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Market Position Statement for Complex Care

Contents

  1. Who is it for?
  2. What do we need? (summary)
  3. North Lincolnshire Commissioning approach summary
  4. Demography – Data on North Lincolnshire populations
  5. Demographics on Adults with Complex Care support
  6. Adults Market Opportunities and Key Contact details – how to engage
  7. Demographics on Children and Young People with Complex Care support
  8. How Care for Children and Young People is delivered across North Lincolnshire
  9. Children and Young People Market Opportunities and Key Contact details – how to engage

Introduction

This market position statement has been developed in partnership across North Lincolnshire’s Health and Care Partnership (NLHCP) as part of the Humber and North Yorkshire Integrated Care Board (HNYICB) and North Lincolnshire Council Adults & Health services to set out our intentions to existing and potential care and support providers for people with complex care and support needs residing in North Lincolnshire.

It should be used in conjunction with the Market Positions Statement and commissioning intentions across Health and Adult Service partnerships Market Position Statements (MPS)

Its purpose is to:

  • Share local context and outline services and support currently being delivered with existing and prospective providers, providing links to our key strategies for further information.
  • Signal to the care sector future needs and development opportunities for the area.
  • Provide information on how we want to shape opportunities and develop solutions to meet local need and demand.

Working together more closely with providers we can ensure innovative and flexible support solutions for people living in North Lincolnshire. We will continue to work with wider partners, people with lived experience, voluntary and private sector organisations using evidence and lived experience to develop and shape local solutions to provide a range of opportunities which help keep people in their own homes, families, jobs & communities.

1. Who is it for?

1.1 Who is it for?

  • Existing and potential providers of adult social care and support.
  • Voluntary and community organisations as well as people interested in local business development and social enterprises.
  • North Lincolnshire citizens who are interested in co-producing services.

1.2 This market position statement specifically covers the following groups:

  • NHS continuing healthcare funded care for people with long-term complex health needs.
  • Section 117 aftercare services, support or services linked to mental health after leaving hospital.
  • People with; learning disability, mental health or a disability, autistic people including people whose needs cannot be met in the area or who are discharged from acute inpatient settings.
  • The needs of young people transitioning into adulthood over the next 5 years is included in scope.
  • Specialist dementia provision.
  • The housing and accommodation need of this cohort of people.

Out of scope

  • All other care and support provision commissioned by NLHCP and NLC.
  • Wider accommodation and housing needs such as temporary accommodation.

2. What do we need (in summary)?

Person based priorities for care:

  • Community based priorities – support for a growing and ageing population to enable people with complex needs to live as independently as possible through re-enablement and recovery opportunities.
  • Supporting people with complex needs to live in their own communities (e.g. KeyRing – live the life you want to lead, cluster or Shared Living Schemes Shared lives schemes – Social care and support guide – NHS).
  • Support for people with mental health needs to be able to live an independent life in a community of their choice.
  • Support for people with specialist dementia needs. Providing advanced support and services for individuals with complex care living with dementia, focussing on person- centred care promoting dignity, independence and quality of life.
  • A reduction in the numbers of people from North Lincolnshire with complex needs having to live out of area to receive the care and support they need.
  • A reduction in children with Special Educational Needs and Disabilities (SEND) educated outside of North Lincolnshire as per NL SEND and Inclusion Plan.
  • Support for children with disabilities through personal assistants to deliver a range of services to support independence.
  • Education and training needs: Providers who can support younger people and adults with SEND to experience work or volunteering.

Accommodation based priorities:

  • An additional 22 to 23 accessible and adaptable dwellings and 15 fully wheelchair adapted dwellings provided per year.
  • Increases in housing with care (extra care housing) to meet the estimated need by 2038 of 260 homes for social /affordable rent and 260 homes for shared ownership/sale.
  • Nursing care. An increase in c.220 bedspaces by 2038.
  • Estimated c.110 additional units of supported accommodation for autistic people and people with a learning disability by 2038, of which, c.20 are expected to be for Shared Lives accommodation and c.90 are expected to be for supported housing.
  • Estimated net need of c.90 units of supported accommodation for people with a mental health need by 2038, of this, c.10 are expected to be for Shared Lives accommodation and c.80 are expected to be for supported housing.

Further information on the local vision and priorities for housing in North Lincolnshire can be found in the Housing Plan 2023 – 2028

3. North Lincolnshire Commissioning approach summary:

For information on North Lincolnshire’s Commissioning approaches please use the following links.

4. Demography – Data on North Lincolnshire populations

The demographics and area profiles along with our Joint Strategic Needs Assessment can be found on the Public Health page.

4.1 December 2024 update

North Lincolnshire is an area of 328 square miles on the south bank of the Humber Estuary, equidistant between London and Edinburgh and within easy reach of large cities such as Leeds, Sheffield, Doncaster, Lincoln and Hull.

