Service User needs vary widely for different Service Users. Table 2 categorises the Services into four different Care Tiers of increasing specialism. Care Tiers 1 and 2 describe non-specialist Domiciliary Care and Care Tier 3 describes specialist Domiciliary Care. The term "specialist" refers to the clinical complexity of the care. Every Service User will receive individual, person-centred care at each Care Tier. The Provider will agree to deliver a care package that is within the scope of the services that the Provider can deliver. This can be within one or more Care Tiers. Providers are not required to deliver care at every Care Tier. The appropriate Care Tier or combination of Care Tiers will be decided by the Commissioner, informed by input from the MDT and the Provider.