Decision details

Section 75 for health visiting and school nursing - FEB19/CMDN/88

Decision Maker: Cabinet Member for Public Health

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


The Cabinet Member approved the delegation of authority to Cambridgeshire County Council (CCC) to act as lead local authority in commissioning the Healthy Child Programme (HCP) across Peterborough and Cambridgeshire and for delivery of the function for the HCP to CCC, which shall include the  associated transfer of HCP funding to CCC for up to five years (1 April 2019 – 31 March 2024)


Reasons for the decision:

The proposal to delegate commissioning responsibility to CCC is based on the following reasons:


?     Clarity of roles and responsibilities, making it easier for both local authorities and providers to progress the project

?     Reduction of duplication and therefore wasted financial and staff resources

?     Reduction in bureaucracy and simplified processes, allowing progress to be made more quickly

?     Facilitation of collaboration and shared working in a transparent way


Alternative options considered:

Recommission HCP separately:


This option was excluded as it goes against the strategic drive to align child health provision across Cambridgeshire and Peterborough. It would be a barrier to the development of true collaboration between the two providers and potentially lead to continued differences in service provision across the area. It is also less likely to yield financial efficiencies and quality improvement that come with joint working and collaboration.


Interests and Nature of Interests Declared:


Background Documents:

Draft Healthy Child Programme Update to Cambridgeshire Health Committee v4 (6th Dec 2018)


Publication date: 11/02/2019

Date of decision: 11/02/2019

Effective from: 15/02/2019

Accompanying Documents: