Care home and domiciliary care providers must work closely with their local authority adult social care teams responsible for commissioning and managing services and local health service Clinical Commissioning Groups (CCGs). They must, therefore, understand the underpinning policies and strategies of their local authorities and CCGs, which impact on their business and development plans.

Many providers think it is important to respond to initiatives from local commissioning bodies. This will often entail responding to tenders, which can be difficult and time-consuming.

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