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Integrated commissioning

Many people need health care and social care services at the same time, so it is important that the council plans services with the NHS. Our key partners in the NHS are

We develop high quality services for Salford people by collecting information from:

  • the local Joint Strategic Needs Assessment which includes detailed information on Salford's population and what health and social care needs they are likely to have in the future.

  • service users and carers who have day-to-day experience of services and can tell us what works well, what works less well and where there are gaps in the services available. Development groups are one way that service users and carers have a voice.

  • monitoring and evaluating existing contracts, so that we can see which services are working well - to help people live healthier, more independent lives.

Market Sustainability and Fair Cost of Care Fund

In December 2021 the government published a white paper People at the Heart of Care, that outlined a 10-year vision for adult social care. To support with this the government implemented the Market Sustainability and Fair Cost of Care Fund. The fund was announced on 16 December 2021. The primary purpose of the fund is to support local authorities to prepare their markets for reform, and to support local authorities to move towards paying providers a fair cost of care. More information about the Market Sustainability and Fair Cost of Care Fund can be found here: Market sustainability and fair cost of care fund 2022 to 2023: guidance.

As a condition of receiving funding from the Market Sustainability and Fair Cost of Care Fund, local authorities were required to carry out a Fair Cost of Care Exercise with their 65+ care home and 18+ home care market and publish a ‘cost of care’ report.

The following reports can be downloaded at the bottom of this page.

  • Annex B: Cost of Care Report Homecare 18+ (Salford City Council)

  • Annex B: Cost of Care Report 65+ Care Homes (Salford City Council)

  • Annex C: final market sustainability plan (Salford City Council)

Adult Social Care commissioning and contracting

We commission Adult Social Care services from a range of care and support providers.

Contracting arrangements

The terms and conditions govern the following purchases of Adult Social Care goods, works and services by the council and your relationship as a provider to the council:

  • Residential or nursing care

  • Home care

  • Supported living care and support

These terms and conditions apply to all Individual Service Agreements (ISAs) and Adult Social Care purchases unless the council has awarded or entered into a separate contract governing the provision of the relevant service. In such circumstances, the terms and conditions of that contract shall prevail. Please read these terms and conditions carefully as they affect your rights and liabilities under the law.

Individual Service Agreements (ISAs)

Each service for a named individual will normally be commissioned through an Individual Service Agreement (ISA) .

The ISA is the council’s order and authority for the Provider to deliver the service. No separate purchase order will be issued or required.

The ISA will identify the individual service being purchased, including:

  • the Service User and Provider;

  • the type and location of the service;

  • the commencement date;

  • the commissioned care and support;

  • the applicable price or rate;

  • the relevant Council Support Plan; and

  • any Special Conditions.

Each ISA forms a contract for the named Service User. It does not guarantee the Provider any minimum volume of work or any further services.

The contract is formed when the Provider first:

  • signs or expressly accepts the ISA; or

  • commences delivery of the service.

Commencing the service constitutes acceptance of the ISA, the relevant Council Support Plan and the applicable terms and conditions, even if the Provider has not signed the ISA.

Providers should not commence a service until an ISA has been issued, unless an authorised council officer has expressly instructed the Provider to commence because of exceptional circumstances or urgency.

Residential and nursing care

All residential and / or nursing care providers must be registered with Care Quality Commission and hold the necessary requirements applicable to the council's quality and safeguarding requirements.

Providers must read and comply with the:

  • Care Home Terms and Conditions (to follow)

The council will issue an ISA and make the relevant Council Support Plan available for each placement.

The ISA will state the gross agreed fee. The council will collect any assessed Service User contribution and pay the Provider the gross agreed fee.

Any NHS Funded Nursing Care or other health contribution will be paid directly to the Provider by the responsible NHS or health body and will not form part of the council’s payment obligation unless the ISA expressly states otherwise.

Home care

All home care providers must be registered with Care Quality Commission and hold the necessary requirements applicable to the council's quality and safeguarding requirements.

Providers must read and comply with the:

The council’s Brokerage Service is responsible for sourcing home care packages. Where a package is awarded, the council will issue an ISA and make the relevant council Support Plan available.

The ISA will confirm the commissioned visits or hours, staffing arrangements, applicable rate, commencement date and payment arrangements.

Supported living

Supported living placements may include regulated or non-regulated care and support.

Where the commissioned service includes a regulated activity, the Provider must hold the appropriate Care Quality Commission registration. Providers delivering non-regulated support must still hold all approvals required by law and meet the council’s applicable contractual, quality and safeguarding requirements.

Providers must read and comply with the:

  • Supported Living Terms and Conditions (to follow)

The council will issue an ISA and make the relevant Council Support Plan available for each individual service.

The ISA commissions care and support only. It does not create, vary or end a tenancy, licence or other right of occupation.

Changes to commissioned services

Providers must not increase or materially change the commissioned service, staffing arrangements, volume or price without written authorisation from an authorised council officer.

If the Service User’s needs change, the Provider should notify the council so that the service can be reviewed. A revised Council Support Plan does not, by itself, authorise a change to the commissioned volume or price.

Payment

The payment arrangements applicable to each service will be stated in the ISA and the relevant terms and conditions.

Providers must supply accurate service delivery and payment information through the payment route specified by the council. The ISA reference should be quoted in payment records, electronic bills, correspondence and payment queries.

Contact us

For further information, contact:

Commissioning strategies

Plans that the integrated commissioning team develop.

Market Position Statement

This describes the overall health and social care needs of Salford people. A copy is available at the bottom of this page.

Commissioning strategies go to the Integrated Commissioning Board for agreement.

We then arrange to purchase the services either from the voluntary and community sector, the independent sector or to use services already provided by the council. Examples of the kinds of services commissioned are:

  • Residential care

  • Domiciliary care

  • Equipment such as bathing aids and telecare

  • Advocacy support

  • Information and advice

The key aims for integrated commissioning are:

  • To develop a diverse range of high quality social care and provision for vulnerable adults

  • To ensure that vulnerable adults can access support and information to help them manage their care needs and exercise choice and control over the services they receive

  • To ensure that services commissioned support rehabilitation and recovery so that adults and their carers are less dependent on intensive services

  • To ensure that people who use social care and their carers are satisfied with their experience of care

  • To ensure that services commissioned reflect good practice and are efficient and effective

This page was last updated on 20 October 2026

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