Purpose

To
seek approval to procure and enter into a single commissioning
framework for the purchasing and provision of the majority of Adult
Social Care long term care services and continued use of existing
framework agreements where required for 6-12
months.
 

Content

That Cabinet:
1. Authorised the Executive Director: Adults
and Communities in consultation with the Cabinet Member for Adult
Social Care and the Integrated Care System:

a)     
To procure and award a Single Adult Social Care Commissioning
Framework within the maximum budget envelope of £2320m
(£2020m BCC Spend) across a maximum of ten years, to be
managed within approved budget limits for each service area using
the framework as outlined in this report.

b)     
To award care contracts utilising the single framework, including
block call-off arrangements where supply in the market is
restricted and spot-purchasing is not delivering a sustainable
marketplace.

c)     
To spot and block-purchase for services from all lots from the
framework, above the Key Decision threshold during the life of the
service user's placement or community package.

d)     
To implement short contract extensions and/or allow continued
purchase of new individual care and support from eight existing
framework contracts and one existing concession agreement, as set
out in this report, for up to maximum of up to six months (bar two
contracts which may be extended for up to twelve months) and up to
a maximum total value of £11,161,004, to bring relevant
existing contracts into alignment with the single framework
purchasing plan.

e)     
To enable BCC Childrens Commissioning and BNSSG commissioners
(primarily from the Integrated Care Board) to be named on the
Single Framework, if approved by their own executive board, to
encourage joint commissioning where appropriate and shared use of
framework rates.

f)      
To transfer all existing providers with current placements that do
not join the new framework to a new ‘off framework’
contract – “Existing Legacy Social Care Providers
Contract”.

g)     
To contract with all out of area providers that do not join the
framework via a new contract – “Bespoke and out of area
Contract”.

h)     
To explore alternative delivery models proposed by providers and,
subject to the approval of the S151 Officer and Director of Legal
Services, look to accommodate these within the current procurement
exercise, where possible, or otherwise implement these on a case by
case basis.
 
2. The Cabinet noted that:

a)     
An update report and request for approval to extend the term of the
new framework will be brought to the relevant committee for
authorisation at each of the three, five, seven and nine-year
anniversary dates of the commencement date of the framework.

b)     
The total annual spend against the single framework by Bristol City
Council will be managed within the ASC allocated purchasing budget
as set by the relevant committee each financial year.

c)     
All call-offs will remain in line with finance and procurement
regulations and procedures, and any off[1]framework spend, required by exception, will
follow the council’s compliant exception processes and
governance.
d) Spot and block-purchase for services from
all lots from the framework below the key decision threshold will
continue to be undertaken by brokerage in accordance with the
financial regulations.