The commissioners I speak to are telling me the same things – that they are battle worn by years of dwindling funding and increasing demand, that there is never enough – whether funding, time or staff. And that despite their dedication they feel we are failing children in care.

The ‘market' is failing society's most vulnerable citizens by exploiting a ‘gold-plated' income stream. A fundamental change is needed in commissioning because doing the same in the hopes of improvement is the very definition of insanity.