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MPS: Key messages

Community‑led support is central to our commissioning approach

We will prioritise strengths‑based models that build on people's abilities, relationships and local networks, helping them to live the lives they choose.

Living at home is the default ambition wherever it is safe and appropriate

Our focus is on prevention, reablement and flexible home‑based support that enables independence and reduces avoidable escalation.

Support should promote independence, not dependency

Services will increasingly be commissioned to deliver outcomes that support recovery, progression and quality of life, rather than task‑based or time‑limited activity alone.

Planned and partnership‑based models matter

We will favour approaches that support stability, continuity and sustainability over reactive or crisis‑driven arrangements.

High‑quality residential and nursing care remains essential

Where living at home is no longer the right option, people must be able to access compassionate, safe and high‑quality care through planned pathways and strong provider partnerships.

Workforce stability is fundamental to quality

We value providers who invest in their workforce, promote continuity of care and align staffing skills to increasing complexity.

Choice, control and co‑production matter

People, families and carers should be active partners in shaping their care and support, including through Direct Payments and Individual Service Funds where appropriate.

Partnership, fairness and sustainability are non‑negotiable

We expect providers to work with us to promote inclusion, fairness and long‑term sustainability across the care market.