Milton Keynes 0-19 Healthy Child Programme Service

Contracts

• Milton Keynes 0-19 Healthy Child Programme Service · Central and North West London NHS Foundation Trust (CNWL)

  Signed

  1 Jan 2020

  Value

  £43,144,458

  Period

  … – 31 Mar 2029

  Status

  active

  • Change The below earlier changes have been made to the contract and assessed as being compliant with Regulation 72: DOV 1 - February 2022 - variation to delay initiation of payment by outcome in relation three indicators within the contract as a result of the impact of Covid-19. DOV 2 - March 2024 - Variation relating to consolidated pay award for NHS staff in commissioned services on AfC bands - 22/23 pay award payable in 23/24 - financial value of variation £64,208 DOV 3 - February 2025 - Contract extension and variation to cover consolidated pay award for NHS staff in commissioned services on AfC bands - 23/24 pay award payable as below: 1. Consolidated pay award for NHS staff in commissioned services on AfC bands - 23/24 pay award payable in 24/25 - financial value £82,743.00 2. Consolidated pay award for NHS staff in commissioned services on AfC bands- 24/25 pay award payable in 24/25 financial value £156,731.00. For this variation, the indicative annual value of the Contract for the financial year 2025/26 shall be increased by an amount of £49,844 to cover the 'Agenda for Change' (AfC) pay settlement for the financial year 2025/26. This adjustment will increase the indicative annual value of the Contract for the Financial year 2025/26 from £4,712,298 to £4,762,142. The following modifications are being made pursuant to Regulations 72 (1)(b) and Regulation 72 (1) (c) of the Public Contracts Regulations 2015 as amended. The variations do not alter the overall nature of the contract and do not increase the original price of the contract by more than 50%. The original price of the contract on award was £22,043,080 for the initial five years. The contract also included further extension options of up to four years. The indicative annual value of the Contract for the financial year 2025/2026 shall further be increased by an amount of £334,920. This will be a one-off payment representing the agreed total cost pressure for the said financial year and resulting from an increase in workforce (establishment) figures beyond those identified in the original establishment figures, to meet increasing service demands. This adjustment will increase the indicative annual value of the Contract for the Financial year 2025/2026 from the amount of £4,762,142 to £5,097,062. For the financial year 2026/2027, an amount of £450,000 will be baselined into the Contract value of which £334,920 per annum is to cover the cost pressures of the service and £115,080 is for expansion of the service to provide additional support to encourage access to services and mandated reviews for more vulnerable families. This adjustment will increase the indicative value of the Contract for the Financial year 2026/2027 from £4,762,142 to a maximum of £5,212,142. With regard to the sum of £115,080 stated above as being for expansion of the service to provide additional support to encourage access to services and mandated reviews for more vulnerable families, the Contractor is required to agree with the Council the proposed delivery model, timelines, monitoring and associated outcomes for the expansion of services as such and payment will only be made by the Council on reasonable satisfaction that the agreed outcomes are being achieved. The Council has exercised the extension options under the contract and extended the contract until 31st March 2027. The Council also holds the contractual option to extend the contract by a further period of a maximum of 2 years to 31st March 2029. The variations will take effect from 27/03/2026., Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: Nationally agreed NHS pay settlements covered through the Public Health Grant have meant that the value of the contract has been increased to factor in the pay settlements. The increases relating to pay awards are not substantial within the meaning of Regulations 72 (1) (e) and 72 (8) of the PCR 2015 The variations pursuant to Regulations 72 (1) (b) and 72 (1) ( C ) are necessitated by the following factors. Throughout the duration of the contract, significant cost pressures have emerged due to an increase in the 0-19 workforce required above that originally anticipated and built into the contract. This is due to a higher-than-anticipated population growth identified through local modelling data and an increase in demand for the 0-19 Healthy Child Programme year on year since the start of the contract, impacted by the widespread social, emotional, and developmental impacts of the COVID-19 pandemic. Since 2020/21, safeguarding activity, including attendance at safeguarding meetings and the specialist input required from the 0-19 service, has grown significantly in both volume and complexity. In addition, the service now has a greater role in the earlier identification of children and young people with special educational needs and disabilities (SEND). Referrals to all Children's Community and Mental Health services have also risen sharply (from 2,390 to 4,106), increasing pressure on the service as health visiting and school nursing teams are required to provide additional support to the most vulnerable children and families. While the cost per head has remained relatively stable since the start of the contract, demand and case complexity have increased significantly, requiring greater capacity for children and young people needing specialist support. As a result, the investment per head and staffing resource now required to manage rising complexity and maintain a universal service exceeded the budget available under the original contract. For the additional services, change of contractor would cause significant inconvenience for the Council given the nature of the services and the service users.

Dispute resolution & review bodies

• Crown CourtReview body London