FOI Request - High Acuity Dementia
Request 101003796466
1. Who within the Local Authority has the commissioning responsibility for specialist nurse-led care home placements for older people (aged 65+)? Please provide their:
a) Name
b) Job title
c) Telephone number
d) Email address
2. Does the Local Authority 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?
3. If not, what framework or criteria does the Local Authority use to categorise differing levels of complexity in dementia care placements?
4. Please provide the total number of older people (aged 65+) with dementia, funded by the Local Authoriy, receiving nursing care in a care home, for the financial year 2023/24, 2024/25 and 2025/26 (projected), broken down by the:
a) Under £2,000 per week
b) Over £2,000 per week
5. Please provide the total number of adults (aged 18-64) with a primary need of dementia (including early-onset dementia), funded by the Local Authority, receiving long-term nursing care in a care home, 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
b) Over £2,000 per week
6. Please provide a list of all providers with which the Local Authority is funding older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week. Please provide the list of providers as of 30th April 2025.
7. Please provide a list of the five providers with which the Local Authority is funding the largest number of older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeds £2,000 per week.
For each of the top five providers by volume of older people, please provide the number of older people funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.
8. Please provide a list of all providers with which the Local Authority is funding adults (aged 18–64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the cost of care exceeds £2,000 per week. Please provide the full list of providers as of 30 April 2025.
9. Please provide a list of the five providers with which the Local Authority is funding the largest number of adults (aged 18–64) with a primary diagnosis of dementia (including early-onset dementia) receiving long-term nursing care in care homes, where the weekly cost of care exceeds £2,000.
For each of the top five providers by volume of services users, please provide the number of service users funded during April 2025 and the corresponding expenditure by the Local Authority during the month of April 2025.
10. During the financial year 2024/25, how many out-of-area placements did the Local Authority make for older people (aged 65+) with dementia receiving nursing care in care homes, where the cost of care exceeded £2,000 per week?
Response 20-06-2025
1. Commissioning Team
2. It is not a commonly used model in Moray.
3. Placements are allocated according to resource and acuity and the recommendation of the multi disciplinary team. Our care homes in Moray are all independent and provide their own assessment as to whether they can accommodate the person.
4. a)
2023-24: 95
2024/25: 111
2025/26: Not held. We cannot make a projection on the data we have. Information that is not held falls under Section 17 of the Freedom of Information (Scotland) Act 2002 - Information not held.
b)
2023/24: 0
2024/25: 0
2025/26: Not held. We cannot make a projection on the data we have. Information that is not held falls under Section 17 of the Freedom of Information (Scotland) Act 2002 - Information not held.
5. a)
2023/24: 7
2024/25: <5*; the low numbers associated with this response may result in the identification of individuals. Therefore numbers between 1 and 5 have
been redacted and marked with <5 instead. This response is exempt under Section 38(1)(b) of the Freedom of Information (Scotland) Act 2002 - personal
information.
2025/26: Not held. We cannot make a projection on the data we have. Information that is not held falls under Section 17 of the Freedom of Information (Scotland) Act 2002 - Information not held.
b)
2023/24: 0
2024/25: 0
2025/26: Not held. We cannot make a projection on the data we have. Information that is not held falls under Section 17 of the Freedom of Information (Scotland) Act 2002 - Information not held.
6. Not applicable
7. Not applicable
8. Not applicable
9. Not applicable
10. 0