Bereitstellung von häuslicher Pflegeunterstützung 2027

East Riding of Yorkshire Council will be holding a Market Engagement event to commission home care, reablement, and associated services from April 2027. This will replace and redesign existing arrangements to ensure a sustainable, high-quality and outcome-focused system of care. The procurement will establish a contract for the delivery of home care services, reablement, recovery-focused support, hospital discharge, crisis response services, and care delivery within extra care housing schemes. The aim is to deliver a sustainable and high-performing local home care market while improving the timeliness of access to care, including support for hospital discharge. A key objective is to move away from traditional time-and-task care models towards a more outcomes-based approach. The Council also intends to strengthen integration between health, social care, and community services, and to reduce reliance on long-term care through more effective use of reablement. The procurement will enhance provider accountability, quality, and performance management, while ensuring value for money and overall financial sustainability. The Council intends to introduce a neighbourhood-based service model, consisting of a Lead Provider in each locality, supported by a small number of additional locality providers. Services will be delivered in an integrated way, bringing together home care, reablement, hospital discharge pathways, and crisis or “new to care” support. Care will be allocated through planned arrangements rather than reactive spot purchasing, improving predictability and coordination. The model will also include block-commissioned reablement capacity. It will be integrated with community health services, the voluntary, community and social enterprise (VCSE) sector, and extra care housing provision. Trusted assessor models will be introduced to streamline and speed up access to care. Overall, this approach is designed to reduce fragmentation, improve coordination, and deliver better outcomes for service users. A standardised core rate will apply across most areas, with additional uplifts available where necessary for rural delivery. In certain areas, such as rural locations including the Wolds and for reablement services, a block contracting approach will be used. This model is intended to provide greater financial stability for providers, support workforce planning and investment, and reduce inefficiencies. This procurement is being undertaken in line with a range of statutory and regulatory requirements, including the Care Act 2014, the Health and Care Act 2022, Hospital Discharge Guidance, the Procurement Act 2023, and the Public Services (Social Value) Act 2012. Expected Outcomes include reduced waiting times, improved access to care, increased use and effectiveness of reablement services, reduced demand for hospital and residential care, improved continuity and coordination of support, a financially sustainable and more resilient provider market, and improved outcomes and greater independence for residents. This procurement represents a transformational redesign of the home care system.