Published case studies relating to commissioning and market shaping for adult social care
- Case studies
Torbay Council - May 2019
Risks and value of the care home market
Liverpool City Council - January 2019
Stop & Go Project: connecting technology and social care companies
Hertfordshire County Council - December 2018
Hertfordshire Care Providers Association
Isle of Wight Council - September 2018
Collaboration with care providers - improving quality through relationships
Havering Council - May 2018
The development of a Care Network to support two way information sharing
Arden and Solihull TCP - May 2018
A framework for procuring community supported living
Dorset County Council – August 2017
The RIFT system (Risk, Information, Focus, Themes)
Herefordshire Council – July 2017
Developing a shared commitment to improving the quality of care
Surrey County Council – July 2017
A personalised approach to quality assuring care and support
Birmingham City Council – June 2017
Reshaping the market for extra care sheltered housing and supported living
- General commissioning resources
Integrated Commissioning for Better Outcomes
The Integrated Commissioning for Better Outcomes Framework 2018 is a practical tool for council and NHS commissioners to support improving outcomes through integrated commissioning.
Adult Social Care: Quality Matters sets out a single view of quality and a commitment to improvement. It is co-led by partners from across the adult social care sector.
Shifting the Centre of Gravity, LGA, NHS Clinical Commissioners, NHS Confederation and ADASS
The examples in this report show what can be achieved by system leaders and staff from local government, the NHS, the voluntary, community and social enterprise sector, and service user and carer groups working together to improve health and deliver person-centred care.
The Art of Change Making
A compendium of practical guidance and learning on making change in complex systems.
Institute for Government - Public service markets - guide and diagnostic tool
A set of resources including an online questionnaire-based tool to help identify risk in public service markets. The questionnaire generates a report on the risks and how these may be addressed.
Institute of Public Care Market Shaping Toolkit
IPC offers a centre for research, evaluation, skills development and system design to support better outcomes. There is a wide range of resources on its site, but uniquely it hosts the market position statements database alongside a set of market shaping resources.
Commisioning and the NHS New Care Models (Vanguard) Programme
Background to the 50 vanguards and how they are developing new care models, with a specific section on commissioning.
Care Markets and Quality Forum
A reference group to support improvements in the care and support market so that people have a choice of affordable, quality and responsive services in their locality. You can join the forum and access records of its discussions and a whole range of workforce and market tools.
Seven principles for the engagement of individual providers on behalf of the wider independent and voluntary adult social care sector
The Care Provider Alliance’s guidance on engaging with providers, Seven principles for the engagement of individual providers on behalf of the wider independent and voluntary adult social care sector.
CIPFA (2017) From Cost to Price: The Practitioner’s Guide to Commissioning Sustainable Social Care
A guide designed to help councils to engage in informed discussions with care providers about care costs, reasonable efficiencies and the level at which fees are set.
Department of Health (updated 2018) Care and Support Statutory Guidance
Updated guidance on the implementation of the relevant elements of the Care Act, which placed statutory duties on councils to facilitate and shape their market for adult care and support to ensure there is high-quality, personalised care and support available to meet the needs of all people in their area. The guidance also explains the role of market position statements to set out local authorities’ strategies and ambitions and articulate future demand.
Department of Health and Social Care: Market Shaping Pages (updated 2017
Compendium of information about market shaping from a range of different sources.
Institute of Public Care (2018) Let’s Agree to Agree
A toolkit for commissioners and providers of residential and nursing care for older people to assist with the complex process of seeking agreement on the cost of care in their local area. Developed for the Welsh Government, it aims to produce an approach that will assist all parties to provide a sustainable cost model.
Institute of Public Care (2016) Market Shaping Review
During spring 2016 Institute of Public Care (IPC) worked with the sector to identify what works best in market shaping, where and why, and then refreshed or supplemented existing tools and guidance. The MPS guidance and database were updated in early 2019. Other Market Shaping Review products (listed below) of interest will be:
What is Market Shaping?
This paper explains what market shaping is, who shapes the market and outlines the building blocks of effective market shaping.
Market shaping to support individual purchasing of care
A paper to help you think through what market shaping means in terms of people with personal budgets, direct payments, and self-funders who buy their own care and support
Place-based market shaping: co-ordinating health and social care
Aimed at health and social care commissioners, a paper that explores the importance of developing a place-based approach to shaping the care market
Cross-local authority and regional working on market shaping
A paper that explores when and how to take a regional joint approach to market shaping
Institute of Public Care (2015) Market Shaping toolkit (MaST)
The Market Shaping Toolkit supports both smaller care providers and councils to engage in market shaping, and to work together to develop innovative practice to meet local needs. It highlights good practice in the way that councils and smaller care and support providers collaborate and provide innovative services.
Institute of Public Care (second edition 2015) Understanding the self-funding market in social care: a toolkit for commissioners
This toolkit was produced to help councils ensure that they comply with the requirements of the Care Act, helping them understand their self-funder population so that they can facilitate and shape their local care market to meet the needs of the whole population.
- Market position statements: resources
The Market Position Statement (MPS) database is searchable by keywords and places so is useful as a one stop shop for providers but also for commissioners to see how others are using MPSs across social care and health.
