Purpose

To ask Cabinet to Approve BCF funding for the
ICB Community Health Services Contract. The amount differs from
previously submitted paper due to recent and planned service
delivery changes.

Content

Cabinet agreed

 

1)   
To approve the proposal to deliver the
HomeFirst service under a single
provider – Reablement Wiltshire.

 

2)   
To give ‘in principle’ agreement to
commit Better Care Funding of £9,235,123 to the ICB Community
Health Contract from 2025-2032 (with a potential for a further 2
years to 2034). Formal commitment is dependent on a revised and
agreed S.75 Agreement (Health and Social Care Act 2012) that covers
the period of the contract, along with a signed Collaborative
Commissioning agreement. Formal agreement will be sought when the
contract is awarded.

 

3)   
To delegate authority to Corporate Director
People to approve the revised S.75 agreement that will cover the
period of the Community Health Services contract.?

 

4)   
To delegate authority to Corporate Director
People to authorise activities related to the procurement up and
until award (when the award decision will return to
Cabinet).
 

Reason for
Proposals 
 
The ICB will be
tendering a BSW-Wide Community Services Health contract, to start
from 1 April 2025 with a proposed length of 7 plus 2 years. The
Integrated Care Board’s (ICB) community health contract
re-tender will have cost and service implications for Wiltshire
Council Social Care and management of the Better Care Fund
(BCF).?? 
? 
The proposal to deliver the WiltshireHomeFirst service under one single provider –
Reablement Wiltshire, has impacted the
proposed contribution to the ICB Community
Health Services Contract as reported to Cabinet on
14 November
2023. If approval is given for
bringing the HomeFirst service under
ReablementWiltshire, this will remove
£2,291,088
of the total WHC
funding element of the
BCF to the ICB contract. The amount will be £2,291,088 less than reported to Cabinet
on14 November 2023. 
? 
The proposals
require an ‘in
principle’ commitment of a revised
amount of £9,235,123 of BCF funding,
subject to appropriate S.75 and Collaborative Commissioning
agreements.?? 
? 
Cabinet will need to
be assured that the procurement process is robust and ensures that
Wiltshire’s contribution from the BCF is spent on Wiltshire
residents. Cabinet has a responsibility to ensure the Wiltshire
pound is spent on Wiltshire
residents.? 
 
Cabinet will also need to be assured, as per the legal advice,
that we will in-source HomeFirst
without a procurement process.