The changes are about adapting what we do to enable us to be financially sustainable and to fairly use the charity’s resources for the benefit of all residents, offering value for money.
Historically, a care team has been employed by the Great Hospital charity to provide regulated care services (also known as ‘Personal Care’ or ‘Extra Care’ or ‘Domiciliary Care’) for a relatively small number of residents of Prior Court. This care provision has continued despite the care home, Elaine Herbert House, closing in 2012. Over many years, the charity has subsidised this care provision and the increases in costs year-on-year have meant this is now unsustainable. In 2022-23 the charity funded a total annual subsidy of £0.5 million for the care provision.
Increasing pressures on the charity’s costs, along with rising difficulties in the regulated care sector, most notably the recruitment of staff, have prompted us to review the future viability of providing subsidised, regulated domiciliary care for a relatively small number of residents.
We also have a duty to better align ourselves to the objectives within our Scheme of Charity, specifically to invest in, maintain and preserve our site, whilst also, where affordable, provide additional support to all residents.