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 high acuity dementia placements? Please provide their:
a) Name: Iftkhar Ahmed
b) Job title: Iftkhar Ahmed
c) Telephone number: 0118 9746000
d) Email address: Commissioning Manager Older People - Strategic Commissioning; 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 adults (aged over 65) with dementia, funded by the LA, 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: We cannot report on numbers of people with dementia, but can provide the following based on a Primary Support Reason of 'Support with Memory and Cognition'. Also, package costs can change throughout the year so I have provided a snapshot of year end:
2023/24: 164
2024/25: 158
Unable to project for 2026
b) Over £2,000 per week: We cannot report on numbers of people with dementia, but can provide the following based on a Primary Support Reason of 'Support with Memory and Cognition'. Also, package costs can change throughout the year so I have provided a snapshot of year end:
2023/24: 3
2024/25: 0
Unable to project for 2026

5. Please provide the total number of adults (aged 18-64) with a primary need of early-onset dementia, funded by the LA, 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: We cannot report on numbers of people with dementia, but can provide the following based on a Primary Support Reason of 'Support with Memory and Cognition'. Also, package costs can change throughout the year so I have provided a snapshot of year end:
2023/24: 8
2024/25: 8
Unable to project for 2026
b) Over £2,000 per week: We cannot report on numbers of people with dementia, but can provide the following based on a Primary Support Reason of 'Support with Memory and Cognition'. Also, package costs can change throughout the year so I have provided a snapshot of year end:
2023/24: 1
2024/25: 1
Unable to project for 2026

6. Please provide a list of all providers currently funded by the LA for adults (aged over 65) with dementia, where the cost of care exceeds £2,000 per week in a care home setting. Please provide the full list of providers at 31 March 2025.
None

7. Please provide a list of the five providers currently funded by the LA for the largest number of adults (aged over 65) with dementia, where the cost of care exceeds £2,000 per week in a care home setting
None
For each of the top five providers by expenditure on placements, please provide the number of service users funded during April 2025 and the corresponding expenditure by the LA during the month of April 2025
None

8. Please provide a list of the providers with which the LA is funding adults (aged 18-64) with a primary need of early-onset dementia
Barchester Healthcare

9. Please provider a list of the five providers with which the LA is funding adults the largest number of adults (aged 18-64) with a primary need of early-onset dementia
Barchester Healthcare
For each of the top five providers by expenditure on placements, please provide the number of service users funded during April 2025 and the corresponding expenditure by the LA during the month of April 2025
Barchester Healthcare - fewer than 5 - £4864.2

10. During the financial year 2024/25, how many out-of-area placements for dementia patients costing more than £2,000 per week did the LA make?
Fewer than 5