Agenda and minutes

To receive any apologies for absence.

There were no apologies for absence.

There were no declarations of interest.

The Cabinet Member for Health, Social Care, and Wellbeing considered the report which sought approval to accept the Rough Sleeping Drug and Alcohol Grant and award 2022-25.

In response to a question from the Cabinet Member, it was noted that there would be a separate budget for in patient and residential provision within this grant. In relation to residential services, it was clarified that a person’s pathway and post-residential options would be fully designed in advance. It was added that it would be possible to adapt and improve the pathway as more people used the services. It was explained that work in this area often took some time and it was often necessary to build trust and relationships. It was noted that the 2020-21 programme had significantly reduced the amount of drug related homeless deaths by 40% which was a key success.

The Cabinet Member RESOLVED

1.    To approve the receipt of the Office of Health Improvement and Disparities (OHID) grant for Rough Sleeping Drug and Alcohol, for the year 2022/23 and 23/24 as permitted under Contract Standing Orders 16.02 and 17.1.

2.    To note that the indicative total value of the grant will be £1,184,613.

Reasons for decision

Substance misuse is a prevalent issue for those with a history of rough sleeping and is often an impediment to their moving to settled accommodation, if left untreated.

In 2021/22 Haringey Council successfully bid for a grant from OHID to provide street-based substance misuse services to those with a history of sleeping rough. The bid was designed by staff and residents with lived experience. Having successfully delivered on the 2021/22 programme OHID has now released further funding for Haringey for the years 2022-24. Delivery has been so successful that our grant has now been increased to a value that requires Cabinet member agreement.

Alternative options considered

The Cabinet Member could refuse to receive the grant. However, as there was a clear need for this work and strong support to tackle the impact of substance misuse on the homeless community, this option has been considered and rejected.

The Cabinet Member for Health, Social Care, and Wellbeing considered the report which sought approval for the receipt of supplemental grant funding for Substance Misuse Treatment and Recovery and sought variation and extension of the contract to Humankind as set out in the report.

It was noted that performance was built into the contract management processes and that specific steps could be taken in the case of any issues. It was also noted that financial reports were requested from providers at the end of the financial year.

Following consideration of the exempt information,

The Cabinet Member RESOLVED

1.    To approve the receipt of the Office for Improvement and Disparities (OHID) grant ‘Supplemental funding for substance misuse treatment and recovery’ for the year 2023/24 and 2024/25 in accordance with Contract Standing Orders (CSO) 16.02 and 17.01 The value for the indicative grant will be £1,303,160 for 2023/24 and £2,515,389 in 2024/25.

2.    In accordance with Contract Standing Orders 16.02 and 10.02 .1 (b), to agree the use some of the grant monies (as outlined in this report) to vary the existing contract with Humankind Charity for Integrated adult substance Misuse Treatment and Recovery services lot two from 1st April 2022 until 31st January 2025 a period of or 31 months) at a total value of £918,332.

3.    To include the Supplemental grant, financial year 2022/23 £283,290 and subject to OHID agreement 2023/24 £346,387 and 2024/25 £288,655.

4.    In accordance with CSO 16.02 and 10.02.1 (b), to agree contract extension of the Humankind contract for Integrated Adult Substance Misuse Treatment and Recovery services: lot two, for two years from 1st February 2023 until 31st January 2025, such extension to include the variation referred to in para 2.2 above. Total value of extension £1,779,814.56.

5.    To delegate authority to the Director of Public Health to approve a further extension in the total value of £57,731 for a further period of 2 months from 1 February 2025 to 31 March 2025.

Reasons for decision

Accepting the grant - Reducing the impact of drugs and alcohol misuse on adults, families and the community is a cross cutting Council priority. The Council therefore welcomes a significant uplift in funding for substance misuse treatment. The public health team along with providers and service users have designed the services that this grant will be used for.

Preferred providers - Humankind is an existing provider of Haringey substance misuse services, having successfully bid in an open tender process for the Alcohol service, Young People’s service, Recovery services and as a sub-contractor of the criminal justice elements of the Drug service. It has partnered with the Council in several successful bids. It is strongly invested in building a better future for Haringey residents with substance misuse issues. Humankind is one of 4 providers receiving funding from this grant, others include two resident peer led organisation and our NHS substance misuse provider.

Continuation elements within the Supplementary Contracts – services within the 2022/23 Supplementary grant are not new, they  ...  view the full minutes text for item 4.

The Cabinet Member for Health, Social Care, and Wellbeing considered the report which detailed the outcome of an open tender process and sought approval to award contracts to the successful tenderers for the Provision of Public Health commissioned General Practitioners Prevention Services in accordance with Contract Standing Order (CSO) 9.07.1 (d).

Subject to approval, the contracts would be awarded for a period of four (4) years, commencing from 1 October 2022 to 30September 2026 with an option to extend for a further period, or periods, of up to a total of four (4) years.

It was noted that, for NHS health checks, practices would be set a maximum cap which would be allocated annually based on population, level of deprivation, and performance. It was stated that there were also community based health checks that were targeted in the east of the borough.

In relation to the number of tenders received across all Lots, it was explained that further procurement would be undertaken. It was commented that a different model might need to be considered for future delivery.

Following consideration of the exempt information,

The Cabinet Member RESOLVED

1.    To approve the award of contracts for the Provision of Public Health commissioned General Practitioners Prevention Services to the successful tenderers (identified in exempt Appendix 1), for a period of four (4) years, commencing from 1 October 2022 to 30 September 2026 with an option to extend for a further period, or periods, of up to a total of four (4) years, in accordance with CSO 9.07.1(d).

2.    To note the contract prices: Unit costs for each activity within individual lot has been fixed by the Council based on benchmarking with other Local Authorities. The rate for each activity is agreed with Local Medical Committees (LMC) and GP federations prior to publishing the tender and subject to review every 2 years.

3.    To note that, currently, the maximum available budget for these contracts is £1,078,052 for 4 years and £2,156,104 for 8 years (if extended). GP practices will claim based on activity. For NHS health checks, practices will be set a maximum cap. This will be allocated annually linked to eligible population, level of deprivation and performance.

4.    To note that insufficient tenders were received across all Lots, therefore a further procurement process will be undertaken as a matter of priority to commission the remaining services. This would not increase the maximum available budget allocated to these services.

Reasons for decision

There is a clearly identified need within Haringey for these services to improve health outcomes for local people, including tackling health inequalities that exist for particular groups and local areas.

The decision to award contracts to the successful tenderer is based on the conclusion of a competitive procurement process. The proposed recommendation to award the contracts is made according to the outcome of the Most Economically Advantageous Tender, as detailed in section 6 of this report.

The recommended providers submitted a tender bid and have demonstrated that they have  ...  view the full minutes text for item 5.

Items 7-8 are likely to be subject to a motion to exclude the press and public be from the meeting as they contain exempt information as defined in Section 100a of the Local Government Act 1972 (as amended by Section 12A of the Local Government Act 1985); paras 3 and 5, namely information relating to the financial or business affairs of any particular person (including the authority holding that information) and information in respect of which a claim to legal professional privilege could be maintained in legal proceedings.

RESOLVED

That the press and public be excluded from the remainder of the meeting as items 7-8 contained exempt information, as defined in Section 100a of the Local Government Act 1972 (as amended by Section 12A of the Local Government Act 1985); paras 3 and 5, namely information relating to the financial or business affairs of any particular person (including the authority holding that information) and information in respect of which a claim to legal professional privilege could be maintained in legal proceedings.

The Cabinet Member considered the exempt information.

The Cabinet Member considered the exempt information.