Population

  • North Lincolnshire population 170,087 and an increase of 1.5% since 2011.
  • 2% project population growth 2025-2043. Equivalent to over 3,000 extra residents.
  • North Lincolnshire has more older people than most other areas, and the population is continuing to age.
  • Local population of over 65s expected to grow by a further 23% by 2043.
  • Local population of over 85s expected to grow by a further 69% by 2043.

Life Expectancy

  • Males 78.1 years.
  • Females 82.8 years.

Health Life Expectancy

  • Males 60.4 years.
  • Females 61.6 years.

Age Profile

  • 0-15 years 17.8%.
  • 16-24 years 59.5%.
  • 65+ years 22.7%.

Ethnicity Profile

  • White 94.3%.
  • Asian/Asian British 3.3%.
  • Mixed/Multiple ethnic group 1.1%.
  • Black/African/Caribbean/Black British 0.5%.
  • Other ethnic group 0.8%.

5. Demographics on Adults with Complex Care support

5.1 Key Messages on North Lincolnshire Complex Care supported populations for the adult population

  • The oldest members of North Lincolnshire’s population are predicted to show the biggest rise (65%) over the next 20 years, equivalent to approximately 6,300 people (JSNA profile)
  • The Learning Disability population is forecast to increase by 2040 by 164 to 3396 people. (PANSI Institute of Public Care)
  • The predicted increase in the 85+ year olds with a Learning Disability is to 67 people by 2040. A 41.4% increase. (PANSI Institute of Public Care)
  • The number of 18-64 year olds on the autistic spectrum is expected to decrease by 2040 to 954. A 4.2% decrease. (PANSI Institute of Public Care)

5.2 Adults Demography – Data on North Lincolnshire Adult Complex Care populations

Predicted change to population predicted to have a learning disability in North Lincolnshire by 2040

Indicator Value
Predicted change to population predicted to have a learning disability in North Lincolnshire by 2040
18-24 year olds +11
25-34 year olds -7
35-44 year olds -45
45-54 year olds +46
55-64 year olds -80
65-74 year olds +65
75-84 year olds +105
85 and over year olds +67

Autistic Spectrum

Indicator Value
Autistic Spectrum
18-64 year olds currently on the Autistic Spectrum 994
18-64 year olds predicted to be on the Autistic Spectrum by 2040 954
Predicted decreased in18-64 Year olds on the Autistic Spectrum by 2040 -40
Predicted percentage decrease in18-64 Year olds on the Autistic Spectrum by 2040 -4.2%

Mental Illness

Indicator Value
Mental illness
Population that has a severe mental illness 1,200 (0.72%)

Learning Disabilities

Adults Demography
Indicator Value
Learning Disabilities
Total Learning Disabilities populate aged 18+ 3232 (2.42%)
People aged 18+ have a primary support need of Learning Disability 344 (10.3%)
People aged 18 or over who have a Learning Disability that have a personal budget. 256 (7.9%)
People of 18-64 years old with a Learning Disability who live with a parent in North Lincolnshire 189 (7.8%)
People aged 18-64 who have a Severe Learning Disability 143 (4.4%)
Average weekly cost of Learning Disability Residential and Nursing Care in North Lincolnshire £133,332.00
Forecast increase North Lincolnshire Learning Disability by 2040 3396 +164 (4.8%)
Forecast increase North Lincolnshire Learning Disabilities population over 85s by 2040 +67 (2.0%)

Latest data as of December 2024

Data Source: North Lincolnshire Council and North Lincolnshire Integrated Care Board

Complex Care Home Care Placements commissioned across North Lincolnshire

Statement
Number of Home care placements 18-64 Year Olds 70
Average placement weekly cost 18-64 year Olds £1,385.00
Number of Home care placements 65+ Year Olds 25
Average placement weekly cost 65+ Year Olds £573.00

Complex Care Out of Area Placements commissioned across North Lincolnshire

Statement
Number of Home care placements 18-64 Year Olds 40
Average placement weekly cost 18-64 year Olds £1,486.00
Number of Home care placements 65+ Year Olds 29
Average placement weekly cost 65+ Year Olds £815.00

Direct Payments funded by North Lincolnshire Council and North Lincolnshire Health Care Partnerships NLHCP for Complex Care patients/service users

Statement
Number of Home care placements 18-64 Year Olds 390
Average placement weekly cost 18-64 year Olds £402.00
Number of Home care placements 65+ Year Olds 76
Average placement weekly cost 65+ Year Olds £442.00

6. Adults Market Opportunities and Key Contact details – how to engage

6.1 The market opportunities for providers to improve outcomes for people with complex care needs in North Lincolnshire

Support people with complex care and support needs to live in their own communities by developing independent living schemes such as Supportive Living or Shared Living schemes. These schemes will help people benefit from receiving wrap-around support living within a small community.

