Decision details

Provision of Community Based Intermediate Care Service

Decision Maker: Executive

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

Consideration and approval of a business case on the future commissioning arrangements for Intermediate Care.

Decision:

That the community based model for future commissioning of Intermediate Care be approved.

Reasons for the decision:

Intermediate Care is currently provided via a combination of bed based care at Bridgewell, and community based care provided in people’s homes. Commissioners, jointly with the Council and the Clinical Commissioning Group, were keen to explore whether a predominantly community based model would be successful in Bracknell Forest.

 

At its meeting of the 18 July 2016 the Better Care Fund Board considered a report outlining three options for the possible future provision of Intermediate Care in Bracknell Forest, and gave approval to develop its preferred option to a full specification and business case. The Board received the full specification and business care at its meeting of 31 October, and approved the model, noting that the final decision would rest with the Council’s Executive.

Alternative options considered:

Two other options were considered, the first was to retain the status quo, i.e. continue to provide bed based Intermediate Care at Bridgewell with no nursing input, or second, to a fully integrated service delivering bed based Intermediate Care, home based reablement and a day centre for rehabilitation; all from a single new site.  The first option was rejected because the current service does not support people with medium or high care or support needs, and is likely to lead to increased re-admission rates; the second option is considered unaffordable.

Interests and Nature of Interests Declared:

None.

Reason Key: Affects more than 1 ward;

Wards Affected: (All Wards);

Financial Impact: None at this time, a business case being developed for this decision will determine the financial impact

Declarations: None.

Subject to Urgent Proceedings: No.

Making Representations: In writing to the Director of Adult Social Care, Health & Housing

Other reasons / organisations consulted

Meetings with interested parties
Staff if the Organisational Change Process needs to be utilised

Consultees

CCG, Frimley Hospital, Voluntary Sector, Healthwatch, GPs

Contact: Neil Haddock, Chief Officer: Commissioning and Resources Email: neil.haddock@bracknell-forest.gov.uk Tel: 01344 351385.

Publication date: 09/05/2017

Date of decision: 09/05/2017

Effective from: 17/05/2017