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Market Position Statement 2025 - 2040 Community-Based Services Vision And Intentions for CBS

Vision

“To grow and shape services that meet people’s needs in their own homes and communities to help maintain and maximise independence and to prevent and delay the need for long-term care and support options for as long as possible”.

“We expect there to be an increasing need for community-based services to support people in future, particularly as demand grows as projected. We will prioritise building relationships with providers, users of services and their families/carers and partners to ensure that services and support are available across the Borough to ensure good quality, flexible and responsive locally based services that improve outcomes for local people”.

Key Intentions For Community-Based Services To 2040

  1. To maintain and grow outcomes-focussed community - based services in Walsall to support people to meet their long-term outcomes in their own homes and communities where possible.
  2. To ensure that the connections in communities between different services and offers are understood and maximised, especially preventative and early help services.
  3. To develop in partnership with Resilient Communities, VCSE organisations, Public Health, Children’s Services, the ICB and other partners, new approaches and alternative community-based models of care and support at home through pilots and other ‘test and learns’.
  4. To ensure that the current and future needs and protected characteristics of people receiving community-based services are understood and met by the Council and community-based services.
  5. To maximise independence as a driver in every community-based service from a person’s own starting point, by ensuring a reabling approach to enable independence at whatever level a person can achieve.
  6. To continue to work with the NHS and with our provider market to support people to return home from hospital and to avoid an admission to hospital services by investing in the provision of good quality reablement, homecare services and other community -based services.
  7. To ensure that community-based services are available across the Borough in the right volume, to the required quality and at affordable, transparent and fair fee rates for us as a Council and for those who direct their own support using direct payments and for self-funders.
  8. To expand Extra Care Housing/ supported accommodation in the Borough to support 55+ year olds to maximise their independence and to avoid residential care and to consider the expansion and use of ECH for younger adults and for other purposes such as hospital avoidance.
  9. To prioritise and invest further in support for carers in their crucial role supporting loved ones in their homes and communities.
  10. To ensure that equipment services are good quality and support people to maximise their independence and be supported in their own homes and communities.
  11. To review demand and supply of day opportunities in the Borough and to consider the right model for these services with service users and providers.
  12. To consider and work on the transport and accessibility issues supporting people to access care and support services.
  13. To support providers to manage the increasingly complexity of need now and into the future by investing in workforce and services with these skills.
  14. To continually improve with partners including the ICB the quality and accessibility of end-of-life care for people in their home and community settings.
  15. To promote and expand the take -up and use of direct payments, Individual Service Funds (ISFs), small supports and other means for citizens to have choice and control over their care and support.
  16. To further develop the use of technology-enabled care (TEC), digital and AI in community-based services to transform the service offer, improve the quality and safety of care and to better manage demand for adult social care services and to enable less reliance on workforce.
  17. To consider the positive social, ethical, and environmental impact of community-based services and the council’s commitment to overall sustainability of this sector and workforce.
  18. To devise and re-commission a new contract framework for community-based services co-producing this with the provider market, users of services and their families/carers and partners by Spring 2027.
  19. To consider locality-based provider models, with a likelihood of less homecare/ care at home providers with more market share in each locality working with a network of other locality organisations.
  20. To continually improve internal Council processes such as brokerage, payments, support plans and reviews.
  21. To continue to communicate more regularly with providers of community-based services and to invest in improved relationship management with the sector.

Achieving this vision and these intentions will be a journey. It will require commitment from providers as well as commitment from the Council, ICB and other partners to drive this vision and invest in its delivery.