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New approach to commissioning home care

We have implemented a new framework for domiciliary care providers to work in small, focused areas of Gloucestershire to maximise care hours and minimise the need for travel

Neighbourhood Block Provision (formerly known as Hyper Localised Commissioning), has significantly supported in expanding home care capacity, by focusing care provider capacity in specifically defined areas under a block arrangement. This has had several significant impacts.

How we're making the difference that matters:

  • Improved Accessibility: By focusing on localised areas, home care is then more accessible to residents, ensuring that those in harder-to-reach areas receive the support they need.
  • Enhanced Quality of Care: Providers are encouraged to condense and localise their resources, which improves the employment terms and conditions for care workers and fosters a more outcome-focused approach to care.
  • Community Engagement: This model promotes better community engagement by linking individuals within their local communities, reducing social isolation and fostering stronger community ties.
  • Efficient Resource Allocation: The commissioning model allows for more efficient allocation of resources, ensuring that care packages are directly awarded without mini-competition, which speeds up the process and ensures adequate capacity.
  • Reduction in Competitive Practices: By reducing competitive working practices and encouraging collaboration between providers, the model aims to create a more cooperative and supportive environment for delivering care in people’s own home.

     

    Impact

  • Reduce the time to source home care from an average of 14.1 days to 7.6 days. 
  • Ease the demand for residential beds, with only 240 individuals currently within this setting, a 3.6% increase.
  • Since July 2022, the number of individuals supported within Gloucestershire has grown from 1,240 to 1,840 - a 48% increase.