Options for Contracting Arrangements and Service Delivery model for 0-19 Health Visiting and School Nursing Services

May 7, 2024 Cabinet (Cabinet collective) Key decision Approved View on council website
Full council record
Content

RESOLVED: Cabinet:
1.   
Supported Option 2.2 as the new contractual model to
commission the 0-19 service from 1st April
2025.
2.   
Delegated authority to the Director of Public Health
(DPH) to commissioning in consultation with the Adult Social Care
and Public Health portfolio holder , and Children’s Portfolio
holder on this commissioning, procurement, and mobilisation of the
new service from April 2025.
 
REASONS RESOLVED:
1.   
The 0-19 HCP service is a mandatory
service.
2.   
To comply with legislation and the policy of the
council.
3.   
The recommended course of action is the most
cost-effective and will enable us as WNC to integrate the 0-19
service with children services under one management and one
children’s services directorate.
 
 
ALTERNATIVE OPTIONS:
Option 1 - Re-procure and
commission a revised 0-19 HCP service with a new service
specification that reflects the health needs assessment
recommendations and consultation feedback from WNC children, young
people, and their families.
 
Option 2 - In house
provision of 0-19 HCP service to be delivered by WNC and this
covers 2 sub options:

     
i.       
Full in-house provision of 0-19 HCP delivered
by the local authority

   
ii.       
The 0-19 service to be integrated with clinical
staff (e.g., NHFT or any other clinical provider) and staff from
WNC working together in a team. This will enable greater
collaboration and will demonstrate the benefits and challenges of
more integrated ways of working that will help align health and
social care services for Children and young people and families
across WNC.
 
Option 3 - Hybrid Approach -
‘Break up’ single contract and consider options to
commission or bring in house some elements of the 0-19 HCP
service

Supporting Documents

Options for Contracting Arrangements and Service Delivery model for 0-19 Health Visiting and School .pdf

Details

OutcomeRecommendations Approved
Decision date7 May 2024