Issue - meetings

[Report of the Assistant Director for Commissioning . To be introduced by the Cabinet Member for Adult Social  Care and Culture.] The ‘Positive Behaviour Support Service’ framework aims to address the needs of adults and young people with complex needs (including learning disabilities and/or autism; those who display behaviour that challenges; and those with mental health conditions) through the delivery of specialised interventions in a supported living environment.  Cabinet approval will be sought  to award the contracts under this framework.

The Cabinet Member for Adult Social Care and Culture introduced the report which set out contract to enable stronger offer to improve the life outcomes for the most vulnerable social and health care users. These were mainly adults and young people with complex needs (including learning disabilities and/or autism), those who display behaviour that challenges and those with mental health conditions. The contract would improve community based intervention as part of wider strategy to promote independence and enable clients to live locally in the community.

Big Lottery Fund, England Committee, had also agreed to offer an in-principle award of up to £1,465,018 revenue funding (over four years) to Haringey Council to contribute towards the PBS contract provision.

RESOLVED

To approve the proposal to enter into framework agreements with the successful tenderers listed in paragraph 3.2 to deliver Positive Behaviour Support (PBS) Services as allowed under Contract Standing Order (CSO) 9.07.1 (d), for a period of four (4) years.

Successful Tenderers were as follows:

·      Care Management Group Limited

·      Centre 404

·      Dimensions (UK) Limited

·      Support for Living Limited

·      The Avenues Trust Group

Reasons for decision

At a time of limited financial resources, the Council continues to seek innovative solutions to funding intervention that deliver good outcomes for local people, and especially for those with complex needs that present with behaviour that challenges. Haringey Council has a growing number of customers with complex needs and it expects to see a long-term increase in numbers of people with challenging behaviours.

For various reasons, those users with the highest and most complex needs have often been accommodated in health facilities or in the most expensive form of out of area residential provision. In these situations, the quality of life outcomes for vulnerable customers (mainly those with Learning Disabilities) are typically not good and there have been well publicised court cases (most recently Winterbourne View) where carers were found guilty of abusing vulnerable residents and jailed. A recent review of residential and nursing care undertaken by Haringey Public Health shows that the customer group with the largest net expenditure per year is Learning Disability. This group also has the largest average net unit cost per person per year.

It is part of Haringey’s objective to keep people healthy and living in their own communities for longer and to see a greater emphasis on promoting independence, dignity and choice, with care and support shifting away from institutional care towards community and home based support.

To address the gap in service provision for these customers, Haringey Council has undertaken a procurement process to commission a framework of a small number of specialist providers to deliver the evidence based PBS intervention in a community setting with the intention of preventing traditionally poorer quality of life outcomes particularly for Children and Adults with Learning Disabilities. This project aims to reach in total 98 customers over its life.

The main rationale for choosing a PBS approach is because of the strong evidence base and because it is a NICE best practice  ...  view the full minutes text for item 109