Content

RESOLVED:
 
To award an extension to the contract
with Millbrook Healthcare Limited for the delivery of the Hackney
Integrated Telecare Service, for a
period of 18-months + 6-months + 6-months options to extend; full
30-month contract extension period 26 February 2023 to 25 August
2025. The total projected contract value for the full period is
c.£2,080k. This includes an estimated c.£204k cost of
equipment that will be reimbursed by health partners.
 
Reason(s) For Decision / Options
Appraisal
 
1. Millbrook Healthcare Ltd. is the Council’s
contracted provider for the Hackney Integrated Telecare service. The contract was awarded via an
STA in August 2017 due to the financial failure of the then
incumbent provider.
 
2. The contract is for the provision of the three core
service elements shown below:
 
· 
Telecare Equipment Service: responsible for the supply,
installation, replacement, maintenance, repair and removal of
equipment and follow-up service user visits.
 
· 
Telecare Call Monitoring Service: provision of a 24/7 call
monitoring and answering service, with performance monitoring and
information management responsibilities.
 
· 
Telecare Response Service: provision of a locally based
24/7 community response service with key holding and information
management responsibilities.
 
ParaDoc: a rapid response team consisting of a
Doctor and Paramedic who assess and manage people in their own
home. An alternative to 999 for people with urgent medical and
social needs, as well as for falls.
 
3. The NHS North East London, City and Hackney Place-Based
Partnership (NHS NEL CHPBP) commissioned ParaDoc service is included in the Telecare response triage pathway. 
 
4. The contract with the incumbent expired on 25 Feb 2023.
There are no available options to extend.
 
5. The well-being and safety of c.3,500-4,000 vulnerable
Hackney residents are reliant on the 24/7 Telecare service. Due to associated risks, it is
not possible to cease provision of this service.
 
6. The proposal is to extend the contract with Millbrook
Healthcare Limited, as the incumbent, for a period of 2.5 years (18
months + 6 months + 6 months options to extend), commencing on 26
February 2023.
 
7. The purpose of the requested contract extension is to
allow for continued service delivery whilst we develop and
implement a strategy for the Digital Shift 2025 (Appendix 1) with
an aim to secure the opportunities and benefits of digital to
improve outcomes for Hackney residents. Key objectives within the
strategy are;
· 
to complete the
necessary transition from analogue to digital ensuring the
continued safety of some of our most vulnerable
residents;
· 
to commission a future
technology-enabled care (TEC) service, enabling us to move towards
delivering a proactive and preventive digital offer that can help
us improve the quality of life for our residents and reduce
reactive care costs.
 
8. During the extended contract period we will work to
resolve the budget pressure and run an open tender under the OJEU
process for delivery of a future TEC service. The service will
build on the improvements made during the digital transition and
aim to take full advantage of developments in the tech industry
such as telehealth, remote monitoring
and other digital assistive technologies to strengthen
Hackney’s prevention agenda, support delivery of our
strengths-based approach and widen the scope for benefits
realised.
 
9. The intention is to complete the procurement process and
award a contract by December 2024, factoring in 2-months for
potential slippage. The final 6-month option to extend will only be
used if necessary to manage any unforeseen delays. An indicative
timeline is provided as Appendix 2.
 
Alternative Options (Considered and
Rejected)
 
There are no alternative options available to the Council
at this time. (the options in the table were however
considered)
 

 
Option
 

Advasntage

Disadvantages
 

Do nothing
 

None.
 

The Council would be at risk. 
With no contract in place, this could lead to the failure of the
service being delivered.
 

In-house

In line with the Hackney in-sourcing model.

Not financially viable at this time.

Hybrid
 

In line with the Hackney in-sourcing model.
 

Not financially viable at this time.
 

 
 
 
 
 
 
 
Project Progress