| Reference | FOI 2025/1499 |
|---|---|
| Description | Information about Community Care packages have been commissioned within the following areas - Adult services / Children services / Learning Disabilities & Autism |
| Date Requested | 15/12/2025 |
| Date Replied | 07/01/2026 |
| Category | Continuing Health Care (CHC) |
Questions:
1. Within the period 1st September 2025 to 30th November 2025, please confirm how many Community Care packages have been commissioned within the following areas:
a. Adult services
b. Children services
c. Learning Disabilities & Autism
2. Within the period 1st September 2025 to 30th November 2025, please confirm how many Community Care packages are currently commissioned in total and active with companies who are providing care within the following areas:
a. Adult services
b. Children services
c. Learning Disabilities & Autism
3. Please confirm the companies’ names who have provided these packages, along with breakdown of costs involved within the following areas:
a. Adult services
b. Children services
c. Learning Disabilities & Autism
4. Please confirm how the commissioned Community Care packages were procured? i.e. via framework, tender, contract award, direct award etc.
5. Please confirm of the total commissioned Community Care packages how many were delivered by Nursing staff?
6. Please confirm of the total commissioned Community Care packages how many were delivered by Band 2 Carers?
7. Please confirm of the total commissioned Community Care packages how many were delivered by Band 3 Complex Carers?
Request for Clarity 5 December 2025:
I write in response to your Freedom of Information request, which was received by NHS Greater Manchester yesterday, regarding Community Care packages.
To be able to process your request and provide you with the correct information, I would be grateful if you would be able to clarify the following:
1. Please can you provide a description of what you mean by “Community Care Packages”
2. Please confirm if the information you seek relates to CHC only.
I am sorry we are unable to help you further at this time, and I look forward to receiving the necessary clarity to be able to action your request.
Response to Request for Clarity 5 December 2025:
In answer to your questions
1. Community Care Packages for Integrated Care Boards (ICBs) in the NHS are combinations of health and social care services tailored to meet an individual’s specific needs, allowing them to live independently in their own home for as long as possible, rather than in an institutional setting.
2. CHC for Adults and CYPCC for children and a mix of both for Learning Disabilities & Autism
| Locality | a. | b. | c. |
| Bolton | 249 | <5 | 0 |
| Bury | 179 | <5 | <5 |
| HMR | 133 | <5 | <5 |
| Manchester | 588 | 13 | <5 |
| Oldham | <5 | <5 | 0 |
| Salford | 62 | <5 | 0 |
| Stockport | 20 | <5 | <5 |
| Tameside | 66 | <5 | <5 |
| Trafford | 133 | 24 | 34 |
| Wigan | 313 | 0 | 20 |
Wigan locality – Please note some patients may have more than one homecare provider in the requested period of time each package has been counted separately excluding Learning Disability (LD) and Personal Health Budget (PHB) Direct Payment (DP).
NHS Greater Manchester (NHS GM) does hold the information requested. However, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.
| Locality | a. | b. | c. |
| Bolton | 398 | 16 | 0 |
| Bury | 76 | <5 | <5 |
| HMR | 31 | 5 | 6 |
| Manchester | 268 | 13 | <5 |
| Oldham | 21 | 15 | 6 |
| Salford | 51 | <5 | 7 |
| Stockport | 13 | <5 | <5 |
| Tameside | 153 | 7 | 6 |
| Trafford | 67 | 23 | 33 |
| Wigan | 164 | 16 | 17 |
Wigan locality – Please note some patients may have more than one homecare provider in the requested period of time each package has been counted separately excluding LD and PHB DP.
NHS Greater Manchester (NHS GM) does hold the information requested. However, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.
3.
**An excel sheet was sent to the requester as the response. If you require a copy of the full response, please contact NHS GM’s FOI team – nhsgm.foi@nhs.net **
| Locality | |
| Bolton | Adult – Direct Award Process B is one of the procurement routes under the Provider Selection Regime (PSR).
Children’s – direct commission. Learning Disabilities & Autism 0 |
| Bury | Care packages are arranged via a spot purchase arrangement. |
| HMR | Care packages are arranged via a spot purchase arrangement. |
| Manchester | Commissioned using a mix of Spot purchase and Framework |
| Oldham | Oldham Local Authority Framework |
| Salford | Community services are commissioned via block contract arrangements and 2 agencies commissioned via tender process and remainder sourced via framework agreement held by Salford Adult Social Care |
| Stockport | Individual care needs and availability |
| Tameside | A combination of tender, direct award and contract award |
| Trafford | Trafford Local Authority Framework |
| Wigan | Utilise the local authority Ethical Framework for Domiciliary Care for the majority of homecare packages. Packages can be commissioned on a spot purchase basis when required to meet the patients assessed needs. |
5.
| Locality | |
| Bolton | Adults – 0
Children’s – 9 Learning Disabilities & Autism – 0 |
| Bury | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| HMR | None |
| Manchester | Nursing home placements for the period 01/09 to 30/11/25: Mental Health 11, Learning Disability 0 CHC – We do not hold information regarding staff types/levels on the system against each package so unfortunately cannot provider a response to this answer. |
| Oldham | None |
| Salford | None |
| Stockport | None |
| Tameside | None |
| Trafford | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Wigan | CYP – <5. We do not hold the information requested for adult care packages. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
NHS Greater Manchester (NHS GM) does hold the information requested. However, due to the low numbers involved (where patient data is 5 or less <5) we consider this to be exempt under section 40(2) of the Freedom of Information Act 2000 as the disclosure of this information may lead to the identification of individuals. This exemption is not subject to the public interest test.
6.
| Locality | |
| Bolton | Adults – 0
Children’s – 0 Learning Disabilities & Autism – 0 |
| Bury | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| HMR | Our community packages are provided by care agencies not NHS staff. |
| Manchester | We do not hold information regarding staff types/levels on the system against each package so unfortunately cannot provider a response to this answer. |
| Oldham | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Salford | We do not hold the information requested. District Nurses are the lead provider of care packages, and this is part of a block contract. Therefore, the information is not held by the ICB. For complex care agencies which are non-NHS we do not hold information about staff pay, the provider just has to confirm that they pay equivalent to or above the Real Living Wage rate. |
| Stockport | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Tameside | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Trafford | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Wigan | CYP – 0. We do not hold the information requested for adult care packages. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
7.
| Locality | |
| Bolton | Adults – 0
Children’s – 9 under band 3 NHS, all other package expected to be the same level as band 3 Learning Disabilities & Autism – 0 |
| Bury | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| HMR | Our community packages are provided by care agencies not NHS staff. |
| Manchester | We do not hold information regarding staff types/levels on the system against each package so unfortunately cannot provider a response to this answer. |
| Oldham | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Salford | We do not hold the information requested. District Nurses are the lead provider of care packages and this is part of a block contract. Therefore, the information is not held by the ICB. For complex care agencies which are non-NHS we do not hold information about staff pay, the provider just has to confirm that they pay equivalent to or above the Real Living Wage rate. |
| Stockport | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Tameside | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Trafford | We do not hold the information requested. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
| Wigan | CYP – 12. We do not hold the information requested for adult care packages. Care providers are paid a standard hourly rate by us. It is not recorded within our system the pay scales providers pay their staff. |
