NHS Bury CCG is responsible for commissioning community services within Bury.  The current contract for the provision of community services is due to expire on 31 March 2019. Pennine Care NHS Foundation Trust have recently signalled that they want to move away from providing physical community health services and arrangements are being made for the provision of community services from 1 April 2019 onwards.

The Bury Locality Plan describes the need for these community services to be integrated with other community based health and social care services (in particular primary care and social services) in order to maximise the benefits delivered to Bury’s residents and patients. Full delivery of this integrated services model is expected to be through an outcomes based contract covering a much wider range of services.  However, the creation of that contract and the outcomes and service specifications within it are yet to be prepared and need to be developed based on the experience of existing service provision and iterative adjustments to the way in which operational elements of the system are combined and work together.

Because the outcomes and service specifications are still in development, the CCG (and the Local Authority) are not currently in a position to commence a procurement of community services.  In order to develop such an outcomes based contract and integrated service specification, the CCG and the Local Authority need to work closely with current providers of services within the local Bury health and care system.  Whilst this development work is underway the CCG and the Local Authority needs to secure ongoing provision of community services on an interim basis.

The CCG and Local Authority therefore invited the Bury Locality Care Alliance (LCA), which is a group of existing local providers, to consider which organisation within the Bury LCA might be able to host the interim contract and work in a collaborative manner with other Bury alliance members to develop an integrated way of providing services.

The only member of the Provider Alliance to offer to host the contract was the Northern Care Alliance NHS Group.  The CCG and the Local Authority are satisfied that the Northern Care Alliance NHS Group is capable of undertaking the hosting role as provider for this interim contract and has therefore decided to award an interim contract to Salford Royal NHS Foundation Trust (as a legal entity on behalf of the Northern Care Alliance) on an interim term basis, whilst work is done on the development of the outcomes based contract and integrated service specification. The CCG and the Local Authority anticipates that this process will take 24 months.  This decision was confirmed by the CCG Governing Body in January 2019.