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The Welsh Government must assure itself that proposed policy reforms address these issues and achieve the aim of putting quality and outcomes at the heart of the commissioning process.
Across Wales, the costs of care-home commissioning for older people run into several hundreds of millions of pounds each year and many thousands of people are affected.
After recently completing a review of commissioning care-home placements for older people in North Wales, this report draws together issues of wider national significance and makes recommendations for the Welsh Government to consider as it looks to take forward actions in response to its Rebalancing Care and Support White Paper [opens in new window].
We highlight challenges that should be considered as part of planned policy reform, to secure meaningful change and better outcomes for people across Wales.
Some key facts on care-home commissioning:
From our regional report and our all-Wales analysis, we’ve found that:
We recommend that Welsh Government considers our findings from our work in North Wales, and in particular that it:
Although most of the issues now faced in care services were there before, the COVID-19 pandemic has exposed both the importance and the fragility of these services across Wales. The Welsh Government needs to ensure that its planned reforms resolve long-standing and challenging issues around care-home commissioning and integrated care. Now is the chance to build consensus about the changes necessary to deliver improved services for those in need.