Key market development and commissioning achievements:
Embedded intermediate care and reablement services as a core component of the Home First approach, supporting people to maximise independence, recover following illness or hospital discharge, and reduce reliance on long-term care. Reablement services now represent an annual investment of approximately £30.1m across Essex.
Expanded the use of Technology Enabled Care (TEC) and digital innovation to support people to remain safe and independent within their own homes and communities. This continues to form a key enabler of prevention, independence and personalised care.
Developed and mobilised the Supported Living Framework, which commenced in April 2025, strengthening market quality, consistency and capacity for adults with learning disabilities, autism and physical or sensory impairments. The framework supports Essex's ambition to increase independent living opportunities and reduce reliance on residential care.
Continued to strengthen accommodation-based support through improved commissioning arrangements, quality assurance and outcomes-focused specifications aligned to the Inclusive Essex Practice Model, supporting people to achieve greater independence, choice and control.
Maintained and developed the Integrated Residential and Nursing (IRN) Framework, ensuring continued access to high-quality residential and nursing provision while promoting market sustainability, quality and value for money.
Progressed recommissioning and contract modernisation across a range of services to ensure commissioning arrangements align with current strategic priorities, including prevention, independence, community-based support and personalised outcomes.
Implemented the Live at Home Framework, helping to shape a sustainable domiciliary care market and supporting the continued delivery of Home First principles. Essex now invests approximately £174.1m annually in domiciliary care services, reflecting the strategic shift towards support delivered in people's own homes.
Redesigned the Direct Payment Support Service, improving access to personalised support and increasing opportunities for people to exercise greater choice and control over how their care and support needs are met. Direct Payments now represent approximately £79.0m of annual Adult Social Care investment.
Increased investment in community-based alternatives to traditional care models, including Supported Living, Extra Care Housing, Shared Lives, Personal Assistants, community micro-enterprises and voluntary and community sector support. Supported Living now represents annual investment of approximately £129.3m, demonstrating Essex's commitment to independent living and community inclusion.
Strengthened strategic partnerships across health, housing, providers and the voluntary and community sector to support integrated service delivery, market sustainability and system-wide approaches to prevention and wellbeing.
Continued to utilise the Essex Resilience Forum and wider partnership arrangements to support market resilience, provider sustainability and preparedness for emerging risks and system pressures.
Embedded the principles of the Inclusive Essex Practice Model across commissioning and market shaping activity, encouraging providers to develop strengths-based, asset-based and community-focused services that maximise independence, increase social connections and enable people to achieve the outcomes that matter most to them.