The report provides a summary of the developed Shared Lives Option paper which was approved for progression at the Adult Social Care and Public Health Committee on 23rd September 2021. The report of 23rd September 2021 provided members with a summary of the outcome of the review of the current Shared Lives Model on Wirral the report included an officer recommendation for future service delivery detailing benefits, costs, and efficiencies. Members requested a further detailed developed paper on the recommended option. This report includes a detailed breakdown of the developed option and provides an update on establishing a Shared Lives framework.

Resolved – That

(1) approval for the development of an in-house Shared Lives Model to be delivered during financial year 2022/2023 be authorised;

(2) delegated authority be given to the Director of Health and Care to:

(A) Establish a procurement framework of Shared Lives providers to complement the inhouse Shared Lives service, and

(B) Extend the current Shared Lives contract for 12 months to enable the new service developments to be put in place.

The Council has seen a drop in the number of Shared Lives cases over the lifetime of the current contract.

The Council is ambitious to evidence growth in the Shared Lives service as a cost-effective model which can deliver better outcomes for people.

Officers have undertaken a comprehensive engagement exercise the outcome of which supports the transition to an inhouse service with a complementary framework.

Option 1- Re-tender to the Community Care Market To procure the Shared Lives service through an open procurement exercise in line with procurement regulations to the community care market and identify and award a contract to an external care provider to deliver the service.

Option 2-Arm’s Length Management Organisation (ALMO) Set up a new or work with an existing Arm’s Length Management Organisation within Wirral Council to manage, recruit, grow and deliver a Shared Lives Service. The service would be required to register with CQC (Care Quality Commission) and operate as a registered service within Wirral Council either alongside its existing companies or as a new venture.

Option 3-Wirral Council in-house Service To establish an in-house Council service aligned to the Adult Social Care commissioning team. To Manage, recruit, grow and deliver a shared lives service, registered with Care Quality Commission to be fully compliant, and to work with delegated social work providers to grow the Shared Lives offer on Wirral as a first option considered where possible.

Option 4-Delegated to an NHS provider to provide Shared Lives Service To establish a Shared Lives Service to manage, recruit, grow and deliver a service registered as part of existing Care Quality Commission for Adults and Community Health or as an additional community adult social care service.

Option 5-Delegated to an NHS provider with a complementary Framework for Shared Lives Services. To establish a Shared Lives Service to manage, recruit, grow and deliver a service registered as part of existing Care Quality Commission for Adults and Community Health or as an additional community adult social care service. with an offer of a complementary framework for Shared Lives services.