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Agenda and decisions

Contact: Governance Services  Email:  governance@hackney.gov.uk

Items
No. Item

1.

APOLOGIES FOR ABSENCE

Decision:

Deputy Mayor Bramble (joined virtually)

2.

URGENT BUSINESS

The Chair will consider the admission of any late items of Urgent Business. Late items of Urgent Business will be considered under the agenda item where they appear. New items of unrestricted urgent business will be dealt with under Item XX below. New items of exempt urgent business will be dealt with at Item XX below.

3.

DECLARATIONS OF INTEREST

Members are invited to consider the guidance which accompanies this agenda and make declarations as appropriate.

4.

NOTICE OF INTENTION TO CONDUCT BUSINESS IN PRIVATE, ANY REPRESENTATION RECEIVED AND THE RESPONSE TO ANY SUCH REPRESENTATIONS

On occasions part of the Cabinet Procurement Committee meeting will be held in private and will not be open to the public if an item is being considered that is likely to lead to the disclosure of exempt or confidential information. In accordance with the Local Authorities (Executive Arrangements) (Meetings and Access to On occasions part of the Cabinet Procurement Committee meeting will be held in private and will not be open to the public if an item is being considered that is likely to lead to the disclosure of exempt or confidential information. In accordance with the Local Authorities (Executive Arrangements) (Meetings and Access to Information) (England) Regulations 2012 (the “Regulations”), members of the public can make representations about why that part of the meeting should be open to the public.

 

This agenda contains exempt items as set out at Items 12, 13 and 14

 

No representations with regard to these have been received.

 

This is the formal 5 clear day notice under the Regulations to confirm that this Cabinet Procurement Committee meeting will be partly held in private for the reasons set out in this Agenda.  Information) (England) Regulations 2012 (the “Regulations”), members of the public can make representations about why that part of the meeting should be open to the public.

 

 

5.

DEPUTUATIONS/PETITIONS/QUESTIONS

None received at the time of the agenda publication

6.

UNRESTRICTED MINUTES OF THE PREVIOUS MEETING OF CABINET PROCUREMENT AND INSOURCING COMMITTEE pdf icon PDF 84 KB

To confirm the unrestricted minutes of the meeting of Cabinet Procurement and Insourcing Committee held on 13 March 2023

Additional documents:

Decision:

That the minutes of the meeting on 13 March 2023 be agreed as a correct record.

7.

AHI S150 ADULT SOCIAL CARE TRANSFORMATION - BUSINESS CASE pdf icon PDF 163 KB

Decision:

RESOLVED:

 

To go out to tender for a delivery partner to support the design and implementation phases of the transformation programme using the Crown Commercial Service (CCS) Management Consultancy Framework 3, Lot 3 (Complex and Transformation). The contract will be for up to three years and the contract value will be capped at the price submitted by the winning bidder and released as savings are achieved.

 

Related Decisions

Following a competitive tender process (contract ref DN599239) in February – March 2022, the Council selected Newton Europe as a strategic partner to deliver the diagnostic assessment phase.

 

Options Appraisal And Business Case (Reasons For Decision)

The diagnostic identified a number of areas that would benefit from a redesign of how care is delivered to residents, helping people to stay independent, resilient and supported across long term care, learning disabilities and commissioning.

 

The programme of work is expected to improve outcomes for a potential 4,000 Hackney residents. These opportunities represent an anticipated benefit to the council of up to £32m over the next 5 – 6 years.

 

In early 2022, the Council ran a competitive tender to appoint a strategic partner to support the first phase of a transformation programme to undertake a diagnostic exercise to identify opportunities for delivering improved outcomes for residents of the Borough who access Adult Social Care.

 

The Adults Health and Integration Directorate is now in a position to move into the design and implementation phase to deliver those benefits in partnership with a service provider who has sound experience and track record of delivering similar work in settings comparable to Hackney.

 

We want to deliver these improvements to residents in the quickest and most efficient way. If we don't engage a delivery partner, improvements would happen at a much slower rate and at a lesser impact.

 

If the Council attempted to undertake this work itself, we know from recent experience that the skills and experience required to undertake such work are not readily available in the market and that there is currently a high premium on people with transformation skills in adult social care, due to imminent preparation for social care reforms. The average day cost of one individual with the relevant skills set is around £600. To undertake a programme of transformation work of the scale required a team of at least 5 officers would be required.  Over 3 years this equates to £870,000 per year, or £2.6m over 3 yrs (based on 270 days a year at £660 per day for 5 people). It would not be possible to recruit people on permanent contracts at this time, as the permanent workforce market in this area does not currently exist. Additional management capacity would also be required.

 

Through running a mini competition for this work, we intend to set out a number of criterias in the documentation so we anticipate receiving bids only from  companies who can commit to our requirements. These will include a three year maximum timescale for the work to be  ...  view the full decision text for item 7.

8.

