Decision Maker:

Outcome: Recommendations Approved

Is Key Decision?: No

Is Callable In?: No

Date of Decision: May 19, 2025

Purpose:

Content: 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.