Decision details

Decision to procure Intermediate Care beds across the county to deliver a fair and equitable Intermediate Care offer.

Approval has been given to undertake a procurement exercise for Intermediate Care Bed services in North Yorkshire over the next four years.
The services will be jointly funded by North Yorkshire Council and Humber & North Yorkshire Integrated Care Board (HNYICB).

Intermediate care beds provide short-term support, often in care homes, after being in hospital to enable a person to return home, or to prevent a hospital admission. Support is focussed on maximising recovery and rehabilitation and is provided by multi-disciplinary teams. These teams include health and social care professionals working within the care settings supported by physiotherapists, occupational therapists, therapy assistants, social care workers and other care professionals. The procurement will establish a more robust pathway for people requiring bed-based intermediate care through a new longer-term contract and service specification with care home providers for delivery of these services in North Yorkshire. The procurement will ensure that settings have an environment appropriate for intermediate care, with an appropriately trained workforce and rehabilitation and recovery focus.

The Council will continue to optimise delivery within our in-house provision by continuing block arrangements where demand is being met. Due to environments/layout, in-house provision cannot meet the needs of people with more advanced rehab needs or people with specialist care needs. The Council has approved plans for up to five new Care & Support Hubs across the county to deliver specialist residential care and bed-based intermediate care, subject to individual business cases being brought forward. This is a major capital programme to be delivered over the next five years, and therefore there is a requirement to procure additional beds from the wider care market in the interim. All available procurement and contracting options have been explored taking into account the nature of the service and market.