This report sets out the findings from the Auditor General’s review of care home commissioning arrangements across North Wales.

The work has been undertaken as a part of our statutory programme of local audit work at each of the local authorities in North Wales and the Betsi Cadwaladr University Health Board.

Partners are working individually and collectively to provide care home placements for vulnerable service users. This is made more difficult by complex national processes, resulting in a significant focus on costs, which causes division amongst partners and has the potential to impact adversely on service users and their families.

trengthening accountability and developing a regional strategy and delivery plan have the potential to drive positive change and better partnership working, especially in relation to complex and more specialist care.