ACTION TAKEN UNDER DELEGATED POWERS BY OFFICER 01 March 2016 Title Report of Wards Status Procurement of Prevention and Wellbeing Training Commissioning Lead Health and Wellbeing All Public Enclosures None. Officer Contact Details Zoë Garbett, Commissioning Lead Health and Wellbeing 0208 359 3478 / zoe.garbett@barnet.gov.uk Summary This report outlines the Council s commitment to support people with long term conditions and the frail elderly there are a number of prevention initiatives being developed. The paper introduces Prevention and Wellbeing training which will be offered to front line staff in order to provide them with skills to make every contact with residents count, being able to advise about health and wellbeing matters as well as signposting residents to further support. The paper seeks approval to procure services for Prevention and Wellbeing training and put out to tender a one year contract (with an option to extend for a further year). Decisions 1. To approve the commencement of a competitive tendering exercise in order for the Council to procure services for Prevention and Wellbeing training for a one year contract (with an option to extend for a further year). The contract is anticipated to start 1 st April 2016.
1. WHY THIS REPORT IS NEEDED 1.1 The definition of the Public Health workforce is changing to highlight how public health is everyone s business, to make the biggest impact we need to utilise the wider public health workforce which consists of individuals who are not specialist in public health but who have the opportunity to improve the public s health and to create inclusive communities and places. 1.2 In order to achieve the outcomes defined within local plans there is a need to ensure that every contact made with the council provides the opportunity to improve someone s health and wellbeing and to build social capital and community resilience. 1.3 This training programme will be localised to meet the needs of Barnet and has been inspired by the principles of the Making Every Contact Count (MECC) 1 training programme. The training programme will have a wider scope than that of MECC training programme with a heavy focus on considering identification, signposting and prevention in addition to behavioural changes in lifestyle. 1.4 The MECC training programme encourages people to make healthier choices to achieve positive long-term behaviour change. However, in order to promote the objectives of the Better Care Funding Programme and the wider prevention agenda within Barnet Public Health and Adult Social Care want to widen the scope of the training provided to not only cover some behaviour changes but also to widen staff, members, Providers and the public s knowledge regarding identification of high risk client groups and universal support services which may be of benefit to individuals. 1.5 It is proposed to commission an organisation to develop, manage and deliver the training. The training will follow an ask, advise, assist framework to inform participants about topics in order to discuss these with residents and make appropriate referrals. Participants will be required to attend a half day training course. The training will be offered free of charge to staff, the following groups will be offered the training: Phase 1 Phase 2 Primary care Frontline social care staff (social workers, occupational therapists, assessment & enablement officers, nurses, psychologists, speech and language therapists, direct payment advisors, telecare officers and financial advisors) NHS Trusts Care home staff Elected Members Library staff 1 http://www.makingeverycontactcount.co.uk/
Voluntary and community sector frontline staff Housing needs officers Community engagement team BOOST and Task Force Businesses (e.g. shops, hairdressers) Leisure Centre staff Staff at centres for children 2. REASONS FOR DECISIONS 2.1 The Health and Wellbeing Board has a clear vision for the integration of health and social care for frail elderly people and people with long-term conditions in Barnet and has set up an on-going programme of work to deliver it. Commissioners, providers and partner organisations work together to join up care and deliver the very best outcomes for patients and people who use care in Barnet. 2.2 Locally, the Better Care Fund is being delivered through the Health and Social Care Integration model which has five tiers with the clear aims of reducing unplanned hospital admissions and the need for social care. The delivery of this programme is overseen by the Health and Social Care Integration Board and ultimately the Health and Wellbeing Board. 