Archived decisions

HAMPSHIRE COUNTY COUNCIL

Decision Report :


Decision Maker:			Executive Member for Children and Families
Date of Decision:			12 March 2009
Decision Title:			Single tender for Specialist Child Adolescent Mental Health Services
Decision Reference:			556
Report From:			Director of Children's Services
Contact name:		Catriona Cleugh
Tel:	01962 876212			Email:	[email protected]

EXECUTIVE SUMMARY

1) Summary of Decision Area:

This report seeks the approval to enter into four single tender contracts to a total of approx 8 million for the delivery of Tier 2 and Tier 3 specialist CAMHS in Hampshire

2) Issues Covered in Report

The single tender will enable a review of the current specialist CAMH services , which will inform and shape the commissioning plans of the Trust.

It will also ensure that whilst the review is being carried out, the service remains to be delivered at a high level thus meeting the needs of vulnerable children and adolescents in Hampshire

3) Recommendations:

It is recommended that:

The Executive Member for Children and Families give approval for the County Council, as a partner within the CAMHS Trust , to be given Single Tender Approval to contract for a transitional period of 1 year with the four current providers of specialist CAMHS in Hampshire, to support the work set out in Local Area Agreement and The Children and Young Peoples Plan.

MAIN REPORT

1) Contextual Information:

In April 2004 Hampshire County Council (Social Services and Education Departments) and the seven Hampshire Primary Care Trusts established phase 1 of Hampshire's Pathfinder Children's Trust for commissioning Child and Adolescent Mental Health Services (CAMHS). This was underpinned by a Section 31 agreement, which was in place for 3 years and renewed for a further year in April 2007. This was replaced with a section 75 agreement which runs until April 2011 with a pooled budget that fully funds the specialist CAMH services.

2) Key Issues:

2.1. There are currently four contracts for the provision of specialist CAMH services in Hampshire which are due to expire 31 March 09. They are as follows;

Southampton City PCT = £1,805,797.

Salisbury Healthcare Trust = £122,300.

Winchester and Eastleigh Healthcare Trust = £1,088,090

Hampshire Primary Care Trust = £3,657,514

2.2. The Comprehensive CAMHS Trust Board have decided that a thorough review of services should take place with a view to making some changes to the provider landscape through a procurement exercise to conclude in March 2010. In order to maintain the existing services it is necessary to extend the existing contracts whilst the procurement exercise is undertaken.

2.3. The cost of extending the existing contracts for one year is £6,787,153

3) Outline of Options:

3.1 Both HCC and HPCT lead on commissioning contracts for services funded from the CAMHS Trust pooled budget. It is recommended that HCC become single lead for specialist CAMHS contracts for matters of contractual efficiency. Full funding associated with the contracts are contributed by both partners and sits within the pooled budget which is managed by HCC and governed by the CAMHS Trust board.

Option 1: Single tender awarded to current four providers at the same value (plus 2.5 inflation) for 09/10 allowing for continuation of well respected and much needed service

Option 2: Put out an Open tender meaning no service to users for 09/10

4) Conclusions:

4.1. It would seem reasonable that for one year the trust is able to continue commissioning with its current provider arrangements to maintain consistency of service until the details of the review are available and are thoroughly analysed to enable contracts to be awarded for the future provision of services from April 2010

5) Recommendations:

5.1 As detailed in the executive summary

CORPORATE OR LEGAL INFORMATION:


LINKS TO THE CORPORATE STRATEGY
	Yes	No
Hampshire safer and more secure for all
Corporate Business plan link no (if appropriate)

Maximising well-being	_
Corporate Business plan link no (if appropriate)

Enhancing our quality of place
Corporate Business plan link no (if appropriate)

OR

This proposal does not link to the Corporate Strategy but, nevertheless, requires a decision because:


OTHER SIGNIFICANT LINKS:
Links to Previous member decisions:
Title Appendix 1 attached	Ref	Date



Direct Links to Specific Legislation or Government Directives
Title		Date


Section 100 D - Local Government Act 1972 - background documents

The following documents discuss facts or matters on which this report, or an important part of it, is based and have been relied upon to a material extent in the preparation of this report. (NB: the list excludes published works and any documents which disclose exempt or confidential information as defined in the Act.)

Document	Location

IMPACT ASSESSMENTS:

1. Equalities Impact Assessment:

Please identify that you have done an Equalities Impact Assessment and outline what the outcomes of it were. If there were none then say so - if there were any (positive or negative) please signpost where they are discussed in your report.

2. Impact on Crime and Disorder:

Please identify whether there are likely to be any positive or negative impacts on crime and disorder as a result of any of the options or this decision as a whole. If there are any signpost where these are outlined and discussed in your report. If there are none then say it has been considered and there are none

a) .

3. Climate Change:

Please identify whether there are likely to be any positive or negative impacts on the following two questions as a result of any of the options or this decision as a whole - and if there are any signpost where these are outlined and discussed in your report. If there are none then say it has been considered and there are none

a) How does what is being proposed impact on our carbon footprint / energy consumption?

b) How does what is being proposed consider the need to adapt to climate change, and be resilient to its longer term impacts?

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CORPORATE OR LEGAL INFORMATION: