To approve a one year contract extension to the Public Health Nursing Service (0-25) years from 31 March 2023 to 31 March 2024.

a)    To approve a 1 year extension to the Public Health Nursing Service contract from 31 March 2023 to 31 March 2024.

1)    Do nothing and end the contract on 31 March 31 2023. This is not advisable as the service is a Local Authority Statutory function and supports the health and wellbeing of children 0-25 years.

2)    Recommission the service through a competitive tender approach in the summer 2022 This is not advisable as the service is fundamental to the health and wellbeing of children 0-25 years in Herefordshire and must be integrated and aligned with the broader development and work within children’s services as well as feeding into wider partnership opportunities presented through the new Integrated Care System in Herefordshire (ICS). Both of these are not yet established sufficiently enough to align and integrate this service to them in a way that will ensure the best possible outcomes for children & families and the best possible use of the resource.