Agenda and minutes

RESOLVED- That Councillor Chauhan be elected Chair for the duration of the meeting.

Apologies for absence were received from Dr. Ian Milnes.

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 29^th November 2018 be approved as a correct record.

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

Private                                     28,255

Care homes/home care          13,406

GPs extras                                4,341

Voluntary – large/UK                1,996

Voluntary – local                          411

Hospice                                     1,030

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.

                                                            £ ‘000

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

                                                            38,405

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.

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.

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 30^th 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 31^st 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.

Options/Alternatives considered

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 1^st 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.

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.