National fee methodology for older people in residential care: A feasibility study
Practice Solutions is leading a national feasibility study exploring a national fee methodology for older people in residential care. This work forms part of the Welsh Government’s wider ambition to develop a National Care Service for Wales, aiming to deliver equity, sustainability and transparency in how care fees are calculated and commissioned.
We’re now seeking input from care home commissioners across Wales via a short, bilingual questionnaire. Your insights will play a vital role in shaping future policy and practice.
To take the commissioner survey, click here.
Meet the project team
This work is being delivered by a highly experienced team at Practice Solutions:
- Andrew Duggan, Project Lead
- Caitlin Snuggs, Research Associate
- Martyn Palfreman, Project Associate
- Neil Ayling, Project Associate
Why this project matters
Currently, care home fees are set using a variety of local approaches, sometimes differing even within the same region. With rising demand for complex care and public services under increasing pressure, the case for a fairer, more consistent model is clear.
This feasibility study will:
- Map current practices used to calculate fees
- Explore options for a standardised national model
- Evaluate financial, operational, and policy implications
- Make recommendations grounded in evidence and lived experience
Get involved
If you’re involved in commissioning care home placements, this is your chance to shape the future of fee setting in Wales. Please fill in the questionnaire by clicking here, and feel free to share the link with anyone relevant in your networks.