Issue details

Proposed decision

That the Cabinet Member for Integrated Children’s Services  approve the commencement of a formal procurement for a new Direct Payment Support Service commencing 1 April 2025 to 31 March 2028, with the option to extend up to a further 24-months.

Reason for the decision

To commit the budget for a commissioned Direct Payment Support Service in place of the current service that is due to end on 31 March 2025 and to formally authorise the commencement of a procurement.

Background

As part of the support planning process, Direct Payments (DPs) are offered to individuals to provide a greater choice and control over their care and support arrangements. They are monetary payments that can be made to individuals to meet some or all of their eligible support needs. Direct Payments for parents or carers of disabled children are a statutory duty under the Children Act 1989 as amended by Sections 17A (inserted by the Health and Social Care Act 2001) and 17B (inserted by the Carers and Disabled Children Act 2000).

Currently, the Direct Payment Support Service is delivered by a not-for-profit provider of Children’s and Young People Services. The service is open to:

• Parents and carers of disabled children

• Parents and carers of children with special educational needs

• Young people aged 16-25 with special educational needs

• Young disabled people aged 16-25

The current Direct Payment Support Service ends on 31 March 2025 with all available extensions enacted. The current provider has performed well against Key Performance Indicators and there is a need to procure this service from 1 April 2025.

Options (other options considered but discarded)

1)         Do nothing. The Direct Payment Support Service will cease on 31 March 2025. Therefore, CYPE will have to make alternative plans to administer and support CYPE Direct Payments as part of KCC’s statutory duty. This option is discounted

2)         Commission an enhanced service which includes the recruitment and retention of Personal Assistants in addition to the set up and monitoring of Direct Payments. Engagement with DP recipients and users of the service identified a key reason for poor recruitment and retention of PAs is the low wage rate. The contract is not able to review wage rates for PA’s as wage rates are set by the DP recipient within the available budget, set by the Local Authority. The appetite for additional spend with no guarantee of a clear cost benefit is low given the councils current financial situation. This option is discounted.

The proposed Decision is in line with Kent’s Strategy for Children and Young People with Special Educational Needs and Disabilities 2021-2024

Priority One: Improve the way we work with children and young people, parents and carers. Qualitative feedback from parents, carers and young people using the service remains extremely high. The survey indicates that as of March 2022 100% of service users rate the support they receive as ‘good’ or ‘excellent’, and a similar number stated that the knowledge of the worker provided tosupport them was ‘good’ or ‘excellent’

Framing Kent’s Future Council Strategy 2022-2026:

Priority 4: New models of care and support: Our commitment is to reshape our commissioning practice to ensure we build strategic partnerships with our providers, through earlier engagement, more consistent and proactive commissioning practice, and a stronger focus on co-designing services.

Our commitment is to support the most vulnerable children and families in our county, ensuring our social work practice supports manageable caseloads, reflective learning, joined up safeguarding and effective corporate parenting arrangements.

In addition to Framing Kent’s Future, the Council has recently published ‘Securing Kent’s Future – The Budget Recovery Strategy’ which underpins any spending decisions and makes clear that the Council must adhere to its ‘Best Value’ statutory responsibility.  The proposal for this service adheres to the principles of the strategy

The statutory Best Value duty must frame all financial, service and policy decisions from this point forward, and services must pro-actively evidence the best value considerations in all decisions. Without ensuring best value, we will not be capable of meeting our wider statutory duties, and the services which flow from them, upon which our residents rely.

As outlined in Objective 2 of the strategy, Commissioners are ensuring any future opportunity for Adult Social Care to jointly commission a Direct Payment Support Service in the near future by ensuring a break clause is written into the contract and the initial term comes to an end after three years.

The Direct Payment Support Service seeks to maximise the number of Direct Payments in the county in line with; Securing Kent’s Future’ by optimising support for people between the ages of 14-25 as they transition from children to adult services, promoting independence in adult life.