Issue details

17/00073 - Approach for Social Care Monies – Progressing High Impact Change 4 – Nurse Led Community Service

Proposed decision: to formalise existing arrangements with Hilton Nurse Partners in the short term, through a single sourced contract, and enter into an adaptable framework agreement to cover the specification and procurement of a nurse led community service in the medium and longer term, alongside Homecare and Supporting Independence Service, from September 2017.

Decision type: Key

Reason Key: Affects more than two Electoral Divisions;

Decision status: Recommendations Approved

Division affected: (All Division);

Notice of proposed decision first published: 07/08/2017

Anticipated restriction: Part exempt  - View reasons

Explanation of anticipated restriction:
supporting paperwork contains commercially-sensitive information

Decision due: Not before 5th Oct 2017 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 and can be considered by the relevant Cabinet Committee before being taken

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

Department: Social Care, Health & Wellbeing

Contact: Christy Holden, Head of Children's Commissioning Tel: 03000 415356.


The proposed decision was discussed and endorsed by the Adult Social Care Cabinet Committee on 20 July 2017. The minute of the discussion is included in the decision paperwork which the Cabinet Member has signed.


A range of engagement events have taken place with the provider sector.

Financial implications: The financial implications of this decision are still being finalised. Total spend to date from Kent County Council to Hilton Nurse Partners is £950k. It is estimated that the increased activity in a nurse led community service across the whole county will be £3.3m per annum, however to establish contracting arrangements in the interim period, this could be between £825k and £1,650k (3-6 months pending discussions with the agency), which might be below the threshold for an executive decision. However, there may need to be some flexibility to this so as to not destabilise service provision in the short term and preparations are being made for this to be an executive decision.

Legal implications: There are significant inherent legal implications from this approach. Legal advice has been sought which is legally privileged and therefore attached as an exempt appendix to recommendation report.

Equalities implications: An Equalities Impact Assessment will be completed for the new service design as part of the Transformation Programme. For this arrangement, service users would receive continuity in service provision, pending any planned activity for review.


Agenda items