Cost of care exercises
Cost of care exercise 2025
During the summer and autumn of 2025, the Adult Social Care commissioning team gathered a range of information which it took into account during its April 2026 fee increase process.
You can read a summary of this and the methodology we used to determine the fee increases in the document below:
Cost of care exercise 2024
During the summer of 2024 the Adult Social Care commissioning team, alongside Birmingham and Solihull Integrated Care Board and Birmingham and Solihull Mental Health Trust, carried out a cost of care exercise across the local regulated care market.
The focus of the exercise was to gather data in relation to supported living services and younger adult/working age care homes.
We have published a summary report containing the key cost analysis, as well as raw data submitted for the supported living exercise and raw data and further analysis for the younger adult care homes exercise.
- Cost of Care Exercise 2024 summary report.
- Appendix A - Supported Living CoC 2024 data.
- Appendix B - Care home CoC 2024 analysis and data.
Cost of care exercise 2023
Our commissioning team carried out a cost of care exercise across the local regulated care market during summer 2023. This included care homes, home support, supported living and extra care.
Cost of care exercise 2022
Care Homes, Home Support, Extra Care and Supported Living
Further to the government announcement of the Market Sustainability and Fair Cost of Care Fund 2022 to 2023, we carried out cost of care exercises for older adult care homes, home support, extra care and supported living services during the summer of 2022.
- Cost of Care summary report 2022.
- Cost of care outputs summary 2022.
- Final Market Sustainability Plan.
Open Book 2021 care cost exercise reports
In autumn 2021, our Adult Social Care Commissioning Team carried out an ‘open book’ cost analysis exercise.
This exercise invited care homes, home support and supported living locations holding contracts with us and Birmingham and Solihull Clinical Commissioning Group (CCG) to submit cost, occupancy and funding data.
The data has been analysed and is now presented in the reports below. Some of the data has been used to inform the our fee increases for the year 2022 to 2023 for contracted care homes, home support and supported living services. The fee increase methodology used for setting these fees is set out in the reports below.
The data are presented in the form of an interactive Microsoft Excel document, which has been designed with transparency in mind and allows the user to select and view a range of data based on different variables. Use the guidance documents below to help you navigate the report and select the data you wish to view.
While it is publishing the data, we will not, at this stage, enter into dialogue with care providers, answer specific questions or points raised about individual data or comments made about the figures or costs identified in the report. Nor will it provide further analysis in response to queries.
Note that the reports represent care locations that supplied data to us through this process. It does not represent all care locations in Birmingham or all care locations that we and Birmingham and Solihull CCG contract with.
- Explanation of fee increase 2022 to 2023.
- Open Book 2021 - care home cost report March 2022.
- Open Book 2021 - care home cost report navigation guidance.
- Open Book 2021 - home support and supported living cost report.
- Open Book 2021 - home support and supported living cost report navigation guidance.
We would like to take this oppertunity to thank all of those who took part in these exercises.
Page last updated: 22 May 2026
