All Age Continuing Care Assessment, Review, Case Management and Brokerage Service 2025-2026 (including Adult CHC; Funded Nursing Care; Fast Track; Children and Young People Continuing Care; S117 and Joint Funded and Case Management service for identified cohorts).

Overview

This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR). This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2023 do not apply to this award. The service case manages and reviews patients funded by the ICB to ensure patient safety, effectiveness and both clinical and financial benefit; this includes the negotiation and establishment of Personal Health Budgets (PHBs) where appropriate and where guided, and adherence to the ICB's governance and sign off processes. The service is also required to deliver a brokerage service for care packages using a mixture of established provider frameworks and spot purchase providers, whilst supporting patient choice and personalisation agenda. Partnership and system working is an essential part of this service when assessing patients to determine eligibility, agreeing care package costings, undertaking MDT reviews, settling disputes with stakeholders, escalating quality concerns, supporting hospital discharges, and managing relationships with providers such as community healthcare trusts, acute trusts, Local Authorities, domiciliary homecare agencies, care homes and supported living providers. The service is solution focused and requires delivery via a multi-agency pathway to achieve a range of Key Performance Indicators, utilising a sufficient diverse skill mix to meet the required caseload activity and management team to facilitate service improvements, leadership and accountability. The service will perform effectively and timely in order to manage the average caseload (review) and referral numbers outlined below in order to meet the national Quality Premium targets and data submissions to NHS England/Improvement, local quality indicators, and high standard of expectation by the ICB. The ICB has made this award under urgent circumstances to mitigate disruption to the existing service and impact on staff and patient care, whilst it mobilises its commissioning intentions to in-house the service from 01st January 2026. The urgency has been in response to unforeseen delays in approving the commissioning intentions at a national level, which was anticipated to align with the contract end date of the 31st March 2025. An urgent award has been put in place with the incumbent provider to ensure continuity of provision during this transition period of in-housing the service to the ICB. A 9-month Award has been offered to support the mobilisation of these services within the ICB and support an exit plan to the in-housed service.