Issue - meetings

[Report of the Assistant Director for Commissioning. To be introduced by the Cabinet Member for Adults and Health.]

Request award of contract for Intermediate Nursing Care bed block contract with in borough Nursing home.

The Cabinet Member for Adults and Health introduced this report which sought Cabinet’s authorisation for a direct contract award under Contract Standing Order 9.01.2 (g) negotiation without publication of an advertisement to The Supplier outlined in the exempt appendix for the provision of 10 Intermediate Care Nursing beds.

The Cabinet Member noted Intermediate Care Nursing beds helped to alleviate the issue of delayed hospital discharges and inappropriate admissions which could lead to lengthy stays in hospital. The use of a block contract for 10 Intermediate Care beds would help to plan, care more efficiently and help to avoid unnecessary hospital stays. This would help residents remain and regain independence quicker.

The Cabinet Member closed by commending the recommendation to Cabinet.

Further to considering exempt information at item 29,

RESOLVED

To approve the award of contract under CSO 9.01.2 (g) for intermediate nursing care beds to the Supplier named in the exempt appendix for a period of eight (8) years, commencing from 1^st August 2019 at a value of £4,400,000 with an option to extend for a further period of up to two (2) years, for an estimated total value over the life of the contract of £5,600,000

Reasons for decision

Intermediate nursing care beds are an essential component of Haringey’s intermediate care pathway, providing enablement to patients that cannot be supported within extra care facilities or within their own homes due to the complexity of their health needs. Intermediate care beds differ in nature from standard nursing care as the purpose of Intermediate care is to improve a resident’s level of independence, predominantly through activity based therapies. A nursing care setting is appropriate for some people due to the complexity and medical nature of their needs, as well as the high levels of activity required of the service provider to safely mobilise residents.

These beds are a component of Haringey’s wider intermediate care provision and are supported by a dedicated community health multi-disciplinary team (MDT) comprised of occupational therapy, physiotherapy, nursing and social work for example, which was established following a multi-agency review of the intermediate care offer. It is commissioned outside of this contract and funded through Haringey’s Better Care Fund. The MDT works across two bed based intermediate care services in Haringey and is critical for ensuring efficient bed flow and therapy input to achieve better outcomes for individuals and reduce long term care costs and ensures that Haringey’s intermediate care pathway meets the NICE guidance definition of intermediate care. Moreover, in-borough delivery of this contract is in the Council’s overall interest. The MDT service is provided by community health professionals and the referral criteria for community health is based on the location of a patient’s GP – they can, therefore, only provide a service to those both residing and registered with a GP in borough. Nursing home residents outside of the borough would not be registered with a Haringey GP and therefore would not be able to receive services from the MDT which is at  ...  view the full minutes text for item 190