Decision details

Joint Retender for Sexual and Reproductive health

Decision Maker: Executive

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

Permission sought for the retender of the Joint Sexual and Reproductive health service

Decision:

RESOLVED that

 

i.       the Strategic Procurement Plan for the provision of Sexual and Reproductive

Health be approved with Bracknell Forest Council again acting as Host and lead on the reprocurement on behalf of all 3 councils.

 

ii.     the proposed contractual term be 5 years (3 +2) with a review of the provision in year 3.

 

iii.    authority for the contract award and subsequent contract extensions be

delegated to the Director of Public Health.

Reasons for the decision:

i.       To fulfil statutory duties.

 

ii.     The proposed procurement, through a competitive tender process will help maximise tender opportunities that will generate value for money and a high-quality Integrated Sexual and Reproductive health Service.

 

iii.    Bracknell Forest Council in partnership with Slough Borough Council and the Royal Borough of Windsor and Maidenhead wish to deliver an effective and integrated sexual and reproductive health service provision, in line their statutory functions, and in support of the key objectives in their respective Health and Wellbeing strategies, and Boards, Joint Strategic Needs assessments and the Sexual Health, Health Needs assessment.

 

iv.    To be compliant with Public Contract Regulations 2015 and the councils’ respective Contract Standing Orders, and for timely completion of the tender, award, and mobilisation phases in time for the contract to commence as of July 2024.

Alternative options considered:

i.       Do nothing: The current contract and associated obligations will lapse, and there would be no Sexual Health service available across Berkshire East, which would be a breach of mandated Public Health legislation.

 

ii.     Extending: Extending the existing contract is possible via a direct award, however the current joint contract arrangements requires that any extension be agreed by all 3 Authorities. This process was initiated but due to the Section 114 issued by Slough Borough Council (SBC) and following internal discussions by the Deputy Director of Public Health at SBC within the council, it was advised that the likelihood of sign off for an extension to carry out a HNA was very low and therefore the risk / benefit of requesting the extension was not balanced.

 

iii.    In housing: as Sexual and Reproductive Services are a specialist clinical provision; this is not possible.

 

iv.    Provider Selection Regime or Section 75 agreement: at the moment the

legislation is not in place for the delivery of a Provider Selection Regime process, in partnership with the Integrated Care Board, and the timeframe for the development of such, or for a Section 75 agreement would require an extension to current provision, to make deliverable, which has already been ruled out as an option, at this time. During the course of the ensuing contract period, this would be reviewed as a way forward once the PSR legislative process completes and receives royal assent.

 

v.     Transfer of Contract to NHS terms and conditions: this was considered but

excluded at this time, due to the requirement to retain the NHS contract terms and conditions in their entirety, which could prevent the application of HNA changes to the current service and which would undermine the integrity of the process. However, this is considered to be a possible option in future once the service specification is adapted to the findings of the HNA.

Interests and Nature of Interests Declared:

None

Reason Key: Expenditure >£400,000 & Affects more than 1 ward.;

Wards Affected: (All Wards);

Financial Impact: The costs of the service are managed through the Public health grant - and are a statutory provision from PH30A

Declarations: None

Subject to Urgent Proceedings: No

Making Representations: In writing to Rebecca Willans & Elaine Russell

Other reasons / organisations consulted

Public health are leading on a two stage full health needs assessment which will complete stage 1 in April, stage 2 in October 2023, which include community, and stakeholder engagement.

Consultees

Health colleagues - incl Frimley ICB, Adults and Children's services, 3rd sector, providers of services mixed.

Contact: Elaine Russell, Public Health Strategic Commissioning Manager Email: Elaine.Russell@bracknell-forest.gov.uk.

Report author: Elaine Russell

Publication date: 21/03/2023

Date of decision: 21/03/2023

Decided at meeting: 21/03/2023 - Executive

Effective from: 29/03/2023

Accompanying Documents: