The Business Case for PBS: Reducing Support Packages and Long-Term Costs

Positive Behaviour Support (PBS) isn’t just good practice β€” it’s good business. When PBS is embedded into service models, people supported achieve better outcomes, services reduce restrictive practices, and over time, support packages often reduce in intensity and cost.

For commissioners, that means fewer long-term high-cost placements. For providers, it strengthens relationships and opens future opportunities.


πŸ“‰ How PBS Reduces Support Needs Over Time

With PBS in place, providers typically help individuals achieve:

  • Greater independence in daily life
  • Reduced incidents requiring intensive staffing
  • Transitions from 2:1 to 1:1 support or more independent living
  • Improved emotional wellbeing and resilience

These outcomes allow services to adapt and reduce resource levels safely, without compromising care quality.


πŸ’‘ Why This Matters to Commissioners

Commissioners face rising demand and tightening budgets. Providers who can demonstrate:

  • Evidence-based support that reduces restrictions
  • Clear pathways to less intensive packages
  • Partnership working to achieve sustainable outcomes

… are more likely to build trust, secure placements, and win future work.


πŸ“Š The Financial Benefits for Providers

  • Stronger relationships with commissioners through trusted outcomes
  • Opportunities for growth through reputation and results
  • Less reliance on crisis funding or reactive placements
  • More predictable staffing models aligned to evolving needs

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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


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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