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Essex County Council - Provider Hub
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Market Context

Individual Service Funds (ISFs) provide both people and care and support providers with greater flexibility to deliver support tailored to the person's circumstances, wants, and needs. They offer choice and control for people who cannot or do not want to access a direct payment but still desire more personalised support. Essex County Council (ECC) has developed an early adopter approach to learn how to deliver ISFs effectively.

ISFs represent an alternative way of contracting with the market, giving more choice and control to the person receiving the service. Instead of commissioning a standard service such as home care or day opportunities, ECC can commission based on a set of outcomes and eligible needs with an agreed personal budget. This approach allows the ISF holding organisation to look at a broad range of support and/or services to meet the needs and outcomes of the person. They could deliver some and broker to other low cost or no cost solutions or specialist provision.

This is similar to managing and using a Direct Payment, but the ISF organisation manages the personal budget on behalf of the person. This arrangement is ideal for people who either do not have the capacity to enter into contracts or prefer not to take on the responsibilities associated with a Direct Payment. It provides them with greater choice and control over their support.

ECC is actively working to develop local ISF markets in Essex to enable more people to consider and benefit from ISF arrangements.

Essex  Market  
No. Providers 14
No. Adults 117

The information shown in the table(s) above is correct as of 31st March 2025.

Our vision is to establish a countywide offer for ISFs, with organisations able to offer this flexible service arrangement to customers. We have a plan in place to achieve this position within the next three years.

The COVID impact highlighted is:

  • Covid has had an impact in terms of providers having the capacity to develop new systems to manage ISFs and help shape the early adopter work. This has slowed the expansion of the new core model.

Current market risks:

  • Lack of interest from the market: We have now established numerous examples, learning, and insights to share with the market, significantly generating interest and expansion.  Current ISF providers are welcoming the flexibility and autonomy associated with being an ISF Provider.
  • Limited alternative solutions to broker to: ECC is actively working in local communities to develop Community Micro Enterprises (CMEs) for specialist, niche, and local provision. CMEs are well-positioned to support and respond to the brokerage elements for ISFs.

Our current area of focus is:

    • Expanding the locality (provider-led) early adopter approach: We are extending this approach across the county to broaden the reach and impact of ISFs.
    • Developing a countywide ISF approach: We aim to create a consistent offer across the county, ensuring local ISF markets are well-supported as we scale the offer.
    • Exploring options to scale within ECC's existing frameworks: We are exploring how to integrate and expand ISFs within the existing ECC frameworks to enhance service delivery and efficiency.

     

    Progress and recognition:

    Essex County Council has become a pioneering force in the UK for ISFs. Over the past three years, the ISF initiative has seen substantial growth, with an increasing number of providers and referrals. The pilot currently supports 117 persons through 14 ISF providers, covering complex care packages across Essex, some of which are joint-funded with Health. This progress highlights ECC's commitment to personalisation and innovative care solutions.

Last updated: 01/04/2025