Provide flexible and innovative support solutions for people with personal budgets (personalised solutions) including developing services that enable people to be as independent as possible and live within their communities.

Develop provision including opportunities for building the required infrastructure to respond to people with specialist and complex needs, including those at the points of crisis, and quickly enable people to return to live within their own homes and community.

6.2 People with complex care currently placed outside of North Lincolnshire

There are between 65 and 100 people at any one time placed out of area by North Lincolnshire Council (NLC) and NHS North Lincolnshire Health Care Partnership (NLHCP) who have complex mental health or learning disabilities with co-morbidities.

Market Opportunity

We are interested to hear from providers who are able to provide care and support locally to enable people to live within their communities.

We are interested to hear from providers who can provide specialist services, step-up and step-down support, to respond to crisis and to enable people with complex needs to return to live in their community.

We are interested to hear from providers who can provide housing with care services and supported accommodation to meet the estimated need by 2038 of:

  • 260 homes for social /affordable rent and 260 homes for shared ownership/sale.
  • c.90 units of supported accommodation for people with a mental health issue, of this, c.10 are expected to be for Shared Lives accommodation and c.80 are expected to be for supported housing.
  • A requirement for an additional 22 to 23 accessible and adaptable dwellings and 15 fully wheelchair adapted dwellings per year.

6.3 People with complex care needs with ‘older Parent/Carers’

North Lincolnshire has a growing and ageing population. This means that a greater number of parent carers, who have lifelong caring responsibilities will have to consider long term plans for the care of their family members and how they can enable people to be as independent as possible.

Market Opportunity

  • We are interested to hear from providers who can enable people with complex care and support needs to be as independent as possible and work within the context of a whole family approach.

6.4 Connecting people with mental health needs to their communities

With the right care and support people with mental health needs are able to live an independent life in a community of their choice.

Market Opportunity

  • We are interested to hear from providers who can support people with complex mental health needs to live in their community of choice.

Contact

If you would like to discuss the market opportunities further, please contract:

Commissioning.Assurance&Performance@northlincs.gov.uk

Tel: 01724 297000

7. Demographics on Children and Young People with Complex Care support

Data Source: North Lincolnshire JSNA SEND, SEND Sufficiency Report

7.1 Children’s Demography - Data on North Lincolnshire Complex Care populations

Indicator Value
Population of North Lincolnshire children aged 0-15 years. National population 18.5% 30,310 (17.8%)
Children in North Lincolnshire with SEN Support 3,480 (11.4%)
Children in North Lincolnshire with SEN Support with an EHCP Plan in place 1766 (50.7%)
Vast majority of Children with an EHCP are educated locally in mainstream schools and cared for by their family
Percentage of North Lincolnshire Children with a EHCP and a Primary Need of Speech, Language and Communication needs. National average 18.4% 25.8%
Percentage of North Lincolnshire Children & Young People with moderate Learning Difficulties and Special Education needs. National percentage 24% 33%
Percentage of North Lincolnshire Children & Young People SEN Support and a Primary need of Social, Emotional and Mental Health. National percentage 21.0% 23.8%
Percentage of North Lincolnshire Children & Young People with SEN Support and a Primary Need of Speech, Language and Communication needs. National percentage 25.5% 19.9%
Percentage of North Lincolnshire Children & Young People with Specific Learning Difficulties 19%
Number of North Lincolnshire Children & Young People with SEND (23 SEN Support) placed outside of North Lincolnshire 128
Number of North Lincolnshire Children & Young People with SEN Support on a Transition to Adulthood Plan 40-50
Percentage of children with EHCP by Primary Needs. All Schools 2023/24 North Lincolnshire England
Autistic Spectrum Disorder 32.3% 33.0%
Speech, Language and Communication Needs 27.3% 19.5%
Social, Emotional and Mental Health 15.2% 15.5%
Moderate Learning Difficulty 9.3% 8.5%
Physical Disability 6.3% 3.6%
Severe Learning Difficulty 2.9% 7.9%
Specific Learning Difficulty 2.6% 4.3%
Visual Impairment 1.4% 1.0%
Hearing Impairment 1.1% 1.6%
Profound & Multiple Learning Difficulty 1.1% 2.5%
Other Difficulty/Disability 0.5% 2.2%
Missing 0.0% 0.0%
Multi-Sensory Impairment 0.0% 0.3%

 

92.9% of the KS4 cohort with an EHCP were in education, employment or training at age 17 (measured in 2023)
National average of 88.4%.
87.1% of the KS4 cohort with SEN Support were in education, employment or training at age 17 . National average of 87.3%.

