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Domiciliary and Adult Social Care

Domiciliary Care and Reform of Adult Social Care

Domiciliary Care includes a range of services which support people to continue to live in their own home. Each year the Health and Social Care Board (HSCB) spends around £206m on Domiciliary Care, with over 250,000 hours of support provided across Northern Ireland weekly to more than 25,000 people. Domiciliary Care is a vitally important service which supports people in their own home,  and allows them to retain some independence, as an alternative to institutional care.

During 2015/16 the HSCB undertook a review of the Domiciliary Care service in Northern Ireland to assess how prepared the service is to meet future challenges and support planning for the service into the future.  The Review involved engagement with a range of organisations and individuals involved in the delivery of domiciliary care both in the Health and Social Care Trusts and the Independent and Voluntary sectors.  Engagement events with service users, their representatives and carers as well as Trade Unions were also conducted.

In November 2015, the HSCB presented the report on the outcome of the Review, with a series of recommendations and actions to be taken forward with HSC Trusts, the HSCB, the Department of Health and the Business Services Organisation – view the Domiciliary Review Report.

Recently the Department of Health commenced a programme of work associated with wider reform of Adult Social Care.  The recommendations associated with the HSCB-led Review of Domiciliary Care are being taken forward in conjunction with this programme of work.


An Agenda for Creating a Sustainable Basis for Domiciliary Care In Northern Ireland2.3 MiB5192
Briefing Paper Domiciliary Care In Northern Ireland November 20152.1 MiB4205