift from 1st April) |
|
| CHC top-up |
£108.07 (*£108.39 01/01/26) |
£112.73 |
The FNC rate will be paid, where applicable for agreed nursing placements, as determined by and on behalf of the North Tyneside ICB. The rate for FNC nationally for FNC is 5.4% for 2026/2027. (* The FNC rate is set nationally each year by the Department of Health and Social Care (DHSC) through updates to the standing rules, based on the assessed costs of providing nursing care. NHS-funded nursing care practice guidance - GOV.UK)
CHC fees are negotiated and agreed locally with North Tyneside ICB, there is a top up cost to be added to the standard fees. This is set out above.
1:1 rates in care homes – levels based on assessed need, variable values in place across care homes.
Residential care, learning disability, mental health and physical disability
Fees with effect from 1 April 2026.
|
2025/26 Weekly Fee |
2026/27 Weekly Fee (4% interim uplift from 1st April) |
|
| Residential – LD/MH |
Variable rate – dependent on need and additional support required over base rate.
Base rate range – £734.20 to £795.28
|
Variable rate – dependent on need and additional support required over base rate.
Base rate range – £763.57 to £827.09 |
| Residential – Younger Physical Disability |
Variable rate – dependent on need and additional support required over base rate.
Base rate range - £846.26 to £1410.51
|
Variable rate – dependent on need and additional support required over base rate.
Base rate range - £880.11 to £1,466.93 |
For specialist placements where there is not a standard fee level / cost in place, increase of 4% to be applied to individual cost lines.
Community Based Support
Support to live at home, older people and other client groups
|
HOMECARE SERVICE RATES 2026/27 (4.04%) |
|||
| GENERAL CARE |
Zones 1 to 4 |
Zones 5 to 6 |
|
| 15 minute visit |
£6.59 |
£7.24 |
|
| 30 Minute Visit |
£12.86 |
£14.16 |
|
| 45 Minute Visit |
£18.74 |
£20.58 |
|
| 60 Minute Visit |
£23.27 |
£25.60 |
|
|
Sleep in (fixed rate rate) |
£142.93 |
£142.93 |
|
|
Waking night (9 hours x hourly rate) |
£209.43 |
£230.40 |
|
|
2026/27 (4.04%) |
|
||
| ENHANCED CARE |
Zones 1 to 4 |
Zones 5 to 6 |
|
| 15 minute visit |
£6.69 |
£7.36 |
|
| 30 Minute Visit |
£13.36 |
£14.68 |
|
| 45 Minute Visit |
£20.04 |
£22.03 |
|
| 60 Minute Visit |
£26.69 |
£28.11 |
|
|
Sleep in (fixed rate rate) |
£156.59 |
£156.59 |
|
|
Waking night (9 hours x hourly rate) |
£240.21 |
£252.99 |
|
|
EXTRA CARE SERVICE RATES 2026/27 (4.04%) |
|||
| GENERAL CARE |
|
||
| Hourly pro-rata rate |
£21.58 |
||
| 2025/26 |
|
||
| ENHANCED CARE |
|
||
| Hourly pro-rata rate |
£26.69 |
||
Direct Payments 2026/27 (4.04%)
Agency rates
| General homecare, zones 1 to 4 | £25.59 per hour |
| General homecare, zones 5 to 6 | £28.15 per hour |
| Enhanced homecare, zones 1 to 4 | £26.66 per hour |
| Enhanced homecare, zones 5 to 6 | £29.26 per hour |
PA rates 2026/27 (4.04%)
|
PA Type |
2025/26 Rate |
Uplift Applied |
2026/27 New Rate (4.04%) |
|---|---|---|---|
| Employed PA | £13.50 + 25% on‑costs (Employer on‑costs typically include NI, holiday pay, pension etc.) | +4.04% | £14.05 per hour (base) / £17.56 with on‑costs |
| Self‑Employed PA | £14.50 | +4.04% | £15.08 per hour |
Independent supported living, learning disability and mental health
From 1 April 2026 (4.04%)
- Hourly rate – non-complex care £22.07
- Hourly rate – complex care £22.88
- Overnight rate – Waking night As per the above hourly rate x 10 hours
- Overnight sleep-in £136.62
Shared Lives Services
| Service Level |
2025/26 Rate |
2026/27 Rate (4.04%) |
|---|---|---|
| Shared Lives Day Support - One-off Payment (Hour) |
£14.67 |
£15.26 |
| Shared Lives Respite - Band B - Days (Overnight) |
£83.70 |
£87.08 |
| Shared Lives Long Term - Band B (Placement) |
£407.45 |
£423.91 |
| Shared Lives Long Term - Band C (Placement) |
£451.49 |
£469.73 |
| Shared Lives Respite - Band C - Days (Overnight) |
£93.97 |
£97.77 |
| Matching visit allowance (single session) |
£28.78 |
£29.94 |
Older People Day Service Framework, Learning Disability / Mental Health Day Services
Variable rates are in place for each day service provider and venue.
Rates in place cover transport with the day service and different levels of attendance, i.e. 1 hour, 3 hours (half day) or 6 hours (full day).
Also, providers can deliver outreach service into the community.
Additional costs at some day services for meal / lunch.
For the 2026/27 financial year, all Day Service provision will receive a 4.04% uplift. This applies to:
- Older People’s Day Services
- Learning Disability Day Services
- Mental Health Day Services
- Outreach provision linked to day opportunities
- Transport elements attached to day service delivery
Other adult social care commissioned services
Advocacy Contracts for 2026/27
All commissioned Advocacy Services—including statutory advocacy, non‑statutory advocacy, and specialist advocacy provision—will receive a 3.8% uplift for 2026/27.
Supported Housing (Under 25s and Over 25s) for 2026/27
For the 2026/27 financial year, the Council proposes a 3.8% uplift across all Supported Housing contracts, including:
- Under 25s Supported Housing
- Over 25s Supported Housing
This uplift supports the continued delivery of safe, stable and sustainable accommodation‑based support, recognising increases in staffing, regulatory and operational costs.
Contact
North Tyneside Council
Adult Social Care – Commissioning
Quadrant
Silverlink North
Cobalt Business Park
NE27 0BY
Tel: 0191 643 7100