Decision details

The Cabinet Member authorised expenditure totalling £686,667 in relation to interim Section 75 agreements with the Cambridgeshire and Peterborough Foundation Trust relating to:

(i)             The lead provision of School Nursing Services, whereby the Cambridgeshire and Peterborough Trust will exercise the health-related function to the local Council. This will be for the value of £138,667 for the duration of 2 months between 1 May 2019 and 30 June 2019; and

(ii)            The lead provision of Health Visiting and Family Nurse Partnership Services, whereby the Cambridgeshire and Peterborough Trust exercise the health-related function to the Council. This will be for the value of £548,000 for the duration of 2 months between 1 May 2019 and 30 June 2019.

The recommendation to enter into interim Section 75 agreements between 1 May 2019 and 30 June 2019 shall assure continuity of commissioning of the services while additional financial work is carried out.

In accordance with CMDN FEB19/CMDN/88 these recommissioned arrangements should have been in place from 1 April 2019.  The future arrangements are supported by a Delegation and Partnering Agreement between Cambridgeshire County Council and Peterborough City Council.  However, a financial review has identified that further work is required before these arrangements can be put in place.  It is estimated that this work will be completed by 30 June 2019.

To deal with the immediate interim provision of these health related functions, an Officer Decision Notice authorised expenditure by way of Section 75 Agreement to CPFT for the period 1 April 2019 to 30 April 2019 for provision of School Nursing and Health Visiting and Family Nurse Partnership Services for a total of £343,333.  Subsequently, it is proposed that this CMDN authorises expenditure by way of Section 75 agreements for School Nursing Services and Health Visiting and Family Nurse Partnership Services for the period between 1 May 2019 and 30 June 2019 at a total value of £686,667 to ensure continuation of services during this period, whilst the recommissioning exercise concludes. 

To do nothing. This was rejected as the Council is required to maintain the continuity of the Healthy Child Programme which is required under the Council’s statutory responsibility for Public Health.

None.

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

CMDN FEB19/CMDN/88 Recommissioning of the Healthy Child Programme