CYAD Improvement Support

2026-11-03

Like many councils, we have seen our spend on support for children with disabilities grow rapidly in the last few years. We are seeking external support to help us: - Develop our approach to care purchasing and market management - Maximising health and education income - Ensuring practice is sufficiently progression focused This support needs to be a mix of putting the procedures and tools in place for us to manage long term along with practical 'doing' support, especially focused on provider negotiations. Requirements include the following: - Care market management o Skilling up our Arranging Care team to start purchasing for children with disabilities o Developing procedures and tools to support the Arranging Care team o Developing approach, procedures, and tools to support contract management o Developing approach to reducing cost for existing high-cost placements o Delivery of work to negotiate with most expensive provision to try and reduce cost / ensure they are working in a progression-focused manner o To identify an approach to source specialist fostering capacity as an alternative to residential provision - Maximising health and education income o Putting clear procedures in place to apply for health funding o Putting clear procedures in place to apply for education funding o Support to make the case to NWL ICB for better working with NHS o Delivery of work to make the case to the relevant ICBs for health funding for the most expensive provision where insufficient health funding has been agreed o Delivery of work to make the case to the education team for education funding for the most expensive provision where insufficient education funding has been agreed - Progression focused practice o Review case files for most expensive provision and audit the strength of practice o Make recommendations as to how practice can be improved

United Kingdom (UK)

2026-03-16