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Wales faces ‘postcode lottery’ in care home fees, say sector representatives

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ALL local authorities in Wales should standardise payments for care home places, according to Care Forum Wales, the organisation representing the sector. The current system, where fees are set by individual councils, has led to stark discrepancies across the country, creating what the forum describes as a “postcode lottery”.

A significant variation in weekly charges for basic care has emerged between neighbouring counties, with some care home owners warning that the situation could force more closures. In two adjacent counties, the fees can differ by as much as £70 per week.

The Welsh government has acknowledged the issue, stating that its new National Office for Care and Support is considering measures “to bring about consistency”. However, it has also indicated that fee rates will continue to differ due to “local factors like land values for care homes”.

The Welsh Conservatives criticised the current approach as a “false economy”, arguing that social care and health services should not be competing for resources. Plaid Cymru echoed the need for change, calling for a “transformational change” in the health service.

Orme View care home in Llandudno, Conwy county, has seen its fees rise this year, following a decision by Conwy council to break away from the system where all councils in north Wales set their fees collectively. Instead, the council has adopted a new fee structure based on recommendations from an independent assessor, resulting in significantly higher payments.

Steffan Robbins of Orme View welcomed the change, calling it “an amazing, positive step forward.” Speaking to Politics Wales, he said, “Conwy have taken that step to really assess the true cost of care and make sure they deliver a fee that’s affordable to them, but also a fee that reflects the true costs that we’re seeing in the sector.”

In contrast, the Old Vicarage care home in Llangollen, Denbighshire, is receiving thousands of pounds less per resident each year compared to Orme View because it relies on the fees set by Denbighshire council. Although there has been an increase in fees this year, it remains substantially lower than the rates in neighbouring Conwy.

Currently, the fees for basic care in Conwy are £846 per week, while in Denbighshire they are £774. The disparity means that some care homes, like the Old Vicarage, are forced to charge residents additional top-up fees to stay afloat.

“It’s very disappointing,” said Bethan Mascarenhas, who runs the Old Vicarage. “As somebody who’s very invested in the work that they do, we really strive to give the absolute best level of care… Unfortunately, the divide between the fees will make that difference in what you can provide.”

A call for change

Care Forum Wales, the umbrella organisation for Welsh care homes, has warned that the current system is undermining facilities in areas where the fees do not reflect the actual costs. Chairman Mario Kreft emphasised the need for uniformity, stating, “The new National Office for Care and Support needs to ensure we have parity across Wales, that there is at least an understood basic level of funding across all local authorities and health boards. We’ve got to move away from a postcode lottery.”

Denbighshire council responded by asserting that it is striving to balance financial constraints while ensuring the sustainability of the care sector in the county. “We have worked hard to strike the delicate balance between navigating challenging financial constraints and ensuring that we are maintaining a sustainable future for the care sector in the county,” a spokesperson said. The council also noted that it has not seen evidence to suggest that differing fee rates are affecting the solvency of care homes in Denbighshire.

Speaking to BBC Politics Wales, Welsh Conservative MS Sam Rowlands urged the Welsh government to ensure that local authorities receive adequate funding to properly compensate care homes. “It’s kind of a false economy pitching social care against health services, because we know that there are hundreds and hundreds of beds in our hospitals at the moment which are blocked because people cannot access the care services that they need,” he said.

Plaid Cymru MS Mabon ap Gwynfor also called for a significant shift in the approach to care services. “We need to see a transformational change within the care service,” he said. “We need to see the Welsh government actually put this first and foremost as a priority… and to deliver that national care service so that care is free for individuals, that people working in the sector are paid properly, so that we know that our loved ones get that care.”

The National Office for Care and Support is currently exploring the possibility of introducing national fee methodologies to standardise care home fees. However, it has indicated that this does not necessarily mean a single national fee rate, as fees will still vary according to local factors such as land values for care homes.

The debate continues as stakeholders await the government’s next steps in addressing the inequalities in care home funding across Wales.

Business

Welsh Water slammed after thousands were left without water

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DWR CYMRU has been slammed by a councillor who warned people “could have died” after thousands were left without water.

Tens of thousands of residents across the county were left without water after a mains burst at a treatment plant in Dolgarrog last week.

Welsh Water said supplies were restored to homes and businesses on Monday morning.

The chairwoman of Conwy’s finance committee slammed Dwr Cymru during a meeting at the council’s Bodlondeb HQ on Monday.

Old Colwyn councillor Cheryl Carlisle thanked volunteers and council staff for pulling together before calling for a public inquiry into the crisis.

Security guards

Cllr Carlisle claimed those in poor health had been left without water and said security guards at water stations had turned people away with small children.

“I’d like to take the time to thank everyone that’s being involved in the crisis in Conwy over the last six days, the selfless volunteers, everyone that provided water and help to the elderly and vulnerable, and also the engineers for fixing the problem and our social care staff and the other staff who have helped keep our nursing homes going, our care homes, and (looked after) the most vulnerable,” she said.

“On a different note, there will need to be an inquiry, won’t there, into the crisis response from Dwr Cymru.

“You cannot fault the engineers, but the delays in basic organisation, like setting up the water stations.

“It was 48 hours in my particular community. Without the volunteers, it would have been very, very serious, indeed, for those with health conditions.”

She added: “The priority lists of Dwr Cymru did not work.