2.3 The Better Care Fund submission describes Tier 1 as initiatives that empower individuals to maintain and improve health from their homes and Tier 2 as a set of activities aimed at preventing the onset of ill health and improving people s social wellbeing. The aim of tiers 1 and 2 is to increase the number of people who have early interventions and proactive care to manage their health and wellbeing. Tiers 1 and 2 can be thought of as enabling people to manage at home with the least intervention. Tier 1 and 2 includes primary and secondary prevention. 2.4 The training programme encourages people to make healthier choices to achieve positive long-term behaviour change. 2.5 Anticipated outcomes are: Maximising opportunities through face to face contact to promote health/social care/wellbeing information and messages Maximising opportunities through telephone contact to promote health/ social care/ wellbeing information and messages Maximising opportunities to prevent and or delay high risk groups from requiring health and social care support through early intervention and prevention with a specific focus on older people and carers
Supporting identified adult groups in achieving independence and maximising their wellbeing (see aims and objectives detailed below) Building social capital. 2.6 The Council contract procedure rules require a full DPR for tenders between the value of 25,001-164,176. 3. ALTERNATIVE OPTIONS CONSIDERED AND REJECTED 3.1 Delivering the training through a e-learning module was considered but there is evidence that face-to-face training is more effective. 4. POST DECISION IMPLEMENTATION 4.1 The contract will be offered to the successful tenderer for a one year period, with the option to extend for a further year. Once a provider has been chosen a further decision will be required to award a contract. 5. IMPLICATIONS OF DECISION 5.1 Corporate Priorities and Performance 5.2 The training supports the Corporate Plan such as support the priorities for managing demand for services through prevention and building resilient communities. 5.3 In November 2015, the Health and Wellbeing Board approved the Joint Health and Wellbeing Strategy (2015 2020) for the borough. The vision of the strategy is to help everyone to keep well and to promote independence. 5.4 Resources (Finance & Value for Money, Procurement, Staffing, IT, Property, Sustainability) 5.4.1 Required funds have been identified through the Public Health Grant 5.5 Legal and Constitutional References 5.5.1 Council Constitution, Contract Procedure Rules, Appendix 1 Table A details that decisions with a procurement value of between 25,001-164,176 that are not included on the Procurement Forward Plan need to be approved by Full Officer DPR. Officers must obtain a minimum of two written quotations for a contract of this value. Acceptance is via a summary DPR. 5.5.2 As the activity was not included on the Forward Plan, an Officer DPR is required to authorise this procurement activity. 5.5.3 Contract Procedure Rules, Section 8.3 requires that all Procurements for goods and services over 25,000 must be advertised on Contracts Finder
within 24 hours of the time when the Procurement is advertised in any other way. 5.5.4 Contract Procedure Rules, Section 5.10 requires that HB Law must approve the T&C s used in the procurement. 5.6 Risk Management 5.6.1 If the contract is not awarded, there will be an increased risk that frail elder people with complex needs may not be offered the required support in order to achieve their maximum potential. 5.7 Equalities and Diversity 5.7.1 The procurement process to be followed will be in accordance with the Contract Procedure Rules, ensuring that successful bidders abide by the London Borough of Barnets Equalities Policy and keep abreast of equality and diversity issues. Providers will be expected to meet the needs of service users from diverse backgrounds and ethnic minority backgrounds. Providers are required to ensure the implementation of the Council s Equalities Policies in relation to all aspects of service delivery. 5.8 Consultation and Engagement 5.8.1 The programme was consulted on as part of the Joint Health and Wellbeing Strategy (2015 2020) and HSCI programmes. The training provider will also be required to work with residents and staff to develop an appropriate local resource. 6. BACKGROUND PAPERS 1.1 None. 7. DECISION TAKER S STATEMENT 7.1 I have the required powers to make the decision documented in this report. I am responsible for the report s content and am satisfied that all relevant advice has been sought in the preparation of this report and that it is compliant with the decision making framework of the organisation which includes Constitution, Scheme of Delegation, Budget and Policy Framework and Legal issues including Equalities obligations. 8. OFFICER S DECISION I authorise the following action To approve the commencement of a competitive tendering exercise in order for the Council to procure services for Prevention and Wellbeing training for a one year contract (with an option to extend for a further year).
Signed Commissioning Lead Health and Wellbeing Date 01 March 2016