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Cabinet Decision: 6th August 2009
Title of Item/Report
Integrated Health and Care Facility
Record of the Decision
Cabinet noted that Stockton on Tees Teaching PCT had indicated that the Alma Street site was its preferred option for the Stockton Integrated Care Centre. This was subject to affordability and value for money. The PCT Board had approved the preferred option site and would progress to its approval process with the Full Business Case planned for sign off in February 2010.

Given this it was proposed that the existing day centre provision at Alma be transferred to the Halcyon centre Thornaby (on Thorntree Road/ the former Harewood Infants School). Additional capital works would be required to the Halcyon Centre to accommodate the expanded services.

It was explained that a period of consultation with service users, stakeholders and carers was held from 18 May to 22 June 2009. The focus of consultation was targeted at service users, carers and stakeholders related to the Alma Centre, as this was the main service impact, albeit specific reviews had been undertaken with other stakeholders who had been affected by these plans.

. Overall, the consultation process was positive and clients and carers understood the rationale for change. There were a number of comments on the proposals and the following themes were identified from the consultation.

Views on the changes for health facilities and a lack of understanding of what an integrated care centre was, how it differed from the existing GP facilities and what would be provided there.

Transport to and from the centre - difficulties in access and potential changes to current travel plans.

Continuity of staff - a wish to ensure that existing staff should move with the service.

Disruption and potential impact for clients, in particular those who attend the Kitwood Unit (the facility which supports the most vulnerable clients).

Design issues - a wish to maximise the garden space, to ensure that the future design meets client needs e.g. disabled WCs, car parking and drop off areas. The transfer of specific items from Alma to Halcyon e.g. piano, sewing machines, craft materials.

Norton and Billingham clients - a concern that they would not be able to remain with the Alma Centre group.

Members noted that a project group was in operation which was reviewing the service implications. This group would take into account the feedback from consultation and incorporate this in its project plans.

Cabinet considered the Council’s next steps and noted that the PCT business case for an integrated health and care facility located on the Alma Street site must meet value for money and affordability requirements. The PCT approval processes differed from the Council and definitive sign off of its business case was not until February 2010. The building changes to the Halcyon Centre and associated costs would be required in advance of PCT approval process in order to meet PCT timetable for its building programme. However the land sale could be agreed in advance of the approval process via the PCT’s third party developers (LIFT).

The PCT and Council were in negotiation regarding the land sale and it was anticipated that the land receipt would be sufficient to cover the costs of relocation to the Halcyon centre/ Office moves. A report to Cabinet in September 2009 would confirm the outcome of those negotiations and agreement would then be sought to proceed with the Sale.

A timetable for the works would be agreed and further detailed work would be undertaken to address the transport issues, transfer arrangements and staffing implications. Any transfer of the service would be based on the building works timetable but a provisional date was May 2010.

It was explained that additional costs around transport had been identified as part of the consultation process. At this stage it was difficult to quantify the precise costs, however there was an expectation that the proposed changes should be revenue neutral as there would be some staff savings arising from the Centre transfer.

RESOLVED that:-

1. the feedback received from the consultation process be noted.

2. a further update report in September 2009 regarding the proposals regarding the Land Sales be received
Reasons for the Decision
To enable the PCT to meet its timetable in line with its proposals for health service changes.

To ensure that the re-provision of the existing services on this site were planned and developed.

To ensure that day services continued to meet the needs of older people across Stockton Borough and that they were fit for purpose now and in the future.

Alternative Options Considered and Rejected
None
Declared (Cabinet Member) Conflicts of Interest
None
Details of any Dispensations
Not applicable
Date and Time by which Call In must be executed
By Midnight, Friday, 14th August 2009
Attachment

Date of Publication: 10 August 2009


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