Bespoke Care Package for a Young Person in Peterborough

Descriptions

NHS Cambridgeshire and Peterborough CCG has identified a need to commission a new bespoke care package solution for a client - a young person (male, 13 years of age) with moderate learning disability, autism-spectrum disorder (ASD), attention-deficit hyperactivity disorder (ADHD), and behaviour that challenges., The client is currently residing and being cared for within a hospital which is outside of the immediate area of his family. The discharge is currently delayed. Following a detailed review, the CCG has agreed a new care package solution involving a discharge close to family ties within Peterborough. The solution is looking likely to involve the adaptation of a private residential dwelling to accommodate the client and his team of carers. The new home is being designed with the specific client's needs in mind and will include secure outdoor space. The new domestic setting will be managed and maintained by a housing association under contract with the CCG, with the additional support from the Local Authority and NHS England and Improvement., Given the client's educational needs, the CCG will be separately commissioning educational support from a specialist setting, expected to involve an outreach model initially, with the intention to integrate the client within the setting in time., The CCG is inviting expressions of interest from appropriately registered, experienced, and capable providers who will become responsible for recruiting, training and supervising a care team to deliver a bespoke high-quality package of care that will enable the young person to be, and feel safe, secure, looked after and over time supported to grow and develop into his adulthood., The CCG intends to establish through a procurement process, a single contract for this package of care from a provider, or collaboration of providers, with the expectation that the contract is likely to continue for at least 5 years with potential for up to a further 5 years (maximum 10 years in total)., The provision of education is excluded from this contract. , The final value of the contract is to be determined through a competitive procurement process but is possible up to circa £0.8m to £0.9m per year, having a potential overall value of up to £9m over the potential 10 years., The CCG will contract with the appointed provider through use of the NHS Standard Contract (Shorter Form) which is revised and published by NHS England from year to year. The commercial model to be agreed through the contract will need to reflect a degree of flexibility in relation to an expected variability of care needs on an ongoing basis., Outline of requirements:, The expected solution will involve a substantive team of care givers appropriately trained and developed as both individuals and a team to optimise the positive experiences and well-being of the client., The provider to be appointed must be appropriately registered with the Care Quality Commission (CQC), and able to provide a Registered Manager for the domestic property to be developed for the client - also ensuring compliance with Ofsted registration requirements., Without intending to provide an exhaustive list of requirements, and subject to an actual provider-solution being developed and agreed with the CCG, it is currently anticipated for the care package to include:, -Substantive staff are assumed to optimise the quality of care, avoiding as much as possible the use of agency staff, and accounting in any event for only one member of the care team during a shift., -An appropriately qualified team leader, always on-duty on site to supervise the staff of care givers., -At all times, a minimum of one staff member who is qualified and insured to drive the client and care givers to community settings as may be required., -Continuity of the care package outside of the designated domestic property, with the care team accompanying the client as required, including for holidays, recreational activities, and hospital visits for example., -Maintenance of a safe and hygienic residential environment including the carrying out of routine domestic cleaning. Site maintenance, repairs and deep cleaning will be the responsibility of the housing association., -Preparation of meals, snacks, and beverages to ensure optimisation of the nutritional status of the client. Compliance with relevant food hygiene regulations will be necessary., -Supporting the client with decision making in relation to financial budgeting, spending and auditable and transparent record keeping., -Effective engagement and joint working with multi-disciplinary agencies each having input to the health and social care of the client, including health services, therapies, and education., The provider will be expected to plan and deliver the care solution in a collaborative, co-production manner with critical inputs from the client, family and those working for or on behalf of the CCG., Recognising that the bespoke care package needs to be completely person-centred, the CCG is currently engaging with those with a current working and personal knowledge of the client, to inform a Person Specification for adoption and further development by the appointed provider for use when recruiting the staff of care givers.