GENERAL EXCEPTION AHI S192 CITY & HACKNEY ENHANCED HEALTH VISITING SERVICE - CONTRACT AWARD pdf icon PDF 207 KB

This report is required to be  considered under General Exception Procedure Rules as set out in Part 4.2 Paragraph 16 of the Council’s Constitution.

Additional documents:

Decision:

RESOLVED:

To agree an award of the Enhanced Health Visiting Service contract to Provider A for a period of a maximum of five years (2+1+1+1) from the 1st of September 2023. The total value of the contract will be a maximum of £34,850,000 (An average of £6,970,000 per year).

 

Related Decisions

The Business Case Report for this procurement was approved by CPIC on 3 October 2022 (CE S123):

·  0-25 Recommissioning Programme -  City & Hackney Enhanced Health Visiting Service CPIC Report Business Case (2022)

Reason(s) For Decision / Options Appraisal

The ongoing provision of a universal health visiting service is essential to supporting the health and well-being of families and children at critical stages of development, to identify those families in need of additional support or with safeguarding concerns, and contribute to the wider benefit of society through enabling every child to have the best start in life. There is strong evidence in support of all aspects of the Healthy Child Programme.


The Enhanced Health Visiting Service has been designed to build on the strengths of the existing service currently provided by Homerton Healthcare Trust. The new enhanced service has been modernised to reflect the most recently published evidence and guidelines for the Healthy Child Programme. The enhanced model was developed following consultation  and engagement (see business case) and supported by the guidance and oversight of the Institute of Health Visiting (iHV).

The service model includes an additional fifth level over and above the four levels of service currently provided. This intensive fifth level (replacing the previously separate Family Nurse Partnership Service) will support vulnerable, complex families and will have a broader eligibility criteria so that families that require support are not restricted access due to the parent's age or if it is a second born child.

 

The Family Nurse Partnership programme model has a number of limitations:

It only works with first-time mothers under the age of 25. This does not align with the needs of the City & Hackney population, which has a reduced number of teenage parents, and an increasing number of older first-time parents.

The programme only works with the first child up to 2 years. This excludes families with more than one child and communities in the borough where the birth rate is high.

The programme does not address concealed pregnancies, as you cannot access the programme if you are more than 28 weeks pregnant.

FNP is a licensed model and therefore does not allow for any flexibility with regards to its enrolment criteria and delivery model.

 

The Enhanced service places an even greater emphasis on the autonomy of the specialist trained public health nursing workforce to provide services based on their clinical judgement and expertise. The new service model will enable the service to be more responsive to changing needs, stepping families up or down levels of intervention as circumstances change. This is not dissimilar to the current service offer except the new model offers a fifth level of service where the most  ...  view the full decision text for item 8.

9.

FCR S180 PROCUREMENT OF CORE INSURANCE PROVISION - CONTRACT AWARD (OFFICER KEY DECISION) pdf icon PDF 158 KB

Decision:

RESOLVED:

 

There are no official recommendations set out in this report.  This report is for informative purposes only and CPIC should note the following;

 

The various options considered in the procurement of the Council Insurance contracts and the reason for the deferment of Lot 1 - Property Risks.

 

In accordance with Key Decision FCR S143 and as set out in the recommendations of the report approved by CPIC on 13th February 2023 this report notes that:-

 

The Group Director, Finance and Corporate Resources, after consultation with the Chair of Cabinet Procurement and Insourcing Committee, authorised the award of contract for [lot 1 - Property] to Supplier F on 17th March 2023 and approved officers to proceed with the contracts to ensure that insurance cover was in place for 1st April 2023.

 

10.

ANY OTHER UNRESTRICTED BUSINESS THE CHAIR CONSIDERS TO BE URGENT

11.

EXCLUSION OF THE PUBLIC AND PRESS

Note from the Governance Team Leader

 

Item(s) 12, 13 and 14 allows for the consideration of exempt information in relation to items 6 , 8 and 9 respectively.

 

Proposed resolution:

 

THAT the press and public be excluded from the proceedings of the Cabinet Procurement Committee during consideration of Exempt items 11 and 12 on the agenda on the grounds that it is likely, in the view of the nature of the business to be transacted, that were members of the public to be present, there would be disclosure of exempt information as defined in paragraph 3 of Schedule 12A to the Local Government Act 1972 as amended.

12.

EXEMPT MINUTES OF THE PREVIOUS MEETING OF CABINET PROCUREMENT AND INSOURCING COMMITTEE

To confirm the exempt minutes of the meeting of Cabinet Procurement and Insourcing Committee held on 13 March 2023

13.

GENERAL EXCEPTION AHI S192 CITY & HACKNEY ENHANCED HEALTH VISITING SERVICE

Exempt Appendices 1-4

14.

FCR S180 PROCUREMENT OF CORE INSURANCE PROVISION - CONTRACT AWARD FCR S180 - OFFICER KEY DECISION

Exempt Appendices A and B

15.

ANY OTHER EXEMPT BUSINESS THE CHAIR CONSIDERS TO BE URGENT