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RESOLVED:
 
Awarded the contract
for the delivery of the Technology Enabled Living Service to
Provider A, for an initial term of 3 years commencing on 26 August
2025, with an option to extend it beyond the initial term for
further annual periods up to a maximum of 3 additional years. The
maximum cost of the contract (if extended to its maximum
6 year term) is £3,323,089.00 (an
average of £553,848 per annum ex VAT).
 
REASONS FOR DECISION
 
This report asks CPIC to approve the award of
contract for a TEL service under a lead provider aimed at
supporting vulnerable cohorts who are in need of technology enabled
services to enable them to live their lives with dignity.
 
The new TEL service supports a number of
Council priorities and commitments including the Hackney Adults
Social Care 3 Year Plan, as well as delivering under the Care Act
2014, to promote and enable independence, whilst still safeguarding
and supporting our vulnerable residents.
 
The programme of work has explored various
options for the provision of the new service as listed below. In
May 2022, the Adults, Health and Integration Directorate Leadership
Team approved the recommendation that the service be fully
commissioned. Further work was then completed, and reported back in
June 2024, reviewing the model to address affordability and budget
pressure challenges.
 
The provider demonstrated the most ability to
meet all aspects of service provisions and take forward the
development and evolution of the Councils Technology Enabled living
service offer.
 
DETAILS OF ALTERNATIVE OPTIONS CONSIDERED AND
REJECTED
 
Option 1: Fully In-house
Service; TEL equipment, call monitoring and response service
elements provided by Hackney Council
Rejected: Not possible to achieve by the end
of the existing contract. Hackney has neither the infrastructure
nor resources to manage a 24/7 service therefore this model would
not be sustainable and does not represent best value.
(a more detailed assessment of this option was
completed as part of the approved Business Case Report, including
an Insourcing/Outsourcing cost comparison).
 
Option 2: Fully Integrated
System; TEL response service provided by Homerton NHS Foundation Trust. A requirement for
the consideration of this option was that equipment and call
monitoring services would have to be provided by Hackney Council -
advantages and disadvantages in-house for these elements were also
covered under Option One.
 
Rejected:  This
option was discounted after exploration by Adults Commissioning in
close partnership with health partners (HHFT & NEL ICB, C&H
PPB), citing key risks around staffing, financial sustainability
and operational resilience
 
Option 3: Hybrid Options:
There are various ways the three core service elements can be
provided. Hybrid options for the provision of separate service
elements were determined to be either not possible or not desirable
(Fig 1, which is available in the published report).
 
The following two options were explored but
discounted for the provision of the TEL equipment and call
monitoring service.
 
Option 3a: Vary the existing
Hackney Integrated Community Equipment Service (ICES) contract to
include the provision of TEL equipment service.
 
Rejected: Risk of TEC
equipment service quality being impacted due to the high volume of
ICES activities taking priority and performance issues with ICES
service delivery are likely to be replicated with TEL delivery.
 
Option 3b: TEL call monitoring
service to be delivered by another Local Authority that has an
in-house service.
 
Rejected: As part of a
benchmarking exercise, we reached out to five boroughs asking them
to provide quotes for their in-house provision. Two provided
quotes, of which one was significantly higher than our in-house
service option and the other similar to our in-house option. These
options do not represent Best Value.