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National Review of Commissioning for Social Services in Wales 2014

Key findings and recommendations on our review of commissioning social services in Wales.

The review found that local authorities and health boards need to make major changes to the way they plan and commission services for people with dementia.

Between July 2013-January 2014 we reviewed how well local authorities commissioned social care in Wales.

As part of the review we also visited five local authorities to look at how well services for people with dementia and their carers were being commissioned.

Report recommendations

Local authorities and health boards should:

  1. Develop current visions into firm plans for service transformation.
  2. Engage the public effectively in the debate about service transformation for adult social care.
  3. Effectively integrate health and social care provision, and develop joint, coherent, and financially robust plans for the commissioning of services for people with dementia and their carers.
  4. Include prevention and early intervention services within commissioning strategies for adult social care.
  5. Develop outcomes based commissioning strategies, with contract monitoring and review, focusing on the quality of care and outcomes achieved for service users.
  6. Ensure that joint commissioning plans have appropriate governance arrangements and frameworks that professionals can operate within, including effective control and mitigation of risks to service users.
  7. Implement effective strategies that provide a wide variety of services that support carers.
  8. Evaluate the effectiveness and financial viability of new and alternative models of care for people with dementia.

Reference to ‘Care and Social Services Inspectorate Wales’ (CSSIW) in the documents on this page should be read as ‘Care Inspectorate Wales'.

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