Market position statement


1. Introduction

Updated: Spring 2026

Our market position statement provides an overview of the key issues, challenges and market opportunities for adult social care and health in East Sussex. It identifies emerging needs and explains how we want services and support to develop.

The statement is based on our understanding of local care demand and supply. We work closely with care and support providers and the voluntary, community and social enterprise (VCSE) sector to understand our shared needs.

East Sussex continues to experience some of the most pronounced demographic pressures in the country. We have a rapidly ageing population and rising levels of long-term illness and dementia.

The context for adult social care is challenging. The rising cost of living, the legacy of COVID-19 and ongoing workforce pressures have tested the resilience of staff and providers.

National changes to immigration policy have added more pressure to the workforce, particularly in home care. This is reducing providers’ ability to recruit internationally, when demand for care continues to grow. Recruiting and retaining a local workforce remains constrained. These factors are likely to continue to put pressure on workforce capacity and service sustainability.

Financial pressures continue across the sector. Increased utility costs, changes to employer's National Insurance contributions and the National Living Wage rises all affect provider costs. In a wider context, demand is increasing, there is a rising complexity of need and limited national funding. This continues to put ongoing pressure on the Council’s medium-term financial position.

Over the last two years, we have achieved higher annual fee percentage uplifts than pre-pandemic levels. However, looking ahead, we estimate significant budget deficits. We will continue to lobby for sustainable funding and reform, including through the independent review of adult social care led by the Casey Commission. We also recognise that we may need to review the adult social care offer.

The new Mayoral Combined County Authority for Sussex, and a new unitary authority will bring opportunities and changes for our area. These could alter how and where we commission services. We will continue to work closely with our partners to shape these new structures and build on the successes of all current councils.

Over the last three years, we have undertaken significant recommissioning activity. This includes extending arrangements for carers' services and the recommissioning of:

  • community-based mental health services
  • technology enabled care
  • advocacy
  • home care
  • the Integrated Community Equipment Service

As a result, short-term recommissioning opportunities are limited. Our commissioning intentions are to focus on:

  • stabilising the existing market
  • supporting quality and sustainability
  • prioritising services that prevent, delay or reduce the need for longer-term or more intensive care

We aim to support people to stay independent and living at home or in their communities for as long as possible. Strengthening community-based accommodation and support, improving integration with health partners and expanding the use of digital and data-enabled solutions will support this. It will also help us deliver improved outcomes and value for money.

We will continue to update online market information to keep this statement relevant and useful to the local care market.

Mark Stainton, Director of Adult Social Care and Health


2. Our vision and priorities

The Council’s vision for Adult Social Care and Health is adopted from the national Social Care Future vision:

"We all want to live in a place we call home, with the people and things we love, in communities where we look out for one another, doing things that matter to us.

We are working towards a healthier, happier, fairer and safer East Sussex where people can live, work and visit."

Our vision is the central purpose to all our work and summarises the outcomes we want to achieve. We can only achieve it by working together with care and support providers, VCSEs, the NHS, our statutory partners and people in local communities.

Our East Sussex adult social care strategy, ‘What Matters To You’, sets out resident’s priorities for adult social care for:

  • adults who have, or may develop, care and support needs
  • their carers and families
  • those who work within or alongside Adult Social Care and Health.

The strategy is based on what local people have told us matters most. It provides the foundation for how we plan, commission and deliver services.

Our resident's priorities are:

  • Right support, right place, right time
  • Information and communication about care and support
  • Cost of living and cost of care, now and in the future
  • A suitable home
  • Personal connections with others
  • Group activities, hobbies and volunteering

We also have five departmental priorities that help us all work towards our vision and meet our duties:

  • Prevention - help people stay well, preventing, reducing or delaying their need for services and help them access other kinds of support
  • Waiting times – reduce the time people wait to get the care and support they need wherever we can
  • Safeguarding - ensure a high standard of safeguarding practice and outcomes
  • Quality - measure and continually improve the quality of our practice and the support and services we fund, to help people live fulfilling lives
  • Value for money - manage the Council’s money well so that we meet people’s care and support needs and help them live well.

These priorities also guide our commissioning decisions and service developments.

The Council Plan sets out the Council’s plans and approach for delivering services and using resources effectively across four priority areas:

  • Driving sustainable economic growth
  • Keeping vulnerable people safe
  • Helping people help themselves
  • Making best use of resources now and for the future

3. Quality

Every person accessing adult social care services and support deserves high quality care, and the opportunity to influence how that support is arranged and delivered. Effective commissioning plays a key role in improving quality, enabling people to direct their own care, supporting integrated service delivery, and ensuring resources are used effectively.

We work collaboratively with providers to support quality improvement across the market. This collaborative approach is reflected in feedback from providers, including: 

  • ‘We had CQC visit, final report came today - all good. I thought I should let you know, you supported us lots’
  • ‘Thank you for your support. Our CQC rating has improved, and we are overall good’
  • ‘I have been talking to… CQC today... She said every service in East Sussex County Council that she is in contact with gives you 100% positive feedback and how your knowledge and support is such a huge and invaluable asset’

In 2025, the Market Support Team made 750 visits or virtual support calls with providers (excluding ad-hoc contact). The team maintains strong oversight of the provider market and emerging risks through a range of intelligence sources including:

  • CQC ratings
  • regular engagement with local CQC inspectors
  • close work with providers to support improvement plans and service development 
  • a fortnightly multi-agency Market Oversight Panel (MOP)

The Market Oversight Panel is a fortnightly multi-agency forum. It brings together Adult Social Care and Health, safeguarding, commissioning, operational teams and health partners to share intelligence on provider quality and sustainability.

The panel supports early identification of risk, coordinates proportionate support for providers, and makes recommendations where escalation is required. This includes service suspensions or voluntary embargoes.

Adult Social Care and Health has contingency measures in place to support providers in exceptional circumstances, including illness, fire, flood or significant staffing disruption. Our initial response focuses on expert advice and action planning, with escalation only where required. In exceptional cases, where risks cannot be resolved, time-limited additional support may be provided to protect continuity of care.

Our approach to quality is increasingly intelligence led, using data, risk assessment, feedback and provider engagement. This helps to identify issues early and take proportionate action. It supports continuous improvement and safer, more consistent care across the local market.

We will continue to work closely with providers, the CQC, the Integrated Community Service (ICS) and the VCSE sector. We aim to maintain high-quality provision, support improvement, and promote consistent, person-centred practice across the local care market. 


4. Working with providers

We value our relationships with providers across the independent and VCSE sectors.

