Reason for the decision:
The current Positive Behavioural Support Framework for bespoke service development and delivery for people with complex needs, including those with learning disabilities and autistic people is due to end on 30 October 2022.
There are a significant number of individuals who are currently referred to or waiting for a referral for placement through the Positive Behavioural Support Service. Therefore, there is a requirement for a new 4 year open framework, with a potential of increasing the number of providers available.
Experience of challenges within the current Care and Support in the Home market providing support for those with the most individual needs, shows the need to expand access to this framework for bespoke services across all areas of Adult Social Care to potentially include people with Dementia.
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: 11/05/2022
Decision due: Not before 9th Jun 2022 by Cabinet Member for Adult Social Care and Public Health
Lead member: Cabinet Member for Adult Social Care and Public Health
Lead director: Richard Smith
Department: Social Care, Health & Wellbeing
Contact: Sharon Dene, Senior Commissioning Manager Email: sharon.dene@kent.gov.uk.
Consultees
The proposed decision was discussed at the Adult Social Care Cabinet Committee on 18 May 2022 and the recommendations were endorsed by the majority.
Financial implications: This is a supported living framework, delivering packages of care to learning disabled and autistic people, aged fourteen (14) and over, with the most complex needs. As such there are no accommodation costs to KCC. The providers on the current Framework are supporting twenty-four (24) individuals with a total annual spend (across Health and Social Care) of £8,534,505. Of that total the spend from Social Care (Children’s and Adults) is £6,597,543. The NHS contribute £1,936,962. There are currently twenty-five (25) other individuals referred through the Framework (not yet discharged from their current placement) that have a forecasted annual cost of £7,323,202.
Legal implications: It is the intention to undergo a procurement exercise to identify a suitable supplier in accordance with PCR 2015 Regulation 32(2)(c) and Procurement Policy Note 01/20. The main legislative framework for the Service is the Care Act 2014 (for adults), the Children Act 1989 (for under 18s), and the principles of Mental Capacity Act 2005. These are statutory duties, and the new service will be compliant with all legislation.
Equalities implications: An Equality Impact Assessment will be undertaken as it has been four years since the last one was reviewed. The development of the social movement for neurodiversity and the language evolution to support and describe the reframing is exposing the potential for some previously unseen intersectional inequalities. Particularly relating to autistic women and the possibility of diagnostic overshadowing with conditions such as borderline personality disorder. The potential for this framework to also support those with complex needs, other than a learning disability or autistic people, brings fairer access for those with complex needs across all of Adult Social Care. A DPIA will not be required to complete the procurement. A DPIA will be undertaken at the point of contract award when it will be necessary to share information and data so Providers are able to make informed and considered proposals to support these individuals.