I recognise the importance of effective commissioning and am currently the director of children’s services sponsor for a regional commissioning hub. I absolutely agree with the CMA that the residential children’s home market is broken. So, the question I keep asking myself is…why am I not jumping up and down with excitement about regional care co-operatives as outlined in the government’s implementation plan for children’s social care?
I should declare an interest. I am one of those weird (and, in my case, not particularly wonderful) ‘twin hatters’ who is also responsible for both adult services and children’s services. As a result, I have, within my services, a really effective commissioning team who manage the adult residential care home market. The market boasts both sufficiency and quality. Where there are gaps in provision, they stimulate the market to fill them. Where there are quality issues, they work with providers to improve or, if they are unable to do so, to move out of the market.
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