The demand for the Discharge to Access (D2A) home care continues and the council will need to extend and vary the two fixed term, existing block contracts for up to 250 hours a week for each contract

The block will enable the council to continue to meet its obligations as set out in the national COVID-19 discharge guidance and ensure there is sufficient capacity to meet estimated levels of need.

The service will provide up to four weeks of person- centered, home care and support to enable people discharged from hospital to maximise independence in their own home. This will avoid, or reduce, the risk of unnecessary longer - term interventions and inappropriate admissions to residential or nursing care.

Approval is sought for the additional capacity and continuity of the current arrangements to support timely hospital discharge, continue to assist in mitigating the impact of COVID-19 and the current pressures on the health and social care system. Thereby, ensuring the availability of care and support to enable timely hospital discharge of people who are medically fit to return home.

Block 1 contract with Katherine Harriet which allows for a 13 week extension to 19th June 22 and a variation is sought to further extend up to 2nd October 22. The total overall value of the original contract is £225,675 the extension increases the contract value up to a maximum of £318,600
The value of the extension beyond the original contract amount is £99,562.50 that is below the permitted 50% contract variation.

Block 2 contract with Quality Care at Home which allows for a 9 week extension to 31st July 22 and a variation to a further extension up to 2nd October 22. The overall value of the original contract is to a maximum cost £204,435. The extension term has been previously included to 31st July 22, the variation will cover up to 2nd October 22, and the additional value will be £59,737.50 that is less than the 50% permissible within the contract variation.