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Next steps for future of older people's health and adult community care


Last month we wrote to our local health commissioner, to ask some important questions about the collapse of the older people's contract. We wanted to know why the contract was withdrawn, who was involved in this decision and what happens next.

We received a reply to our letter earlier this month from Dr Neil Modha, Cambridgeshire & Peterborough CCG's Chief Clinical Officer, published below.  He told us that the contract had ended because of financial problems; he said it wouldn't be possible to re-instate it, as the money still wasn't there.  He confirmed that despite this, the CCG were still committed to the model of care that the contract was following.

Since then the CCG has taken the contract back in house and confirmed that it will not be re-tendering for these services. They have told us that they are working to "stabilise" the contracts they have with the different organisations that currently provide care. 

There are now a number of investigations into what happened. The CCG is undertaking an internal review into the contract, which will be published on 1st February. This enquiry is looking at the decision making around the finances, which have left the CCG with an £8.4 million deficit. 

NHS England is also undertaking an investigation, although its terms of reference are still to be publicly confirmed. The County Council's Health committee have also been asking questions at their recent meeting. 

We are calling for an overall learning from all of the reviews, to make sure that people can understand what happened. It will help make sure that the good things that were starting to come out of the contract are not lost. We are working closely with our voluntary sector colleagues as part of this.

We are still worried about whether there is enough staff time, expertise and money within the CCG to develop the proposed 'integrated’ model of care. We will continue to ask questions on behalf of local people. It is important their concerns, experiences and ideas are listened to by the CCG, and their questions answered.

Last week, Jessica Bawden, the CCG's Director of Corporate Affairs, came to our Board meeting to give an update and answer some public questions. She re-assured people that the services and staff are still in place. She talked about some of the work the CCG want to do, to make sure that the developments to improve people's care are not lost. The draft minutes of this meeting will be published on our website by the end of February. You can find the CCG's briefing paper below.


Cambridgeshire & Peterborough CCG - response to our letter

CCG briefing note - Older People's and Adult Community services update