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Domiciliary Support in Leicester

Vision (2019 – 2025)

Introduction

Leicester City Council and Leicester City Clinical Commissioning Group jointly purchase domiciliary support or home care for people who are eligible for health or adult social care funding. With many changes occurring the health and social care system, as well as the way in which domiciliary support is purchased and delivered, it is important to hold a vision to set out the direction for commissioning and provision of this support. From this vision, a range of delivery plans can be developed, new ways of working piloted and barriers identified and addressed.

This joint vision sets the scene until the expiry of the current contract for provision and identifies where changes can be planned for in advance of the next round of procurement.

The Vision

Commissioned Domiciliary support in Leicester should offer support that:

Maintains people in their own homes for as long as they can be there. It should support the maintenance of their independence and ability to undertake tasks for themselves for as long as possible and often contributes to the maintenance of a person’s own health and wellbeing.

Prevents unnecessary hospital admission through spotting the early signs of deterioration and supporting people to access appropriate services, ideally before a crisis arises but sometimes, unavoidably when a crisis does occur. Prevention should address both physical and mental health and may include identifying ‘assets’ in people’s lives such as carers who could be signposted for support.

Is Sustainable in terms of the market and viability and the workforce that the system relies upon.

Is Flexible to address a person’s changing need, crisis events or times when care can be reduced e.g. when someone experiences a period of more positive health or has visitors who wish to provide some of the care.

Is of high Quality , ensuring that a common agreement about what constitutes quality is held and that all parties work to ensure that this is achieved.

Works as part of a wider System of support that people access across the adult social care and health system as their needs change.

Drivers

It is important to recognise within this vision the range of drivers that exist for partners involved with and interacting with domiciliary support. These drivers include:

Service users: