Decision Maker: Cabinet

Outcome: Recommendations Approved

Is Key Decision?: Yes

Is Callable In?: No

Date of Decision: November 4, 2025

Purpose: Cabinet are asked to approve an agreement to provide integrated mental health services to achieve Care Act 2014 responsibilities.  

Content: Cabinet:   (1)          approved the proposal to enter into a new s.75 agreement with NELFT to meet the needs of residents who have a mental health need; for a period of five years from 1st February 2026, incorporating annual break options; and   (2)          delegated authority to approve the final terms of the s.75 agreement to the Strategic Director of Adult Services in consultation with the Portfolio Lead Member for Health and Adults and the Strategic Director of Resources.   Options & Alternatives Considered   Three options were considered by senior managers from both organisations. They were to:   ·         Continue with the same agreement model without changes. -       This model does not address known issues and risks losing stakeholder confidence. ·         End the Section 75 Partnership and return to separate delivery models. -       This model would mean the loss of integrated pathways and multidisciplinary working, alongside reduced outcomes for residents with a mental health need. ·         Refresh and recommit to the Section 75 Partnership Agreement. -       This model offers the strongest benefits, building on the existing strengths of integrated working and enabling a holistic and joint up approach for residents in order to deliver good outcomes.   Senior management from both the Council and NELFT, recommend option 3, to enter into a new and refreshed agreement.   The s.75 review undertaken in 2025 reaffirmed the value of the current agreement and positive changes are already underway. Particularly around strengthening governance arrangements and streamlining operational processes.    Both parties recognise the value in continuing to work in an integrated partnership, especially when working with the most complex individuals.   The Council has not found enough evidence to support going into partnership with an alternative organisation, as all alternative arrangements need to interface with NELFT as the ICB’s service provider and would therefore create a further layer for residents to negotiate.   There is currently no strong evidence, that bringing social work teams back in house improves outcomes for individuals due to the loss of integrated pathways and multidisciplinary working. It is integral to note that the NHS 10 Year Health Plan strongly promotes integrated provision, and the lack of integrated teams could damage relationships and partnership working, and ultimately outcomes for individuals.