We meet regularly with East Sussex Partners in Care (ESPiC - formerly the local Registered Care Association). We support its engagement activity through £25,000 funding each year.

We provide a range of practical and strategic support to providers including:

  • A dedicated market support function that works closely with providers and takes a  supportive, solution-focused approach to promote an open and constructive relationship.
  • A funded post in our training team which helps providers overcome barriers to accessing training. The post holder engages with providers and works with our commissioners and market support team. They offer bespoke training on a range of topics including safeguarding, dementia and the Mental Capacity Act.
  • A larger, free training programme for all East Sussex independent care providers. This is delivered by our training team with a focus on all mandatory and statutory courses.
  • Co-ordinating the Registered Managers Network and supporting the Managers Investing in Leadership Excellence (MILE) pathway - a management and leadership continuing professional development project for registered managers in Sussex, delivered by Partners in Care.
  • Weekly Provider Bulletin with over 4,600 subscribers, including care home, home care providers, personal assistants, extra care and supported housing providers. It also reaches neighbouring local authorities, VCSE organisations, unpaid carers, higher education institutes, housing associations, parish and district councils.
  • A range of sector-specific groups and forums, including the East Sussex Care Homes Group, the Registered Managers Network, the Mental Health Action Group, and the micro-provider engagement group.

Our approach to the market is based on partnership, transparency and support. We work proactively with providers to support sustainability, quality and innovation. We also encourage early engagement where providers are considering changes to existing services or new developments.


5. Voluntary, community and social enterprise (VCSE) sector

The local authority recognises the unique contribution of the VCSE sector in the provision of care and support and works with the sector as an equal partner. A strong and resilient VCSE sector is essential to the health and wellbeing of our population.

The VCSE sector plays a pivotal role during periods of system pressure, including the pandemic, the cost-of-living crisis and rising demand. They support individuals, families and communities through emotional and practical support, social connection, outreach and service navigation.

Joint commissioning arrangements have been in place for many years. Our partnership approach has resulted in strong outcomes across the system. We commission a broad range of services and support across the local VCSE sector. Adult Social Care acts as the lead commissioner for a range of jointly commissioned VCSE services on behalf of the local health and care system.

We work with the VCSE sector to develop strategic partnering models and test new ways of working. We do this through the East Sussex VCSE Alliance and Public Health stewardship approach to loneliness. We will continue to support and strengthen the role of the VCSE Alliance as a strategic partner, particularly in prevention, early intervention, social connection and reducing inequalities.

Our ongoing commitments to the sector include:

  • continuing investment in VCSE infrastructure services to support organisational resilience and sustainability
  • strengthening partnership working through the East Sussex VCSE Alliance
  • collaborating with the sector to support long-term sustainability
  • supporting a diverse and inclusive VCSE market that can meet emerging needs alongside statutory services
  • enhancing joint planning with the ICS, district and borough councils and community partners to strengthen prevention, social connection and community-based support.

VCSE Commissioning Excellence Programme

We have completed a two-year VCSE Commissioning Excellence Programme with VCSE partners and the ICS to strengthen collaborative commissioning across East Sussex. The programme was guided by a shared vision:

"Prioritising collaboration and trust to drive innovation and improve outcomes."

Activity focused on:

  • building trusted relationships
  • increasing VCSE involvement and capacity
  • strengthening co-production
  • testing new approaches to collaborative tendering and contracting

This was underpinned by the principle of ‘transparent bravery’.

Participants highlighted improved cross-sector understanding and communication. We are now incorporating this learning into future VCSE commissioning and partnership activity.

Phase two was launched in April 2026 and will embed a shared vision. It will also support staff to:

  • engage with the programme’s tools and language
  • use transparent and brave principles in procurement and contracts
  • build stronger links with partners across Sussex.

6. About East Sussex

Our State of the County – Focus on East Sussex report explores in detail the data available both nationally and locally, combined with the Council's own projections. Alongside our Joint Strategic Needs Assessment (JSNA) and East Sussex in Figures (ESiF) sites, these datasets enable us to look ahead and acknowledge emerging and future needs. They indicate the areas where the adult social care market will need to adapt, innovate and grow.

The following trends are those most significant for shaping future commissioning, service planning and market development.

Population change

Around 563,100 people live in East Sussex currently, with the population expected to increase by 3.8% to around 584,400 by 2031. We expect the increase in population to be driven mainly by people moving into the county from elsewhere in the UK, with a smaller proportion coming from overseas.

Many of the people who choose to come to East Sussex are older adults. Together with the ageing of the baby-boomer generation, this means that the over 65 age group is growing faster than younger age groups. In 2031, we expect that just over half of our population will be aged 18 to 64 (52%) and nearly a third (31%) will be aged 65 and over.

Between 2026 and 2031, we expect that there will be around 21,400 births in the county and around 33,600 deaths. This reflects the fact that we have a larger population of older adults in East Sussex. Over the same period, we expect around 177,400 people to move into the county, offset by around 143,900 people moving out of the county.

Overall, these changes mean that compared to 2026, we estimate that by 2031 there will be:

  • a decline of 2.2% (2,200) in the number of children and young people
  • an increase of 0.7% (2,000) in the working age population
  • 11.1% more people aged 65 to 84 (14,900)
  • 28.5% more people aged 85+ (6,600)

We expect that how our population changes will vary in different parts of the county. By 2031 our projections suggest:

  • an increase of 34% (2,200) of people aged 85+ in Wealden. The smallest increase will be in Eastbourne at 24% (1,100)
  • 12% more people aged 65 to 84 in Wealden (5,100) and Hastings (2,100). Lewes will see the smallest rise of 9% (2,300) 
  • Lewes is projected to see an increase of 4% (2,100) in the working age population (18 to 64 years), and Wealden 3% (3,000)
  • Eastbourne and Hastings are projected to see a fall in the working age population over this period: a 3% decline in Eastbourne (2,000) and 2% in Hastings (1,100)

Age

Compared to England and the South East, East Sussex has a much older age profile. The latest population estimates show that people aged 65 and over make up 26.6% of the total population in East Sussex. This is higher than the regional (19.8%) and national (18.7%) averages.

4% of the population in East Sussex are aged 85 or more. This is higher than the regional (2.9%) and national (2.5%) position. Rother has the second highest rate of people aged 85 or over in the country at 4.9%, just below North Norfolk at 5%.

