Community Equipment Services

Request

I am investigating demand for Community Equipment Services (CES), Clinical Wheelchair Services (WCS), Home Improvement Agency (HIA), and Technology Enabled Care (TEC) across the UK. I would like to request the following information relating to the usage of each of these types of service in your Local Authority.

1) For each service (CES, WCS, HIA, TEC), i would like to understand:

a). How is funding and contracting for each service structured in your Local Authority - which body leads on contracting and what proportion of funding is supplied by the local Integrated Care Board vs from your own budgets?

b.) What is the total budget allocated for each service for the current financial year, and what is the planned budget for the next financial year - if this is not known, can you provide a percentage estimate of whether it will be higher, lower, or unchanged compared with the current budget?

c). What was the total expenditure (£) on each services in your Local Authority for each of the last three financial years?

d). What proportion of expenditure was on outsourced (i.e. independent sector) service providers for each of the last three financial years?

e). Which independent providers did you use for each services in the last financial year, and what value of total spending was with each provider? Below are some examples

e1). CES providers: NRS Healthcare, Millbrook Healthcare, Ross Care, Medequip.

e2). WCS providers: NRS Healthcare, Millbrook Healthcare, Ross Care, AJM Healthcare, Blatchford, Opcare

e3). HIA providers: Medequip, Millbrook Healthcare

e4). TEC providers: Tunstall, Millbrook Healthcare/Livity Life, Access

f). Is your local service for each of them shared with other local authorities? If so, please provide a list of these authorities.

g). When was each type of service last tendered, and to when is the current contract expected to run until?

Decision

1a-g) See table below

 

CES

WCS

HIA (Home Improvement Agency)

TEC

Current Funding & Contracting

Pooled Budget split 50/ 50 between LA and ICB. LCC lead on all contracting matters and seek agreement from ICB on key decisions

Funded 100% by ICB LCC lead on all contracting matters and seek agreement from ICB on key decisions

There is no contract with a Home Improvement Agency in Lincolnshire. Disabled Facilities Grant  - full allocation received by Lincolnshire County Council  from the Government each year and is then distrubuted to the Local District Councils as per the DOH circular

Funded 100% by Local Authority (LCC). Contracting undertaken by LCC

2025-26 Budget

£8,607,170

£2,491,666

£9,265,453 (DFG)

£390,000

2026-27 Planned Budget

£9,999,928

£2,491,666

Unknown DFG amount currently

£390,000

2024-25 expenditure

£9,482,923

£2,576,917

£8,656,686 (DFG)

£260,920

2023-24 expenditure

£8,210,318

Managed internally and funded by ICB

£7,585,253 (DFG)

£359,968

2022-23 expenditure

£8,170,436

Managed internally and funded by ICB

£6,976,485 (DFG)

£331,627

Proportion of expenditure outsourced over last 3 years

100%

100%

N/A

100%

Independent providers used in 2024-25

NRS Healthcare

NRS Healthcare

N/A

NRS Healthcare

Is Local service for each provider shared with other Local Authorities? If so provide a list

No

No

N/A

No

When was each service last tendered and when is current contract expected to end?

Last tendered 1st April 2022…...Current contract comes to an end 31st Aug 2028

Last tendered 1st April 2022…...Current contract comes to an end 31st Aug 2028

N/A

Last tendered 1st April 2018. Current contract ends 31st August 2028

Reference number
FOI 15212234
Date request received
27/01/26
Date of decision
19/02/26