Decision Maker: Director of Adults, Health and Well-Being
Decision status: Recommendations Approved
Is Key decision?: No
Is subject to call in?: No
This ODR is in line with the following Adults
Health and Wellbeing Commissioning 2018/19 Cabinet Report (27 March
2018) approved recommendations:
• To approve the Commissioning Procurement Plan for 2018/19
including the proposals and activity contained in this
report.
• Delegation of authority to agree and sign off commissioning
recommendations, to the Director of People, or nominated deputy, as
the work plan is progressed.
• Delegation of award of contracts to the Director of People
in consultation with the Cabinet Member for Adult Social
Care.
Background
1. Doncaster Council (Adults Health and Wellbeing) and Doncaster
Clinical Commissioning Group jointly commissioned a Home from
Hospital service. The contract was awarded to Age UK Doncaster for
2 years with the option to extend for 1 year. The contract
commenced on 1st April 2019.
2. The primary aims of the service are to:
• support planned discharges from hospital
• reduce re-admissions into hospital
• prevent premature admission to residential care
• Deliver a flexible person-centred service and support
carers.
3. Quarterly contract review meetings take place with Age UK and
the service is working well and is demonstrating added value:
• It offers timely intervention including ‘Ready for
Home Support’ to aid discharge, and has proven to reduce
re-admissions. Positive relationships have developed with referrers
(e.g. Hospital Ward) with regular discussion as to appropriate
discharge options. On average the Service receives 360 referrals
per year. The ward contacts Age UK Home from Hospital Service, who
will contact the service user on the same day and support a safe
discharge to ensure the length of hospital stay is no longer than
it needs to be.
• Adult Social Care Outcomes Framework (ASCOF) indicators have
consistently exceeded national and contractual targets. Latest
performance for ASCOF 2b (proportion of older people supported to
remain at home 91 days after discharge from hospital) shows the
service achieved 100%, above the 81% national target.
• Client feedback has highly rated the Service over the past 5
years. 95% of clients said the service was useful and 100% of
clients said they would use the service again.
• A person centred approach is taken to support increased
independence post-discharge. Qualitative feedback from service
users showed 47% said the best of the service was ‘getting
their independence back’.
4. The long-term strategy for Intermediate Care is still being
determined and agreed, however the type of service offered by Age
UK Doncaster provides invaluable support in aiding people to return
to and remain at home. This service is likely to be a key component
either in its current form or re-designed.
5. The Better Care Fund (BCF) Business Case to fund the service at
£100K per annum (£71.5K Better Care Funding,
£28.5K General Fund Revenue Funding) was approved by Joint
Commissioning Operational Group (JCOG) at the meeting on
25.09.18.
To seek retrospective approval to award a
contract following an EU compliant tender exercise for a period of
2 years with the option to extend for 12 months, for the provision
of a Home from Hospital Service.
There are no alternative options for
consideration
Publication date: 13/11/2019
Date of decision: 10/10/2019
Accompanying Documents: