See answers to previous information requests

I would like to request the following information regarding placements and spending for high acuity dementia services.

1. Who within the LA, has the commissioning responsibility for specialist nurse-led care home placements for older people (aged 65+). Please provide their:
a) Name: Iftkhar Ahmed
b) Job title: Commissioning Manager Older People - Strategic Commissioning
c) Telephone number: 0118 9746000
d) Email address: commissioningsupportteam@wokingham.gov.uk

2. Does the LA categorise dementia care placements using the Seven-Tiered Model of Service Delivery for Behavioural and Psychological Symptoms of Dementia (BPSD), where Tier 1 indicates no dementia and Tier 7 represents very severe BPSD requiring secure specialist inpatient care?
No

3. If not, what framework or criteria does the LA use to categorise differing levels of complexity in dementia care placements?
The LA aligns with NICE guidance that integrates BPSD management into the overall person centred dementia care plan, as such care will increase and escalate based on need. Non pharmalogical interventions are prioritised and there is emphasis training for staff and support of carers. Use of Anti-psychotics only when necessary and with regular review.

4. Please provide the total number of older people (aged 65+) with dementia, funded by the LA, receiving nursing care in a care home, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the
a) Under £2,000 per week:
2023/24: 63
2024/25: 71
2025/26: We are unable to provide projected figures (people with Support with Memory & Cognition as PSR - excludes deferred payments, top-up fees, self funders)
b) Over £2,000 per week:
2023/24: 1
2024/25: 3
2025/26: We are unable to provide projected figures (people with Support with Memory & Cognition as PSR - excludes deferred payments, top-up fees, self funders)

5. Please provide the total number of adults (aged 18-64) with a primary need of dementia (including early-onset dementia), funded by the LA, receiving long-term nursing care in a care home, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the following weekly fee bands
a) Under £2,000 per week:
2023/24: 1
2024/25: 0 (people with Support with Memory & Cognition as PSR - excludes deferred payments, top-up fees, self funders)
b) Over £2,000 per week:
2023/24: 0
2024/25: 0 (people with Support with Memory & Cognition as PSR - excludes deferred payments, top-up fees, self funders)

6. Please provide a list of all providers with which the LA is funding older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week. Please provide the list of providers as of 30th April 2025
None

7. Please provide a list of the five providers with which the LA is funding the largest number of older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week.
None
For each of the top five providers by volume of older people, please provide the number of older people funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.
None

8. Please provide a list of all providers with which the LA is funding adults (aged 18-64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the cost of care exceeds £2,000 per week. Please provide the full list of providers as of 30 April 2025
None

9. Please provide a list of the five providers with which the LA is funding the largest number of adults (aged 18-64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the weekly cost of care exceeds £2,000.
None
For each of the top five providers by volume of services users, please provide the number of service users funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.
None

10. During the financial year 2024/25, how many out-of-area placements did the LA make for older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeded £2,000 per week?
4