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Essex County Council - Provider Hub
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Market Context

People with Mental Health needs will lead fulfilling lives. Services should support recovery and the strengths of the individual

Services need to be creative, innovative and person centred in their solutions to meet a wide range of assessed needs and have the capacity to engage people. Whilst we have a good supply of domiciliary provision it is the innovative practice that is often overlooked

Domiciliary services should be enabling and focus wider than personal care: assisting, enabling and supporting people to learn new skills.

Staffing needs to be diverse and represent the needs of the client group.

For the most complex people services require specialist mental health training.

Market Rating

Market Quality Market Supply ECC Demand
Moderate Moderate Stable
ECC Ambition Market Workforce Market Maturity
Manage Supply Moderate Evolving

ECC rating of the market, assessed on the 31st March 2024.

The market currently focuses too much on maintenance of the status quo.

Packages are sourced primarily through the live at home contract and many are not specialist mental health providers.

There are some people who have complex needs who are supported by specialist mental health providers.

Essex Market   
No. Providers 205
Total No. Providers of Adults receiving Domiciliary Care 9,196
% providers CQC rated Good or Outstanding 79%
No. Providers entering the market since 1.April 2023 13
No. Providers exiting the market since 1.April 2023 12
Essex ASC Market (ECC Funded)   
No. Adults funded by ECC receiving Domiciliary Care 158
Commissioned Hours per week of domiciliary care funded by ECC  2,181.25
% ECC funded Domiciliary care placements CQC rated Good or Outstanding  82%
Framework Utilisation 45%
Essex ASC Market - Sourcing   
Average Framework Rate per hour £24.39
Average Spot Rate per hour £25.99
Contracted Placement per month 5
Spot Placements per month 2
% Admissions into Domiciliary Care CQC rated Good or Outstanding 88%
No. Adults on Unsourced Packages List on 1.April 2023 0
No. Hours on Unsourced Packages List on 1.April 2023 0

The information shown in the table(s) above is correct as of 31st March 2024.

Data in this section has been based on those Domiciliary Care Providers who according to CQC support adults with Mental Health.

Information in the above table for sourcing is based on activity between 1st April 2023 and 30th September 2023.


Services are able to keep people safe, but ECC still has too much traditional service provision. Generally, services struggle to motivate the person to take more control.

Staffing is not currently matched to the person and is not necessarily representative of the person’s needs.

Services need to be more creative and innovative.

Limited impact due to low volume overall but a handful of delayed starts particularly in areas which are more geographically remote

Current market risks:

  • Recruitment and retaining of staff with the right skills mix is challenging in the current market.
  • Matching of staff to adults can be difficult resulting in the provision of double handed care.

ECC are currently looking to review the current services and then plan an approach to secure more progressive services that will help and enable people to recover, working with predetermined support plans to avoid dependency.

Last updated: 31/03/2024