“There were people on it that were still undelivered (not had water delivered) as was last night [Sunday], cancer patients, dialysis patients. This is completely unacceptable.

“Security guards turned away members (of the public) with little children. That was absolutely unacceptable as well.

“I think this has brought out the very best in people and, in just a few, the very worst. There needs to be a clear disaster plan going forward.”

Cllr Carlisle then insisted an inquiry was needed after Cllr Goronwy Edwards suggested a review.

She added: “I think it needs to be something more than a review, given the seriousness.

“People could have died, those with (serious health conditions). I don’t think we should downplay anything until everyone has come through this intact.”

Conwy Council leader Cllr Charlie McCoubrey also thanked those councillors and members of the public “who had gone above and beyond to look after their communities”.

He added the authority was now in a recovery phase with some households still without water and some schools affected.

“Clearly, with any major incident, questions need to be asked about could this have been prevented, was the response adequate, and what happens in the future in terms of how we coordinate things and prevent incidents like that happening again?”

Cllr McCoubrey said he was working with Welsh Government to get answers from Dwr Cymru.

Report by Richard Evans, Local Democracy Reporter

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Business

Decision due on development of buildings at Trewern Farm

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A CALL to let a 950-herd north Pembrokeshire dairy farm keep a farm shed built without permission over a decade ago is expected to be approved later this month.

In an application recommended for conditional approval at Pembrokeshire Coast National Park’s development management committee meeting of January 29, Trewern Farms Ltd is seeking permission for the retention of the agricultural building and lay down area at Trewern Farm, Felindre Farchog.

The application is part of a wider complex planning history associated with the site.

A report for Park planners says: “Trewern Farm is operated as a zero grazing style dairy farm with 304 hectares located on two separate parcels of land, one at Trewern with the remainder being at Penpedwast, adjacent to Castell Henllys. The farm has a dairy herd of approximately 950 cows.

“Trewern Farm has expanded significantly over recent years with many of the buildings and structures on site having been erected without the prior benefit of planning permission, and having since been regularised through a combination of retrospective applications and certificates of lawfulness.

“The building subject of this application is believed to have been constructed in 2014. The site currently comprises an agricultural shed immediately adjoining another shed and is used for cubicle housing.

“A slurry lagoon, silage clamps and 12 of the newer agricultural buildings are now lawful as Certificates of Lawfulness were granted for these whilst the Authority was awaiting an Environmental Impact Assessment to be submitted by the applicants for the 2015 planning application to regularise the unauthorised buildings.

“However, this is the last of the outstanding agricultural buildings which are not lawful, and an enforcement notice was served in May 2018 requiring its removal. This notice was appealed in November 2019 and is currently being held in abeyance by the Planning Inspectorate.”

It says the building referred to in the application “is described as being designed to house cattle in a series of cubicles, and forms part of a longer set of buildings running along the southern section of the farming complex,” adding: “The livestock numbers are not proposed for increase as a result of this application but will be as secured [by a planning consent] restricted to no more than 960 milking cows with 1020 maximum excluding calves.”

Local community council Nevern has previously said it has “grave concerns” about the application, asking, amongst other things, how the 960 cattle limit will be policed and important nearby woodland will be protected.

The application was previously recommended for approval at the park’s December meeting, but was deferred as not all received documentation had been published on the national park’s planning website.

The application is now returning to the January meeting, again recommended for conditional approval.

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Business

Castell Howell launches new Food Show at Welsh International Culinary Championships

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CASTELL HOWELL has launched a new Food Show, showcasing the food trends and innovations that the hospitality industry can expect to see in 2025 and giving visitors a preview of its growing range of Welsh food and drink products. 

The new industry event is taking place alongside the 2025 Welsh International Culinary Championships (WICC) at the International Conference Centre in Newport from 20-22 January.

Castell Howell managing director Matt Lewis said: “The Castell Howell Food Show will be a new highlight in this three-day celebration of Welsh culinary excellence, hospitality skills, and innovation. As the largest wholesale supplier of Welsh Food & Drink, it gives us the opportunity to champion our excellent Welsh producers, to support hospitality customers in developing their businesses and, ultimately, to help our communities and local economies throughout Wales to thrive.

“Visitors will have the unique opportunity to engage directly with Castell Howell specialists representing every aspect of our business from insights into the latest trends, to discovering what’s in the pipeline for Welsh food and drink producers in 2025,” he said.

The Castell Howell Food Show will be a new annual event in the calendar at the start of the year, serving as a preview for its larger established trade shows, hosted at Parc y Scarlets in Llanelli and Parc Eirias in Conwy. 

The Welsh International Culinary Championships, organised by the Culinary Association of Wales, bring together the nation’s most talented craft chefs, butchers, and front-of-house professionals for three days of demanding competition. The 2025 WICC also hosts the Skills Competition Wales hospitality finals, showcasing the country’s top apprentices.

Deputy First Minister, with responsibility for Climate Change and Rural Affairs, Huw Irranca-Davies, said: 

“These two events promise to be a fantastic showcase for Wales’ food and drink industry. It’s an opportunity to celebrate Wales’ culinary excellence and the strength of our hospitality sector. Castell Howell plays an important role in supporting Welsh farmers, producers and the hospitality sector – and I wish them well with this new event.” 

Further information about the event is at foodshow.wales

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