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Adult social care market position statement

The first joint Cambridgeshire and Peterborough adult social care market position statement identifies what we see as our ‘key pressures’ in adult social care. It also  highlights our commissioning intentions and ‘direction of travel’ for how we will address these issues.

We will update the market position statement as new information emerges.

Adult Social Care MPS1.4MBpdf
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Current spend on adult social care

  Older people Learning disabilities Cross functions Mental health
Cambridgeshire £61, 891, 894 £61, 140, 593 £20, 868, 489 £6,411,746
Peterborough £12, 078, 036 £14, 907,489 £4, 645, 041 £1, 463, 464



  • Lack of homecare provision in rural areas
  • Lack of appropriate care facilities for younger adults with complex care needs
  • Difficulty recruiting good quality nursing staff

Cambridge City and South Cambridgeshire

  • Homecare capacity
  • Shortage of Residential Dementia, Nursing and Nursing Dementia provision
  • Care workforce recruitment - high cost of living
  • Shortage of Personal Assistants

East Cambridgeshire

  • Significant shortage of Nursing and Nursing Dementia placements
  • Homecare capacity
  • Shortage of Personal Assistants


  • Current and future supply of extra care accommodation
  • Shortage of Personal Assistants


  • Homecare capacity
  • Nursing and Nursing Dementia placements
  • Current and future supply of extra care accommodation
  • Shortage of Personal Assistants

Direction of travel

There are four themes:

Increasing choice and control for customers

Including increasing the takeup of direct payments, rolling out preloaded payment cards, increasing the availability of personal assistants that can be employed to provide support using direct payments and involving service users in making choices about how their support is delivered.

Partnership working

This includes Cambridgeshire County Council and Peterborough City Council working more closely together, exploring further integration of services with NHS Cambridgeshire and Peterborough and other partnership groups.

Building community capacity and supporting micro-enterprises

Including providers working collaboratively with others in the community and supporting the development of small organisations which can offer flexible and localised care and support to residents.

Outcome based commissioning

This means exploring the outcomes that an individual would like to achieve, and commissioning services to meet these outcomes.

Planning for future demand for older people’s accommodation with care

An update whilst our market position statement is updated.