The Domiciliary Care Service means a major shift in the way care and support providers approach service development and delivery.

Residential or home Nursing care housing with support and domiciliary care services have traditionally been service led according to models established by commissioners and regulators. The Domiciliary Care Services agenda requires service development, which includes the commissioning process to reflect what individuals really want according to their own basic needs, preferences and aspirations.

Domiciliary Care Services throws up a number of challenges and opportunities with sweeping changes taking place across the care and support sectors.

Recruitment, retention and development of new skills for staff will become critical issues for the market as a whole and on an individual provider basis.

Domiciliary Care Services provides opportunities for the care and support sectors to offer a wider range of work through the development of the personal assistant role and brokerage skills.

Opportunities for organizations to diversify and specialize will exist for providers able to respond to developing markets.

Recognition that customers may value services that move beyond traditional definitions or care and/or support. The meaning of 'eligibility' will take on new meanings and will be redundant in some cases.

Providers will need invoicing and accounting systems able to handle payments made by individuals from personal budgets.

New business skills will be required for many organizations that need to learn how to market their services directly to customers and to 3rd party intermediaries such as brokers and advice agencies.

Example of the services offered by domiciliary care service.

Washing/bathing and dressing

Continence Management

Skin care

Medication reminders/prompting

Light household cleaning, laundry, ironing and preparing meals

Shopping, collecting pensions

Accompanying clients on outings and hospital visits

Live-in care

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