To seek a twelve month waiver for the Halo Leisure contract for NHS Health Check lifestyle support delivery.

THAT:

(a)        approval be given to extend the payment by results contract with Halo Leisure to deliver physical activity and weight management for people referred via an NHS Health Check as being at high risk for cardiovascular disease (CVD) for a year to 31 March 2018;

(b)        by virtue of this decision report, an exemption to paragraph 4.6.13.2c of the council’s contract procedure rules be granted for the reasons set out in paragraphs 5,6 and 7 of the report below.

To ensure continuation of the service with the least disruption and cost.

NHS Health Check is a mandatory provision required of the local council under the Health and Social Care Act (2012). This delivery will contribute to achievement of public health outcomes associated with NHS Health Checks, obesity and sedentary behaviour.

Re-tender the service. This is not an option as the service requires re-design as an evidence based tier 2 weight management programme that takes a wider range of referrals than for people identified via an NHS Health Check.

Not approve the contract extension.  This would result in no lifestyle behaviour change support programme being offered to people identified at high risk of cardio vascular disease, resulting in less likelihood of them making the necessary healthy lifestyle choices to reduce excess weight and increase physical activity levels.  The consequence of not offering this as a preventative measure is that  CVD is more likely to develop and progress with subsequent costs to the individual and to health and social care services, so that the cost benefit of investment in NHS Health Checks will be reduced.