Issue details

Commissioning of Care and Support at Home

Care and support at home services (also known as domiciliary care or home care) are services purchased by the Council on behalf of people who have been assessed as having eligible social care needs. These services support people to maintain their independence through the provision of personal care and support.


The Council currently commissions the majority of these services from a framework agreement which commenced in 2015 and which will come to an end in January 2021. This framework was developed jointly with NHS Continuing Healthcare who also use the contract.   In addition, the Council purchases services from the wider market through a contractual agreement. The commissioning of care and support at home is being reviewed with proposals being developed for new arrangements to be established across the county which will enable the achievement of our strategic aim to support people to live independent lives for longer. The Council will continue to work with health partners on these arrangements, to prevent unnecessary emergency hospital admissions and speed up discharges.


Given the strategic context in which this recommissioning is set, Care and Support at Home shall ensure that it:


·       Enables people to be independent for longer in their home, having choice and control over their care which is personalised for their needs.

·       Stimulates the care market to build capacity and deliver sustainable and high quality care, including a skilled, valued and sustainable workforce.

·       Strengthens community networks and supports people closer to where they live. Including increasing the number of Direct Payments.

·       Works in partnership with providers, the NHS, communities, the independent and voluntary sector and those in receipt of care to ensure the coordination and delivery of high quality care.

·       Understands market capacity and capability to make informed decisions and be innovative. Improve technology systems, including payments to improve the process for all stakeholders.

·       Maximises short-term services to reduce demand and maximise customer independence.


Following the current review and a public consultation, the Cabinet Member for Adults and Health will be asked to approve the commencement of a procurement process to source the future care and support services and delegate authority for Contract Award to the Executive Director People Services.


Decision type: Key

Reason Key: Expenditure > £500,000;

Decision status: Recommendations Approved

Divisions affected: (All Divisions);

Notice of proposed decision first published: 02/09/2019

Decision due: 28 February 2020 by Cabinet Member for Adults and Health

Lead member: Councillor Amanda Jupp

Lead director: Executive Director People Services

Contact: Juliette Garrett, Senior Commissioning Manager (Adults) Email: juliette.garrett@westsussex, Tel: 033 022 23748.

Consultation process

Public consultation available until 15 Sept 2019 at:


Consultation with Director of Adult Services, Executive Director for People Services, NHS Continuing Healthcare, Coastal Clinical Commissioning Group, Crawley Clinical Commissioning Group, Horsham and Mid Sussex Clinical Commissioning Group.


Representations concerning this proposed decision can be made to the Cabinet Member for Adults and Health, via the officer contact, by the beginning of the month in which the decision is due to be taken.

Democratic Services Contact: Erica Keegan Tel: 0330 022 26050

Background3: Independence in Later Life


Background papers

  • None.