Commissioning care and support for older people with high support needs

Jane Carrier

How can different models of care and support benefit older people and offer value for money?

This Solutions provides practical guidance for commissioners of older people’s services on the range of models and approaches available for supporting older people with high support needs. Older people with high support needs want a wider choice of care and support. They also want to be of value and to make a contribution. Many models of care and support are based on mutually valued relationships and older people’s contributions, but most operate beneath the radar of public sector commissioners.

The study identifies describes the options that are available, what makes them successful and beneficial, and suggests five priorities for commissioners:

  • communicating and demonstrating the benefits;
  • raising public awareness and engagement;
  • tackling interfaces with other services;
  • replication;
  • mobilising resources.


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