Decision Maker:

Outcome: Recommendations Approved

Is Key Decision?: No

Is Callable In?: No

Date of Decision: October 30, 2024

Purpose:

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.