Client contributions (sales, fees and charges)
All expenditure should be recorded on a gross basis with contributions from clients being recorded separately in the ‘Income: client contributions’ column. In particular:
For supported residents in private residential and nursing homes, the full cost should be shown under expenditure and any contribution by the client should be shown under ‘income: client contributions’ (it may be necessary to obtain these figures specially or estimate them if your CASSR pays the homes concerned on a net basis).
In the case of residential homes run by your CASSR, the total gross cost of running the home should be shown under expenditure. Residents’ client contributions, contributions by their relatives, and payments by full-cost paying residents should all be shown under client contributions.
Third party 'top-up' payments (contributions from a third party, usually a relative, to enable a client to occupy a more expensive place than the CASSR is prepared to pay for) should be excluded from income and expenditure, even if the CASSR pays the full cost and reclaims the 'top-up' from the third party. Local authorities have reported difficulty in the ability to separate out third party payments from the overall client contribution income. Therefore, if third party payments can be separately identified, then this should be excluded from income and expenditure. Otherwise, if third party payments cannot be separately identified, then it is ok to include in both. If you aren't able to exclude third party top-up payments, then please let us know in the comment box on the proforma.
In the case of personal budgets (whether delivered through a managed budget or direct payment), the total monies to be used for the purchase of services should be shown under expenditure and the service user’s contributions should be shown in the income: client contributions column even if the user pays the service provider direct. Note that expenditure on direct payments must be recorded in the ‘Provision by Others’ column and not under ‘Own Provision’.
Income received as a result of deferred payment agreements should be captured in this section as with any income from client contributions.
Joint arrangements
It is important to bear in mind when completing the ASC-FR that expenditure and activity should be recorded in a consistent fashion so that derived average and unit costs are meaningful. The SEA states that in the case of pooled budgets and joint arrangements, only the CASSR’s own expenditure contribution should be recorded; this is also the case for care trusts (SeRCOP). To produce meaningful average and unit costs, it follows that only the CASSR’s share of activity should be recorded in the return. Often this will be clearly known but, if not, it will often be possible to estimate this based on the activity-based returns, such as the Short and Long Term Support (SALT) collection and split pro-rata to expenditure. If, in rare exceptions, joint activity cannot be split, the total joint expenditure should be entered, and the other party’s contribution should be shown under income from joint arrangements.
Similarly, if a client is planned to receive services which would be delivered (provided or commissioned) through adult social care and paid for from this expenditure but also receives funding from other sources then only include the funding associated with adult social care. If the individual has no adult social care funding at all, then exclude them.
Please note that jointly funded packages of care with funding provided by the NHS should not be captured in this category, and this element should instead be included in ‘Income from NHS’.