Disclosure Log
Complex Home Care Packages (FOI/6738)
Message from Nottinghamshire County Council - 02 December 2025
Dear *********
FREEDOM OF INFORMATION ACT 2000 – REQUEST FOR INFORMATION REFERENCE FOI/6738:
Thank you for your request for information relating to Complex Home Care Packages:
I would like to request the following information regarding complex home care packages for adults aged 18+, except for questions 1, 2, 4 and 7 where information is required for both adults aged 18+ and children aged 0-18 years old.
I"m aware that there are differing definitions of "complex" home care across local authorities but that the council may categorise a care package as "complex" based on:
Number of Hours: Some authorities may define complex home care based on the number of hours of care needed per week or per day. For instance, if a person requires a significant amount of care each day, involving multiple interventions and skilled nursing, it may be considered complex home care.
Health Conditions: The presence of certain health conditions or combinations of conditions may also define complex home care. This could include chronic illnesses, severe disabilities, or a combination of physical and mental health needs that require ongoing support and monitoring.
Interventions and Procedures: Complex home care may involve the need for specialized procedures, medication management, wound care, monitoring of vital signs, or other skilled nursing tasks that go beyond basic home assistance.
Functional Limitations: Individuals with significant functional limitations, such as those who are bedridden, wheelchair-bound, or have limited mobility, may require complex home care due to the level of assistance needed for daily activities and health maintenance.
Risk Factors: Local authorities may also consider factors such as the risk of complications, hospital readmissions, or the need for emergency interventions when defining complex home care. Individuals with complex medical needs that require close monitoring to prevent health crises may fall into this category.
If you can"t make a classification using the above list generally I would be looking for anything above 100 hours per week.
Home care refers to packages of care delivered in the individuals’ own homes (not in care homes or residential facilities).
Please provide data for the following financial years: 2021/22, 2022/23, 2023/24, 2024/25 and 2025/26 (projected) except questions 5 and 6 which require a current snapshot (instead of projections for 2025/26), and question 7 which only requires data for 2024/25. If any data for 2024/25 is not available, please provide budgeted figures for the year or the latest snapshot data that is available.
Where possible, please kindly include responses on the attached spreadsheet.
1. Please could you supply the name, email address and telephone number of the commissioner with responsibility for packages of complex home care for (a) adults aged 18+ and (b) children aged 0-18 years old.
2. Please provide the number of people in receipt of complex home care packages (all active packages during the year including those which started prior) for (a) adults aged 18+ and (b) children aged 0-18 years old.
3. Please provide the total number of complex home care hours delivered for adults aged 18+.
4. Please provide the total gross expenditure on complex home care packages during the year for (a) adults aged 18+ and (b) children aged 0-18 years old.
5. Please provide the lowest, mean and highest hourly rate for complex home care packages for adults aged 18+ for 2021/22 to 2024/25 as well as a current snapshot.
6. Please provide the lowest, mean and highest weekly fee for complex home care packages for adults children aged 0-18 for 2021/22 to 2024/25 as well as a current snapshot.
7. Please provide a list of the 10 providers who received the greatest amount of funding for complex home care packages. Please provide data for the last financial year 2024/25 for (a) adults aged 18+ and (b) children aged 0-18 years old.
I"m aware that there are differing definitions of "complex" home care across local authorities but that the council may categorise a care package as "complex" based on:
Number of Hours: Some authorities may define complex home care based on the number of hours of care needed per week or per day. For instance, if a person requires a significant amount of care each day, involving multiple interventions and skilled nursing, it may be considered complex home care.
Health Conditions: The presence of certain health conditions or combinations of conditions may also define complex home care. This could include chronic illnesses, severe disabilities, or a combination of physical and mental health needs that require ongoing support and monitoring.
Interventions and Procedures: Complex home care may involve the need for specialized procedures, medication management, wound care, monitoring of vital signs, or other skilled nursing tasks that go beyond basic home assistance.
Functional Limitations: Individuals with significant functional limitations, such as those who are bedridden, wheelchair-bound, or have limited mobility, may require complex home care due to the level of assistance needed for daily activities and health maintenance.
Risk Factors: Local authorities may also consider factors such as the risk of complications, hospital readmissions, or the need for emergency interventions when defining complex home care. Individuals with complex medical needs that require close monitoring to prevent health crises may fall into this category.
If you can"t make a classification using the above list generally I would be looking for anything above 100 hours per week.
Home care refers to packages of care delivered in the individuals’ own homes (not in care homes or residential facilities).
Please provide data for the following financial years: 2021/22, 2022/23, 2023/24, 2024/25 and 2025/26 (projected) except questions 5 and 6 which require a current snapshot (instead of projections for 2025/26), and question 7 which only requires data for 2024/25. If any data for 2024/25 is not available, please provide budgeted figures for the year or the latest snapshot data that is available.
Where possible, please kindly include responses on the attached spreadsheet.
1. Please could you supply the name, email address and telephone number of the commissioner with responsibility for packages of complex home care for (a) adults aged 18+ and (b) children aged 0-18 years old.
2. Please provide the number of people in receipt of complex home care packages (all active packages during the year including those which started prior) for (a) adults aged 18+ and (b) children aged 0-18 years old.
3. Please provide the total number of complex home care hours delivered for adults aged 18+.
4. Please provide the total gross expenditure on complex home care packages during the year for (a) adults aged 18+ and (b) children aged 0-18 years old.
5. Please provide the lowest, mean and highest hourly rate for complex home care packages for adults aged 18+ for 2021/22 to 2024/25 as well as a current snapshot.
6. Please provide the lowest, mean and highest weekly fee for complex home care packages for adults children aged 0-18 for 2021/22 to 2024/25 as well as a current snapshot.
7. Please provide a list of the 10 providers who received the greatest amount of funding for complex home care packages. Please provide data for the last financial year 2024/25 for (a) adults aged 18+ and (b) children aged 0-18 years old.
i. For each provider, please provide the number of complex home care packages in 2024/25 (all active packages during the year including those which started prior).
ii. For each provider, please provide total expenditure in 2024/25 related to complex home care.
ii. For each provider, please provide total expenditure in 2024/25 related to complex home care.
Please find attached a spreadsheet containing the information you require.
We trust this now satisfies your request and that you find this information to be helpful.
If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Requests should be submitted within 40 working days of the date of receipt of the response to your original request and should be addressed to: Complaints and Information Team, Nottinghamshire County Council, County Hall, Loughborough Road, West Bridgford, NOTTINGHAM, NG2 7QP or [email protected] .
If you are not content with the outcome of the internal review, you have the right to apply directly to the Information Commissioner for a decision. The Information Commissioner can be contacted at: Information Commissioner’s Office, Wycliffe House, Water Lane, WILMSLOW, SK9 5AF or https://ico.org.uk/make-a-complaint/foi-and-eir-complaints/
Please remember to quote the reference number above in any future communications.
Your privacy: we use your personal information such as name and address so that we can comply with our legal obligations to respond to FOI requests. For further details about the use of information about you, please see the information handling privacy notice on our website at https://www.nottinghamshire.gov.uk/media/4323566/informationgovernanceandinformationrightsprivacynotice.pdf
Yours sincerely
Complaints and Information Team
Chief Executives Department
Nottinghamshire County Council
The Council is committed to protecting your privacy and ensuring all personal information is kept confidential and safe. For more details see our general and service specific privacy notices at: https://www.nottinghamshire.gov.uk/global-content/privacy
Download File Attachment