Demonstrating Value for Money in Acquired Brain Injury Commissioning

Value for money is a central consideration in acquired brain injury commissioning, particularly where packages involve intensive or long-term support. Commissioners are not simply looking for low cost provision; they expect evidence that services deliver sustainable outcomes, manage risk effectively and reduce pressure on wider systems.

This article explores how ABI providers can demonstrate value for money. It should be read alongside Working With Commissioners, ICBs & Neuro-Rehabilitation Partners and Outcomes, Reablement & Independence.

What value for money means in ABI services

Value is assessed through outcomes, stability and avoidance of escalation.

Commissioner and inspector expectations

Expectation 1: Outcome-linked spend. Commissioners expect cost to be linked to measurable benefit.

Expectation 2: Risk cost awareness. CQC expects providers to understand the cost of unmanaged risk.

Operational example 1: Preventing placement breakdown

A provider demonstrated how consistent staffing prevented crisis escalation.

Linking outcomes to cost

Outcome tracking helps commissioners understand return on investment.

Operational example 2: Reduced hospital admissions

Data showed reduced unplanned admissions following structured support.

Managing changes in support levels

Adjusting support intensity demonstrates responsiveness and efficiency.

Operational example 3: Step-down planning

Gradual reduction in support hours was linked to increased independence.

Evidencing value for money

Providers should evidence:

  • Outcome progression reports
  • Risk reduction data
  • Cost comparison summaries

Why this strengthens commissioning relationships

Clear value evidence builds trust and long-term partnership.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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