Issue details

Update regarding the Recommission of the current York Reablement service

Purpose of Report: The Reablement Service was given approval by Executive in October 2023 to proceed with a competitive tendering process resulting in a new service being implemented from the 1 April 2024. The purpose of this report is to provide an update with regards to the re-recommission of the Reablement Services and to submit a new Procurement timeline that includes a 6-month extension.

Original timelines and new timelines are outlined in the table below:

Task Original timeline New timeline
Finalise specification 1st October 2023 31st January 2024
Issue tender to market 14th November 2023 27th February 2024
Tender evaluation Mid December 2023 4th April 2024– 24th May 2024
Contract award 6th January 2024 24th May 2024
Contract mobilisation Mid-January 2024 31st May 2024
New service commences 1st April 2024 30th September 2024

The Reablement Service is funded by the Better Care Fund and has contributions from both the Council and the ICB. Additional stakeholder engagement has been completed via workshops and multi-agency meetings and this has enabled the specification to be finalised whilst all partners made the necessary contribution to the service specification.

The All-Age Commissioning team currently have two contracts for Rapid Response Services from two different providers and they are both not providing value for money and have different terms and conditions. Seeking approval to combine both Rapid Response services into one contract to simplify complex Reablement and Rapid Response pathways. Furthermore, this option provides an opportunity to secure significant benefits in terms of, obtaining better value for money,
complying with The Council Procedure rules and reduces potential challenge from providers within the market.

The Executive will be asked to approve the continuation of the re-commission of York Reablement Services, with a 6-month extension period to the previous timescales shared. Enabling the contract to complete the tender process, contract award and mobilisation with a new service in place for the 30 September 2024.

Approve the approach to combine both Rapid Response services and contracts into one, as part of the Reablement Service. Tendering both the Reablement and Rapid Response services as one opportunity to the market via a tendering process.

The Council aims to give the same 28 days’ clear notice of non-key decisions as it does for key decisions, but in exceptional circumstances this may not be possible. It has not been possible to give 28 clear days’ notice of the intention to make this decision because the option to combine both Rapid Response services into one service, one contract and one tendering process is a recent development opportunity. This approach provides significant benefits in terms of achieving value for money, consistency of terms and conditions and ensures that the necessary approvals to proceed are obtained. The new timetable for the Reablement re-commission will enable the approach described above to be progressed and implemented.

Decision type: Key

Decision status: Decision Made

Wards affected: (All Wards);

Notice of proposed decision first published: 07/02/2024

This decision will be taken under urgency procedures.

Reason for urgency:
The option to combine both Rapid Response services into one service, one contract and one tendering process is a recent development opportunity. This approach provides significant benefits in terms of achieving value for money, consistency of terms and conditions and ensures that the necessary approvals to proceed are obtained. The new timetable for the Reablement re-commission will enable the approach described above to be progressed and implemented.

Decision due: 20/02/24 by Executive
Reason: It has not been possible to give 28 clear days’ notice of the intention to make this decision. Please open item for more information.

Lead member: Executive Member for Health, Wellbeing and Adult Social Care

Lead director: Corporate Director of Adult Services and Integration

Department: Directorate of Adult Services & Integration

Contact: Judith Culleton Email: abid.mumtaz@york.gov.uk Email: judith.culleton@york.gov.uk.

Consultation process

Additional stakeholder engagement has taken place with Health and Social Care Partners and has been utilised to update the service specification further for the recommission of the Reablement Services.

The consultation will involve a survey being sent out to service users, health professionals and other key stakeholders that will inform the report to the Executive. A working group has also been set up to look at the different options to recommission the York Reablement Service. The outcome will be the implementation of an efficient and effective commissioning model that will provide value for money and is the best strategic fit for the delivery of our Home First care and support pathway.

Consultees:
• York and Scarborough Hospital NHS Foundation Trust
• CYC Reablement Task and Finish Group.
• Reablement Responsive Care Pathway Working Group
• The York Multiple & Complex Needs Network – added
• Age Friendly York Older Citizens Group - added
• NHS Humber and North Yorkshire Integrated Care Board
• Existing users of the reablement service.
• Age UK
• Healthwatch
• York Advocacy
• York Sensory Service
• Dementia Strategy Group
• Carers Strategy Group
• York CVS
• Other Stakeholders

Equality Impact Assessment Completed?: Yes

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