This indicates a continued need for:

  • community-based support
  • housing with care and support
  • preventative services that enable people to remain independent for longer

Disability

In the 2021 Census, the proportion of the East Sussex population that identified as disabled was 20.3% (110,550). This is the same as the proportion that identified as disabled in the 2011 Census (20.3%, 107,150). The percentage of people identifying themselves as disabled varied slightly across the district and boroughs, but rates across the county were higher than the South East average. This indicates a sustained need for inclusive, accessible services. It also highlights opportunities to expand personalised support and low-level preventative interventions.

Long-term illness

It is estimated that in 2025 there were 51,665 older people (age 65+) in East Sussex living with a long-term illness that limits their day-to-day activities. 28,581 of these people are ‘limited a little’ in their day-to-day activities, while the other 23,084 are ‘limited a lot’.

These figures are projected to rise to an estimated 57,335 older people living with a long-term illness which limits their day-to-day activities in 2030. This is an increase of 11% compared to 2025. 31,615 of these people are projected to be ‘limited a little’ (up 10.6% compared to 2025), and the other 25,720 are projected to be ‘limited a lot’ (up 11.4% compared to 2025).

Dementia

13,059 older people (age 65+) are projected to have dementia by 2030, an increase of 13.6% from 2025. In 2022, dementia was the leading cause of death for women in the county and had risen to the second leading cause for men. It is important that we build dementia-friendly communities and services, where people are aware of and understand dementia and where people with dementia can live in the way they want to.

People receiving long-term support

Most people receiving long-term support are adults aged 65 and over.

The number of people receiving long-term support from Adult Social Care and Health in 2024 to 2025 was 10,925. This has been increasing over time for both working age and older adults, but faster for people aged 65 and over.

Between 2021 to 2022 and 2024 to 2025, the number of people receiving long term support increased by 20.6% overall. Growth was highest among people aged 65 and over at 23.7%, compared with 14.8% for working age adults.

People receive long-term support for a variety of different needs. The percentage of people receiving long-term support due to learning disability and mental health reduces as you move up the age ranges, whilst the percentage needing physical support, sensory support and support with memory and cognition increases.

The rate of admission for older people (those aged 65 and over) to residential and nursing homes per 100,000 population was 558.8 in East Sussex in 2024 to 2025, compared to 592.5 for England.

The rate of admission for working age people (18 to 64) to long-term residential or nursing care per 100,000 population was 25.7, above the national rate of 17.

The proportion of older people (aged 65+) still at home 12 weeks after discharge from hospital into reablement/rehabilitation services was 74.6%, significantly above the national figure of 60.7%.

Life expectancy

East Sussex has consistently had a higher life expectancy for both men (80.2 years) and women (83.8 years) than the national average.

Wealden has the highest levels of life expectancy at birth for men (82.5 years) and women (85 years). The lowest levels are in Hastings for both men (76.6 years) and women (81.6 years).

Health inequalities and multiple long-term conditions

Much of the demand for health and social care in the future will be driven by the increasingly complex needs of people with multiple long-term conditions (multi-morbidity) and people who are becoming progressively frailer. 

Multi-morbidity is often thought of as something that only affects older people. However, the risk of exposure to unhealthy lifestyle factors in early life is relatively high in more deprived areas and multi-morbidity is known to develop at least 10 to 15 years earlier.  By 2032 it is estimated that there will be an additional 23,000 people aged 30 or over with two or more conditions in East Sussex.

As a county, East Sussex is ranked 91 out of 153 upper tier local authorities on the Index of Multiple Deprivation rank. This is a similar level of deprivation as Lincolnshire, Somerset and Kent. However, deprivation varies across the county. Hastings ranks as the third most deprived lower tier local authority in England. Two wards in Broomgrove in Hastings are among the most deprived 25 Lower Super Output Areas (LSOA) in the country. Two LSOAs in Uckfield are in the least deprived 2%.

Health inequalities will continue to shape future demand. Some communities experience poorer health outcomes earlier in life. This leads to a higher need for integrated health and social care support, community outreach, and prevention-focused services.

Workforce implications

The adult social care workforce includes all staff working in adult social care settings, in both the independent sector and for the Council.

There were 19,000 staff in post in the adult social care workforce in East Sussex in 2024 to 2025, with 1,400 posts vacant. Projections show that between 2023 and 2035 the workforce required in the county will grow by 28%.

The vacancy and turnover rates in the adult social care workforce nationally and in East Sussex are reducing. In East Sussex the vacancy rate (6.7%) remains lower than the South East (7.3%) and England (7%) averages in 2024 to 2025. However, the rate of staff turnover (26.7%) was higher than the South East (25.2%) and England (23.1%) averages.

Only 9% of people working in the adult social care sector in East Sussex in 2024 to 2025 were under 25. This was slightly higher than the regional and national figure of 7%. 29% were over 55. It is expected that 5,000 workers in the sector will reach retirement age in the next 10 years.

As the demand for support in adult social care increases it is important that we have a sufficient supply of highly skilled workers for the sector. The home care workforce in particular faces growing pressure following recent national immigration changes. From 22 July 2025, the UK Government ended new overseas recruitment for care worker and senior care worker roles, including home care. This closed a key supply route previously used to help stabilise workforce capacity. Existing overseas staff may continue working only under transitional protections until July 2028.

These changes, combined with rising demand and an ageing local workforce, mean home care providers are likely to face sustained workforce shortages. This will require ongoing investment in local recruitment, development pathways, training and retention strategies to ensure the care market can meet future need.


7. The care and health system in East Sussex

The Government’s 10 Year Health Plan for England (July 2025) sets out a vision to transform the NHS. At its heart is a ‘neighbourhood health service’, bringing care closer to where people live and joining up services. 

In East Sussex, this is being delivered through five Integrated Community Teams (ICTs), bringing together:

  • Adult Social Care and Health
  • the VCSE sector
  • primary care
  • community health services
  • other partners

Hastings and Rother ICTs are also part of the National Neighbourhood Health Implementation Programme, to accelerate this approach.

Partners are working together to develop a Neighbourhood Health Plan for 2026 to 2027. This will set shared priorities and services to improve health, reduce inequalities, and provide more joined-up, community-based care from 2027. This work builds on our existing Sussex Integrated Care Strategy 'Improving Lives Together', and our Shared Delivery Plan

We are working closely with the Sussex NHS Neighbourhood Alliance to use data and risk tools to identify groups within the population. We will start with people aged over 65 who will benefit from more proactive, co-ordinated support and reduce reliance on urgent care. Digital tools and shared information systems will underpin this to help improve access and co-ordination.

Neighbourhood Mental Health Teams are also working alongside ICTs to provide joined-up support. There is a growing focus on better integrating physical and mental health care in local communities.

