Table 5 - Cost analysis approach - placements and staffing
Services in scope
Service
Description
Adult
Childrens
Education
Analysis on unit cost of placements and homecare. This will extend to estimating the impact of scale, population density, complexity, self
Mainstream School MSS IMSS ‘Other’ Home to School transport
Nursing Residential Domiciliary Supported Living “Other”
Children in Care placements
Placements
funding, OOA placements, Inflation and equalisation of rates. Analysis of the distribution of staffing spend across the
All Council Education directorate staffing
All Council Adult Social Care directorate staffing
All Children’s Social Care directorate staffing
Staffing
proposed unitaries, and any anticipated changes in organisation structure.
The overarching governing equation is:
Unit costs
In a similar manner to the demand modelling, the same population segmentation approach has been used to help model costs across the county. As part of the data returns, participating areas provided data on unit costs. Cost was then modelled at the same geographic level to help control for complexity (driven by deprivation etc.) and local cost variation (e.g. higher rents in urban areas). Unit cost has been modelled by individual setting (i.e. OP Nursing) to ensure that cases of comparable complexity are being compared so-far as is possible within non-PID data.
Placement demand is taken as per the approach discussed in the previous section.
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