Issue details

19/00064 - Kent County Council and Kent Community Health NHS Foundation Trust collaborative partnership

Proposed Decision:

 

To agree the extension of collaborative partnership arrangement with Kent Community Health NHS Foundation Trust until at least March 2025 and ongoing delivery of Public Health services through this approach. Public Health services included within the current arrangement are listed below:

·         Health Visiting

·         School Health Services

·         Sexual Health Services

·         Lifestyle Services and NHS Health Checks

·         Oral Health Services

·         Postural Stability Services

 

Background:

 

Kent County Council took the decision to enter into an innovative partnership with Kent Community Health Foundation Trust (KCHFT) in September 2017, with the aim to maximise the opportunity to improve the health of Kent residents, deliver common objectives and accelerate delivery of the Sustainability Transformation Plan (STP), known as the Sustainability Transformation Partnership.  This arrangement was also designed to offer the flexibility to align to new local care arrangements.

 

This decision recognised that KCHFT was integral to the delivery of the STP and recognised that both KCC and KCHFT faced significant challenges which could be better managed through a joint open and transparent approach. The original decision put procurement in “abeyance” until at least March 2020 and a further decision is required on how best to deliver these services in the future. Legal advice taken at this time confirmed that the approach was permitted within the Procurement Regulations.

 

The Kent and Medway Sustainability and Transformation structures are more advanced than in 2017 and local leaders are working to deliver the local plan, Case for Change. This includes a series of commitments which have been supported by KCHFT. Kent and Medway STP is developing a five-year plan in response to the national LTP and is required to become an Integrated Care System (ICS) in the coming months. Services and health providers will need to align to these changes and work with commissioners to determine how they can best integrate and support acceleration of local care.

 

Kent continues to face a series of significant demographic pressures alongside budget constraints and pressures e.g. long-term clarity on national NHS pay and uncertainty on future funding arrangements for the Public Health grant.

Decision type: Key

Decision status: For Determination

Notice of proposed decision first published: 03/09/2019

Anticipated restriction: Part exempt  - View reasons

Decision due: Not before 2nd Oct 2019 by Cabinet Member for Adult Social Care and Public Health
Reason: In order that the proposed decision can be published for 28 days, in accordance with statutory requirements

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

Lead director: Andrew Scott-Clark

Contact: Vicky Tovey, Public Health Senior Commissioning Manager 03000416779 Email: victoria.tovey@kent.gov.uk.

Consultees

This item will be discussed at the Health Reform and Public Health Committee on the 24th September.

 

Financial implications: The spend of Public Health services across the 5 years will be in the region of £187,109,535. However, values will be subject to annual review and will fluctuate based on demand and any external investment e.g. through Health partners. Additional income through Health Partners enables delivery of HIV treatment services and targeted work for NHS Health Checks as set out as part of the STP. The estimated value for 2019/20 is £37,421,907 with anticipated income of £860K from NHS England and the Kent and Medway STP. Services included are Health Visiting, School Nursing, Postural Stability, Sexual Health, Lifestyle services including Smoking and NHS Health Checks and Oral health. A number of services are open access and as such actual spend will be dependent on demand.

Legal implications: Regulation 12(7) of the Public Contracts Regulations 2015 enable this type of co-operation between contracting authorities where certain conditions are met. Independent legal advice has supported the legality of the approach in relation to the public health functions which are the subject of the partnership. This form of arrangement builds on duties that already existed to exercise functions with a view to integrating the provision of care and support provision, under the Care Act 2014 (“CA 2014”), with health provision (section 3, CA 2014). Both parties are also under a duty, under s.82 of the NHS Act 2006, to co-operate with one another to secure and advance the health and welfare of the people of England and Wales.

Equalities implications: Equalities implications: Equality Impact Assessments will be completed at a service level as required. Data Protection implications: KCHFT is IG Toolkit compliant and Data Process Impact Assessments will be completed at a project level as required.

Agenda items