Decision Maker: Director of Adults and Health
Decision status: Recommendations Approved (subject to call-in)
Is Key decision?: Yes
Is subject to call in?: Yes
Key decision report AS02 21/22 sets out the plans over winter 21/22 for the council to commission services to support hospital discharge and additional pressures in health and social care, commencing with an initial term up to 31 March 22 (along with key decision for approval to award contracts in the report: OKD27 (21/22). Initiatives included a mixture of care to be provided within a person’s own home as well as short stay beds within residential and nursing care settings. Subsequently in March 2022 the report OKD61(21/22) was published confirming plans to extend the majority of these arrangements until 30 June 2022.
Since the last report, the Integrated Care System (ICS) partners have been working together to develop a plan for hospital discharge arrangements. In the interim partners have identified funding for the second quarter of the financial year 22/23 and a transition plan to support the delivery of services whilst the longer term arrangements are developed. In order to support this transition plan, the proposal is to extend home first care services and commission additional provision where available whilst the council’s commissioned block provision for seasonal pressures in residential services scales down and comes to an end for the current time.
The Director of Adults and Health has approved;
(1) the extension of 11 home first contracts from 1 July 2022 until 31 March 2023 in line with the terms within the contract (or a shorter period as funding is committed and allows) for a maximum projected cumulative cost of circa £740k;
(2) the procurement of additional home first care contracts where available, from 1 July 2022 until 31 March 2023 (or a shorter period as funding is committed and allows) for a maximum projected cost of £2.2m;
(3) the variation of core hospital discharge care contracts in Southern and Western areas from 1 July 2022 until 31 March 2023 to extend the hours delivered under the block (or a shorter period as funding is committed and allows) for a maximum projected cost of £205k; and
(4) the extension of residential beds block contracts where extension is an option under the contract terms and conditions until 31 March 2023 whilst scaling down to zero the number of beds, keeping the contract live as a contingency measure. Maximum cost if all beds were used throughout the period of £1.3m.
Publication date: 22/06/2022
Date of decision: 22/06/2022
Date comes into force if not called in: 04/07/2022
Call-in deadline date: 01/07/2022