Report of the Executive Director of Adult Social Care and Health.
The Cabinet considered the report of the Executive Director of Adult Social Care and Health in relation to the capital funding for a short-term assessment unit.
The report detailed that Riverside Housing, who intended to purchase the site, had proposed a redevelopment scheme consisting of 32 houses, 2 bungalows, 6 maisonettes and a 3-storey 90-unit extra care scheme.
The Council have requested that as part of the development a purpose-built short-term assessment unit for Sefton residents, be built to meet the Council’s needs which will be leased back on a long-term arrangement at a peppercorn rent for the Councils use.
Decision Made: That:
Reasons for the Decisions:
(1) The new service model reflects both local and national priorities to commission joined up health and social care services at place, that prevent hospital admission and support timely discharge from an acute setting, whilst improving outcomes for individuals accessing the service.
(2) At present there are multiple commissioning arrangements in place, both in borough and out of borough, for some of the most complex individuals and the proposed new service model will enable us to commission a service that is focussed upon improving outcomes for individuals, whilst enabling the Council to achieve efficiencies through more cost-effective commissioning arrangements at place.
Alternative Options Considered and Rejected:
1. Do nothing – Continue to utilise current provision and out of borough placements which do not meet our needs and are financially unsustainable.
2. Redevelop existing building-based provision – this has been explored and discounted as an option and refurbishment and redevelopment of a number of existing respite facilities would be at a higher cost and the technology and space standards could not be integrated due to age of buildings. In addition, there would be a need to identify alternative services/placements whilst this happened for an extended period.
3. Design and build solely by the council would have an additional capital impact of £0.75m. By pursuing a partnership approach, we will be benefiting from the economies and capacity to deliver the scheme as part of the wider development.