Skip to content

What is the Real Care Deal?

Choose which way you want to learn about the Real Care Deal. You can Watch – Listen or Read.

Subscribe to our YouTube

You can also subscribe to our podcast channels below and have all our audio content delivered to your podcast account or RSS reader. 

What is The Real Care Deal?

  • A plan to make sure care services are fair, honest and help people live the life they choose.


Why did we start it?

  • Cawston Park Hospital closed.
  • Three people—Joanna, Jon and Ben—died.
  • A review found they did not get the care they needed, even though lots of money was paid for specialist support.


What went wrong?

  • Buying services (commissioning)
  • Checking services (inspection)
  • Rules and standards (regulation)
  • No clear information about how public money was spent


What was recommended?

Norfolk Council and the Integrated Care Board should build a new, fair way to buy care that:

  • Follows an ethical vision (clear values)
  • Is open and honest about decisions and spending
  • Employs people locally and treats staff well
  • Makes sure taxes and rules are followed


How did we build it?

  • We teamed up with Curators of Change.
  • We ran workshops and meetings with more than 200 local people.
  • Participants said the most important thing is to act more human—kind, respectful, caring.


Why “The Real Care Deal”?

  • People didn’t understand the term ‘Ethical Framework’
  • We asked everyone what to call the plan.
  • “The Real Care Deal” felt positive and hopeful.
  • It promises real, good care for all.


What happens next?

  • People with lived experience share their stories as “community reporters.”
  • We collect stories about what really matters: 
  • Feeling listened to
  • Feeling valued
  • Human connection

What is an Ethical Framework?

The Real Care Deal is Norfolk’s Ethical Framework. It has been co-produced with local people, carers, commissioners and people who work in health and social care. It is designed to help people live their best lives. 

It was developed in response to the recommendations in the Safeguarding Adults Review, as a way of helping to put things right for people after the closure of Cawston Park Hospital.

The Recommendations from the Safeguarding Adults Review

After the Safeguarding Adults Review, the Council and Norfolk and Waveney Integrated Care Board were asked to create an Ethical Framework (a plan) to make sure that people in services don’t experience the levels of abuse and neglect that happened at Cawston Park.

The Safeguarding Adults Review found some key areas we needed to improve.

We have worked with people in the community to create The Real Care Deal.

The Real Care Deal is based on the improvement areas identified within the Safeguarding Adults Review. 

An ethical framework is a simple guide that helps us do the right thing.

  • It shows what is fair and honest.
    • It tells us how to treat people with respect.
    • It helps us put people’s needs first.
    • It makes sure we keep our promises.
    • It gives us steps to check we are acting the right way.

Think of it as a map for good choices and caring actions



Explore the Real Care Deal compass

Our Values are listed below

“It has to be an ongoing connection between commissioning organisations, service providers and people who draw on services.”
Real Care Deal Workshop - County Hall
Workshop participant
Norfolk County Council Co-production event at County Hall, Norfolk