Topic of Consultation
North Yorkshire County Council wishes to put in place a formal partnership arrangement with Harrogate and District NHS Foundation Trust to deliver the 0-19 Healthy Child Service (Health Visiting and School Age Service). The arrangement will involve North Yorkshire County Council and Harrogate District NHS Foundation Trust entering into a partnership agreement under Section 75 of the National Health Service Act 2006.
The NHS and Local Authorities Partnership Arrangements Regulations 2000 (which are Regulations made under Section 75 of the National Health Service Act 2006) stipulate that “the partners may not enter into any partnership agreements [under Section 75 (s75) of the NHS Act 2006] unless they have consulted jointly such persons as appear to them to be affected by such arrangements”.
This consultation sets out a proposal to put in place a formal partnership agreement between North Yorkshire County Council and Harrogate and District NHS Foundation Trust for the delivery of the 0-19 Healthy Child Service.
Who is being consulted / Stakeholders who may be affected
All interested stakeholders.
Who is consulting
North Yorkshire County Council and Harrogate District NHS Foundation Trust
This is a 30 day consultation beginning on 5 February 2021 and ending on 7 March 2021.
How to respond
If you would like to make any comments or share your views regarding these arrangements please complete the survey.
Compliance with government & local practice on consultation
The consultation has been set at 30 days which is considered sufficient time to enable stakeholders to respond. The proposal is for North Yorkshire County Council and Harrogate District NHS Foundation Trust to enter into a Section 75 Partnership Agreement which will enable the Healthy Child Service in North Yorkshire to be provided by the Trust in conjunction with other relevant services. Subject to the outcome of this consultation, the proposal is for the arrangements to commence with effect from 1 April 2021.
The 0-19 Healthy Child Service (Health Visiting and School Age Service) is delivered as part of the Healthy Child Programme in North Yorkshire.
North Yorkshire County Council wishes to enter into a formal partnership agreement (a Section 75 Agreement) with Harrogate and District NHS Foundation Trust to allow the Trust to deliver the 0-19 Healthy Child Service on the Council’s behalf. In keeping with good practice and the requirements on public bodies to consult in respect of proposed partnership arrangements, the Council and the Trust, as proposed partners, are required to consult with stakeholders who may be affected by such an agreement being in place.
The Healthy Child Programme (HCP) is a universal preventative child and family health promotion programme. It is available to all children and young people aged 0-19 and aims to ensure that every child gets the good start they need to lay the foundations of a healthy life.
The 0-5 element of the programme is led by a health visiting service and the 5-19 element is led by the school nursing service, providing place-based services and working in partnership with education and other providers.
The current contracting arrangements end in March 2021 and a result, the Council has taken the opportunity to consider how the 0-5 and 5-19 services can become more aligned going forwards. There is a clear benefit for these services to be provided in conjunction with NHS services to improve the experience of children, young people and their families. As a result, there is a general recognition that the creation of an integrated 0-19 service across the health and care system will benefit service users and improve outcomes. The proposal is for the integrated services to be delivered through a partnership agreement (known as a Section 75 Agreement).
The new service will be focussed on universal prevention as well as targeted support to those children, young people and families facing the greatest inequalities, working collaboratively with Children and Young People Services. North Yorkshire County Council believes this partnership with Harrogate District Foundation Trust will enable both organisations to develop the best approach to improve support for children, young people and families through a more effective, integrated and efficient service.
Engagement with stakeholders on the current model was carried out between August 2018 and February 2019 and the outcome of that engagement has informed the proposal for the partnership approach. A key message from the engagement activity was that local health and social care partners need to work together to transform the way we plan, design and deliver services with a focus on the things that underpin good outcomes and better value for money.
The new arrangement will require a different approach to delivery and a full public consultation was undertaken from 26th October 2020 to 4th January 2021.
3. Current provision and benefits of a partnership approach
Harrogate and District NHS Foundation Trust is currently contracted by North Yorkshire County Council to provide health visiting and school age service under separate contracts.
Both of those contracts are due to end on 31st March 2021 and this provides the opportunity to transform these services into a model which is much more integrated for children and young people aged 0-19 and their families. The proposed Partnership Agreement between the Council and Harrogate and District NHS Foundation Trust will allow the Trust to provide the 0-19 integrated service on the Council’s behalf. We believe this will enable both organisations to develop the best approach to improve support for children, young people and families through a more effective and efficient service which enables the Council and the Trust to work more flexibly to continue to improve services. It is proposed that the length of partnership agreement will be 10 years allowing for flexible change and continuous review.
