Cross-subsidy – the unfairest practice

Posted on December 5th, by geoff in Caring Times, CT blog. Comments Off on Cross-subsidy – the unfairest practice

By Caring Times editor Geoff Hodgson

Last week the Competition and Markets Authority (CMA) launched a market study into care homes for elderly people. It is going to look into reports of potentially unfair practices and contract terms being used by some care homes and evaluate the effectiveness of competition between care homes in driving quality and value for money for residents and taxpayers. It will also consider how local authorities and other public bodies purchase and assign care home places, and how they encourage and shape local supply.

This is an opportunity for providers to acknowledge, and then step back from, the unfair practise of charging self-funding residents over the odds to subsidise the inadequate fees paid by local authorities for publicly funded residents.

Not only do self-funders pay for their own care, but have throughout their working lives, through their taxes, helped to pay for the provision of care for those who cannot afford to pay for it themselves. This, I think, is as it should be. But it’s a bit rich to then ask them to pay a third time to cover the deficit created by governments which have effectively repudiated their social care responsibilities.

It is beyond my understanding that government can spend billions of our money on high-speed trains, fibreoptic broadband networks and redundant nuclear deterrents while effectively ignoring the needs of vulnerable older people in the last years and months of their lives.

I hope the CMA makes a big noise about the unfairness of cross-subsidies, and I hope providers and their representative organisations draw the CMA’s attention to the issue.

The CMA has invited views on any of the issues raised in the Statement of Scope – – by 5pm on Monday, 16th January 2017

  • The CT Blog is written in a personal capacity – comments and opinions expressed are not necessarily endorsed or supported by Caring Times.

Comments are closed.

Latest blog posts

It’s a hard, hard world

By Caring Times editor GEOFF HODGSON

A recent survey has found that 63% of the general public believe the NHS provides social care and 42% think...

Sign-up and pay, or perhaps pay more

By Caring Times editor GEOFF HODGSON

There are powerful arguments why carers working at night in small specialist care facilities should be paid their full hourly...

The parallel universes of social care

By guest blogger JOHN BURTON

The Care Quality Commission’s adult social care ‘productivity’ dipped in August and for the umpteenth time the 90% target of...