Decision details

Next Stage Integration - Wye Valley NHS Trust

Decision Maker: Cabinet

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

 

To approve the Adult Social Care Next Stage Integration Project Organisational Change Model.  Specifically the:

 

·         Proposed operational model and organisational structure for those functions currently part of the Wye Valley s75 and the subsequent headcount (full time equivalent (fte)) impact

·         Interim commissioning arrangements for the Learning Disability Community Service

·         Financial implications for the 2013/14 & 2014/15 Adult Social Care Revenue Budget

 

Decision:

THAT:

 

(a)       the achievements of the Next Stage Integration Project to date be noted;

 

(b)       the termination of the section 75 agreements with WVT on 13 September 2013 and with 2gether on 31 March 2014, be agreed

 

(c)       the proposed operational model and organisational structure for those functions currently part of the Wye Valley S75 and subsequent headcount impact set out in paragraph 8.20 of the report be agreed;

 

(d)       the interim commissioning arrangements for the Learning Disability Community Service set out in paragraph 8.24 of the report, be agreed;

 

(e)       the Director for People’s Services be authorised to implement the proposed model, organisational arrangements and undertake the commissioning of the required services in consultation with the Cabinet Member for Health and Wellbeing as appropriate;

 

(f)        the contract award decision process be delegated to the Director for People’s Services in consultation with the Cabinet Member for Health and Wellbeing as appropriate; and

 

(g)       the financial implications for the 2013/14 & 2014/15 Adult Social Care Revenue Budget as set out in paragraph 11 of this report, be noted.

 

Reasons for the decision:

The recommendations are made to ensure an effective transition from the existing Section 75 agreement in order to safeguard users, improve the quality and effectiveness of service delivery, create choice and to reduce costs in order to manage and deliver services within the required financial envelope.

Alternative options considered:

An alternative option would be to maintain the current service offer in the current design. This would leave un-modernised services of variable quality. It would also continue to put significant and unacceptable pressure on the council’s limited financial resources. 

 

There are no other alternative options for consideration at this time. Further changes will take place during the commissioning period informed by discussions with service users, staff and providers.

 

Reason Key: Expenditure and strategic nature / impact on communities;

Publication date: 29/07/2013

Date of decision: 25/07/2013

Effective from: 02/08/2013