Proposed Decision:
a)
APPROVE the
development of Parent Infant Mental Health
Service for a period of 31 months and subject to evaluation and availability of funds from the Public
Health Grant an extension for a further 24 months
b)
APPROVE the
expenditure£2,059,928 via the
Family Hub Grant initially and then the Public
Health Grant
c) DELEGATE authority to the Director of Public Health, in consultation with the Cabinet Member for Adult Social Care and Public Health, to exercise relevant contract extensions and enter into relevant contracts or legal agreements; and
d) DELEGATE authority to the Director of Public Health, to take other necessary actions, including but not limited to allocating resources, expenditure, and entering into contracts and other legal agreements, as required to implement the decision
Background:
On 4 October 2022 the Cabinet Member for Integrated Children’s Services took an executive decision (Decision number 22/00094) to adopt the principle of Kent becoming a?Family Hub Transformation Authority.
On 19 July 2024 a further decision 23/00075 by the Cabinet Member for Adult Social Care and Public Health was taken to:
APPROVE the development and improvement activity to deliver Perinatal Mental Health and Parent Infant Relationships Interventions
APPROVE the required
expenditure, via the Family Hub Grant Funding (£3,051,809
– expires 2025) and, subject to evaluation and availability
of funds the Public Health Grant (post March 2025), to deliver and
sustain this activity for up to two years beyond the Family Hub
Grant period – total service period – 2023 – 2025
with the potential for two x 1-year extensions;
DELEGATE authority to
the Director of Public Health, in consultation with the Cabinet
Member for Adult Social Care and Public Health, to exercise
relevant contract extensions and enter into relevant contracts or
legal agreements; and
DELEGATE authority to the Director of Public Health, to take
other necessary actions, including but not limited to allocating
resources, expenditure, and entering into contracts and other legal
agreements, as required to implement the decision.
Decision:
A new decision is being sought to extend the delivery of the Parent Infant Mental Health Service beyond the original timescale set out in the previous Key Decision (with the contract ending in March 2027) and extending delivery until 31st March 2030 (a total contract length, including exercising the 24-month extension).
Reason for Decision:
Two procurements were previously undertaken for a Parent Infant Mental Health Service Key Decision 23/00075. These did not successfully result in the award of a provider and contract. One in January 24 and the second in August 2024. Feedback from the market is that the opportunity needed longer timescales to mobilise the service.
Key Decision 23/00075 approved a contract to be in place until March 2027. A new decision is needed to reflect amended timeframes for delivery.
A further PSR (Provider Selection Regime) compliant procurement process is proposed, taking into account feedback from suppliers.
How the proposed decision meets the priorities of New Models of Care and Support as set out in ‘‘Framing Kent’s Future – Our Council Strategy 2022 – 2026’’
This service will contribute to ‘Priority 1: Levelling up Kent’ of the Framing Kent’s Future Our Council Strategy 2022-2026’ as providing additional support for families at the start of their infant’s life which is a preventative approach to improve the populations health and narrowing health inequalities.
How the proposed decision supports Securing Kent’s Future
The Parent Infant Mental Health Service supports the Council to achieve the priorities set out in Securing Kent’s Future, by embedding a preventative approach and ensuring children get the best start in life and better outcomes in adult life, leading to reduced demand and costs in Health and Social Care.
Decision type: Key
Decision status: For Determination
Notice of proposed decision first published: 12/02/2025
Decision due: Not before 13th Mar 2025 by Cabinet Member for Adult Social Care and Public Health
Reason: To allow the required 28 notice period on the published list of forthcoming executive decisions
Lead member: Cabinet Member for Adult Social Care and Public Health
Lead director: Dr Anjan Ghosh
Department: Social Care, Health & Wellbeing
Contact: Vicky Tovey, Assistant Director of Integrated Commissioning Email: victoria.tovey@kent.gov.uk.
Consultees
The proposed decision will be considered at the Health Reform Public Health Cabinet Committee on 11th March 2025
Financial implications: The expenditure for the Parent Infant Mental Health Service will be a maximum of £2,059,928 over the total contract period. This includes the initial contract period of 31 months (funded by a mix of DfE Funding and the Public Health Grant) and also possible the extension of 24 months (the extension is subject to availability of Public Health Grant funding). This will be funded by Family Hub Grant funding and the Public Health Grant.
Legal implications: The services to be procured have been determined to be health services for the purposes of the Provider Selection Regime which came into force on 1st January 2024. Officers have determined to follow the Competitive Process and will run an open tender procedure. The Kent County Council standard terms and conditions have been selected for use with this service and tender procedure, and these have been updated to ensure legislative references are up to date. Officers in the commissioning and commercial teams will ensure that a clear and unequivocal option to extend is included in the contract terms and the procurement documentation but making clear that the use of such extension is subject to both budget availability and to further governance.
Equalities implications: Equalities Implications An Equalities Impact Assessment (EqIA) was undertaken for Key Decision 23/00075 and can be found here - 23-00075 - EQIA.pdf There are no proposed changes to the service or the outcomes apart from the timescale of delivery, which will be extended. The positive impacts anticipated from this commission are: • Service Users/Clients - Increased communication and support regards PNMH and PIR • Staff and Volunteers - Improved awareness about low to moderate perinatal mental health and confidence to have conversations about it. The EQIA identified potential negative impacts for disability, race and religion and belief, along with mitigating actions.