Source: https://tendernation.io/opportunities/01a13bec-1fdc-70a3-a32f-9bd8a5423fcb/who-pays-understanding-cost-misalignment-between-the-nhs-and-local-government Open for bids GB open procedure Suitable for SMEs # Who pays? Understanding cost misalignment between the NHS and Local Government [Local Government Association (LGA)](https://tendernation.io/buyers/local-government-association-lga) Estimated value £16,000 Published 5 Oct 2026 Deadline 15 days left 2 Nov 2026 ## Who can bid - Buyer says suitable for SMEs The buyer ticked “suitable for SMEs” on the notice. Anyone can still bid. - Below-threshold contract Buyers cannot shortlist bidders on suitability before tenders are in, so everyone gets to submit a bid (except some larger works contracts). [Procurement Act 2023, section 85](https://www.legislation.gov.uk/ukpga/2023/54/section/85) - Open procedure Anyone can submit a full tender; there is no shortlisting stage. [More contracts for small businesses and VCSEs](https://tendernation.io/opportunities/for-small-businesses) ## About this tender The Local Government Association (LGA) is seeking a supplier to undertake a focused policy research project exploring the interaction between NHS Continuing Healthcare (CHC) and local authority adult social care. Recent evidence has highlighted growing concerns about the relationship between CHC decision-making, adult social care expenditure and the incentives created by current funding arrangements. ADASS's Spring Survey 2026 found that 75% of Directors of Adult Social Services reported an increase in the number of people presenting to adult social care who were, or previously would have been, eligible for CHC, while 84% reported that Integrated Care Board (ICB) disinvestment in CHC was contributing to adult social care overspending pressures. Research published by The King's Fund found that CHC eligibility rates have fallen significantly despite no change to the national eligibility framework, alongside substantial variation between different ICB areas. While CHC provides the primary lens for this project, the LGA is also interested in the wider question of whether current funding and accountability arrangements across health and social care create incentives that transfer costs and risks between organisations rather than supporting whole-system decision making. The LGA wishes to better understand: - How these issues are playing out locally - Whether current arrangements create misaligned incentives between organisations - The impact on local government, the NHS, people drawing on care and support, and unpaid carers - What reforms could improve alignment between health and social care funding and accountability. This work will inform future LGA policy development and engagement with government, national partners and stakeholders. Read full description ## CPV classification Research and development services and related consultancy services Source Find a Tender (UK) · Notice ocds-h6vhtk-078110-2026-10-05T16:09:31+01:00 [View official notice](https://www.find-tender.service.gov.uk/Notice/ocds-h6vhtk-078110-2026-10-05T16:09:31+01:00) Never miss a tender like this again Get AI summaries, deadline alerts and a bid pipeline for tenders matched to your business. Free to start. [Track tenders free](https://tendernation.io/register) [Buyer profile Local Government Association (LGA): past awards and live tenders](https://tendernation.io/buyers/local-government-association-lga) [Sector More Research & development tenders](https://tendernation.io/sectors/research-development) ## More tenders like this [AC1710\_The Good Lives Alliance GLA 2023 DPS · Wiltshire Council · 682 days left · 31 Aug 2028](https://tendernation.io/opportunities/01a13e25-f336-71a9-9326-a7389353a288/ac1710-the-good-lives-alliance-gla-2023-dps) [CHC Nursing Home Beds Preferred Provider List- NHS BLMK ICB · NHS Bedfordshire, Luton & Milton Keynes Integrated Care Board · 1256 days left · 28 Mar 2030](https://tendernation.io/opportunities/01a13ccf-37fe-7395-a19d-2fa0ac006336/chc-nursing-home-beds-preferred-provider-list-nhs-blmk-icb) [CHC Nursing Home Beds Preferred Provider List- NHS Bedfordshire, Luton and Milton Keynes ICB · EU Supply Limited · 1256 days left · 28 Mar 2030](https://tendernation.io/opportunities/01a13ccb-975b-734f-aea8-09b96e338998/chc-nursing-home-beds-preferred-provider-list-nhs-bedfordshire-luton-and-milto) [Community Health Improvement Services · Dorset Council · 892 days left · 29 Mar 2029](https://tendernation.io/opportunities/01a13e27-5f2d-71f8-ac1e-96e3d42a43c5/community-health-improvement-services) [AC1202 Care Home Alliance · Wiltshire Council · 111 days left · 7 Feb 2027](https://tendernation.io/opportunities/01a13e25-ebdf-720a-94bf-5f1ad5fe5c5b/ac1202-care-home-alliance) [Community Life Choices 2027 · Leicestershire County Council · 24 days left · 12 Nov 2026](https://tendernation.io/opportunities/01a13b92-531f-73df-b2b2-074c0b143e09/community-life-choices-2027)