Agenda and draft minutes

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To receive any apologies for absence.

There were no apologies for absence.

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There was no urgent business.

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To consider any requests received in accordance with Standing Orders

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The report provided an update on the Drug and Alcohol Treatment and Recovery Improvement Grant (DATRIG) and sought approval to accept the grant funding in accordance with Contract Standing Orders (CSO) 17.1. This new grant consolidated previous funding sources, including the Substance Misuse Supplemental Treatment and Recovery Grant (SSMTRG), the Rough Sleeping Drug and Alcohol Treatment Grant (RSDAG), and the Inpatient Detoxification Grant (IDG).

For the 2025/26 financial year, the expected funding amounted to £3,241,594. The DATRIG placed a stronger emphasis on improving treatment and recovery systems, aiming to reduce attrition rates, enhance the number of individuals progressing in treatment, support more people in initiating and sustaining recovery, and ultimately decrease mortality rates.

Furthermore, the report sought approval for the delegation of authority to the Director of Public Health, allowing them to award contracts related to the grant where individual contract values exceeded £500,000 but remained below £2,000,000. This measure was intended to mitigate service gaps and ensure compliance with the grant’s requirements.

The Cabinet Member RESOLVED:

Recommendations:

3.1. For the Cabinet Member for Health, Social Care and Wellbeing to approve:

3.1.1. in accordance with Contract Standing Orders (CSO) 16.02, and 17.1 to approve the receipt Drug and Alcohol Treatment and Recovery Improvement Grant (DATRIG). The total indicative allocation for the 2025/26 financial year will be £3,241,594;

3.1.2. Where contracts valued at £500,000 or more that require approval by Cabinet as per Contract Standing Order (CSO) 9.07.1(d), delegate authority to the Director of Public Health, in consultation with yourself or the Cabinet Member holding the relevant portfolio responsibilities (if there is a change), to award contracts to the successful providers following the procurement process. The value of an individual contract will not exceed £2,000,000.

Reasons for decision

4.1. Ensuring more residents have access to effective drug and alcohol treatment remains a priority for the council, as this significantly reduces the impact of drug and alcohol misuse on adults, young people, families and the community. This is the 4th year of drug and alcohol treatment funding which has been used to significantly increase the number of residents accessing treatment and help to prevent fatalities. The Council therefore welcomes continued grant funding for 2025/26.

4.2. The council has received very late notification of the grant funding (intention letter received on 18th December 2024) for the financial year 2025/26. The grant is already committed to contracts due to finish in March 2025. We wish to secure swift acceptance of the indicative budget for 2025/26 and then to undergo a procurement process to award contracts for 1st April 2025. To affect rapid contract awards, we wish to use the delegated authority of the Director of Public Health.

Alternative options considered

5.1. Do nothing: The Cabinet Member could refuse to receive the grant. However, as there is a clear need for these services and strong support to continue to tackle the impact of substance misuse on the community, this option has not been considered.

5.2. The Cabinet Member could not delegate authority to the Director  ...  view the full minutes text for item 14.

The government, as part of its Smoke-Free 2030 ambition, began allocating additional funding to local authorities, including Haringey, from the 2024/25 financial year, with plans to continue until 2028/29. This funding was ring-fenced to support local authority-led stop-smoking services.

In December 2024, the Secretary of State published funding allocations for local authorities, granting £338,387 to Haringey for the 2025/26 financial year under section 31 of the Local Government Act 2003. The purpose of this funding was to ensure a comprehensive stop-smoking offer, increasing smoker engagement with effective interventions, particularly among communities in greatest need, to help address health disparities.The report sought approval from the Cabinet Member for Health, Social Care, and Wellbeing to accept the £338,387 from the Department of Health and Social Care (DHSC) in accordance with Contract Standing Order (CSO) 17.1. It also requested delegation of authority to the Director of Public Health to manage the funding, vary existing contracts, or approve new contract awards should funding continue until 2028/29.

Upon approval, £260,000 of the available funding was earmarked to commission additional smoking cessation services, while £78,387 was allocated for an in-house Smoking Cessation Project Officer’s salary and contributions to the London Stop Smoking digital app. On 19th September 2023, the Cabinet had previously approved a contract for the Integrated Lifestyle Change Programme, awarded to Haringey GP Group Limited (trading as Haringey GP Federation) for an initial four-year period, with a possible four-year extension, at a total cost of £4,319,800. This contract encompassed various public health services, including smoking cessation, weight management, physical activity, alcohol reduction, and NHS Health Checks.

Given the existence of this contract, the preferred approach was to vary the agreement to enhance the smoking cessation service for 2025/26 with an additional £260,000, bringing the total contract value to £4,838,800, including the proposed variation.

The Cabinet Member RESOLVED:

Recommendations:

3.1. For the Cabinet Member for Health, Social Care and Well-being:

3.1.1. To grant approval to accept external funding of £338,387 from the Department of Health and Social Care (DHSC) in accordance with Contract Standing Order (CSO) 17.1 to upscale the delivery of local smoking cessation service in 2025/26.

3.1.2. To delegate authority to the Director of Public Health to accept the funding for subsequent years up until 2028/29 and vary any existing related contract or approve award of a new contract relating to additional funding until 2028/29 where value of the funding and/ or contract is £500,00 or above.

3.1.3. To approve the variation of the existing contract for the provision of Integrated Lifestyle Change Programme currently delivered by Haringey GP Group Ltd t/a Haringey GP Federation to enhance the level of the smoking cessation service component for 2025/26 at a value of £260,000. The proposed variation is allowed under CSO 10.02.1 (b)and CSO 16.2. The aggregate value for the life of the contract will be £4,838,800 including the proposed variation.

Reasons for decision

4.1. Accepting the grant will help the council to upscale its current smoking cessation service to reduce smoking prevalence which is  ...  view the full minutes text for item 15.