Report of the Executive Director, People Services.
Section 4.2 Financial and Commercial Implications has been amended regarding the bed costs for the CCG following updated financial modelling, with the average bed price of £621.16 reflecting the demand between general nursing 61% and EMI nursing 39%, with an enhanced rate paid for EMI nursing, compared to Sheffield City Council who adopt a standard rate to the bed price.
Decision:
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. |
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15.2 |
RESOLVED: That Cabinet:- |
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(a) |
approves the procurement of the Assessment Beds as outlined in the report; |
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(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 |
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(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. |
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15.3 |
Reasons for Decision |
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15.3.1 |
This is the preferred option as it offers:-
· Ensures conversations with people about their long term future are done at the most appropriate time |
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15.4 |
Alternatives Considered and Rejected |
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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. |
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15.5 |
Any Interest Declared or Dispensation Granted |
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None |
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15.6 |
Reason for Exemption if Public/Press Excluded During Consideration |
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None |
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15.7 |
Respective Director Responsible for Implementation |
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Jayne Ludlam, Executive Director, People Services |
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15.8 |
Relevant Scrutiny and Policy Development Committee If Decision Called In |
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Healthier Communities and Adult Social Care |
Minutes:
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:- |
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|
|
|
|
(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. |
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|
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15.3 |
Reasons for Decision |
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15.3.1 |
This is the preferred option as it offers:-
· Ensures conversations with people about their long term future are done at the most appropriate time |
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15.4 |
Alternatives Considered and Rejected |
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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. |
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Supporting documents: