Agenda item

10.1

The report sought approval to implement the original decision to procure and award a number of contracts in relation to daytime opportunities for people living with dementia.

Approval was previously given at Cabinet on 18^th December 2019 however due to the impact of COVID-19 on the operation of existing daytime opportunities this was not implemented and the original tender was abandoned. 

As the original decision was more than 12 months old, this report is a refresh taking into account the impacts of COVID and a request to proceed as per the original decision.

10.2

RESOLVED: That the Co-operative Executive:-

1.    Approve the implementation of the original procurement of daytime opportunities for people with dementia as outlined in this report and as per the original cabinet report of 18/12/2019;

2.    Delegates authority to the Director of Health and Adult Social Care in consultation with the Director of Legal and Governance, the Director of Finance and Commercial Services and the lead Executive Member for Health and Social Care to:

i)               Take any further decisions necessary, not covered by existing delegations, to achieve the aims, outcomes and objectives of this report;

3.    Notes that the purpose of this report is to provide an update and to ensure the Co-operative Executive have all of the information available to them, this report contains similar detail to the original report that was approved in December 2019. However, this new report also contains new information for example updated and current data, details around the impact of Covid-19 and updated timelines; and

4.    Notes that since the original report was approved in December 2019, the Dementia Strategy was approved by Cabinet in December 2019.

10.3

Reasons for Decision

10.3.1

The proposals would ensure that:

·       People living with dementia are able to enjoy life, forge meaningful relationships and feel they have a purpose.

·       Daytime opportunities actively contribute to a more fulfilling rewarding life that maintains good health and well-being and help prevents ‘decline’.

·       Support is aimed at families so individuals are able to remain at home for as long as possible but carers are also able to take a break from their caring role and improve their own health and wellbeing.

·       Daytime opportunities are person centred, tailored towards the individual, their preferences and their support needs.

·       There will be improved access through more locally based provision and the support will be able to adapt to changing need.

·       There will be improved collaboration across health and social care which will achieve better outcomes for people and increase value for money across the system.

·       It will meet with legislation, guidance and operational requirements.

10.4

Alternatives Considered and Rejected

10.4.1

Alternative option 1 - Extend the contract with the current providers.

This option would not meet the council’s procurement requirements and would lead to the continuation of a fragmented service design.

10.4.2

Alternative option 2 - Do not Procure.

The Sheffield Dementia Strategy recognises the need to support people in different ways and offer people living with dementia the opportunity to live fulfilling lives, the contracts for all these services expire at end January 2022 and there would be no alternative if we did not procure.

10.4.3

Alternative option 3 - Provide the service in house.

Day opportunities for people with dementia is currently provided by the voluntary sector in all but one of the contracts.  Bringing this in house would not be in keeping with the Council and SCCGs aim to develop and maintain a thriving voluntary sector.  The delivery of day opportunities in house will also increase the funding require or would mean a reduction in service to meet the price difference.

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

10.1

The Executive Director, People Services submitted a report which sought approval to implement the original decision to procure and award a number of contracts in relation to daytime opportunities for people living with dementia.

Approval was previously given at Cabinet on 18^th December 2019 however due to the impact of COVID-19 on the operation of existing daytime opportunities this was not implemented and the original tender was abandoned. 

As the original decision was more than 12 months old, this report is a refresh taking into account the impacts of COVID and a request to proceed as per the original decision.

10.2

RESOLVED: That the Co-operative Executive:-

1.    Approve the implementation of the original procurement of daytime opportunities for people with dementia as outlined in this report and as per the original cabinet report of 18/12/2019;

2.    Delegates authority to the Director of Health and Adult Social Care in consultation with the Director of Legal and Governance, the Director of Finance and Commercial Services and the lead Executive Member for Health and Social Care to:

i)               Take any further decisions necessary, not covered by existing delegations, to achieve the aims, outcomes and objectives of this report;

3.    Notes that the purpose of this report is to provide an update and to ensure the Co-operative Executive have all of the information available to them, this report contains similar detail to the original report that was approved in December 2019. However, this new report also contains new information for example updated and current data, details around the impact of Covid-19 and updated timelines; and

4.    Notes that since the original report was approved in December 2019, the Dementia Strategy was approved by Cabinet in December 2019.

10.3

Reasons for Decision

10.3.1

The proposals would ensure that:

·       People living with dementia are able to enjoy life, forge meaningful relationships and feel they have a purpose.

·       Daytime opportunities actively contribute to a more fulfilling rewarding life that maintains good health and well-being and help prevents ‘decline’.

·       Support is aimed at families so individuals are able to remain at home for as long as possible but carers are also able to take a break from their caring role and improve their own health and wellbeing.

·       Daytime opportunities are person centred, tailored towards the individual, their preferences and their support needs.

·       There will be improved access through more locally based provision and the support will be able to adapt to changing need.

·       There will be improved collaboration across health and social care which will achieve better outcomes for people and increase value for money across the system.

·       It will meet with legislation, guidance and operational requirements.

10.4

Alternatives Considered and Rejected

10.4.1

Alternative option 1 - Extend the contract with the current providers.

This option would not meet the council’s procurement requirements and would lead to the continuation of a fragmented service design.

10.4.2

Alternative option 2 - Do not Procure.

The Sheffield Dementia Strategy recognises the need to support people in different ways and offer people living with dementia the opportunity to live fulfilling lives, the contracts for all these services expire at end January 2022 and there would be no alternative if we did not procure.

10.4.3

Alternative option 3 - Provide the service in house.

Day opportunities for people with dementia is currently provided by the voluntary sector in all but one of the contracts.  Bringing this in house would not be in keeping with the Council and SCCGs aim to develop and maintain a thriving voluntary sector.  The delivery of day opportunities in house will also increase the funding require or would mean a reduction in service to meet the price difference.

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