Decisions

That the recommendations, as detailed in the exempt report, be approved.

That the Executive Councillor:

(1)  Approves a procurement be undertaken for contracts to be awarded to a number of registered care homes across the county for the provision of Block Transitional Care and Reablement Beds, based upon the delivery model and general principles as set out below:

-       To provide a service which aims to reduce hospital admissions and facilitates hospital discharge, that is focused upon re-ablement, ideally within a three week transition period;

-       Have dedicated staff in place promoting independence and return home;

-       The carrying out of weekly Multi-Disciplinary Teams (MDT) meetings to discuss individual placements;  

-       The allocation of specific rooms which are appropriate to cater for all necessary complex needs and categories of care;

-       The incorporation of a flexible provision allowing in some cases for beds to be transferrable responding to either a Health or LCC need;

-       To make improvements to the specification including; clear aims and objectives of the service, a standardisation of assessment, admission and discharge processes; and the implementation of a clear transitional pathway identifying when a need is health or social care.

-       Contracts to be awarded based upon a higher concentration of beds in fewer care homes and for each of the homes to be located within approximately 30 miles radius of the acute and/or community hospitals therefore reducing the planned transport to and from hospital and improved experience for family members and friends.

(2)  Delegates to the Executive Director of Adult Care and Community Wellbeing,in consultation with the Executive Councillor for Adult Care, Health and Children's Services, the authority to determine the final form of the contract and to approve the award of the contract/s and the entering into the contract/s and other legal documentation necessary to give effect to the said contract.

(3)  Approves the entering into of an agreement under Section 75 of the National Health Service Act 2006 with Lincolnshire Community Health Services NHS Trust.

(4)  Delegates to the Executive Director of Adult Care and Community Wellbeing, in consultation with the Executive Councillor for Adult Care, Health and Children's Services, the authority to determine the final form of the Section 75 Agreement and to approve the entering into of the Section 75 Agreement and other legal documents necessary to give effect to that Agreement.

That the Executive Councillor:

(1)  Approves a procurement be undertaken to deliver a contract to be awarded to a single provider of county-wide advocacy services for a period of three years with the possibility of a further two year extension on a one plus one basis and consisting of all the advocacy services set out in Appendix B, utilising the delivery model described in Appendix A. 

(2)  Delegates to the Executive Director of Adult Care and Community Wellbeing, in consultation with the Executive Councillor for Adult Care Health and Children's Services, the authority to determine the final form of the contract and to approve the award of the contract and the entering into the contract and other legal documentation necessary to give effect to the said contract.

That the Executive Councillor:

(1)  Agrees to re-commission a community based service supporting adults and children with direct payments through a single county-wide contract with a duration of three years with the power to extend for two further periods of one year each.

(2)  Approves that the contract be broadly the same model as the existing service subject to the changes specified in section 1.5 of the report.

(3)  Delegates to the Executive Director of Adult Care and Community Wellbeing, in consultation with the Executive Councillor for Adult Care, Health and Children's Services, authority to approve the final form and the entering into of the contract and all other legal documentation necessary to give effect to the above decisions.