Agenda and draft minutes

The Chair referred to the notice of filming at meetings and this information was noted.

To receive any apologies for absence.

There were no apologies for absence.

There were no new items of urgent business.

A member with a disclosable pecuniary interest or a prejudicial interest in a matter who attends a meeting of the authority at which the matter is considered:

(i) must disclose the interest at the start of the meeting or when the interest becomes apparent, and

(ii) may not participate in any discussion or vote on the matter and must withdraw from the meeting room.

A member who discloses at a meeting a disclosable pecuniary interest which is not registered in the Register of Members’ Interests or the subject of a pending notification must notify the Monitoring Officer of the interest within 28 days of the disclosure.

Disclosable pecuniary interests, personal interests and prejudicial interests are defined at Paragraphs 5-7 and Appendix A of the Members’ Code of Conduct

There were no declarations of interest.

There were no deputations/petitions/questions.

Cabinet Member for Health, Social Care and Well-being wanted it noted that some contract providers are CQC Rated Requires Improvement and in this cases we apply our quality assurance framework and suspend new placements with the provider and support them to improve their service, until we are satisfied that we can lift the suspension.

The Cabinet Member for Health, Social Care and Wellbeing RESOLVED:

1.For the Cabinet Member for Health, Social Care and Wellbeing to

retrospectively approve, pursuant to Contract Standing Order 10.02.1 (b) and

16.2, the extension of twelve (12) contracts for the provision of bundled hours

home support and reablement service, for a six-month period, from 1st

September 2023 to 29th February 2024. The twelve contracts are listed in

Appendix 1 of this report.

2.The maximum cost of extending for six months, if all care hours are utilised,

is £5,021,640, taking the combined total contract values to a maximum of

£27,721,396. For the avoidance of doubt, payment will be made on services

called-off and delivered only, and the estimated likely spend based on

current utilisation is £4.1m.

3.For the Cabinet Member for Health, Social Care and Wellbeing to note that

a further report will be prepared to consider whether the council should

exercise its option, under the original tender, to extend the contracts for up

to a further 18 months.

4.For the Cabinet Member for Health, Social Care and Wellbeing to note the

Council’s position (as set out in para 6.4) in respect of bundled hours home

Support

Reasons for decision

Haringey’s new model of care for home care support was developed using a

Co-design process that engaged with front line care workers, provider

agencies, service users, and social care staff.

Since the introduction of the contracts there has been measurable

improvements in the service offer for Haringey residents receiving home care

and reablement. Analysis shows that a larger proportion of care hours are

being delivered by a smaller number of providers, which we know has several

benefits, including: a more unified approach between care providers, social

care and health professions, and the voluntary and community sector; more

effective contract monitoring and quality assurance through less Council

resource needed to ensure efficacy in delivery outcomes; and strengthening

crucial partnerships between the Council and Providers to assure quality

and continue to improve value. Amongst providers delivering these contracts

we have seen fewer packages handed back and fewer complaints about

consistency and continuity of care. Research shows that continuity of care

and increased coordination and communication between professionals

delivers improved outcomes for residents and can maintain or reduce needs.

The contract reviews which are currently underway, will aim to evaluate the

extent to which these outcomes have been delivered and can be evidenced.

The contracts have also led to improved contractual terms for care workers

with providers required to pay LLW, Travel and Waiting Time, and forgo their

use of zero hours contracts. Again, the contract reviews will consider the

consistency with which these requirements of the contract are  ...  view the full minutes text for item 16.

There were no new items of urgent business.

Item 9 was subject to a motion to exclude the press and public be from the meeting as it 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); para 3, namely information relating to the financial or business affairs of any particular person (including the authority holding that information).

Exempt information pertaining to Item 6.

The Cabinet Member considered the exempt information.

There were no new items of exempt urgent business.