The provision of Public Health Services - Child Weight Management and Active Choices

Concepts

• health and social work
• derby
• local authority public health teams
• emotional health
• the child weight management programme
• child weight management services
• public health grant allocation
• active choices
• statutory service delivery
• the national child measurement programme

Location

Derby:

Description

Child Weight Management services This service helps children and their families to manage weight by improving fitness, nutrition, and self-esteem. The service targets children identified through the national child measurement programme (NCMP) as being overweight or obese. NCMP is a statutory programme. Substance misuse recovery support (Active Choices) The service supports individuals with getting more active and maintaining routine as they recover from substance misuse. It also provides sustainable exit routes from drug and alcohol treatment, builds the recovery community and peer support networks.

Total Quantity or Scope

Child Weight Management Service: The aim of the service is to provide a family-centred, evidence-based, community service that will support children to achieve a healthy weight through promoting healthy lifestyles, with a particular focus on healthy eating, physical activity, and emotional health. The service will deliver a flexible, multi-component service which meets the latest NICE guidance on the prevention, identification, assessment, and management of overweight and obesity in children. This supply contributes to: • The duty to improve public health and address inequalities (steps considered appropriate for improving the health of the people in its area) (Health & Social Care Act 2012, s.12). • Delivery against Joined Up Care Derbyshire and the Health and Wellbeing Boards objectives in respect of Starting and Living Well. In addition, the service will contribute to the Strategic Healthy Weight partnership priorities to: • Develop clear pathways and signposting to enable children who are already overweight or obese to access joined-up and long-term support. This includes ensuring that there are robust systems in place to identify children who are overweight or obese and a commissioned service is available which provides effective support, in a multidisciplinary approach, to children and families. • Develop preventative approaches for current and future generations and a whole systems approach to obesity which coordinates existing efforts, reveals gaps in provision and supports the efficient use of limited resources. The service will aim to: • Increase the percentage of children achieving at least a 3% BMI reduction in weight. • Increase the number of children with BMI>85 centile joining the child weight management programme. • Address the Government s, national ambition to halve childhood obesity and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030. The government published its policy paper, Tackling obesity: empowering adults and children to live healthier lives in July 2020. Substance Misuse Recovery Service: This service seeks to break the cycle of drug use and drug related offending - diverting individuals away from harmful historic behaviour in a way that is sensitive to prior trauma and childhood adversity. The service supports adults to become more active, and to maintain a daily routine as they recover from substance misuse. It also provides sustainable exit routes for participants. This supply contributes to: • Statutory service delivery in line with the conditions of Public Health Grant allocation in respect of substance misuse (section 31(4) of the Local Government Act 2003). • Break drug supply chains (Home Office and Ministry of Justice) - target organised crime at an international, national and local policing level • Deliver a world class treatment and recovery system (Department for Levelling Up, Housing and Communities) - with treatment being commissioned from a range of providers by local authority public health teams. • Achieve a generational shift in demand for drugs - wider ranging interdepartmental approaches to early intervention, education, prevention and research. • Delivery against Joined Up Care Derbyshire and the Health and Wellbeing Boards objectives in respect of reducing alcohol related harm. In addition, the service will contribute to the substance misuse partnership priorities of: • Reducing drug and alcohol related deaths • Increasing the number of people recovering from addiction. The service will also aim to: • Reduce the level of harm caused to individuals, families, and the wider community as a result of drug misuse. • Improve the physical and mental health of complex substance misusing clients and work to address inequalities for priority vulnerable groups including women, underserved ethnic groups and those experiencing homelessness. • Address the ambitions of the Supplemental Substance Misuse Grant and the Rough Sleeper Drug and Alcohol Treatment Grant 22-25 and any subsequent funding objectives.

Award Detail

Renewal Options

3 year contract with the option to extend for a further two years

Award Criteria

CPV Codes

• 85000000 - Health and social work services

Indicators

• Options are available.

Legal Justification

We are awarding the contract without prior publication under paragraphs 2(b)(ii), 2(c) and 9 of Article 32 of Directive2014/24/EU. The technical reason (2(b)(ii)) is that there will be significant cost and inconvenience to the Authority and economic operators associated with tendering for the following reasons: • The services require significant logistics, supplies already in the community at contract handover will need to be replaced and this will occur again at the end of the contract period, causing inconvenience to service users and additional cost for the Council and economic operators. • Cost of retraining staff in the areas of child weight management and substance misuse. • The supply requires strong relationships with key partners to be effective. These would need to be re-established with a new provider. • Familiarising service users with a new service - potential increase in harm with reduced uptake. • Disruption to the current markets - schools and treatment services are going through significant periods of change, this would add to their workload and damage provider, service user and commissioner relationships. Cost of change is therefore prohibitive for new providers. The urgency(2(c)) has been brought about as a result of: • Procurement do not have capacity to support a procurement process. • Public Health do not have capacity to support full commissioning and procurement process. In accordance with paragraph 9 of Article 32 of Directive 2014/24/EU the new contract will provide identical services to those being delivered by the economic operator under their current contract, which was procured in accordance with Article 26 of Directive 2014/24/EU. The service provider forms part of the local integrated care system and thereby being part of the local health economy that needs stability after the recent turmoil of the pandemic, changes to legislation and ongoing economic crisis. Therefore, direct award also prevents further instability in the market.

Other Information

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