- Home care markets
Top tips for Sustaining Homecare
Homecare, including supported living, is vital for people with care and support needs to live at home, yet it is the most fragile part of the social care market.
- Care home markets
Competition and Markets Authority’s (CMA’s) Care Homes Market Study Final report 30 November 2017
This document is the final report of the Competition and Markets Authority’s (CMA’s) market study into residential and nursing care homes for older people. Market studies are one of a number of tools at the CMA’s disposal to address competition or consumer protection problems, alongside its enforcement and advocacy activities. They are examinations into the causes of why particular markets may not be working well, taking an overview of regulatory and other economic drivers and patterns of consumer and business behaviour.
- Use of digital, technology and data: resources for commissioners
The Care and Health Improvement Programme’s Innovation and Transformation team provides support to councils in areas across design, digital and data. The programme of work includes activity to support commissioners and care providers with data security approaches as well as funding for local areas to deliver and scale up approaches to digital innovation across social care.
- Health and Social care procurement resources for commissioners
The LGA has developed a new National Procurement Strategy for Social Care services and a range of tools for use by local authorities. These will reflect the intent of the Care Act 2014, the Children and Families Act 2014 and Commissioning for Better Outcomes. The Strategy and tools will give procurement officers and commissioners ways to develop integrated commissioning and to develop provider markets in their area.
- Carers: resources for commissioners
Supporting carers: guidance and case studies
This publication demonstrates current examples of how councils support adult and young carers locally in a range of different ways from respite breaks to discount cards to tailored information and advice.
- Commissioning from the third sector
National Audit Office (NAO) has a specific toolkit on successful commissioning with the third sector
With a whole range of material of efficiency and effectiveness, the NAO has a specific toolkit on successful commissioning with the Third Sector. This includes considerations for decommissioning.
- Personalisation for commissioners: resources
Making it Real
Making it Real sets out what people who use services expect to see and experience if services are truly personalised. It does this with a whole range of support materials including videos, case studies and presentations.
Health Foundation – person centred care resource centre
A collection of learning and other resources from the foundation, or recommended sources.
In Control – Personal Outcomes Evaluation Tool (POET)
In Control pioneered self-directed support and has a range of product and partnership offers to work to further develop personalisation. With Lancaster University, it developed an outcomes framework to measure what is working or not in personalised care.
NHS Personal Health Budgets Learning Network
A membership based learning network open to those developing personal health budgets. Membership is free, but applications are reviewed.
Wellbeing Our Way – National Voices’ WOW Exchange
A space for the third sector and community groups to exchange examples on how they are supporting people to live well.
Social Care Institute for Excellence – personalisation guides
The Rough Guide contains a set of written and video resources aimed at developing best practice in personalised care and support.
- Housing resources for commissioners
Housing for older and disabled people
This guidance from the Ministry of Housing, Communities & Local Government guides councils in preparing planning policies on housing for older and disabled people.
Housing our Ageing Population Report: LGA
Written by the Housing LIN for the LGA, this report sets out in detail what is required to meet the housing needs of our ageing population and how councils around the country are innovating to support older people to live in their homes for longer and promote positive ageing.
Memorandum of Understanding on improving health and care through the home
Over 25 stakeholders (including LGA, ADASS, PHE, Housing LIN, DHSC, Skills for Care) share this renewed commitment to joint action across government, health, social care and housing sectors to improving health through the home. This includes the conditions for developing integrated and effective services to meet the needs of individuals, carers and families with a range of local stakeholders.
Housing for Older People Supply Recommendations (HOPSR) and Extra Care Demand Assessor (ECDA)
Housing for Older People Supply Recommendations (HOPSR) is a new tool to help local authorities understand the requirements for older people's housing in their area.
The Extra Care Demand Assessor (ECDA) builds on the work above to provide localized assessments of demand for Extra Care housing. It helps housing professionals, planners and developers understand whether a future Extra Care scheme in a specific location is required. It also enables users to test different scenarios relating to population change and the development of other extra care housing in the area.
Housing for older and disabled people from the Ministry of Housing, Communities & Local Government guides councils in preparing planning policies on housing for older and disabled people.
- Provider failure resources for commissioners
Please visit the markets and commissioning market sustainability and contigency planning page.
- Safeguarding for commissioners
LGA Making Safeguarding Personal: for commissioners
Commissioners and providers across the health and social care sectors play a critical part in safeguarding adults, both on the front line and at a strategic level, as partners on safeguarding adults boards.
- Complaints for commissioners: resources
Healthwatch social care complaints toolkit
An appendix to the July 2017 complaints toolkit for local Healthwatch which focuses on social care.
Caring about complaints: lessons from our independent care provider investigations Focus report: learning lessons from complaints March 2019, Local Government and Social Care Ombudsman
Complaints can be a cost-effective way to drive improvements. This report gives practical examples of where to look for them, based on the real experiences of people who have complained.
