Agenda item

10.1

The Committee considered a report of the Director of Adult Health and Social Care seeking approval for the commission of an extension to the existing arrangements for prevention services for people who are aged 55 plus, for up to 12 months to allow for a review of early intervention and our model of operating to take place. This will then inform a recommissioning exercise.

10.2

RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee approves the commission of an extension to the existing arrangements for prevention services for people who are aged 55 plus, by 12 months, in line with the report, whilst a review of early intervention and the operating model is taking place.

10.3

Reasons for Decision

Extending the existing contract for up to 12 months will allow for a review of early intervention and our model of operating to take place. This will then inform a recommissioning exercise in line with strategic priorities.

10.4

Alternatives Considered and Rejected

10.4.1

End the service –This would have an adverse impact on older people with health conditions.  It would weaken the Council’s ability to fulfil statutory wellbeing and prevention duties under the Care Act 2014. It would result in immediate savings, but could increase costs elsewhere in the Council budget, by making it more likely for more people to need more expensive services.

10.4.2

Reduce the service – Reducing the service would have less of an adverse impact on people than ending it, but it would still leave future beneficiaries without a service, and this would have a harmful impact. The high demand for the service raises the question whether it should be expanded.

10.4.3

Decisions about pursuing either of these options are best made once the strategic reviews are complete. This will enable any new investment to be part of system-wide improvements and for mitigations to be put in place to deal with decisions to stop or reduce any areas of provision.

10.4.4

Provide the service in house – This would bring TUPE implications for staff transferring to the Council. The current provider brings links with a range of partnerships that have charitable benefits, such as delivery of meals on Christmas day to people who are isolated. They also have expertise in working with experts by experience and co-production that adds value and expertise to the way we work in Sheffield.

9.1

The Committee considered a report of the Director of Adult Health and Social Care seeking approval for the commission of an extension to the existing arrangements for prevention services for people who are aged 55 plus, for up to 12 months to allow for a review of early intervention and our model of operating to take place. This will then inform a recommissioning exercise.

9.2

RESOLVED UNANIMOUSLY: That the Adult Health and Social Care Policy Committee approves the commission of an extension to the existing arrangements for prevention services for people who are aged 55 plus, by 12 months, in line with the report, whilst a review of early intervention and the operating model is taking place.

9.3

Reasons for Decision

Extending the existing contract for up to 12 months will allow for a review of early intervention and our model of operating to take place. This will then inform a recommissioning exercise in line with strategic priorities.

9.4

Alternatives Considered and Rejected

9.4.1

End the service –This would have an adverse impact on older people with health conditions.  It would weaken the Council’s ability to fulfil statutory wellbeing and prevention duties under the Care Act 2014. It would result in immediate savings, but could increase costs elsewhere in the Council budget, by making it more likely for more people to need more expensive services.

9.4.2

Reduce the service – Reducing the service would have less of an adverse impact on people than ending it, but it would still leave future beneficiaries without a service, and this would have a harmful impact. The high demand for the service raises the question whether it should be expanded.

9.4.3

Decisions about pursuing either of these options are best made once the strategic reviews are complete. This will enable any new investment to be part of system-wide improvements and for mitigations to be put in place to deal with decisions to stop or reduce any areas of provision.

9.4.4

Provide the service in house – This would bring TUPE implications for staff transferring to the Council. The current provider brings links with a range of partnerships that have charitable benefits, such as delivery of meals on Christmas day to people who are isolated. They also have expertise in working with experts by experience and co-production that adds value and expertise to the way we work in Sheffield.