Overall, we expect to continue moving towards:

  • more preventative, responsive and personalised models of care
  • digital readiness and information sharing
  • partnership working across organisational boundaries

We will further enable these shifts through commissioning. We will focus on strengthening partnerships to improve prevention, reduce health inequalities and provide care at home or in the community.


8. Residential and nursing care

East Sussex has a large and established residential and nursing care market. It continues to play a vital role in supporting adults whose needs cannot be safely or effectively met in their own homes.

Older people’s residential and nursing care

As of March 2026, there were 167 registered care homes in the county, providing around 6,700 beds and supporting just over 5,300 people. Adult Social Care and Health currently supports around 2,030 people in residential or nursing care who are eligible for Care Act support and financial assistance.

The majority of this provision is for older people, across:

  • residential care (general and dementia)
  • nursing care (general and dementia

Dementia-related provision represents a substantial and growing proportion of the market.

The market has seen increasing levels of corporate acquisition and consolidation. While this can bring investment benefits, it may also reduce market diversity and local responsiveness. The Council continues to monitor the impact of consolidation on quality, financial sustainability and continuity of care.

Specialist residential and nursing care

Specialist provision is essential in meeting our statutory duties and supporting people with highly individualised care needs. Specialist residential and nursing services support:

  • adults with learning disabilities and/or autism
  • adults with mental health needs
  • adults of working age with multiple or complex needs

There are currently 53 specialist providers, operating across 106 establishments in East Sussex. Adult Social Care and Health placements make up a much higher proportion of residents in specialist services compared with older people’s care homes - particularly for learning disability and mental health provision. The Council is purchasing approximately 50% of the places in the specialist residential and nursing market.

Demand

East Sussex has an older age profile than nationally, with a significantly higher proportion of the population aged 65 and over than both England and the South East. This is projected to increase further over the medium to long term. Rother has the second highest proportion of people aged 85 and over in the country.

These changes will have a direct impact on residential and nursing care. In particular, the Council expects:

  • increased demand for nursing care
  • growing need for dementia-specific provision
  • higher levels of complexity at the point people move into long term care, due to the Council’s aim for people to remain in their own homes for as long as they are able
  • a greater proportion of people becoming eligible for local authority support over time

Supported living options are always considered in the first instance when looking for accommodation and care and support services. It is therefore likely that demand for specialist residential and nursing care will remain static over the next few years. However, we welcome contact from any specialist residential providers considering offering short term or respite options, particularly for adults who, due to an urgent change in needs or circumstances, require it at short notice, or who have complex needs.

Refer to Working with East Sussex County Council for details of how to contact us.

Supply, access and affordability

At a countywide level, the overall supply of care home beds broadly meets demand. However, this masks specific and ongoing pressures within the market.

Occupancy across older people’s residential care averages around 80%, and over 90% for nursing care. More than half of occupied beds are used by people who are not funded by Adult Social Care and Health. This includes people funding their own care and those funded through NHS continuing healthcare or by other local authorities.

Occupancy levels in older people's care homes
Type Occupied Vacant
Nursing dementia 93% 7%
Nursing general 92% 8%
Residential dementia 81% 19%
Residential general  80% 20%
Other 88% 12%
Chart showing the occupancy levels in older peoples care homes
Chart 1: Occupancy levels in older people’s care homes in East Sussex

Vacancy data does not directly translate into availability for the Council. Not all vacant beds are available at local authority fee rates, and some vacancies are reserved or temporarily unavailable.

Affordable nursing and dementia provision remains under particular pressure. For the purposes of this market position statement, ‘affordable’ provision refers to services that are able to operate sustainably within, or close to, the Council’s current fee structure.

Since 2014 there has been a net reduction in bed capacity, largely due to the closure of smaller services. We have seen a net loss of 477 older people’s nursing beds with no new nursing beds opened since 2021. While there have been modest increases in capacity in recent years, these have mainly been in provision aimed at people funding their own care, or residential rather than nursing care.

There is a higher concentration of services in the east of the county and in more urban areas, reflecting the local infrastructure. This can limit choice and access for people living in the north and west.

Map 1: Older people’s residential and nursing services across East Sussex
Map 2: Specialist residential and nursing services across East Sussex

Limited local availability may result in placements being made further from a person’s preferred location. This, linked with expected higher population growth in Lewes, Wealden and Rother due to housing developments, may further increase pressure in these areas in the future.

The Council also commissions a small number of Discharge to Recover and Assess (D2RA) beds on behalf of the wider health and care system to support timely hospital discharge. The number of D2RA beds varies in response to system demand and funding availability.

Commissioning approach

We commission older people’s residential and nursing care primarily through an approved provider list. The list remains open, enabling new providers to join where they can demonstrate quality, value for money and alignment with local commissioning priorities.

Current contractual terms were refreshed in July 2022 and run until 2032, with an option to extend for up to a further five years. The Council is working to ensure that services it uses operate under these arrangements. It is engaging with providers to support transition where required.

Specialist residential and nursing care for adults with learning disabilities, autism, mental health needs or complex working-age needs is commissioned through a combination of spot purchasing and bespoke arrangements. This reflects the individualised nature of these services.

The Council does not anticipate moving towards large-scale block contracting for residential or nursing care. Placement decisions will continue to be based on individual assessed need, choice, quality, affordability and geographic access.

Ongoing engagement with providers is central to the Council’s commissioning approach, supporting market stability, early identification of pressures and informed commissioning decisions.

Fees, value and sustainability

The Council recognises the significant cost pressures facing residential and nursing care providers, including workforce costs, utilities, food and regulatory requirements.

At the same time, the Council must manage finite public resources and ensure adult social care funding is used effectively and equitably. Fee rates are therefore set within the context of the Council’s overall financial position, statutory duties and competing pressures across the system.

Where fees are based on individualised levels of support we will use benchmarking tools such as CareCubed. We will also negotiate to reach a mutually acceptable fee level, looking for a partnership approach with the provider market.

There remains a mismatch between most new provision entering the market and local authority affordability in the older people’s care market. Providers are encouraged to consider operating models that support sustainability within local authority fee structures. This includes mixed funding approaches and efficient use of capacity.

The Council will continue to engage with providers on fee issues, including annual fee review arrangements and ongoing market dialogue.

