To approve the tender for a new home care framework which will commence from 1 November 2021 due to the cessation of the current framework. This will ensure high quality providers support the eligible needs of adults to remain safe and independent in their own home.

That:

a)            A framework for the purchasing of commissioned home care services be introduced from 1 November 2021;

b)           The duration of the framework will be four years with the option to extend for a further 12 months;

c)            Applicants admission to the framework will be determined via competitive tender;

d)           The director for adults and communities is authorised to take all operational decisions necessary to implement the above recommendations.

e)            That cabinet approves the response to the scrutiny recommendations in Appendix 2.

1     Entirely insourcing the provision of home care; this is not recommended due to the significant additional costs.

2     Partially insourcing the provision of home care for rural packages. This could address the challenge of providing commissioned care in rural areas. This is not recommended; rural packages would increase the cost of home care. It would also reduce the amount of commissioned care by around 25%. This could undermine the operational and financial viability of providers.

3     An open approved list could be introduced as an alternative to a closed framework. This is not recommended because this could increase the number of providers with an associated increase in competition for home care packages which would further erode provider’s operational and financial viability.

4     With the relevant approvals and consent of service providers the current notice period under the existing home care agreement could be extended for a further specified period. This is not recommended: commissioners have been working with providers for a considerable time on the co-produced proposal. The market is expecting the tender, which has already been delayed by 12 months as a result of the on-going pandemic. A further extension would prolong the period of uncertainty. It would also only provide a short-term solution and not address the structural issues associated with the current arrangements.