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Decision details

Recommissioning LDAN, Care Homes and Home Care Services to Improve Outcomes for Adults and Ensure Sustainable, High-Quality Provision

Decision Maker: Cabinet

Decision status: Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

Approval is being sought from Cabinet to initiate the recommissioning of Learning Disabilities, Autism and Neurodiversity (LDAN) services, Care Homes and Home Care services within Bath and North East Somerset, with the aim of improving outcomes for adults, ensuring sustainable and high-quality provision, and responding to evolving demographic, financial, and regulatory pressures.

Decision:

(1)  To agree that the Strategic Commissioning Hub will go out to the market to reprocure Learning Disability, Autism and Neurodiversity Services.

 

(2)  To agree that the Strategic Commissioning Hub will go out to the market to reprocure Care Home Services.

 

(3)  To agree that the Strategic Commissioning Hub will go out to the market to reprocure Home Care Services.

 

(4)  To grant delegated authority to the Director of Adult Social Care to approve contract awards in respect of the procurement activity cited above.

Reasons for the decision:

Benefit

Description

Improved outcomes

Better quality of life, reduced hospital admissions, enhanced wellbeing

System Flow

Improved flow for discharge from hospital. Minimised deterioration and maximised intervention post-discharge

Financial sustainability

More efficient use of resources, better value for money

Market resilience

Diverse, skilled, and responsive provider base

Strategic alignment

Supports ICS, Ageing Well, and Better Care Fund priorities

Regulatory compliance

Updated contracts aligned with CQC and safeguarding standards

Collaboration

Opportunity to co-produce and co-design new models of support, care, and housing

Innovation

Further embed technology enabled care

Personalisation

Choice and control to be embedded in service delivery

 

Alternative options considered:

None.

Report author: Natalia Lachkou

Publication date: 13/02/2026

Date of decision: 12/02/2026

Decided at meeting: 12/02/2026 - Cabinet

Effective from: 21/02/2026

Accompanying Documents: