Resolve a complex question.
Independent review of a transfer, support level, equipment concern or disputed care arrangement, with a decision-ready report.
Local Authorities & commissioners
Independent Care Optimisation Service.
Independent review of complex or costly care packages: functional ability, equipment, environment and whether existing support remains appropriate. Defensible recommendations, timely reviews and transparent reporting, alongside your OT and social work teams and under your governance.
Twelve packages awaiting review. Every week waiting is a week of two-carer support that may no longer fit.
Offer A · the commissioner-facing service
Paid for judgement, not for a staffing outcome.
Charged per assessment, through a block contract, or as a commissioned review programme. The fee is the same whether the review confirms two carers, supports a safe change, or recommends more support.
Review a focused cohort.
A scoped pilot or backlog programme: 25, 50 or 100 cases, with inclusion criteria, reporting and implementation dependencies.
Commissioner and providers together.
A jointly designed programme in which the provider receives the plan, training and support to deliver it, and you receive transparent reporting.
Thrive Collaborative Care Optimisation Programme
An assessment the provider does not experience as a threat.
Rather than commissioning a review that lands on the agency from above, the programme is designed with participating providers from the start. Six stages, consistent with the LGA's Optimal Handed Care framework.
- Referral and triageThe authority or the provider refers a person whose mobility, transfers, equipment or care arrangements need review.
- Independent assessmentThrive assesses the person, their goals, functional ability, risks, environment, equipment and staffing requirements.
- Joint implementationThrive works with the person, their representatives, the commissioner and the provider to put the agreed plan in place.
- Training and supportThe provider receives the instructions, training and support needed to deliver the plan safely.
- Review and escalationThrive reviews the outcome and says when the arrangement must change, including when more assistance is needed.
- Transparent reportingYou receive agreed information on outcomes, assessment activity, care hours, training, safety and service quality.
How the money flows
Local AuthorityFunds an agreed assessment or improvement programme
Thrive Better LivingIndependent assessment, implementation support, training, outcome reporting
Care agency or homeReceives the plan, training and support to deliver appropriate care
The personReceives support based on assessed need, preference, safety and independence
A provider-funded version is also available, with the agency paying Thrive directly. Every contract states who commissions the work, who pays, who can access the clinical report, how conflicts are managed, and who implements and reviews the plan.
Commissioning pathway
Start small, measure honestly, scale on evidence.
- Week 001
Discovery call
30 minutes, no charge. Your area, your waiting list, the cohort you want to start with and the measures you will judge it by.
- Weeks 1–1002
Pilot cohort
25 cases, scoped in writing. Each case: assessment, TILE(O) risk assessment, clinical reasoning, equipment specification, staffing per task, provider sign-off, review triggers.
- Week 1203
Evaluation
Against the measures agreed at the start: care hours released, unchanged or increased support (reported with the same rigour), implementation rate, safety events, the person’s experience.
- From week 1304
Scale or retain
A 50 / 100-case cohort, a rolling caseload at agreed weekly capacity, or a retained partnership with priority response, plan audits and training days.
SpotBy the case
Referral to report in an agreed timescale. No commitment.
Cohort25 / 50 / 100 cases
Inclusion criteria, monthly reporting and an evaluation built in. The usual starting point for a council.
RetainedMonthly partnership
Agreed weekly capacity, priority response for red cases, plan audits, competency training days and a named clinical lead.
Programmes are scoped per contract and confirmed in writing before mobilisation. Clinical recommendations are never driven by a required saving.
Measure what changes
Outcomes before claims.
Baseline function, support actually delivered, implementation dates, safety events and the person’s experience are agreed as the measures. Unchanged or increased support is reported alongside reductions.
How we assess: the knowledge baseDue diligence
Evidence you can examine.
HCPC registration, CSP membership and professional liability insurance, enhanced DBS, information governance, safeguarding and complaints arrangements are provided for contract due diligence. Referral routes, responsibilities, exclusions, reporting and review are agreed before delivery.
See an example report (illustrative, anonymised) Read public policiesNext step
Tell us your area, caseload and priorities.
We reply with a scoped proposal: eligibility, capacity, timescales and reporting.