Decision details

RESOLVED:

That the Cabinet:  

1)           

a)    Approve the award of Substance Misuse, Treatment and Recovery Service and Smoking Cessation Service following a competitive open tender exercise to Central and North West London NHS Foundation Trust for the London Borough of Hillingdon for a five year period from 1 February 2024 until 31 January 2029 at a value of £16,246,744.70 (£3,108,201.89 pa plus £141,147.05)

b)     with provision for a 2 + 2 year optional extension periods from 1st February 2029 until 31 January 2033 at a further value of £12,997,395.76, with any extensions delegated and subject to approval by the Leader of the Council and Cabinet Member for Health & Social Care.

c)    Approve the Supplementary substance misuse treatment and recovery Grant as an additional grant funded service to the above contract from 1 April 2024 to 31 March 2025 and at the value of £1,124,530.

2)          Approve the award of a Collaboration Agreement for Child Health Services between the Central and North West London NHS Foundation Trust and London Borough of Hillingdon for a five-year period from 1st April 2024 until 31 March 2029 at a value of £29,207,528.41 (£5,841,505.68 pa) with provision for a 2 + 2 year optional extension periods from 1st April 2029 until 31 March 2033 at a further value of £23,366,022.7, noting that there is a funding stream from the Integrated Care Board for Children’s Therapy Services for £2,284,182p.a. The intentions are that funding is managed via the Section 75 Fund. Furthermore, any extensions of this agreement are delegated and subject to approval by the Leader of the Council and Cabinet Members for Health & Social Care and Children, Families & Education.

3)          Approve a short-term extension of the services which are within the above collaboration agreement, the 0-19 Healthy Child services (health visiting and school nursing), CITS - Children’s Integrated Therapy Service, and MAPS Multi Agency Psychological Support Team, to Central and North West London NHS Foundation Trust for the London Borough of Hillingdon for a two-month period from 1 February 2024 to 31 March 2024 at a value of £973,584.28.

4)          Approve the extensions and direct award of the public health contracts for Integrated Sexual Health Services, NHS Health Checks and the Adult Weight Management Programme as below:

a)    Extend the contract with London North West University Healthcare (“LNWUH”) for the provision of Integrated Sexual and Reproductive Health Services to the London Borough of Hillingdon by two months from 1February 2024 to 31 March 2024 at a value of £594,683.60.

b)    Approve the Direct Award to London North West University Healthcare (“LNWUH”) for the provision of Integrated Sexual and Reproductive Health Services to the London Borough for a six-year period from 1 April 2024 until 31 March 2030 at a value of £21,408,612 (£3,568,102 per year).

c)    Extend the contract with 44 Individual GP surgeries for the provision of NHS Health Checks to the London Borough of Hillingdon by two months from 1 February 2024 to 31 March 2024 at a value of £46,666.67.

d)    Approve the Direct Award to the GP Confederation Hillingdon for the provision of NHS Health Checks (management for 42 surgeries) to the London Borough of Hillingdon for a seven-year period from 1 April 2024 until 31 March 2031 at a value of £2,757,707 (£368,958 per year plus £25,000 per annum) with the optional extension period of two years until 31 March 2033 at a value of £787,916. Officers will review annually against the latest OHID policy for potential changes in requirement / activity and any extension delegated for approval to the Leader of the Council and Cabinet Member for Health & Social Care.

e)    Approve a Direct Award to West London Medical Centre and Church Road Surgery for the provision of NHS Health Checks (who are not members of the Confederation) for a seven-year period from 1st April 2024 until 31 March 2031 at a value of £9,042 per year (£63,293 in total over the period), with the optional extension period of two years until 31 March 2033 at a value of £18,084. Officers will review annually against the latest OHID policy for potential changes in requirement / activity, and any extension delegated and subject to approval by the Corporate Director of Adult Services & Health, in consultation with the Cabinet Member for Health & Social Care.

f)      Approve the Direct Award to the GP Confederation Hillingdon for the provision of Lifestyle Weight Management Service for Adults to the London Borough of Hillingdon for the period of two years from 1 February 2024 until 31 January 2026 at a total value of £150,000 (£75,000 per year)

5)      Furthermore, Cabinet:

a.     Notes that these public health services will only be provided whilst the relevant Government grants provide for them to be delivered.

b.    Notes that the contractual values set out in the recommended contracts above relate to year one expenditure and are to be funded in full from the specific grants referenced and the main public health grant.

c.     Agrees that for future years, any change or variation in contractual expenditure be authorised by the Cabinet and should be funded from existing public health grants, with no recourse to other Council funding sources. Cabinet also instructs officers to ensure this is determined and closely monitored through the budget monitoring and MTFF process.

Reasons for decision

The Cabinet Member for Health and Social Care introduced a report, which Cabinet agreed, on a number of public health contracts and agreements for key public health services, including Substance Misuse, Treatment and Recovery Service, Smoking Cessation Service, health visiting and school nursing, Children’s Integrated Therapy Service, Multi Agency Psychological Support Service and NHS Health Checks.

Alternative options considered and rejected

Alternative options considered by Cabinet were set out in the confidential report.