- Commissioning out of area care and support services
Commissioning Out of Area Care and Support Services: Advice note for Directors of Adult Social Services
ADASS and LGA Advice note for Directors of Adult Social Services on recommended ways of working for local authorities that are responsible for commissioning services (placing authorities) for adults with social care needs who are in out of area care and support services
- Websites of useful organisations
Background information on the roles and responsibilities of local councils and of local councils
GOV.UK market shaping web pages
A document to help people and organisations understand adult social care market shaping and how to take action.
Newcastle University and Collaborate
Collaborate and Newcastle University are working on new cultures and working practices that help commissioners to better understand and improve lives. As well as publications, they are beginning to build a support and discussion network, online and arrange meetings for debate.
The King's Fund
The King’s Fund is an independent charity working to make the best health and care system for all. It has a huge range of resources, publications and events. These are organised around topics across leadership, policy, people, and services. The theme on integrated care contains a range of case studies around a map of integrated practice.
Housing LIN (Learning and Improvement Network)
The Housing LIN is a free peer-to-peer professional network that exemplifies innovative housing solutions for older and disabled people.
Think Local Act Personal (TLAP)
TLAP is a national partnership supporting the transformation of health and care through personalisation and community-based support. It has a large range of publications, case studies and videos in an extensive resource bank as well as a set of projects based materials including Building Community Capacity.
Institute of Public Care (IPC)
IPC offer a centre for research, evaluation, skills development and system design to support better outcomes. There is a wide range of resources on its site, but uniquely it hosts the market position statements database alongside a set of market shaping resources.
Association of Directors of Adult Social Services (ADASS)
ADASS is a charity and the association aims to further the interests of people in need of social care by promoting high standards of social care services and influencing the development of social care legislation and policy. The membership is drawn from serving directors of adult social care employed by local authorities. Associate members are past directors and our wider membership includes deputy and assistant directors. Visit the ADASS commissioning page.
National Audit Office (NAO)
With a whole range of material of efficiency and effectiveness, the NAO has a specific toolkit on successful commissioning with the Third Sector. This includes considerations for decommissioning.
National Institute for Health and Care Excellence (NICE)
NICE provides national guidance and advice to improve health and social care and has specific pages related to adult social care guidance.
A coalition of health and social care charities in England, formed in 2008. It has more than 150 organisations in membership, representing a diverse range of health conditions. It plays a prominent role in representing patients and service users with national policy makers.
Social Care Institute for Excellence (SCIE)
SCIE is an improvement support agency and an independent charity working with adults’, families’ and children’s care and support services across the UK, and related services such as health care and housing.
Leadership for Change: the Local Vision programme
The programme had three overall aims:
- to assist in the development of a solution to a local ‘wicked’ / intractable issue through leadership development.
- to ensure that the leadership learning locally can be used to help address other issues.
- to looking across the local projects, draw together lessons and learning about the required leadership behaviours and development that will help resolve future wicked issues.
The PSSRU’s mission is to conduct high quality research on social and health care to inform and influence policy, practice and theory. The PSSRU was established at the University of Kent at Canterbury in October 1974 by Professor Bleddyn Davies. In 1996, two additional branches of the PSSRU were established at the London School of Economics and Political Science (LSE) and the University of Manchester. Although all three PSSRU sites continue to use the same name, as a result of funding changes PSSRU at Manchester is in effect now a separate entity from PSSRU at LSE and PSSRU at Kent, which continue to have very strong links as well as a shared web presence.
- Useful sources of data
Adult Social Care Outcomes Framework (ASCOF)
The latest data for each local authority against the outcomes in the framework.
Public Health Outcomes Framework
A national data set on healthy lives and life expectancy between communities that can be looked at by local authority area.
National Minimum Dataset for Social Care (NMDS-SC)
NMDS-SC is an online database which holds data on the adult social care workforce. It is the leading source of workforce intelligence and holds information on around 25,000 establishments and 700,000 workers across England.
LG Inform brings together a range of key performance contextual and financial data for authorities, in an online tool.
- Learning and development and career pathways in commissioning
Skills for Care
This Skills for Care page and guide gives more information about working in a commissioning role or team. Read about the types of activities commissioners do on a daily basis and the potential career pathways.
Skills for Care Commissioning for Wellbeing qualification
This qualification has been developed to support current and aspiring commissioners in achieving a rich, diverse and sustainable market of provision. It will also help ensure that personalised support and care is available where, how and when it is needed.
The Commissioning Academy
The Cabinet Office and its partners developed the Commissioning Academy as a unique development programme for senior leaders from all parts of the public sector. It is designed to equip a small group of professionals to tackle the challenges facing public services, take up new opportunities and commission the right outcomes for their communities. The academy is now run by a social enterprise the Public Service Transformation Academy.There are also publications aimed at giving commissioners tools, techniques and confidence.
- Constructive Conversations - London - 26 January 2018
- Constructive Conversations - York - 15 March 2018
- Constructive Conversations - Birmingham - 16 October 2018
- Markets today and tomorrow - NCASC Workshop - 14 November 2018
- Social care conference - working better together - 30 January 2019
- North East Commissioners Workshop - 1 March 2019
- Predictive Modelling Roundtable Workshop - London - 17 June 2019