Older people’s residential and nursing care fee rates 2026 to 2027

NHS-funded nursing care (FNC): £267.68 per week (where applicable)

Standard minimum financial contribution from the individual in receipt of care: £206.20 per week

Summary of older people’s residential and nursing care fee rates for 2026 to 2027
Care type Placement type Total weekly fee inclusive of individual's contribution and NHS FNC (where applicable)
General nursing Long-term £1,129.73
Dementia nursing Long-term £1,163.12
General residential Long-term £750.89
Dementia residential Long-term £809.90

Quality, oversight and market resilience

The Council operates a comprehensive risk assessment framework for residential and nursing care services. This draws on a range of intelligence, including:

  • CQC inspection outcomes
  • safeguarding and quality concerns
  • placement activity
  • market sustainability information

The overall quality of residential and nursing care services in East Sussex remains strong, with a high proportion of services rated good or outstanding by the CQC.

CQC ratings
Type Outstanding Good Requires improvement No rating
Older people's residential care 1% 79% 13% 7%
Older people's nursing care 3% 75% 20% 2%
Working age adults residential and nursing 3% 89% 7% 1%

Messages for the market

  • We want to work collaboratively with providers to ensure a sustainable, responsive and high-quality residential and nursing care market.
  • There is continuing demand for affordable nursing and dementia provision, including potential expansion of existing sites and registration changes from residential to nursing care where appropriate.
  • There is an increasing need for services able to support complex care needs who are willing to work within local authority fee structures, and CareCubed where applicable.
  • We will continue to work in partnership on workforce development and service improvement.
  • We expect providers to:
    • sign up to our approved provider list and operate in line with our current terms and conditions
    • deliver good-quality care and positive outcomes
    • engage with quality assurance and improvement processes
    • be willing to work within local authority fee structures
    • enter early dialogue with the Council regarding service change, expansion or closure
  • We will support the market through:
    • transparent communication on commissioning intentions
    • constructive dialogue about future demand and pressures

9. Home care

Home care plays a critical role in supporting people to remain at home, in their communities, one of our core commissioning intentions. At any one time, around 2,700 to 2,800 people supported by Adult Social Care and Health are receiving a home care package. We commission around 37,000 hours of home care per week. The average home care package is 12.9 hours per week. The annual value we spend on home care is around £50m.

Adult Social Care and Health also block commissions home care provision from lead providers (funded by the NHS). This is to support people being discharged from hospital back to their communities.

Recent trends in East Sussex show that capacity in the home care market is exceeding Adult Social Care’s demands. This trend is reflected in neighbouring and regional areas. Five lead providers currently hold 55% of the requirement Adult Social Care and Health has for home care provision.

As at April 2026 no home care services in East Sussex were rated as inadequate. 6% of services were rated as requiring improvement. The aggregate percentage of services with a CQC rating of good or outstanding was 94%. This is higher than national 83% and South East 82%. 

Commissioning approach

  • In January 2023, a home care contract was issued on a 10-year basis (six years with an option to extend by up to 48 months) to give security and assurance to the market and to encourage investment and development. We now operate a model with two lead providers for:
    • Hastings and Rother
    • Eastbourne and Polegate
    • Seaford and Havens
  • Each of the remaining six home care areas have one lead provider.
  • There has been a significant reduction in home care providers on our approved list over the contract period due to the current market conditions. Around 25% have left the market over this period.
  • During the period of the home care contract, we have had no waiting lists in any part of the county.
  • To support providers to ensure fair pay and terms and conditions, we pay on the basis of care as it is rostered (regardless of whether it has been possible to deliver). Providers are contractually obliged to pay care staff on the same (rostered) basis.
  • We commission a minimum of 30-minute care calls in our contract. This enables care to be delivered with dignity, encourages care calls for medication and welfare checks, and supports provider sustainability.

Messages for the market

  • Current market capacity is more than sufficient to meet existing demand. We anticipate modest growth over the next five years in line with population trends, including from people who fully fund and arrange their own care.
  • We will continue to offer free training and development opportunities, and provide information on key developments and events for home care providers and their staff.
  • We will continue to work with providers and their staff to listen to their feedback, and explore how to improve experiences of working in home care.

10. Carers

There are an estimated 69,241 unpaid carers in East Sussex. That is roughly 1 in 10 people. Unpaid carers make a huge contribution to promoting and maintaining the wellbeing of people in East Sussex.

Caring takes many forms, and many carers do not see themselves as carers. They can remain hidden for a variety of reasons, such as:

  • not wanting to be labelled a carer
  • not recognising themselves as a carer
  • not knowing there is support available to them

We work with social care providers to identify carers and recognise them as expert partners in care. We are committed to ensuring care and support for carers is continually developed to meet carers’ needs. Anyone who is looking after someone who can’t manage without their help has the right to a carer’s assessment.

We have a strategic partner arrangement with Care for the Carers who offer information, advice, support, peer support groups, engagement opportunities, counselling, a Carers Card (emergency plan, discounts), respite funding for healthcare appointments and training. The value of the Carer’s Centre element of the main contract is £670,500 for 2026 to 2027.

Our strategic partner has taken on enhanced carer support for carers of people with complex needs and for carers of people with severe mental illness. They also undertake Care Act carers’ reviews. Since October 2003, they have commissioned the volunteer respite service delivered by the Association of Carers, on behalf of Adult Social Care and Health.

Small grants funding is also managed through the strategic partner. It delivers a range of carer services provided by other organisations including:

  • dementia training
  • carer’s own health and wellbeing 
  • cookery and arts activities 
  • support for carers from ethnic minority communities
  • carer support in hospices

Messages for the market

  • We have recently extended the current contract term by three years, to 31 March 2028.
  • Our commissioning intention is to co-design and then recommission a Carer’s Centre service during 2027 and 2028. This will be delivered through a strategic partner model, supporting a model of preventative support, early intervention and improved outcomes for unpaid carers. 

11. Technology enabled care (TEC)

Nationally there is an increased emphasis on the use of digital technology, including TEC services, to support and improve existing service provision. 

A good quality TEC service is one that provides a reliable, responsive, person-centred service. It should enable people to live independently and with confidence, while providing peace of mind to their family, friends and carers.

By 31 January 2027 all telecoms are switching from analogue to digital. In East Sussex, we began transitioning to digital equipment in early 2023. All new service users now receive digital equipment. The transition of existing users was completed by the end of 2024. Only a small number of analogue units remain where no alternative solution is currently available.

The East Sussex commissioned service has good uptake with around 8,000 people with care and support needs using the service with monitored alarms. There is little fluctuation in these figures.

Usage of TEC services remained stable during the pandemic, with a slight increase in 2022 to 2023. Currently, the number of people joining the service broadly matches those leaving. These numbers are expected to remain stable in the medium term.

TEC is currently only available to people who meet the Care Act eligibility criteria. The maximum contribution is £3.85. There is an additional invoice charge of £11.50 per quarter for adults who pay the full cost for their care.

