- There is a lack of specialist providers in the market who can address complex needs that people with a PI have (mental health/ behavioural issues, complex neurological/ acquired brain injury and other physical health conditions, etc).
- Increasing numbers of people with PI in inappropriate accommodation settings due to a lack of appropriate accommodation solutions i.e. supported living.
Market Context
The Council provides social care support and services for adults with a physical impairment who are predominantly aged 18 - 65, however some people may be over 65. Some people with a physical impairment may also have a sensory impairment or dementia.
Adults in this cohort are likely to require longer term support depending on their circumstances and needs. Short term respite services can be provided to the unpaid carers due to the long term nature of the impairments. Carers have given feedback to the Council that it can be difficult to accommodate planned respite breaks far in advance, it is considerably easier to plan more immediate respite care.
Community and accommodation based services are commissioned by the Council. Specific and framework contracts are in place for this cohort, some of which allow for providers to enter the market at set periods. For more information refer to the following services/contracts:
- Residential care for working aged adults
- Nursing care
- Intermediate care
- Domiciliary care
- Day opportunities
- Equipment and TEC enabled care
- Shared lives
- Supported living
- Employment opportunities
An adult in receipt of certain services, either through a managed service on one of the Council's contracts, or by using self-directed support via a direct payment for example, may have completed a financial assessment.
No impact from COVID-19 has currently been highlighted
Current market risks:
- Lack of interest from the market for adults with a PI having complex needs. This has previously meant that a number of people with complex needs have been on an unmet needs list.
- Lack of appropriate supported accommodation solutions for people with physical impairments.
Our current area of focus is:
- Using solutions such as ISF, microenterprise, etc so people with PI have more choice and control on care options best suited for them.
- Liaise with accommodation providers and health partners to shape our offer for accommodation and rehab solutions for people with a PI.
- Increase uptake of live at home options for people with PI.
- Working across health and voluntary sector to assess the need for a case for change for people with cognitive impairment with an aim to develop Cognitive Care provision through a collaborative venture across the integrated care system.