Issue - meetings

1.         That the Council enter into a new Section 75 agreement with Surrey Clinical Commissioning Groups. This pooled budget agreement is currently valued at £3,842,000 per annum and a proportion of this pooled budget will provide funding for recommendation (3).

2.         That authority to make amendments to the Section 75 agreement be delegated, to the Director of Legal and Democratic Services, in consultation with the Strategic Director for Children, Schools and Families and the Cabinet Member for Children and Families, in accordance with public sector legislation and advice from the Section 151 Officer.

3.         That the existing contract with Surrey and Borders Partnership NHS Foundation Trust (SaBP) which expires on 31 March 2015 be extended, for a minimum period of one year, from 1 April 2015 to 31March 2016 and a maximum period of up to two years. The extension has a forecasted value of £2,619,543 per annum and will be partially funded from the S75 agreement.

Reasons for Decisions:

The existing contract with SaBP will end on 31 March 2015. The Council is the host partner for the pooled budget used to commission targeted CAMHS and the HOPE Service. The Council is responsible for ensuring services are commissioned and procured in line with best practice, compliant and secures the best value for Surrey residents.

Improved alignment and collaboration between the Council and the CCGs has necessitated variations to the Section 75 agreement signed by the CCGs in 2014. Upon review of the extent of the variations, a joint decision has been made to draft a new Section 75 agreement which would be more appropriate for the joint commissioning and procurement project scheduled to begin in 2015.

Extending the existing contract with SaBP and entering into a new Section 75 agreement with the CCGs will:

·        Ensure the Council adheres to statutory requirements regarding the safeguarding of children and young people by securing the provision of targeted CAMHS and the HOPE service by a contractually bound provider.

·         Enable the Council and the lead CCG to undertake integrated commissioning and procurement of a co-designed, outcomes focused, CAMHS model, whilst maintaining continuity of service and minimising risk to service delivery.

[The decisions on this item can be called in by the Children and Education Select Committee]

The Cabinet Member for Children and Families tabled a revised report, which she said would provide greater clarity in relation to the financial implications of this contract.

She said that Surrey County Council (SCC) and Surrey Clinical Commissioning Groups (CCGs) had a statutory responsibility to provide children and young people in Surrey with safe, needs-based Children and Adolescent Mental Health Services (CAMHS) and that the County Council and the CCGs had agreed to a partnership approach to meet this responsibility under Section 75 of the NHS Act 2006. This approach was vital in addressing the increased demand and budgetary pressures in providing a service that put the needs of children and young people first.  

She said that the existing agreement approved by the Cabinet in September 2013 required variations to committed resources, in order to facilitate the joint commissioning and procurement of targeted and specialist CAMHS services scheduled for 2015 and confirmed that this would be led by Guildford and Waverly CCG on behalf of the Council and the 6 CCGs in Surrey.

She also requested that Cabinet approved an extension to the existing contract with the incumbent provider Surrey and Borders NHS Foundation Trust (SaBP) which expires on 31 March 2015, in order to ensure the continued safe provision of targeted CAMHS and the specialist HOPE service (Integrated service including Education, Social Care & Health, working with children and young people with complex mental health needs).

Finally, she confirmed that the new contract would provide a better single pathway for this service.

RESOLVED:

1.         That the Council enter into a new Section 75 agreement with Surrey Clinical Commissioning Groups. This pooled budget agreement is currently valued at £3,842,000 per annum and a proportion of this pooled budget will provide funding for recommendation (3).

2.         That authority to make amendments to the Section 75 agreement be delegated, to the Director of Legal and Democratic Services, in consultation with the Strategic Director for Children, Schools and Families and the Cabinet Member for Children and Families, in accordance with public sector legislation and advice from the Section 151 Officer.

3.         That the existing contract with Surrey and Borders Partnership NHS Foundation Trust (SaBP) which expires on 31 March 2015 be extended, for a minimum period of one year, from 1 April 2015 to 31March 2016 and a maximum period of up to two years. The extension has a forecasted value of £2,619,543 per annum and will be partially funded from the S75 agreement.

Reasons for Decisions:

The existing contract with SaBP will end on 31 March 2015. The Council is the host partner for the pooled budget used to commission targeted CAMHS and the HOPE Service. The Council is responsible for ensuring services are commissioned and procured in line with best practice, compliant and secures the best value for Surrey residents.

Improved alignment and collaboration between the Council and the CCGs has necessitated variations to the Section 75 agreement signed by the  ...  view the full minutes text for item 14