Decision details

Procurement of an Adult Social Care Mental Health Recovery Framework for people with eligible mental health needs

Decision Maker: Co-operative Executive

Decision status: Recommendations Approved

Is Key decision?: Yes

Purpose:

We have a statutory duty under the Care Act 2014 to meet the care and support needs of adults in the city and to maintain a stable, diverse, quality, and sustainable care market. It is therefore vital that we ensure provision is in place has sufficient capacity and an extensive range of providers.

 

A service review has identified key areas for development of the framework highlighting the need for the re-development of the current service model in order to deliver the best possible outcomes to people in receipt of care.

 

Decision:

10.1

The report set out a recommissioning and creation of a new Mental Health Independence and Support Framework. There was no legal end date for the current contract; however, the contract has now been in place for four years and recommissioning at this point would allow for changes to be made to support a more sustainable service going forward. The Mental Health Recovery Framework, as it has currently been commissioned, is a small framework of providers working with community-based clients who have been assessed as having unmet eligible needs due to their mental health condition and require Adult Social Care support to meet those needs. The Council is legally required to ensure eligible needs are met under the Care Act 2014.

 

 

10.2

RESOLVED: That Co-operative Executive:-

 

 
  1. Approves the creation and re-commissioning of a new Mental Health Independence and Support Framework, as set out in the report;

 

  1. Delegates authority to the Executive Director, People Services, in consultation with Director of Finance and Commercial Services, where there is no existing authority, to take all necessary steps to negotiate, agree terms of framework contracts that will be entered into with successful tenderers and thereafter to award such contracts; and

 

  1. Delegates authority to the Executive Director, People Services, in consultation with Director of Finance and Commercial Services, where there is no existing authority to take such steps to meet the aims and objectives as set out in the report.

 

 

10.3

Reasons for Decision

 

 

10.3.1

It was anticipated that the recommended option will deliver the following outcomes:

 

1.             The Council can meet its statutory duties under the Care Act 2014.

2.             Individuals who have assessed eligible social care needs because of their mental health will be supported.

3.             The market will be stabilised and diversified, with increased provision to meet the needs of the cohort.

4.             The Council can be assured of the quality of the provision it has commissioned, particularly if the number of direct payments are reduced (where appropriate).

5.             Clients will be satisfied that the support they receive enables them to recover a life that has hope, meaning and purpose.

6.             Clients will have access to support that is appropriate, delivered in a timely manner and responds to fluctuating needs.

7.             Clients will meet their defined goals set out in the Support Plans that they have co-created.

8.             Clients will be able to live interdependently within the community with appropriate support (accommodation, employment, social integration).

9.             Clients will be able to reduce their need/use of health and social care services.

 

 

10.4

Alternatives Considered and Rejected

 

 

10.4.1

As part of the options appraisal exercise the following additional options were identified and evaluated:

 

Option

Pros

Cons

A:  Continue as it is

·       Established framework embedded in Adult Mental Health Services.

·       Understood by workers in the Adult Mental Health Recovery Teams.

·       Clients have established support.

·       Providers have a regular income.

·       New clients are unable to choose council arranged services (if they wish to) due to a lack of providers, high waiting list for support.

·       Increase in the use of inauthentic/inappropriate direct payments.

·       Financial impact due to using more direct payment providers, such as the additional cost incurred with money management services.

·       Current provision not fully focussed on recovery with many clients continuing with support without assessed needs being reviewed.

·       No incentive/appetite for smaller providers to join the framework.

B. Refresh current service specification

·       Enables more providers to join the framework.

·       Established framework embedded in Adult Mental Health Services.

·       Understood by workers in the Adult Mental Health Recovery Teams.

·       Clients have established support.

·       Providers have a regular income.

·       As above.

·       Doesn’t allow for major changes which will enable lessons to be learnt and permit a new focus on recovery.

·       Current outcome tool is prohibitive for smaller providers to administer.

·       Providers will likely come back with increased prices for delivering the same service.

 

 

10.5

Any Interest Declared or Dispensation Granted

 

 

 

None

 

 

10.6

Reason for Exemption if Public/Press Excluded During Consideration

 

 

 

None

 

 

10.7

Respective Director Responsible for Implementation

 

 

 

Executive Director, People Services

 

 

10.8

Relevant Scrutiny and Policy Development Committee If Decision Called In

 

 

 

Healthier Communities and Adult Social Care Scrutiny and Policy Development Committee

 

Report author: Steve Jakeman

Publication date: 22/04/2022

Date of decision: 20/04/2022

Decided at meeting: 20/04/2022 - Co-operative Executive

Effective from: 29/04/2022

Accompanying Documents: