Venue: Assure, Ellen House, Waddington Street, Oldham, OL9 6EE. View directions
Election of Chair
The Panel is asked to elect a Chair for the duration of the meeting.
RESOLVED- That Councillor Chauhan be elected Chair for the duration of the meeting.
Apologies For Absence
Apologies for absence were received from Dr. Ian Milnes.
Urgent business, if any, introduced by the Chair
There were no items of urgent business received.
Declarations of Interest
To Receive Declarations of Interest in any Contract or matter to be discussed at the meeting.
Councillor Chauhan declared a personal and prejudicial interest at Item 9 of the agenda by virtue of his Council appointment to the Miocare Group Community Interest Company.
RESOLVED- That the minutes of the meeting held on 29th November 2018 be approved as a correct record.
Public Question Time
To receive Questions from the Public, in accordance with the Council’s Constitution.
Five public questions were submitted by Caroline Bedale for the Commissioning Partnership Board to consider:
1. Payments to non-public sector for healthcare services
I understand that Greater Manchester Health & Social Care Partnership Board is promoting a public sector model for commissioning and provision of healthcare services. So why is Oldham commissioning so much healthcare services from non-public sector organisations, rather than from the NHS or other public sector? I assume the figures are similar for 2018/19.
2017/18: £50,397,000 is the expenditure on non-NHS / non-public sector providers. This is 18.2% of the total expenditure on healthcare services of £276,537,000.
This does not include expenditure to councils/other public sector/quasi public sector (Oldham £4,611,000, Oldham Community Leisure £57,000, Tameside £18,000) and other NHS £294,000. The total of these is £4,980,000.
2017/18 Total £50,397,000 £ ‘000
Care homes/home care 13,406
GPs extras 4,341
Voluntary – large/UK 1,996
Voluntary – local 411
Personal health budgets 292 unspecified recipients
GM population health 259 unspecified recipients or what this includes
Winter resilience 100 unspecified recipients or what this includes
Small providers/accruals 307 unspecified recipients or what this includes
Over ¾ of the expenditure, £38,405,000, is paid to 18 companies / organisations with over 1% share of the total each, and about ¼, £12,352,000 to the remaining 90 non-NHS providers, many of which are care homes/nursing homes/home care services.
Pennine MSK 7,103 musculoskeletal services
BMI Healthcare Ltd 5,498 various acute services
Lancaster House Cons
Diagnostic & Surgical 5,320 ultrasound, urology, cardiology, continence, gynaecology
Lloyds Pharmacy 3,711 home care drugs
Care UK Clin Serv Ltd / In Health 2,071 IVF, gastrology, ENT (CATS)
Go to Doc 2,003 out of hours services
Priory Group Ltd 1,875 care home
Virgin Care Provider Services Ltd 1,756 dermatology services
CAS Behavioural Health Ltd
and Cygnet Healthcare Ltd – all part of Universal Health Services Inc
1,404 care home
Oaklands Hospital 1,318 various acute services
Chadderton Total Care Unit 1,225 care home
Dr Kershaws Hospice 1,003 hospice
DHP Care Ltd 819 care home
TOG* Mind 723 IAPTS (*Tameside, Oldham, Glossop)
Instream Partnership 693 care home
St Georges Nursing Home Ltd 674 care home
Turning Point 654 mental health services
Bridging the Gap 555 care home
I am particularly concerned about the over £7 million being paid to Pennine MSK, as it is a waste of public money to be paying a private company for healthcare services which the NHS could provide if they were commissioned to do so. I was referred to this company last year. As I do not wish to be assessed or treated by a private company rather than the NHS, I asked the booking system to refer me direct to the NHS – but they could not / would not do so. I had to go back to my GP and ask her to write a letter to the booking system specifically asking for me to be referred to the NHS. Eventually this was done, but it meant I had a ... view the full minutes text for item 6.
The Board considered a report of the Accountable Officer’s Strategic Lead, which sought an amendment to the Terms of Reference of the Board.
Approval was requested to expand the Membership of the Board, to include the Director of Finance (Oldham) as an advisory Member (non-voting).
RESOLVED – That the Director of Finance, Oldham Council be appointed as an advisory (non-voting) member of the Commissioning Partnership Board.
Exclusion of the Press and Public
That, in accordance with Section 100A(4) of the Local Government Act 1972, the press and public be excluded from the meeting for the following items of business on the grounds that they contain exempt information under paragraph(s) 3 of Part 1 of Schedule 12A of the Act, and it would not, on balance, be in the public interest to disclose the reports.
RESOLVED that, in accordance with Section 100A(4) of the Local Government Act 1972, the press and public be excluded from the meeting for the following items of business on the grounds that they contain exempt information under paragraphs 3 of Part 1 of Schedule 12A of the Act, and it would not, on balance, be in the public interest to disclose the reports.
Approval to Award Contract Following a Tendering Exercise for Extra Care as part of the Care at Home Tender
Councillor Chauhan declared a personal and prejudicial interest at Item 9 of the agenda by virtue of his Council appointment to the Miocare Group Community Interest Company, left the room and took no part in consideration thereon.
The Board gave consideration to a report of Planning and Commissioning Managers, Oldham Cares, which sought approval of award of contact for Category 2, Adults Extra Care provision across Oldham’s 6 Extra Care Housing Schemes and to award a place to the providers on the Flexible Purchasing Scheme.
Oldham Council’s Cabinet gave approval on 30th August 2018 to the Joint Commissioning Framework for Domiciliary Care. Approval was given to commence a procurement exercise to establish an overarching light touch ‘Flexible Purchasing System for domiciliary care services which incorporated 5 separate categories:
1. Adults Care at Home Provision
2. Adults Extra Care Provision
3. Children’s Care at Home – SEND
4. Specialist Care at Home
5. Approved Provider List
The tender was advertised on 31st October 2018 and prospective bidders were asked to bid to be on the Flexible Purchasing System as an approved provider under the categories.
The approval required from the Board was in relation to the selection questionnaire and mini competition for Category 2 to deliver Extra Care Services.
Option 1 – Not to award the contract following the conclusion of this tendering exercise and to continue with existing arrangements
Option 2 – To cease commissioning the Extra Care services covered by this tender.
Option 3 – To award contracts to the most economically advantageous tender in accordance with the results of the tendering exercise.
RESOLVED – That:
1. Approval be given to award the contract for Category 2 of the purchasing system to the most economically advantageous tender in accordance with the results of the tendering exercise, as detailed within with commercially sensitive report to deliver care across the 6 Extra Care Services in Oldham form the 1st April 2019.
2. It be noted that those providers who passed the selection questionnaire stage were eligible to enter into any further mini-competitions within the purchasing system and where capacity necessitated could be asked to deliver back up provision as an approved provider.
PAHT Financial Analysis
Consideration was given to a report of the Chief Financial Officer Oldham CCG which sought to provide an update on the analysis undertaken of the key factors in relation to the current financial position of Pennine Acute Hospitals Trust.
The Board discussed elements of the report and were provided with information from the Chief Financial Officer of Oldham CCG.
RESOLVED – That the report be noted.