Agenda item

[To be introduced by the Cabinet Member for Health and Wellbeing. Report of the Director of Public Health].This report details the outcome of an open tender process for the award of acontract to provide an integrated lifestyle behaviour change programme, ‘Live Well, Be Well’, for Haringey residents aged 18 and over. The new integrated programme brings together: Stop Smoking Services, community NHS Health Checks, Health Trainers & Health Champions, Weight Management and aspects of physical activity programmes. These services were formerly commissioned

separately. This report recommends the award of a new contract in line with

Contract Standing Order (CSO) 9.06.1 (d) following an open tender process.

The Cabinet Member for Health and Wellbeing introduced the report which set out the open tender process for the award of a contract to provide an integrated lifestyle behaviour change programme, ‘Live Well, Be Well’, for Haringey residents aged 18 and over. The new integrated programme brings together: Stop Smoking Services, community NHS Health Checks, Health Trainers & Health Champions, Weight Management and aspects of physical activity programmes. These services were formerly commissioned separately.

RESOLVED

1.    To approve the award of the contract for the integrated lifestyle behaviour change programme, ‘Live Well, Be Well’ for Haringey adults to Reed Momenta the successful tenderer in accordance with Contract Standing Order (CSO) 9.06.1(d).

2.    That the contract is awarded for a period of three years from 1 April 2016 for a value of £1,500,000, with an option to extend for a further period or periods of up to two years, for an additional value of up to £1,000,000 for the full two further years.

Reasons for Decision

This decision has been informed by the level of health need identified through the Haringey Joint Strategic Needs Assessment, evidence of what interventions work to address the need and recognition of the Council’s strategic aim to reduce inequalities, (see paragraphs 6.4 & 6.5 below and the attached Equalities Impact Assessment in appendix 4).

The recommendations as outlined above in 3.1 and 3.2 are based on the provider that scored the highest on a most economically advantageous (MEAT) basis and therefore would offer the best value to the Council in terms of quality and price.

As a result of the procurement exercise, which was carried out in accordance with the Procurement Code of Practice, it is now recommended that the successful tenderer be awarded a contract as outlined in 3.1 – 3.2 in accordance with CSO 9.06.1(d).

Alternative options considered

The option to continue with the existing model of commissioning and resourcing the four individual health improvement services was considered. However, given the reduction in the Council’s budget of approximately £70m over the next three years, this was not considered to be the most cost-effective approach.

Evidence from several local authorities across the UK demonstrates a move towards the commissioning of integrated behaviour change programmes, which

are also known as ‘wellness’ services. The main benefits of integration have been shown to include: a) easier access - an all-in-one service with a range of support available via one access point and one provider/consortium makes it easier for residents to access help and b) health gains can be maximised by addressing multiple risk factors together, either simultaneously or sequentially[1]^,[2]^,[3] c) more cost-effective. An economic case for prevention, with examples of smoking and physical activity, is illustrated in figure 1, Appendix 2.

In order to retain the good practice achieved to date we looked at evidence of effectiveness from integrated lifestyle behaviour change programmes across the UK. A model which would retain aspects of all four programmes into a new integrated model of delivery for Haringey residents was decided upon. This can be seen at Appendix 1.