Future Commissioning Intentions
The recommissioning of preventative support services, aligned to our adult social care front door offer and complement other commissioned services. The creation of clear service pathways which focus on promoting independence and supporting the person to move on to more independent living.
Value for money optimised by exploring opportunities to reduce reliance on traditional care models and optimise care package sizes whilst ensuring the person remains safe and well and achieves their outcomes. This will be realised through commissioning pathways in accommodation that can support step-down without the need for individuals to move.
The sourcing of bespoke individual commissioned packages of care presents as an opportunity to explore innovative solutions for matching individuals with affordable accommodations that align with Housing Benefit limits. By addressing challenges in commissioning single units, providers can focus on creating scalable and financially sustainable models that deliver high quality care whilst maintaining affordability.
Integration of assistive technology to provide valuable insights capable of informing evidence-based decision making enhancing individual outcomes. Use technology as a creative alternative to traditional night time support where appropriate including consideration from care starting.
Empower individuals by commissioning transitional or short-term support to maximise their potential. By investing in short term support, longer term sourcing decisions made with greater accuracy and alignment to people’s unique needs and aspirations.
At the point of placement, establishing clear expectations regarding an individual’s pathway and future milestones (e.g. 1 year, three years, 5 years) creates a shared vision. Progress consistently reviewed to ensure care packages dynamically aligned with the individual’s achievements and evolving needs.

| Low level | Daytime 1:1 for 6hrs/day for assisting with activities, meal preparation and community access. Night time ratio 1:5 shared support for 8 hours. |
|---|---|
| Moderate | Daytime 1:1 for 8hrs/day for personal care, assisting with activities and community access. Night time ratio 1:2 shared support for 8 hours. |
| High level | Daytime 2:1 for 12hrs/day for assisting with activities, challenging behaviours and ensuring safety. Night time ratio: 1:1 support for 12 hours. |
| Complex | Daytime >2:1 for 12hours/day for assisting with activities, challenging behaviours and ensuring safety. Night time ratio: 1:1 support for 12 hours. |