 Messages for the market

  • The new contract began on 1 August 2025. It will run for three years with an option to extend by up to 24 months.
  • The annual contract value is £1.832m, with a £1,232,000 management fee.
  • The intention of the contract is to align the current service with the requirements of health partners to maximise benefits to the whole system.
  • This includes areas such as links with telehealth, equipment to monitor activities of daily living and implementing a mobile response service.
  • Technology will be introduced to:
    • support our assessment and review activity
    • inform decision-making
    • provide additional information to ensure adults receive the most appropriate packages of care to meet their specific needs.
  • We will implement a new short-term provision service model to provide extra support at the point of hospital discharge. The existing long-term provision service model will continue.
  • Greater importance will be placed on using the information from the equipment used in people’s homes. This will improve service delivery and help to explore the use of artificial intelligence and machine learning.

12. Community equipment

Community equipment provides an essential part of health and social care support. It helps people stay as independent as possible by preventing, reducing or delaying their loss of independence. For example:

  • assisting with mobility and balance
  • preventing pressure sores
  • reducing the risk of falls

It also helps unnecessary hospital admissions and supports people to return home sooner.

The Integrated Community Equipment Service (ICES) manages everything involved in providing community equipment, including:

  • logistics
  • delivery
  • collections and warehousing services
  • electronic and stock management systems
  • decontamination
  • recycling
  • maintenance and repairs

Equipment is provided to assist with daily living needs and can be categorised as follows:

  • beds and accessories
  • hoists and slings
  • bathing
  • mobility
  • moving and handling
  • pressure care
  • seating
  • toileting

The service is available to individuals who have an ICES eligible need, are over the age of 18 and:

  • are an East Sussex resident, or
  • living outside of East Sussex but registered with an East Sussex GP
  • are serving a sentence at HMP Lewes

Equipment for children and young people aged under 18 is commissioned and provided as part of the Children’s Integrated Therapy Service.

Our commissioning intention is to ensure community equipment continues to support prevention, independence and timely hospital discharge, delivered through efficient, value-for-money arrangements that meet future demand.

 Messages for the market

  • The Integrated Community Equipment Service is jointly funded and commissioned by East Sussex County Council and NHS Surrey and Sussex.
  • The service provides equipment on loan to adults with an eligible need following assessment by a health or social care practitioner. The service also delivers minor adaptations up to a value of £1,200 to adults with an eligible need, following assessment by a health or social care practitioner.
  • A new contract for community equipment and installations started on 1 April 2023. It was sourced via a further competition under a Kent Commercial Services (KCS) framework. The contract is for five years with an option to extend by up to 24 months.
  • The contract value is circa £2m per annum excluding equipment. The equipment budget for 2026 to 2027 is circa £3.4m. This does not include specialist postural seating. The service loaned approximately 78,000 items in 2025 to 2026.
  • The service provider is responsible for the procurement, delivery, collection, repair, maintenance, decontamination and disposal of community equipment.
  • Specialist postural static seating provision is commissioned through the Wheelchair Service Contract hosted by NHS Surrey and Sussex. This service provides specialist assessment and prescription of seating or shower chairs for people with complex postural needs. The specialist postural seating budget for 2026 to 2027 is circa £400,000. 
  • Most minor adaptations are provided through our community equipment and installations contract. Minor adaptations requiring a builder, plumber or electrician are spot purchased through local companies. We spend less than £60,000 per year on minor adaptations that are spot purchased.

13. Support for people with learning disabilities

Our intention is to support adults with learning disabilities to live gloriously ordinary lives in their local communities, enabling them to have choice and control over what happens in their life. Local people should have access to high quality support and accommodation within their communities, with amenities and good transport systems to enable them to be as independent as possible.

We commission support in the community, including through day services, and respite for carers. We want to support families to continue to provide care and support by ensuring there are sufficient opportunities for respite and emergency breaks.

Supported living

Supported living is the Council’s preferred model of accommodation with care and support for working age adults with learning disabilities, where this can safely and effectively meet individual needs. We have been working to ensure we have sufficient high quality supported living provision for a range of support needs, for adults with a learning disability in East Sussex.

Over recent months, we have seen an increase in newly established supported living services and we have recently tendered for a new supported living contract. As a result, we have sufficient supported accommodation for adults with higher levels of need. We are not seeking additional capacity at this time.

Supported living services must ensure that care, support and housing functions are managed separately. They must also ensure that rents remain affordable for prospective tenants and that housing benefit can be secured at sustainable levels to provide long-term security for tenants through appropriate tenancy arrangements. Good quality providers involve people with lived experience in developing their services and use accessible communication such as the total communication approach and easy read documentation.

Messages for the market

  • We are actively seeking respite or short-term residential options, including services able to provide emergency support or planned breaks for family carers.
  • Our commissioning intention over the next 12 months is not to commission additional standard supported living services for adults with a learning disability. We will, however, pursue targeted opportunities where there is a clear gap.
  • We have a targeted supported living tendering opportunity planned for summer 2027. This will be for two services, to support up to 20 individuals across the two sites, from Spring 2028.
  • Providers interested in tendering should register with the Proactis Portal to find out more.
  • We would welcome hearing from residential care providers considering remodelling their current residential care provision to the supported living model of housing and support.
  • Refer to Working with East Sussex County Council for how to contact us.

14. Housing with care and support

Housing with care and support is purpose built or adapted housing with the availability of up to 24/7 care and support services.  

This includes:

  • Providing the housing and support older people need to maintain their independence.
  • Providing emergency refuge and support for victims of domestic abuse, helping to stabilise their family life and engage with other services.
  • Supporting people with mental health needs when necessary to stabilise, recover and live more independently.
  • Supporting people with learning disabilities to maximise their independence and exercise choice and control over their lives.

In anticipation of new supported housing regulatory legislation being introduced, we will be working with other local authorities across Sussex to map existing supported housing and identify gaps in provision. This is to ensure an evidence-based approach to future planning. A pan-Sussex strategic needs assessment will take place. This will inform local supported housing strategies and consider provision required over the next five to 10 years.

Extra care

We commission six extra care schemes in Bexhill, Eastbourne, Hailsham, Peacehaven, St Leonards and Uckfield. This comprises 228 rental flats. Most schemes also include shared equity flats, which are purchased from the landlord, bringing the total number of units to 285.

The extra care schemes enable adults to live independently through assured tenancies and some shared equity flats, where 24/7 on-site care and support can meet changing needs. Four out of the six have Care Quality Commission ‘good’ ratings. The two other schemes are awaiting assessment by the Care Quality Commission. Most people with increasing needs stay in extra care.

