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Welsh Government Challenged over “Care Home Fee Chaos” in North Wales

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Tuesday, 21 October, 2025
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Jeremy Miles MS/AS, Cabinet Secretary for Health and Social Care, has been challenged by Janet Finch-Saunders MS/AS over what she has described as “care home fee chaos” in North Wales.

 

This follows the disclosure that in Conwy County, if a resident is moved from Funded Nursing Care (FNC) to Continuing Health Care (CHC), so to a higher level of care, the care home is paid less. Betsi Cadwaladr University Health Board pays £1,217.23, which

is £108.52 less.

 

Commenting after writing to the Cabinet Secretary for Health and Social Care, Janet said:

 

“It appears that the crux of the problem is that the North Wales Health Board doesn’t have a proper methodology for determining the fees.

 

“There is a postcode lottery, the rates of which are decided by individual local authorities and health boards. This has caused what can only be described as care home fee chaos across the region and nation.

 

“I have sent a letter to the Cabinet Secretary for Health and Social Care requesting that he, as a matter of urgency, outline what steps the Welsh Government will take to ensure that this fee inequality stops.

 

“Care homes cannot continue to be treated in this way. Their viability is being undermined”.

 

END

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211025 Letter to the Cabinet Secretary (576.14 KB) 576.14 KB

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