Decision Maker: Director of Adults, Health and Well-Being
Decision status: Recommendations Approved
Is Key decision?: No
Is subject to call in?: No
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.
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
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: