Be Bold: developing the market for the small numbers of people with very complex needs

Added on

"Be Bold: developing the market for the small numbers of people with very complex needs", was produced by the National Development Team for Inclusion (NDTi) for the TLAP partnership's National Market Development Forum (NMDF), and forms part of TLAP's response to the Government's final report into the events at Winterbourne View Hospital.

The "Be Bold" paper is a practical, solution-focused resource that brings together the headlines on what is known about how to develop the adult social care market. It is intended to help adult social care commissioners and their health partners, providers, and people who use services and their families to work together to develop local, individualised services that increase choice and control. For commissioners and providers, the document offers pointers on the actions to take. For local people and families, it provides a framework for holding commissioners and providers to account.

Although the paper looks primarily through the lens of learning disability, most of the themes it highlights are generic. Its relevance therefore extends beyond people with learning disability to any groups of people with a particularly complex range of needs, and who existing services may struggle to support.

The "Be Bold" report is based on:

  • Discussions with a wide range of stakeholders, including national organisations, commissioners, providers and people who use services and their families; and
  • A review of existing guidance and other work on market development.


The "Be Bold" report:

  • Summarises barriers to the development of local services, then focuses on the factors
    that can help
  • Summarises actions commissioners and providers should adopt and avoid, illustrated with local examples of interesting practice and signposts to existing tools and resources. (All the examples, although not all fully evaluated, are included either because they are attempting something new and different, or are typical of a number of examples we found.)
  • Compiles headlines from the document into a checklist for commissioners and providers.