Report No.
CS17133
London Borough of Bromley
PART ONE - PUBLIC
Decision Maker:
PORTFOLIO HOLDER FOR CARE SERVICES
Date:
For Pre-Decision Scrutiny by the Care Services Policy Development and
Scrutiny Committee on Tuesday 21st March 2017
Decision Type:
Non-Urgent
Title:
COMMUNITY LEARNING DISABILITY TEAM (CLDT)
RELOCATION FROM YEOMAN HOUSE, BROMLEY TO QUEEN
MARY’S HOSPITAL, SIDCUP, BEXLEY
Contact Officer:
Stephen John, Director: Adult Social Care
Tel: 020 8313 4754 E-mail: [email protected]
Chief Officer:
Stephen John, Director: Adult Social Care
Ward:
Borough-wide
1.
Executive
Non-Key
Reason for report
1.1 To update Members on the relocation of the Community Learning Disability Team (CLDT) from
Yeoman House which is within the London Borough of Bromley, to Queen Mary’s Hospital,
Sidcup, which is in the London Borough of Bexley and to request Portfolio Holder agreement to
the move. The proposed move retains the close links between the social care and clinical teams
which are of benefit to service users.
________________________________________________________________________________
2.
RECOMMENDATIONS
2.1 The Care Services Policy Development and Scrutiny Committee is asked to note and comment
on the proposed relocation of the CLDT to Queen Mary’s Hospital, Sidcup.
2.2 The Portfolio Holder for Care Services is asked to agree the relocation of Council staff from
Yeoman House to Queen Mary’s Hospital Sidcup, subject to the final agreement on the lease
for the accommodation at Queen Mary’s.
1
Impact on Vulnerable Adults and Children
1. Summary of Impact: There will be no change in the delivery of services to our residents
________________________________________________________________________________
Corporate Policy
1.
Policy Status: Existing policy:
2. BBB Priority: Supporting Independence:
________________________________________________________________________________
Financial
1.
Cost of proposal: £45k:
2.
Ongoing costs: N/A
3.
Budget head/performance centre: 950806
4.
Total current budget for this head: £2.7m
5.
Source of funding: Capital
________________________________________________________________________________
Personnel
1.
Number of staff (current and additional): 22
2.
If from existing staff resources, number of staff hours:
________________________________________________________________________________
Legal
1.
Legal Requirement: None:
2.
Call-in: Applicable:
________________________________________________________________________________
Procurement
1.
Summary of Procurement Implications: None
________________________________________________________________________________
Customer Impact
1.
Estimated number of users/beneficiaries (current and projected):800
________________________________________________________________________________
Ward Councillor Views
1.
Have Ward Councillors been asked for comments? Not Applicable
2.
Summary of Ward Councillors comments: N/A
2
3.
COMMENTARY
3.1 Clinical and social care staff in the learning disability service has been co-located for a number
of years, since 2013 at Yeoman House in Penge. The clinical service is commissioned by
Bromley Clinical Commissioning Group (BCCG) and the clinical staff are employed by Oxleas
NHS Foundation Trust. The social care service is provided by the Council and staff are
employed by London Borough of Bromley. Co-location has brought many benefits in terms of
joint management arrangements and closer working between professionals. It also enables the
service provided at the front line to be more integrated for service users.
3.2 The current lease at Yeoman House comes to an end in August 2018 and both teams will have
to move at that point. Oxleas have advised that they intend for their clinical staff team to move
to Queen Mary’s in Sidcup at the end of April 2017. The team will be accommodated in
purpose-built accommodation on the Queen Mary’s hospital site which provides both ground
floor clinical space and office space.
3.3 This will enable Oxleas to concentrate the provision of clinical services for all people with
learning disabilities, including those in wheelchairs, on one site beside the clinical staff base
rather than providing clinics in multiple temporary locations around the borough as is currently
the case.
3.4 There is no impact on service users from the proposed move of the Council staff as service
users are visited at home and do not have to attend the social care offices. Oxleas have
separately consulted with service users who may be impacted by the move of the clinical staff
and service but are confident that they can mitigate any adverse impact on individuals. Oxleas
identified that a higher proportion of service users live closer to Queen Mary’s Hospital site than
Yeoman House. Clinicians will continue to work with individuals to ensure there is a plan for
each service user in accessing the services on the new site, and where service users are
disadvantaged by the move Oxleas will continue to offer appointments in users’ homes or in
other Oxleas premises.
3.5 Oxleas reported the proposed move to the Health Scrutiny Sub Committee in November 2015.
Members noted the proposal and the Portfolio Holder advised that the decision on the move of
the social care staff was pending agreement on the lease at Queen Mary’s. This is now nearing
completion and officers are confident that the lease will be in place by the end of April. Staff will
not move until the lease is in place.
3.6 The Council’s staff have been consulted on the proposed move and no formal responses were
received.
3.7 Contracts of employment for Council staff require them to work at such place of employment in
the Council’s service as required, although this would normally be within the borough
boundaries. In this respect where staff are relocated to a different part of the borough excess
fares are not payable. The location of Queen Mary’s Hospital is approximately 100 yards from
the boundary of Bromley and Bexley boroughs as a result of which it is not proposed to pay
excess fares for staff should they transfer to Queen Mary’s Hospital, Sidcup apart from in the
circumstances outlined below.
3.8 Necessary excess travel expenses are payable to Bromley employees only from the Bromley
boundary to the workplace. As the workplace is on the Borough boundary payment cannot be
claimed for travel to the workplace. Where employees attend a first journey for work within
Bromley they will not be able to claim the cost of that journey if it is less than the cost of travel to
work. Where it is more than the cost of travel to work, they may claim the difference in the cost.
3.9 Should the move take place staff would be entitled to free parking at Queen Mary’s Hospital.
3
4.
IMPACT ON VULNERABLE ADULTS AND CHILDREN
4.1 There is no change to service provision of social care services to these user groups; services
will continue as normal.
5.
FINANCIAL IMPLICATIONS
5.1 The cost of Yeoman House until August 2018, when the current lease runs out, and the ongoing
costs of the accommodation at Queen Mary’s from August 2018 will be covered by existing
revenue budgets.
5.2 There is a one off cost of £45k for the double running which it is proposed to fund from the
Social Care Capital Grant which is allocated in the Council’s capital programme (currently
£2.7m). The grant is provided to support the reform of social care services. This proposal
supports and facilitates greater integration of learning disability health and social care services
and so complies with the grant conditions.
6.
PERSONNEL IMPLICATIONS
6.1 As stated in the report the staff affected by the move from Yeoman House to Queen Mary’s
Hospital were consulted. This consultation ended in August 2016 and no formal responses were
received. The report explains the contractual arrangements for staff that they are required to
work at such place of employment in the Council’s service, although this would normally be
within the borough boundaries. As Queen Mary’s hospital is 100yards from the boundary of the
borough staff will not be allowed to claim an additional cost of travel.
Non-Applicable Sections:
Legal and Procurement Implications
Background Documents:
(Access via Contact Officer)
Health Scrutiny Sub Committee 2nd November 2016.
Minute 21.Oxleas relocation of LD services
4