How Commissioners’ Expectations of Positive Behaviour Support Are Evolving

Why Expectations Are Changing

Commissioners are no longer satisfied with simply seeing reductions in incidents or restrictive interventions as the key measures of success for Positive Behaviour Support (PBS). Expectations have evolved — services must now demonstrate a more holistic approach to quality of life, inclusion, and empowerment.

Providers delivering PBS are expected to show how they embed these principles throughout their organisation, and how they actively measure the real impact for people supported.

What Commissioners Now Expect to See

• Clear, measurable improvements in quality of life for people supported
• Evidence of co-production in care planning and service design
• Demonstrable reduction in the use of restrictive practices, backed by data
• Workforce training in PBS aligned to the latest best practice
• Integration of PBS with other quality frameworks, such as safeguarding and person-centred care
• Outcomes reporting that reflects both individual progress and organisational learning

Why This Matters for Your Tenders

In competitive tenders, simply stating you “use PBS” won’t be enough. Commissioners are looking for:

• Detailed, practical examples of how PBS is implemented and monitored
• Case studies that show the human impact of PBS beyond behaviour metrics
• Alignment with local strategies on restraint reduction and inclusion
• Commitment to continuous learning and improvement, with supporting evidence