Purpose

Brief
Description

Leeds City Council and
Leeds Community Healthcare NHS Trust (LCH) are co-commissioning an
18-month pilot for a Community Health and Wellbeing Service to
replace the home care contracts in one area of the city and work
with LCH to deliver appropriately delegated healthcare tasks on
behalf of the Neighbourhood Teams.  An
academic evaluation will be commissioned as part of the pilot to
deliver an independent assessment of the pilot and recommendations
for future rollout.

Impact On
Wards

The proposal is to
pilot a new approach within the three wards of:
· 
Armley
· 
Bramley and Stanningley and
· 
Farnley and Wortley
The aim of the new
service is to improve customer satisfaction with their
community-based support, improve people’s social connections,
improve terms and conditions of service for staff, reduce staff
turnover and improve staff satisfaction with their role.
We want to reduce the
number of providers we currently contract care from (currently 30)
so there may be some impact of providers as well as change of
providers for some customers.
Ward Members in the
pilot area have been briefed on the plans. 

Financial and
procurement implications

This is a new
procurement for part of the home care commissioning budget. The
total budget for home care is £39m and the pilot covers
£3.76m of its expenditure. The procurement will replace the
existing home care contracts in the pilot area with a new Community
Health and Wellbeing Service.
There is a financial
implication as the hourly rate for the CHWS contract is higher than
the current home care contract rate. The aim of the pilot is to
break even through better management of home care demand through
early reviews and reablement, right-sizing packages and a revised
contracting payment model. Funding to cover any overspend during
the pilot term is available as a contingency from ringfenced health
and social care service transformation funding.
The academic evaluator
will be selected following an open tender process with a budget of
up to £60,000.

Partnership
working

Leeds City Council has
worked in partnership with Leeds Community Healthcare Trust in
developing a holistic offer for people living in the community. The
decision is not dependent on LCH’s involvement as the pilot
is able to continue as home care only without the delegated
healthcare element if necessary.

 

Content

The Interim Director of Adults and Health
has:-
 
Approved the request to commence the procurement of a pilot
Community Health and Wellbeing service on an 18 month contract
commencing 1st April 2024 with an estimated total value
of £5,730,000 and award as a result of
the procurement.
 
Approved the
procurement for an independent academic evaluation of the pilot on
a two year contract commencing 1st November 2025 with up
to a total value of £60,000.