Content

13.1

The
Programme Lead of the Commissioning Team introduced the report
which sought approval for a Commissioning Strategy for Enhanced
Care in Residential settings. This would include provision of
Planned and Emergency Respite, Complex Care and Somewhere Else to
Assess Discharge Provision.

13.2

RESOLVED UNANIMOUSLY: That the Adult Health
and Social Care Policy Committee:-

Note
progress in delivery of the Care Homes Transformation
Plan.
Approve the Commissioning Strategy to develop and deliver
Enhanced Care in residential settings to ensure sufficiency of
provision for older adults aged 65 + who have a Complexity of Care
Needs. This includes Enhanced Care, Planned and Emergency Respite
Provision, and Somewhere Else to Assess Beds. For 24/25, the
available budget for Older People’s Care Homes is
£52.6m. The development of Enhanced residential care and
Planned and Emergency Respite will need to be delivered within the
available resources.
Approve the associated high-level delivery plan for the next 2
years (2024-26) including the intention to re-procure, support, and
sustain the market.
Approve a further extension for current providers on the
Somewhere Else to Assess Contracts to the 30th September 2025.
Note
that charging for Somewhere Else to Assess beds will begin from
completion of the care and financial assessment, in line with the
charging policy.
Request that the Strategic Director of Adult Care and Wellbeing
provides the Committee with an update on progress against the Care
Homes Transformation programme in six months.

13.3

Reasons for Decision

13.3.1

Ensuring provision of support for people with a complexity and
acuity of care needs through having dedicated provision for complex
care, somewhere else to assess and planned and emergency respite
will make steps towards sufficiency, quality and value of care
homes in the City.

13.3.2

Approval is sought for a commissioning strategy to develop and
deliver enhanced care in residential settings to ensure sufficiency
of provision for older adults aged 65 + who have a complexity of
care needs. This includes long term complex care, planned and
emergency respite provision, and Somewhere Else to Assess
Beds.

13.3.3

Provision of updates to committee provides an assurance to
Members of delivery and scrutiny of actions undertaken.

13.4

Alternatives Considered and Rejected

13.4.1

Do Nothing There is an on-going need for this
provision, not commissioning new models and ending of these
contracts would lead to an increased in spot purchasing, this is
likely to create a significant operational challenge to manage
effectively and increased budget pressures.

13.4.2

Have
Separate Commissioning Strategies This would result in similar work
with the provider market being duplicated, risking inefficiencies,
confusion, and conflicting asks, as well as unclear distinctions
between care pathways.

13.4.3

Recommissioning There is a need to ensure that the commissioning
model is fit for purpose for people with a complexity and acuity of
care needs, and new models with innovative solutions are
implemented.