Issue details
Authority to approve the extension of the existing Section 75 Agreement in respect of the Better Care Fund pooled budget and the award of a contract for rehabilitation beds
To seek approval to extend the existing Section 75 Agreement in respect of the Better Care Fund pooled budget for a period of 12 months in accordance with Contract Standing Order 112 and the award of a contract for rehabilitation beds as required by Contract Standing Order 88.
Decision type: Key
Decision status: Recommendations Approved
Wards affected: (All Wards);
Notice of proposed decision first published: 30/10/2020
This decision will be taken under urgency procedures.
Reason for urgency:
There was a delay this year in the publication of national guidance regarding the Better Care Fund. Such guidance informs discussions with the Brent Clinical Commissioning Group (CCG) regarding the Section 75 Agreement. It was thus not clear when guidance would be issued and when it would be possible to reach agreement with the CCG. Due to the delays in the publication of national guidance, it has only just been possible to reach agreement with the CCG to allow the transfer of funding between the CCG and local authority to continue to provide the jointly agreed services, to include urgently required rehabilitation beds. This issue is particularly pressing due to the new addition of the provision of rehabiliation beds and packages of care as part of the CCG minimum contribution to the Better Care Fund, which will be provided by the Local Authority. There is a need to provide rehabilitation beds as soon as possible as the health and care system prepares for winter pressures.
Decision due: 28 Oct 2020 by Strategic Director - Community Well-being
Lead member: Cabinet Member for Public Health & Adult Social Care
Lead director: Strategic Director - Community Well-being
Department: Community Wellbeing
Contact: Tom Shakespeare, Integrated Care Partnership Director Email: Tom.Shakespeare@brent.gov.uk.
Explanation for NOT five clear days notice: This issue is particularly pressing due to the new addition of the provision of rehabilitation beds and packages of care as part of the CCG minimum contribution to the Better Care Fund, which will be provided by the local authority. There is a need to provide rehabilitation beds as soon as possible, with the award of a contract for such beds from 1 November so that it is in place for the potential second wave of Covid-19. The provision of the rehabilitation beds is critical as the health and care system prepares for Winter pressures, and the potential second wave of Covid-19, to ensure there is sufficient capacity in the system to support timely hospital discharge. Failure to procure the beds would have a significant detrimental impact on the system’s resilience to cope with any increased pressure.
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