Decision details

AHWB.050.2019 - Rapid Response and Positive Step Extensions

Decision Maker: Director of Adults, Health and Well-Being

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: No

Purpose:

The Rapid Response Pathway, Community Bed based Health & Social Intermediate Care is part of transformation of intermediate care and wider system redesign as part of Doncaster Place Plan. The Positive Step capacity to support DTOC is also part of the Intermediate care redesign. Both business cases requested an extension of 12 months in March 2019. These were approved but only for six months and both were aligned to be reviewed at the same time. It was anticipated that through the Intermediate Care review, the future model and hence funding for the Rapid Response Pathway and Positive Steps Unit – PSU - would have been secured. However, this has not happened in the timescales required. An extension of a further six months has therefore been agreed.

Decision:

To agree to use the Non-recurrent Better Care Fund Earmarked Reserve allocated to the Place Plan.
Intermediate Care Rapid Response Pathway
Approve the extension of the non- recurrent BCF funding for six months (1 March 2019 – 30 September 2019) - £362,123 - to enable the continuation of the Rapid Response Service until the resources can be released from the bed based service.
Approve the extension of the non- recurrent BCF funding for a further six months (1 October 2019 – 31 March 2020) - £362,123.
Positive Step Unit Capacity to support DTOC
Approve the extension of the non- recurrent BCF funding for six months (1 March 2019 – 30 September 2019)
Extension of 6 additional Support Worker x 24 hour part time posts (0.65 FTE) - £41,820
3 part time x 21.5 hour part time posts - (0.58 FTE) - £25,500 Total £67,320
Approve the extension of the non- recurrent BCF funding for a further six months (1 October 2019 – 31 March 2020) - £67,320
Total investment required: £858,886

Alternative options considered:

i. Cease programme delivery: Both programmes are commitments within the Place Plan and contribute to the performance of the Better Care Fund Plan. If the proposal is not supported there will be an increase in demand within the system, as alternatives will not be developed to direct people away. The savings will not be realised, the delivery of Place Plan will not be achieved and the return on the initial investment will not be fully realised. This is therefore not an option.

ii. Stop the investment in the redesign of Intermediate Care: Without the investment the redesign of Intermediate care services will not be possible due to the double running costs that have been identified. The investment will enable the area of opportunity within the Place Plan to be delivered, the new model to be implemented and sustainable savings delivered.

iii. Restrict admissions to Positive Step: Having to decline referrals to Positive Step would cause an increase in the delays in transfer of care and also increase the length of stay within the Acute Trust

Publication date: 13/11/2019

Date of decision: 23/10/2019

Accompanying Documents: