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It’s time to take responsibility. Jane Friswell and Bill Love reflect on placements, secure settings and failing people.

A commissioning and procurement system has developed which tends to favour larger providers and often those who operate out of area and base their delivery around perceived behaviours and risk; traditional approaches to ‘market development’ have done little to challenge this.

There are a couple of networks associated with our Small Supports work: one for providers and another for commissioners.

Our Small Supports activity is about thinking and working with people with learning disabilities and/or autism who have ‘hefty reputations’ (to borrow a phrase to describe people who are burdened by the reputations they have been given because of behaviours, reactions, support requirements and large funding packages).

Small supports organisations have a lot in common; here are nine key characteristics they share.

We believe that there is a need to encourage and grow community based, high quality, person centered and value for money small providers to add to the choices available.