Issue - meetings

Cllr Carole Allaway Martin sought Cabinet approval to conduct a competitive procurement process for a new multi-provider agreement for the supply of residential and nursing care services for individuals with an assessed health or social care need including older people and people with a disability, autism, a mental health condition and/or complex physical health conditions.

Having considered all of the information, Cabinet noted the report and

RESOLVED to

Delegate authority to the Executive Director of Adult Social Care, Wellbeing and Communities, in consultation with the Cabinet Member for Adult Social Care Commissioning, to:

1. Conduct an appropriate form of competitive procurement process (to be determined by the said Executive Director) under which the council shall procure the following residential and nursing care services for individuals with an assessed health or social care need including older people and people with a disability, autism, a mental health condition and/or complex physical health conditions:

a) older people residential care

b) older people residential care (complex and dementia)

c) older people nursing / Continuing Health Care (CHC)

d) learning disabilities

e) physical disabilities and sensory impairments

f) mental health and autism

g) forensic services

h) short-term placements / respite (all client groups)

The proposed contracting arrangements in respect of such services shall continue for a period of up to 8 years (the start date and duration of such period to be determined by the said Executive Director); and

2. To award, subject to the financial restrictions set out in the Resourcing Implications section of this report below, as many contracts as may be required by the council for the provision of such residential and nursing care services and to exercise any extension options thereunder provided that the aggregate term of such contracting arrangements does not exceed 8 years.

8.1 Cllr Carole Allaway-Martin, Cabinet Member for Adult Social Care Commissioning, sought Cabinet approval to conduct a competitive procurement process for a new multi-provider agreement for the supply of residential and nursing care services for individuals with an assessed health or social care need, including older people and people with a disability, autism, a mental health condition and/or complex physical health condition.

8.2 It was explained that the current residential and nursing contract, known as the Pre-Placement Contract (PPC), was around 20 years old and did not include the necessary provision to respond to the significant legislative changes introduced during this time. A number of elements within the contract, including the equipment schedule and service specifications, were now out of date and the contractual escalation process to address any service delivery and quality concerns was no longer sufficiently robust.

8.3 The new contracting arrangements relate to residential and nursing care services not commissioned with the council’s block provider. The contract will align with other adult social care contracts and policies to ensure a consistent approach for providers and reflect the integrated funding and delivery of health and adult social care services in Gloucestershire.

8.4 There will be no financial impact on the current level of spending on residential and nursing care services and the proposed new contracting arrangements will set out a clear pricing structure for each of the service categories. The commissioning of residential and nursing care will continue to operate within the relevant adult social care budgetary framework.

8.5 Based on the annual gross spend for residential and nursing care services in the financial year 2023-4, the estimated value for the proposed new contracting arrangements over an 8-year term will be £816,000,000.

8.6 A summary of the proposed main contract terms was set out in the appendix to the cabinet report.

Having considered all of the information, Cabinet noted the report and

RESOLVED to

Delegate authority to the Executive Director of Adult Social Care, Wellbeing and Communities, in consultation with the Cabinet Member for Adult Social Care Commissioning, to:

1.    Conduct an appropriate form of competitive procurement process (to be determined by the said Executive Director) under which the council shall procure the following residential and nursing care services for individuals with an assessed health or social care need including older people and people with a disability, autism, a mental health condition and/or complex physical health condition:

a)    older people residential care

b)    older people residential care (complex and dementia)

c)    older people nursing / Continuing Health Care (CHC)

d)    learning disabilities

e)    physical disabilities and sensory impairments

f)      mental health and autism

g)    forensic services

h)    short-term placements / respite (all client groups)

          The proposed contracting arrangements in respect of such services          shall continue for a period of up to 8 years (the start date and duration          of such period to be determined by the said Executive Director); and

2.    Award, subject to the financial restrictions set out in the Resourcing Implications section of this report  ...  view the full minutes text for item 8