Decision Maker: Cabinet

Outcome: Approved

Is Key Decision?: Yes

Is Callable In?: Yes

Date of Decision: February 12, 2026

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.

Content: (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.