The care and support provided to each resident is based on the individual’s assessed support needs. In addition, we commission 65 day and 63 night-time additional hours per week for each scheme. This allows flexible, ad hoc or emergency support to be provided to residents outside of agreed care packages.

In exceptional circumstances, the age criteria can be relaxed to accommodate people under 55. Training and support, including positive behavioural support, have strengthened in response to the greater number of people with more complex needs.

Messages for the market   

  • The 285 units provide enough capacity and there are no plans to develop any additional sites. We will continue to monitor supply and demand to ensure services are developed in line with changes in our population and demographic projections
  • Services were tendered in 2023 for six years with an option to extend by up to 48 months.

Refuge and support for victims of domestic abuse

We have a legal duty to support victims of domestic abuse and their children living in refuges and other safe accommodation.

We have delivered, and continue to deliver, a programme of development to improve the availability and accessibility of safe accommodation and support in East Sussex. This includes working with providers to expand provision, address gaps for people with protected characteristics, and improve inclusivity.

We continue to support smaller providers through the Domestic Abuse Small Grants Fund, including ‘by and for’ organisations working with people who face additional barriers to accessing services in the community. Recent developments in safe accommodation include five new self-contained units, increasing choice and enabling provision for groups previously under-represented, including male victims.

Accessibility remains a priority. Existing and new refuge provision includes wheelchair-accessible units, access to specialist equipment for people with sensory impairments, and consideration of further adaptations as refurbishment works are undertaken. We have also worked with the provider to maximise capacity for larger families, by protecting larger units and adapting accommodation where feasible.

We have agreed a proposal to better meet the needs of people with no recourse to public funds (NRPF). This includes allocating funding for a specific refuge space while longer-term housing and entitlements are established.

Messages for the market

  • Mainstream safe accommodation services were recommissioned from June 2025 for five years, with an option to extend by up to 60 months.
  • Multiple compound need (MCN) safe accommodation and community services were recommissioned from January 2025 for 3.25 years.
  • The East Sussex Domestic Abuse Service (ESDAS) has been retendered, with a contract start date of May 2026 for four years and an option to extend by up to 72 months. 
  • Ring-fenced government funding continues to support expansion and diversification of safe accommodation provision in East Sussex.  

Support for people with mental health needs when it is needed, to stabilise, recover and live more independently

Adult Social Care conducts an annual review of supported accommodation for mental health support needs. Due to an established and stable provider market, there is less need for new providers in our general mental health provision, compared to that for people requiring support for complex mental health support needs, particularly where there are also drug and alcohol issues. This group continues to generate the highest increase in referrals and/or placement breakdown across the system. We would therefore be interested in engaging with providers who are willing and able to help us meet this need.

 Messages for the market

  • We have an established and stable market in supported accommodation for people with more general mental health needs
  • We are interested in engaging with providers committed to developing mental health and housing‑related support for people with more complex needs, including autism, younger people, and those affected by drug and alcohol issues. This includes creating flexible support models that move with people through their recovery journey.
  • We encourage providers with these interests to approach us at the earliest possible stage when considering new developments. Early conversations enable us to:
    • shape provision around local need
    • offer guidance on location, suitability, and registration requirements
    • support prospective providers through our approvals processes
    • avoid delays or development plans that do not meet market demand
  • Refer to Working with East Sussex County Council for how to contact us.

Housing-related floating support service

The service provides short-term housing-related floating support across East Sussex. It provides people aged 16 and over with support to live independently. This can prevent homelessness by enabling people to stay in their current home or support them to find new accommodation and start a tenancy.

Referrals are made by Adult Social Care and Health, Children’s Services and the local housing authorities. People aged 60 and over can self-refer to the service. Referrals are prioritised to ensure a needs-led approach and to maintain capacity within the service to respond to any changes in need or demand.

We have a strategic partner arrangement with BHT Sussex for the floating support service across the county. The contract was significantly reduced in 2025 as part of the council’s savings programme. The value of the main contract is £510,000 per annum with additional funding from district and borough housing authorities.

Messages for the market

  • The contract with our strategic partner was let in November 2021 for 5 years with an option to extend  by up to 60 months. This extension has now been enacted for a further 36 months and the contract runs to November 2029.

15. Advocacy

Advocates in social care are independent from the local authority and the NHS. They are trained to support individuals to understand their rights, express their views and wishes, and help make sure their voice is heard.

The Care Act states that we must provide independent advocacy to people who would have 'substantial difficulty' in being involved in care and support processes and have no appropriate person who can support their involvement.

Independent Mental Capacity Advocacy (IMCA) and Relevant Paid Persons Representative (RPPR)

IMCAs support people who are facing a decision about a long-term care move, serious medical treatment, a care review or adult protection procedures. They cover the role of the relevant person’s representative when there is a gap between appointments and support the person, or their relevant person’s representative, when a standard authorisation is in place.

The IMCA service is provided for anyone aged 18 years or older who has no one able to support and represent them. Most people who access this support are:

  • living in residential accommodation with learning disabilities
  • older people with dementia
  • people who have an acquired brain injury
  • people with mental health needs.

Messages for the market

  • We discharge our IMCA and RPPR statutory duty through a pan-Sussex contractual arrangement covering East Sussex, West Sussex and Brighton & Hove. Brighton & Hove City Council act as the Lead Commissioner for the contract.
  • The service is delivered through a new contract starting 1 July 2025 for 5 years, with an option to extend by up to 24 months.

 Independent Mental Health and Care Act Advocacy

The Council has a statutory duty to commission independent mental health advocacy provision under the Mental Health Act 1983 and independent Care Act advocacy under the Care Act 2014.

 Messages for the market

  • This service is delivered through a new contract starting 1 April 2025 for 3 years, with an option to extend by up to 24 months. 
  • Independent Care Act advocacy activity is reliant on the Council referring people identified as having a substantial difficulty, so is outside the provider’s direct influence.

16. Direct payments

Direct payments are an important way of giving people choice and control over how they receive support. At any one time there are between 1,400 and 1,500 adults with care and support needs receiving a direct payment. This has been stable over several years and varies between around 28% and 34% of the people receiving long-term support in the county. The annual value of these payments is approximately £35 million.

We commission three direct payment support services, which support around 1,000 people. Demand for support services has increased over time as more personal assistants moved into employed roles. This trend is expected to continue.

Independent Lives are our strategic partner and sole provider of employment information, advice and guidance. 

