CommissioningCosts

Champagne service, lemonade budget: the gap commissioners don't always see

Most tender specifications read beautifully. Trauma-informed key working, low staff turnover, rapid response to incidents, close partnership with social workers, a genuinely homely environment rather than an institutional one. Nobody would argue with any of it; it's what good support should look like. The trouble comes a few pages later, when the indicative weekly rate turns out to have been set with none of that costed in properly, and a provider is expected to deliver the full list anyway, on a margin that assumes nothing ever goes wrong.

Where the gap actually comes from

It's rarely one dramatic shortfall. It's the accumulation of small ones. A rate that hasn't moved much in real terms while staff wages, insurance, utilities and repairs all have. A specification that asks for a named keyworker available out of hours, without pricing the on-call rota that makes that possible. An expectation of enhanced DBS checks, regular supervision and ongoing training for every member of staff, alongside a rate that was benchmarked against the cheapest provider in the area rather than the one actually delivering what's being asked for. Individually, none of these look unreasonable to a commissioner working through a budget under its own separate pressure. Added together, they're the difference between a service that can genuinely deliver what's written on the page and one that's quietly cutting corners to survive.

Why London and Essex make it sharper

We operate across London and Essex, and the cost pressures here are not the same as they are in most of the rest of the country. Property costs more to buy, lease and insure. Staff wages have to compete with a wider London labour market where care work is far from the only option for someone weighing up hours, pay and travel time. HMO licensing, fire safety upgrades and routine maintenance all cost more when the property itself sits in a higher-value area. A weekly rate that might stretch further for a provider operating in a lower-cost region simply doesn't go as far here, and a flat national benchmark applied without that context ends up asking London and Essex providers to deliver more for effectively less.

What this isn't

This isn't a complaint about commissioners as people. Most of the ones we work with are managing genuinely difficult budgets themselves, under pressure from the same public finances everyone in this sector is contending with, and trying to get the best possible outcome for the young people and adults they're responsible for. The frustration isn't with the ask; it's with a costing exercise that sometimes treats quality as something that should be available regardless of what's actually being paid for it. A provider can absorb that gap for a while by trimming margin, deferring non-essential maintenance, or asking staff to stretch further than they should. None of those are sustainable for long, and all of them eventually show up somewhere the commissioner does notice: staff turnover, a missed deadline, a property that's started to look tired.

What we do about it

We'd rather have the conversation honestly at the point a placement is agreed than let a gap build quietly and surface later as a problem. That means being clear about what a given rate actually covers, saying plainly when a specification and a budget don't line up, and being willing to walk away from a placement that doesn't stack up rather than accept it and hope it works out. It's not always the easiest conversation to have with a commissioner who has their own pressures to manage. We think it's a more honest one than promising a champagne service and quietly delivering lemonade instead. We do 18+ supported accommodation and support services properly, or we say so before we start, not partway through.