Cost of Care Exercises and Market Sustainability

The Council completed two cost-of-care exercises in February 2023, covering the Care Home and Home Care markets, and published a Market Sustainability Plan in March 2023. 

These documents were submitted to the Department of Health and Social Care and are available below. The Council’s Market Position Statement 2023 to 2028 has also been published:

• Residential and nursing care for those aged 65 and over (PDF)
• Home care for those aged 18 and over (PDF)
• Annex A - Market Sustainability and Fair Cost of Care Fund information report for Bexley (PDF)
• Market Sustainability Plan - London Borough of Bexley (PDF)
• Market Position Statement 

Market Sustainability and Improvement Fund

The Market Sustainability and Improvement Fund (MSIF) plays a key role in supporting the London Borough of Bexley to strengthen adult social care services. The fund targets three main areas:

• maintaining fee uplifts originally made as part of the 2022 to 2023 Market Sustainability and Fair Cost of Care Fund
• increasing workforce capacity and retention
• reducing waiting times

The London Borough of Bexley is committed to using MSIF funding to maintain and enhance progress in these areas.

Next steps

The Council continues to work closely with care providers to improve service quality and sustainability. The outcomes of the cost-of-care exercises are not intended to replace local authority fee-setting processes or individual contract negotiations.

If you are a provider and have any questions or would like to discuss this further, please email:

alison.rogers@selondonics.nhs.uk
Director for Integrated Commissioning
London Borough of Bexley and NHS South East London Integrated Care Board (Bexley)