Agenda and minutes

RESOLVED – That Majid Hussain be elected Chair for the duration of the meeting.

Apologies for absence were received from Councillor Chadderton and Ben Galbraith.

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RESOLVED - That the minutes of the Commissioning Partnership Board held on 28th February 2019 be approved as a correct record.

The Board gave consideration to a report of the Planning and Commissioning Manager, Oldham Cares which sought approval to a for provision of stairlifts, ceiling track hoists, vertical and step lifts and gantry hoists in domestic properties where residents have disabilities.

The provision was funded from the Disabled Facilities Grant, a statutory duty was placed on Local Authorities to approve an eligible application and therefore the provision must be available.

The procurement exercise was led by Oldham Council on behalf of Oldham Council and Tameside Council although there was no pooling of budgets between both Authorities and each would pay for its own activity.

Options/alternatives considered  

Option 1 - Allow the current contract to expire at the end date without other provision in place.

Option A was not the preferred option as the legislative framework governing DFGs places a statutory duty on Local Authorities to approve an ‘eligible application’. The provision must therefore be available.

Option 2 - That the contract for the provision of stairlifts, ceiling track hoists, vertical and step lifts and gantry hoists be awarded to the suppliers listed below:

·         Lot 1 - Starlifts: Platinum Stairlifts Ltd

·         Lot 2 - Ceiling track hoists: Handicare Accessibility Ltd

·         Lot 3 - Vertical and step lifts: Wessex Lifts Ltd

·         Lot 4 - Temporary free standing and pressure fit Gantry hoists: Prism UK Medical Ltd

That the contract would commence on or after 1^st June 2019 for two (2) years with an option to extend by an additional two (2) years on one (1) year increments.

RESOLVED – That the Commissioning partnership Board would consider the commercially sensitive information contained at Item 11 before making a decision.

Report to follow.

The Board gave consideration to a report of the Planning and Commissioning Manager, Oldham Cares which sought approval to award of contracts to a maximum of 10 providers following a competitive mini-competition exercise under the Provision of Oldham Care at Home, Extra Care & Specialist Care at Home Flexible Purchasing System (FPS) (DN373470) to deliver Adults Care at Home services within the 5 clusters (2 providers to be appointed per cluster). 

Options/Alternatives considered

Option 1 – To approve 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 Adults Care at Home services covered by this tender.

Option 3 – To award contracts to the 10 providers in accordance with the results of the tendering exercise.  To approve continuing to work with existing providers if required during the implementation phase.

Option 4 – To award contracts to 10 providers (2 per cluster) in accordance with the results of the tendering exercise for new packages of care only and to continue working with existing providers to enable them to continue delivering their current packages of care.

RESOLVED – That the Cabinet would consider the commercially sensitive information contained at Item 12 of the report before making a decision.

The Board gave consideration to a report of the Director of Finance, Oldham Council and Chief Financial Officer, Oldham Clinical Commissioning Group which set out the budget monitoring position as at month 9 in respect of the Section 75 pooled budget arrangements for Oldham Cares.

It was reported that Oldham Council was reporting a pressure of £1.615m within the Pooled Aligned Budgets for which it was the lead commissioner/ provider. This was an increase of £0.809m from the month 8 reported figures mainly due to increases in the complexity of care packages for people receiving care at home plus an increase in the number of people in short stay placements.  The forecast over spend related to community care placements, linked to Learning Disability and Mental Health and also Older People and Safeguarding. The over spend was offset by favourable variances from income generation and salaries costs; these variances related to budgets which were not currently within the Section 75 agreement.  This therefore meant that, the Health and Adults Social Care Community Services portfolio was forecasting a balanced outturn and as such did not currently present a financial risk to Oldham Cares or the wider integrated health economy in Oldham.

Correspondingly the CCG was reporting an adverse variance of £3.493m within the Pooled Aligned Budget for which it was the lead commissioner. This had been principally caused by under-delivery of CCG efficiency measures (“QIPP schemes”) of £2.511m as at month 9 due to delayed implementation of the CCG’s Choice and Equity Policy. This was offset by forecast savings from the CCG reducing the number and cost of out of borough placements. This was an increase of £0.774m from the month 8 reported figures mainly due to an increase in the number of mental health & CHC placements. The over spend within CCG elements of the pooled fund was to be managed through non-recurrent resources held by the CCG outside the section 75 agreement.

During the month, Oldham Cares had reviewed its forecast expenditure from the Transformation Fund. As a result of slippage against the schemes, the forecast expenditure for 2018/19 had reduced. The funding supporting this expenditure had been agreed with Greater Manchester Health and Social Care Partnership to be re-phased into 2019/20. A final forecast exercise would take place in Q4 to ensure the funding matches the forecast expenditure, with any slippage to be carried forward in to future years.

Previously it had been reported that Oldham Council’s contribution to the pooled budget had increased by £5.900m in 2018/19 to allow the system to access funds in 2019/20 to benefit the coordinated approach to Health and Social Care. Subsequently alternative resources had been identified by Oldham CCG that would enable the local system to achieve the same objectives without the additional contribution from the Council.

RESOLVED – That:

1.    The month 9 position be noted.

2.    The contents of this report and its approval by the Joint Leadership Team on Monday 18th March 2019 be noted.

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.

The Cabinet gave consideration to the commercially sensitive information contained at Item 7 - Contract award: provision of stairlifts, ceiling track hoists, vertical and step lifts and gantry hoists in domestic properties where residents have disabilities.

RESOLVED – That the recommendations as contained within the commercially sensitive report be approved.

The Board gave consideration to the commercially sensitive information in relation to Item 8 - Approval to Award Contracts following a tendering exercise for Adults Care at Home as part of the multi - category Care at Home tender.

RESOLVED – That the recommendations contained in the commercially sensitive report be approved.