Agenda item

15.1

The Executive Director, People Services, submitted a report describing the proposed model for assessment beds that will enable older people with high care needs to leave hospital and provide a safe setting to arrange longer-term support.

15.2

RESOLVED: That Cabinet:- 

(a)

approves the procurement of the Assessment Beds as outlined in the report;

(b)

delegates the decision for whole contract award to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services, the Director of Legal and Governance and the Clinical Commissioning Group Chief Nurse, in line with the report; and

(c)

where no such authority exists, delegates such authority to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services, to carry out such actions in order to meet the aims and objectives of the report.

15.3

Reasons for Decision

15.3.1

This is the preferred option as it offers:-

• A more integrated commissioning approach
• Builds on lessons learned from the pilot approach
• Is cost effective
• Supports a system wide approach to making hospital discharges and preventing hospital admissions
• Has more chance of securing preferred providers
• Offers individuals an opportunity to go home if possible
• Reduces delays in hospital and prevents people from decompensating or becoming less able whilst in hospital

·         Ensures conversations with people about their long term future are done at the most appropriate time

15.4

Alternatives Considered and Rejected

15.4.1

An options appraisal was undertaken which considered the following alternatives:-

Revert back to the previous arrangements for hospital discharge: This would have a significant negative effect on the Delayed Transfers of Care (DTOC) position and would prevent the benefits of the pilot from being realised. This would mean less people being able to return home.  The hospital avoidance element to these beds would also be lost.

Continue with pilot in the current format:  The benefits of the pilot would be realised, however, additional improvements would not be realised.  The continuation of the current service would also be more expensive to both the Council and Clinical Commissioning Group.

15.5

Any Interest Declared or Dispensation Granted

None

15.6

Reason for Exemption if Public/Press Excluded During Consideration

None

15.7

Respective Director Responsible for Implementation

Jayne Ludlam, Executive Director, People Services

15.8

Relevant Scrutiny and Policy Development Committee If Decision Called In

Healthier Communities and Adult Social Care

15.1

The Executive Director, People Services, submitted a report describing the proposed model for assessment beds that will enable older people with high care needs to leave hospital and provide a safe setting to arrange longer-term support.

15.2

RESOLVED: That Cabinet:- 

(a)

approves the procurement of the Assessment Beds as outlined in the report;

(b)

delegates the decision for whole contract award to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services, the Director of Legal and Governance and the Clinical Commissioning Group Chief Nurse, in line with the report; and

(c)

where no such authority exists, delegates such authority to the Director of Adult Services, in consultation with the Director of Finance and Commercial Services, to carry out such actions in order to meet the aims and objectives of the report.

15.3

Reasons for Decision

15.3.1

This is the preferred option as it offers:-

• A more integrated commissioning approach
• Builds on lessons learned from the pilot approach
• Is cost effective
• Supports a system wide approach to making hospital discharges and preventing hospital admissions
• Has more chance of securing preferred providers
• Offers individuals an opportunity to go home if possible
• Reduces delays in hospital and prevents people from decompensating or becoming less able whilst in hospital

·         Ensures conversations with people about their long term future are done at the most appropriate time

15.4

Alternatives Considered and Rejected

15.4.1

An options appraisal was undertaken which considered the following alternatives:-

Revert back to the previous arrangements for hospital discharge: This would have a significant negative effect on the Delayed Transfers of Care (DTOC) position and would prevent the benefits of the pilot from being realised. This would mean less people being able to return home.  The hospital avoidance element to these beds would also be lost.

Continue with pilot in the current format:  The benefits of the pilot would be realised, however, additional improvements would not be realised.  The continuation of the current service would also be more expensive to both the Council and Clinical Commissioning Group.