4. What other options were considered?
As part of the process of aligning these services, North Yorkshire County Council considered the alternative option of undertaking a procurement exercise to appoint a new provider with whom the Council would enter into a services contract(s) with.
In the context of the current Covid-19 pandemic and recognising that as a result of increased pressures across health and social care services and the future development of Integrated Care Systems, there is now more than ever a need to adopt a more collaborative way of working in terms of delivery of services. The proposal of a Section 75 Partnership Agreement is considered to be a more appropriate way of ensuring the 0-19 Healthy Child Service is delivered in a joined up way and in conjunction with NHS services already being provided by the Trust. The approach will help to ensure better outcomes for children, young people and their families in North Yorkshire.
Accordingly the council proposes not to go through a procurement process, but instead to implement the proposed arrangements as a co-operation between contracting authorities.
Before a partnership agreement under Section 75 of the National Health Service Act can be put in place, the Council and the Trust are required to consult with any stakeholders who may be affected by the arrangement. It is important that we gather and listen to feedback about the proposal and ensure all considerations have been taken into account. In undertaking this consultation, we are required to follow good practice guidance.
6.1 What are we consulting on
North Yorkshire County Council and Harrogate and District NHS Foundation Trust have a long standing working relationship for the delivery of services to improve the health and wellbeing of the people of North Yorkshire. If the proposal being consulted on is supported, North Yorkshire County Council and Harrogate and District NHS Foundation Trust will enter into a formal Partnership Agreement to provide an integrated 0-19 service. The Partnership Agreement acts as a mechanism to permit Harrogate and District NHS Foundation Trust to provide the service on behalf of the Council in conjunction with other services that the Trust already delivers. Decisions around how the services are delivered will be made jointly by the Trust and Council, acting as partners.
We would like your views on the following:
1. In what role are you completing this survey? (Please tick all that apply)
- I am responding on behalf of an organisation/in my professional role
- I am responding as a current provider of the healthy child service
- I am a member of the public who lives in North Yorkshire
2.1 Do you agree that the Council should develop the future of the Healthy Child Service through a partnership agreement with Harrogate and District NHS Foundation Trust, in which the Trust provides the services on behalf of the Council?
Yes/No/Don’t Know (Please select one)
2.2 Please explain the reasons for your answer
Please feel free to provide any relevant supporting information.
At the back of this document are Frequently Asked Questions to assist your understanding of the proposal to enter into a Partnership Agreement.
6.2 Duration of consultation
This will be a 30 day consultation beginning on 5 February 2021 and ending on 7 March 2021. Subject to the outcome of the consultation, the proposal is for the Partnership Agreement to be effective from 1st April 2021.
6.3 Consulting with stakeholders
The consultation document will be available on the North Yorkshire County Council and Harrogate and District NHS Foundation Trust websites, so any member of the public and interested organisations can comment on the proposal. Hard copies of the consultation document can be obtained by contacting firstname.lastname@example.org
7 Have your say
North Yorkshire County Council and Harrogate and District NHS Foundation Trust are keen to hear your comments and feedback on the proposal to enter into a Partnership Agreement to deliver the Healthy Child Programme. We are keen to hear particularly from stakeholders who feel they may be affected by the Partnership Agreement. We have tried to ensure giving feedback is as easy as possible by a range of different methods.
Please provide your feedback by completing the survey or by emailing Healthychild@northyorks.gov.uk. Unfortunately, we will not be able to offer an individual response to all feedback given.
Deadline for your Feedback
The consultation is live from 5 February 2021 to 7 March 2021. The deadline for feedback is 7 March 2021. We will not be able to consider feedback on this consultation that is received after this date.
8 After the consultation closes
Consultation responses and feedback will be collated and reviewed by North Yorkshire
County Council and Harrogate District NHS Foundation Trust. At the end of the consultation period both organisations will review the feedback and produce a summary report showing the themes and issues raised which will be reviewed for decision. The feedback will then be reviewed at North Yorkshire County Council Executive meeting and at the Harrogate District Foundation Trust Board of Directors meeting for final consideration.
All consultation responses will be treated in confidence and will be kept securely for one year from the closure of the consultation, then destroyed. A summary of the consultation responses and next steps will be available to view online at www.northyorks.gov.uk or www.hdft.nhs.uk or please contact us using one of the methods outlined above to request details.
- Section 75 of Health Act 2006
- Real Involvement, section 242(1B) of the NHS Act 2006, the duty to involve and good involvement practice, Department of Health Guidance.
- HM Government Code of Practice on Consultation.
- Regulation 12 of the Public Contracts Regulations 2015 (Public contracts between entities within the public sector)