Proposed decision: To extend the current contracts for Living Well/Ageing Well services – Smoking Cessation, Health Checks, Health Trainers and Healthy Weight – to 31 March 2017, to allow for the development of transformative service models, prior to the competitive tendering of a new model.
How the decision relates to BS4K and Corporate Objectives:
In line with the Council’s Strategic Framework, extending the existing contracts will allow for a focus on outcomes, whilst developing new services that will be based around the needs of the people of Kent.
Financial Implications: The Living Well/Ageing Well contracts that are proposed to be extended currently are as follows:
· Health Checks (currently expires October 2016)
· Healthy Weight (currently expires October 2016)
· Smoking Cessation (currently expires October 2016)
· Health Trainers (currently expires October 2016)
Contracts for the health improvement services currently have a total annual value of approximately £5.3m.
The County Council has now received its allocation for the public health grant 2016/17 which is £71,121,000. This represents a 7.5% reduction.
Public Health have already delivered savings of £926k on adult health improvement services by making greater use of activity-based contract payments and reducing management overheads.
A six-month extension will enable Public Health to continue to deliver efficiencies through internal activity and management of existing contracts for these services, and would not be curtailed by a delay in the procurement process. Contract values for extensions of services will need to reduce to deliver the savings.
Equality Implications: None.
The matter is referred to in the Directorate’s 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: 18/04/2016
Decision due: Not before 14th Jun 2016 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 requirments
Lead member: Cabinet Member for Adult Social Care and Public Health
Lead director: Andrew Scott-Clark
Department: Social Care, Health & Wellbeing
Contact: Karen Sharp, Head of Commissioning for Public Health 03000 416668 Email: karen.sharp@kent.gov.uk.
Consultees
The Adult Social Care and Health Cabinet Committee discussed the matter at its meeting on 10th March 2016 and the key points were noted as follows:
1. Mr Scott-Clark and Ms Sharp introduced the report and emphasised the need for a balance of intervention and prevention over the short and long-term to achieve sustainable health improvement, and for local authorities to be partners in this work. To support this partnership working, the County Council’s procurement process had been aligned with those of its district council and NHS partners. An extension to the contract would be requested, to allow time to further develop this joint working.
2. Mr Scott-Clark and Ms Sharp responded to comments and questions from Members, as follows:-
a) the County Council wanted to implement its new adult health improvement model as soon as possible and wanted to make the procurement process for this as efficient as possible. It would spend the extension time to clarify what could be delivered by current partnership working and what would need to be procured elsewhere or by other means; and
b) the potential role of district council partners and the Kings Fund in identifying and addressing health improvement issues had not previously been drawn on, but the role of district councils in controlling licensing and housing would make a valuable contribution, and district council-run leisure facilities could also offer much to support health improvement projects in an area.
3. RESOLVED that the feedback from stakeholders since January and the opportunities for working jointly with partners on the re-commissioning of adult health improvement services be noted.
Other consultation planned or undertaken:
The transformation of services will be developed in partnership
with key stakeholders, including the seven Local Health and
Wellbeing Boards.
Financial implications: Karen Sharp, Head of Commissioning, Public Health 03000 416668 Karen.Sharp@kent.gov.uk
Legal implications: 16/00046 (2)