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  • Issue
  • Issue details

    Integrated Community Equipment Service (ICES) - jointly funded by the County Council and NHS clinical commissioning groups (CCGs)

    The proposed decision relates to Corporate Objectives as follows:

     

    The tender of the Integrated Community Equipment Service supports major local and national strategies such as Facing the Challenge - Adult Social Care Transformation Programme (Kent County Council), and the changes required by the Care Act 2014 and the Children & Families Act 2014.

     

    The way in which care is provided has to be transformed, and the ICES project contributes to key strategic outcomes such as:

    • Supporting access to the curriculum in education, reducing the need for additional care and support.
    • Including equipment provision in the Education Health & Care Plans for eligible children and young people aged 0-25 years
    • Reducing avoidable demand on health and social care services through early intervention and prevention
    • Improving services for the most vulnerable people in the Kent County Council area

    ·         Improving the way in which the County Council procures and commissions services for integrated health, social care and education.

     

    Financial Implications: The annual budget for community equipment services is currently approximately £11.4 million, including a contribution from the County Council of £5.64million. The seven NHS Clinical Commissioning Groups (CCGs) contribute the remainder.

    Legal Implications: A Section 75 agreement will be entered into by all parties to provide a framework within which the County Council will work with health partners, and includes financial protections for the Council.

    Equality Implications: The newly designed service will be delivered to children and adults living with a physical disability and/or a sensory need.

    The matter is referred to in the directorate Business Plan/Medium Term Capital Programme.

    Decision type: Key

    Reason Key: Expenditure or savings of more than £1m;

    Decision status: Recommendations Approved

    Division affected: (All Division);

    Notice of proposed decision first published: 20/02/2015

    Anticipated restriction: Part exempt  - View reasons

    Explanation of anticipated restriction:
    it is likely that decision paperwork will need to include information which is commecrially sensitive.

    Decision due: Not before 13th Mar 2015 by Cabinet Member for Adult Social Care and Public Health
    Reason: in order that the proposed decision can be published for a minimum of 28 days, in accordance with statutory requirements

    Lead member: Cabinet Member for Adult Social Care and Public Health

    Department: Social Care, Health & Wellbeing

    Contact: Sue Horseman, Assistant Director - Transformation 03000 412066; 03000 415388 Email: sue.horseman@kent.gov.uk, James Lampert, Commissioning Manager - FSC Email: james.lampert@kent.gov.uk.

    Consultation process

    In order for the integrated service to be provided, the partners will enter into a partnership arrangement under section 75 of the NHS Act 2006 to commission and provide integrated health and social care services to better meet the needs of the service users of Kent than if the partners were operating independently.  The partnership shall:

     

    ·         Comprise the delegation by the NHS Bodies to the Authority (Kent County Council) of the NHS functions so that it may exercise the NHS functions in part alongside the Authority health related functions

     

    ·         Comprise the establishment and maintenance of pooled funds for the services in accordance with the regulations and on the terms set out in the agreement

     

    ·         Establish integrated management and commissioning with regard to ICES

     

    ·         The Authority (Kent County Council) shall host and provide the financial administrative systems for the pooled fund.

     

                The final version of the Section 75 agreement has been agreed by all the Kent CCGs, Kent County Council legal services and finance. (Appendix 3)

     

     

                Financial Implications

     

                A Section 75 agreement will be entered in to by all parties to provide a framework within which to work with health partners, and includes financial protections for the County Council.

     

                A pooled fund will be created which will include two aligned budgets (one for the CCGs for health only equipment and one for the County Council for social care equipment) and an integrated budget for those items that are jointly funded.

     

                The County Council’s overall combined annual spend for community equipment services is approximately £11.3m.

     

                The CCG current spend is detailed in “Schedule 3 – Contributions” of the section 75 Agreement included with these papers (Appendix 3).  The total CCG spend is approximately £5.7m, of which £818k will be within the Integrated Budget and £4.8m from the CCG Aligned Budget.

     

                The County Council spend for community equipment (including telecare) is approximately £5.6m.of which £785k will be within the Integrated budget and £4.8m from the County Council Aligned Budget.

     

                The forthcoming tender will be for a contract length of five years, with the opportunity to extend for a further two years.  Over five years the overall contract value will be circa £55m.

     

              The governance will be provided through the ICES Partnership Board, as described in the principles in the section 75 agreement.  The Director for Older People/People with Physical Disabilities, Social Care Health and Wellbeing will chair the Board which will comprise:  Senior Managers from the seven CCGs; Senior Accountant from the County Council; County Manager for Occupational Therapy and Reablement Services; CCG Lead Officer for ICES and Contract and Procurement officers.

     

    Consultees

    The proposed decision will be discussed by the Adult Social Care and Health Cabinet Committee on 3 March 2015.

    Other consultation planned or undertaken:

    None

     

     

    Financial implications: Sue Horseman, Assistant Director - Transformation, Older People and Physical Disability, Social Care Health & Wellbeing Tel: 03000 412066 Email: sue.horseman@kent.gov.uk James Lampert, Commissioning Manager, Strategic Commissioning, Social Care Health and Wellbeing Tel: 03000 415388 Email: james.lampert@kent.gov.uk

    Legal implications: 15/00012

    Equalities implications: Expenditure or savings of more than £1m

    Decisions

    Agenda items