Area Under 5 Age 5-10 Age 11-15 Age 16-19 Age 20-25
North Lincs 5.2% 31.0% 36.7% 25.25 1.9%
England 4.6% 32.7% 36.4% 20.1% 6.2%
Yorks & Humber 4.9% 31.3% 36.6% 21.2% 6.0%
Statistical Neighbour 4.2% 31.9% 38.1% 20.4% 5.4%

 

4.8% of adults with learning disabilities were in paid employment during 2017/18, compared to 5.0% the previous year and a national average of 6.0%.

For mental health, the figures locally are 6% in 2017/18, the same for the previous year and compare to a national average of 7%.

% Children with an EHCP – by primary need

92.9% of the KS4 cohort with an EHCP were in education, employment or training at age 17 (measured in 2023)
National average of 88.4%.

87.1% of the KS4 cohort with SEN Support were in education, employment or training at age 17 . National average of 87.3%.

% Children and young people with an EHCP – by age group

 

4.8% of adults with learning disabilities were in paid employment during 2017/18, compared to 5.0% the previous year and a national average of 6.0%.

For mental health, the figures locally are 6% in 2017/18, the same for the previous year and compare to a national average of 7%.

7.2 Children and Young People – Key messages on population

Children and Young People Demographics Data on North Lincolnshire Complex Care populations

Percentage of Children and Young People With an EHCP in North Lincolnshire compared to UK National Average

Data Source: North Lincolnshire JSNA SEND, SEND Sufficiency Report
Children & Young People with EHCP by Disability North Lincs UK Average
that have a specific Learning Disability. 2.60% 4.30%
with a moderate Learning Disability 9.30% 8.50%
with SEN Support e that have a specific Learning Disability 17.40% 13.90%
with SEN Support with a moderate Learning Disability 18.60% 15.80%

The following table shows Children with a EHC Plan who are educated outside of North Lincolnshire by need type.

Primary Need Total
Social, Emotional and Mental Health Over 20
Autistic Spectrum 10-15
Moderate Learning Difficulty 5 to 10
Behaviour, Emotional and Social Difficulties 5 to 10
Speech, Language and Communications Needs 5 to 10
Severe Learning Difficulty 5 to 10
Specific Learning Difficulty Less than 5
Physical Disability Less than 5
Profound and Multiple Learning Difficulty Less than 5

Short break provision for children and young people with disabilities

North Lincolnshire’s first-ever campus ’Tree Tops’ will offer short-breaks alongside supporting life limiting and palliative care needs of families is set to fully open in Scunthorpe in 2025. The home offers bespoke overnight short breaks, residential and transitional provision. The campus compliments the local developments in special school provision to enable young people to stay local.

Children, young people, parents and carers have been involved in the design and the development and naming of the campus. There will be:

  • a 3-bedroom, long-term home
  • a 6-bedroom, short breaks home
  • a 3-bedroom, preparation for adulthood home
  • a family facility that can support end of life care as a continuum of a young person’s care package.

8. How Care for Children and Young People is delivered across North Lincolnshire

Our Children’s Challenge sets out how, through our ‘One Family’ approach, we will work with our partners and communities to build and further strengthen an integrated system that works for all children, young people and families, where children can be in their families, schools and communities. One Family Approach – North Lincolnshire Council

We do this by:

  • Meeting need at the lowest level.
  • Prioritising the vulnerable.
  • Addressing inequalities to enable equality of opportunity and equality of outcomes.
  • Promoting independence, maximising opportunities, and enabling self-responsibility.
  • Managing and mitigating risk.
  • Ensuring the best children and families offer in the best place.

Further information on the North Lincolnshire EHCP and SEN populations and services is available via:

9. Children and Young People Market Opportunities and Key Contact details – how to engage

9.1 Children with Special Educational Needs educated outside of North Lincolnshire

Children & Young People who are living in North Lincolnshire and accessing out of area educational provision over the last year has been 60 – 100 young people.

Market Opportunity

We are interested to hear from providers who can deliver educational support for children and young people with SEND and disabilities that will support the reduction of children being educated out of area.

9.2 Short break in the home or community provision for children and young people with disabilities

Market Opportunity

We are interested to hear from providers who can support the provision of overnight short breaks for children and young people with disabilities that can be delivered in their home or community.

9.3 Client led support for children and young people with disabilities within their own home and communities

Children & Young People who are placed in residential placements out of area with EHCP over the last year has been 3 to 5.

Children & Young People who are living in North Lincolnshire and accessing out of area special support placements over the last year has been 58.

Market Opportunity

We are interested to hear from providers who can deliver client led support for children and young people with disabilities within their own home and communities.

Through the introduction of personal budgets there is now a direct client-led demand for personal assistants to deliver a range of services to support independence, including:

  • Providing flexible support.
  • Personal care.
  • Social activities.
  • Domestic tasks.
  • Healthcare.

Contact

If you would like to discuss the market opportunities further, please contract:

Commissioning.Assurance&Performance@northlincs.gov.uk

Tel: 01724 297000