Decision Maker: Adult Health and Social Care Policy Committee

Outcome: Recommendations Approved

Is Key Decision?: No

Is Callable In?: No

Date of Decision: March 26, 2025

Purpose:

Content: 9.1 The Assistant Director for Living, Ageing Well and Short Term Support introduced the report which provided the committee with an update on Technology Enabled Care (TEC) aligned to our Strategy Delivery Plan. 9.2 RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee:- Approve the proposed Commissioning Strategy for the Technology Enabled Care (TEC) Service. Approve the aligned TEC Services Delivery Model including the procurement of a Strategic Partner. Note the work being undertaken on the review of the TEC Charging Policy which is being supported by robust engagement with all stakeholders. Note the work being undertaken to complete the service review and re-design of Citywide Care Alarms (CWCA): to ensure that the service is affordable, self[1]funding, and delivers the best possible outcomes for customers. e.    Note the work being undertaken to support the introduction of AI across Adult Care and Wellbeing, with an AI Business Case scheduled to go to the Corporate Digital Transformation Board in March 2025 f.      Note the work undertaken in Sheffield with the TSA is being recognised nationally in published guidance around best practice in TEC enabled care and highlights Sheffield as an innovator 9.3 Reasons for Decision 9.3.1 TEC enables a range of people to be able to continue to live independently, safe, and well in their own home improving quality of life and supports the delivery of the Adult Health & Social Care Strategy Living the Life you want to Live. TEC services deliver benefits, including preventing, delaying, and reducing the need for more intrusive and costly care, demand management, the optimisation of care packages, supporting early discharge from hospital, and preventing avoidable admissions. 9.3.2 The new TEC Model will further our ambition to create a Joint TEC Commissioning Strategy across Health and Social that enables the combination of proactive, reactive, and in-person care with the aim of delivering whole system benefits. 9.3.3 The new Charging Policy will ensure that the TEC services are sustainable and accessible to those people often in most need helping to address health inequalities. 9.4 Alternatives Considered and Rejected 9.4.1 Alternative Option 1: Do Nothing   The financial impact associated with the current CWCA service overspend dictates the need for change, with the current service operating at the periphery of adult social care being unable to realise the financial and non-financial benefits. The opportunities to deliver benefits to people in receipt of care would also be missed. 9.4.2 Alternative Option 2: Consideration of a regional South Yorkshire Integrated Care System TEC Service Delivery Model   There is appetite for a regional service delivery model and potentially delivery economies of scale, with a single Strategic Development Partner and Alarm Receiving Centre, with assessment, installation, maintenance, and response services delivered locally by the 4 individual Local Authorities. However, all 4 Local Authorities are at different stages of development, constrained by varying contract terms. Given the risks associated with a delay to the implementation Page 72 of Sheffield’s proposal we have discounted this option but will support further regional developments over the coming years.