The strategic partner works collaboratively with the council on ongoing service development. This includes engaging with people that have lived experience and supporting partnership working with payroll providers, managed account providers and local stakeholders to ensure a holistic service.

In addition, People Places Lives and Purple are commissioned to deliver payroll and managed account services.

Messages for the market

  • Our direct payment support services contracts began in April 2024, delivering direct payment support services until March 2029.
  • Our commissioning intention is to expand the use of direct payments and introduce individual service funds, supporting greater choice, flexibility and personalised approaches to care and support.

17. Micro-provider and personal assistant development

Micro providers give people greater choice and control over the support they receive. They are community-based offering value for money with increased opportunity to be innovative, to support emerging and future needs. They can build social connectedness, support community infrastructure, and grow creativity, resilience and diversity within the care sector. Importantly, they can also address geographic and service gaps within the care market and support recruitment and retention in social care.

Micro providers are individuals, sole traders or organisations that employ less than five people. Personal assistants (PAs) can also be classed as micro providers and make up the majority of micro providers supporting adults in East Sussex.

Our offer to micro-providers includes the following:

Training

Micro providers can access a wide range of training through the East Sussex Learning Portal and book directly online. The free courses enable micro providers to develop their skills, knowledge and confidence required to deliver safe, high-quality, person-centred care. They are delivered in a range of formats: e-learning, online workshops and in person sessions.

Resources

We offer a range of resources to help residents find micro-provider support in East Sussex, including through:

  • East Sussex 1Space directory where micro-providers can advertise their services free of charge.
  • Care Choices, a comprehensive guide to care, which includes a directory of  registered care providers in East Sussex. It is also available in print. 

Our strategic partner, Independent Lives provide the following:

  • Recruitment and training platform called PA Pages. PAs can advertise their availability for work and people wanting to employ a PA can advertise jobs.
  • Training funded through Skills for Care, including classroom and online sessions, e-learning and workbooks. See: Training courses | PA Pages
  • PA Co-ordinator to help people to recruit PAs and ongoing support once they are in post and practical resources such as a PA handbook for skills, training and compliance. They will proactively raise awareness of PA opportunities through events and community engagement.

18. Day services

In East Sussex, day services play an important role in adult social care, particularly in preventing, reducing or delaying the need for more intensive care and support. They can be invaluable in supporting people’s wellbeing, through social connections, practical activities and maintaining skills to promote independence. They also help families and unpaid carers to continue to care for their friends and relatives by giving them space to work and have some free time.

We have a mixture of services available across the county, for older people and for adults with learning disabilities.

Older people’s services

Older people’s day services provide support for older adults, including people with additional needs and people with dementia, and day-time respite for unpaid carers.

During 2025 to 2026, 328 older people were supported to access day services via East Sussex County Council. Of these, 146 had primary support needs with memory and cognition.

Additionally, people use older people’s day services who fully fund their own care.

There are 26 services across the county, delivered by 18 providers. Some operate a 7-day a week service while others offer a day or two per week. The number of days people attend is based upon need and individual choice. From recent discussions with providers there is some capacity within this market. We are seeing new services being developed where providers have identified local demand.

Map showing the location of day services in East Sussex
Map of day services across East Sussex

The Council directly provides a day service at Milton Grange. There is also a range of day services provided by the independent sector including VCSE organisations and those based in care homes.

The Council's base rate for day services for older people is £70.89 per day.

We are interested in services offering more innovative models, including intergenerational activities to enable older people to mix with young people and children. We are interested in moving to a consolidated rate which includes the cost of transport and meals where applicable.

Learning disability services

Learning disability day services include building-based and community-based services and provide:

  • Social opportunities to maintain independence
  • Day time respite for carers
  • Support to build and maintain independent living skills
  • Work skills and access to employment (supported employment)

During 2025 to 2026, 604 people were supported to access learning disability day services.

The Council directly provides day services at Beeching Park in Bexhill, Linden Court in Eastbourne, Hookstead in Crowborough, and St Nicholas Centre in Lewes. In addition there are a range of VCSE and independent sector providers.

The Council's base rate for day services for people with a learning disability is £70.89 per day. We are interested in moving to a consolidated rate which includes the cost of transport and meals where applicable.

 Messages for the market

  • There is a range of independent (including VCSE) providers of day services across the county. Services are currently spot purchased based on individual need, eligibility and choice.
  • There is a current oversupply of day services, particularly for people with learning disabilities.
  • When supporting people with their care and support needs, we will always consider how to make best use of our resources including our own directly provided services. We will also consider how people could receive support from a range of providers to achieve the best outcomes and value for money.
  • There is a need for services that operate hours that allow unpaid carers the flexibility to work and live their own lives alongside caring for their friends or relatives.
  • We are interested in working with providers who can offer services that are in line with our base rate. We are also interested in moving to a consolidated rate to include meals and transport.
  • We are interested in working with providers who are developing innovative models and provision that are community rather than building-based, as part of a preventative approach that helps people to remain independent and well for longer. 

19. Working with East Sussex County Council

Commissioning

We have a responsibility to commission care that is sustainable, for the people drawing on care and support services, and their families and carers, and for care providers. We are committed to designing and developing services alongside people with lived experience, recognising the improved quality, relevance and efficacy of services where the voice of local people has been central to the design and commissioning process.

This statement sets out where we are interested in commissioning more services.

How to contact us

If you are thinking of developing a new adult social care service, whether this is in residential care, home care, supported living, extra care or any other service, email Adult Social Care and Health Commissioning

We will ask you to provide information about your plans and contact you if we want to know more. 

Procurement

The Council has a Procurement Team that includes a first point of contact responsible for managing health and social care procurement activity. For further information about working with the Council, see: Doing business with us

This site includes:

  • the Proactis Supplier Network portal where all competitive processes for contracts over £25,000 will be advertised, regardless of which procurement legislation they fall under.
  • information on tender thresholds and procurement regulations
  • finance and insurance requirements

Note that to tender you will also need to be registered on the Central Digital Platform (also known as Find a Tender).

You can also find the Annual Procurement Forward Plan (which is finalised annually in March) on the Council's Portfolio plans page. Please note that these only include contracts over £1m.

More information

Our Adult Social Care providers and professionals pages include information on:

  • training and qualifications available to people providing care and support
  • safeguarding resources
  • developing support services
  • Adult Social Care specific information on contracts and purchasing

You can sign up for our Adult Social Care provider email bulletin which has articles about workforce, wellbeing, service news, training and development, events and opportunities to ‘have your say’. 

For any queries or feedback on the market position statement, email Adult Social Care and Health Commissioning