Commissioning Models Are Turning Expensive Resource into Sign Posters

By Asha Patel
Commissioning Models Are Turning Expensive Resource into Sign Posters

Every local authority has one resource that dwarfs every other line in the budget:

Your workforce.

Not your providers.
Not your commissioned services.
Not your interventions.

Your people, your Early Help teams, Family Hub practitioners, youth workers, social worker assistants, domestic abuse specialists, social workers, and community-facing professionals.

They are the most expensive investment you make.
And they are the most powerful asset you have.

But here’s the painful truth:

Old commissioning models unintentionally turn this highly skilled, highly committed workforce into sign‑posters.

And when practitioners are reduced to sign‑posting, the system becomes reactive, children wait longer for help, and early intervention collapses.

This article explains why this happens and how to reverse it.

How commissioning accidentally de-skills the workforce

1. The "refer-on" culture created by programme-led commissioning

When local authorities commission programmes that sit “outside” core roles, delivered by specialist teams, charities or contracted staff, the message to practitioners becomes:

“This is for someone else- pass it on.”

And slowly, quietly, capability fades.

2. Threshold-driven help

When access to help depends on forms, referrals or external pathways, practitioners spend precious time:

    • filling in paperwork
    • searching for the “right” service
    • navigating waiting lists
    • reassuring families to hold on

This pushes their skills into administrative tasks instead of being able to offer early help that makes a real difference.

3. Initiative churn burns confidence

Practitioners experience cycles of:

    • new training
    • new projects
    • new initiatives
    • unclear follow-up
    • no support to embed training

This creates “initiative fatigue”, which leads to:

“We tried that already.”
“It doesn’t work here.”
“We don’t have capacity to do this again.”

4. Commissioning events, not behaviours

Training events are often procured without:

    • ongoing clinical and coaching support
    • peer support
    • resources to put training into action
    • supervision structures
    • leadership alignment

This results in the illusion of change without actual change taking place.

5. Commissioning that assumes providers will fix system gaps

Providers can provide support.
They can extend capacity.
They can deliver interventions.

But they cannot:

    • replace consistent trauma-informed culture
    • build in-role confidence
    • correct postcode practice
    • embed relational safety behaviours across teams

Those sit squarely with your workforce.

The cost of de-skilling: what children experience

When the workforce becomes sign‑posters, children experience:

    • repeated storytelling
    • inconsistent responses
    • long waits for specialist help
    • adults who care but can’t act
    • escalation because early help didn’t come early enough

This is exactly the pattern this article series seeks to address.

Why this matters for local authorities now

With financial pressures intensifying and scrutiny increasing, local authorities cannot afford to waste the most expensive resource they have by underusing it.

A sign‑posting workforce:

    • increases demand
    • increases escalation
    • increases risk
    • depletes practitioner wellbeing
    • increases turnover
    • erodes public trust

An empowered, embedded workforce:

    • prevents harm earlier
    • stabilises families
    • reduces the need for specialist social care
    • creates defensible impact data
    • improves staff retention

The difference between the two is not funding. It’s a commissioning strategy.

Transforming practitioners from sign‑posters to supporters

Here’s how local authorities reverse the problem:

1. Commission in-role capability, not external dependency

This means commissioning models that align with the ‘Breaking the Cycle of Childhood Trauma’. For example, the Healing Together training up-skills frontline practitioners to embed trauma-informed practice into every aspect of their work. This creates in-house capability to work with children affected by trauma and mental ill health.

2. Equip practitioners with resources they can use immediately with children & families

This avoids dependence on external provision and increases confidence.

3. Create a predictable implementation rhythm

Monthly or fortnightly check-ins ensure adoption and unblock drift.

4. Simplify the process and create access to local trauma-informed practitioners

This reduces postcode practice and builds a system-wide approach that has the bandwidth to meet demand.

5. Get clear on how to commission and use specialist services

There is a role for specialist services to be a part of the delivery model but be clear on what the remit is and how the local authority can maximise the resource more effectively.

The Healing Together difference

Healing Together was built precisely to reverse the de-skilling effect of old commissioning models.

It strengthens the workforce using the five pillars:

    • Curiosity — practitioners interpret behaviour through a trauma lens
    • Action — simple, immediate tools are used in-role
    • Safety — workforce become professionalised to safely work with children and families
    • Relationships — leveraging relationships and connections to facilitate impact
    • Healing — both child and practitioner experience healing and recovery.

Because when practitioners feel confident and equipped, children feel safer… immediately.

A short vignette

A frontline practitioner reported that a majority of their time was spent on making referrals as opposed to being with the children, parents/carers. When they were facilitating sessions with children, they were using outdated resources printed off google and social work tools (Three Houses). They knew it wasn’t great, but they didn’t have anything else. After completing the Healing Together facilitators training and gaining access to the programme resources they saw the impact straight away:

    • their confidence to work with children increased significantly
    • children received meaningful support at first contact
    • they loved their job again – they “felt like a professional again”
    • children started accessing their education
    • reduced risk of children going into care

This is an example of how we can maximise the impact of your most valuable resource.


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Next up in the series

Early Help Isn’t a Service. It’s a System Behaviour And Here’s How to Commission for It

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