Hillingdon Council Cabinet Member and Officer Decisions
Contract Awards: Admission Prevention and Discharge Support Services, 2026 - 2028
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Executive Decision Notice – 10 April 2026
This notice is a public document also available to view on the Council's website www.hillingdon.gov.uk
OFFICIAL EXECUTIVE DECISION NOTICE
PUBLISHED BY DEMOCRATIC SERVICES
Notice is hereby given that the following decision(s) have been made today by
Cabinet Members at the London Borough of Hillingdon:
Title of decision CONTRACT AWARDS: ADMISSION PREVENTION/
DISCHARGE SUPPORT SERVICES, 2026 - 2028
Reference No. 2026/1677
Date of decision Friday 10 April 2026
Call-in expiry date Friday 17 April 2026
Relevant Select
Committee
Health & Social Care Select Committee
Relevant Wards All
Decision made
Cabinet Members making
the decision
Councillor Ian Edwards, Leader of the Council , and on
behalf of Councillor Jane Palmer, Cabinet Member for
Health & Social Care, and in consultation with Councillor
Susan O ’Brien,
Cabinet Member for Children, Families &
Education
Decision Agreed
That Leader of the Council, and on behalf of the Cabinet
Member for Health & Social Care, and in consultation
with the Cabinet Member for Children, Families &
Education:
1. Approved a direct award to The Confederation
Hillingdon CIC to deliver a Community
Intravenous Antibiotics Service to the London
Borough of Hillingdon for one year from 01 April
2026 at a cost of £230,000.
2. Approved a direct award to The Confederation
Hillingdon CIC to deliver additional Same Day
Urgent Care capacity to the London Borough of
Hillingdon for one year from 01 April 2026 at a
total cost of £200,000 per year.
3. Approved a direct award to Central and North
West London NHS Foundation Trust to deliver
additional Urgent Community Response Service
capacity to the London Borough of Hillingdon for
Executive Decision Notice – 10 April 2026
This notice is a public document also available to view on the Council's website www.hillingdon.gov.uk
one year from 01 April 2026 at a total cost of
£135,500 per year.
4. Approved a direct award to Central and North
West London NHS Foundation Trust to deliver
additional D2A Therapy Service capacity to the
London Borough of Hillingdon for one year from
01 April 2026 at a total cost of £135,500 per year.
5. Furthermore, agree d that these include the
provision to extend the contract for up to two
further years (3 years in total), delegating
approval of any extension to the Corporate
Director of Adult Social Care in consultation with
the Leader of the Council and the Cabinet
Member for Health and Social Care. Contract
extensions would be subject to the availability of
funds and at the following costs:
• Community Intravenous Antibiotics Service
is at a cost of £460,000 (£230,000 per year
and a total 3-year cost £690,000).
• Same Day Urgent Care capacity is at a cost
of £400,000 (£200,000 per year and a total 3-
year total cost £600,000).
• Urgent Community Response Service is at a
cost of £271,000 (£135,500 per year and a
total 3-year cost £406,500).
• D2A Therapy Service is at a cost of £271,000
(£135,500 per year and a total 3- year cost
£406,500).
Reason for decision 1. The recommendations, if approved, will put longer -
term arrangements in place further to the direct
award of contracts approved by the Leader of the
Council and Cabinet Member on 27 January 2026.
2. The North West London ICB is unable to approve
contracts for longer than one- year. The
recommendations would enable two- year contracts
to be entered into from April 2027 if there was greater
clarity about funding arrangements.
3. The funding for these services is coming from the
discharge aspect of the NHS minimum contribution to
health funding stream within the Better Care Fund
(BCF). Continuation of these services would be
subject to the availability of funds, which would be
Executive Decision Notice – 10 April 2026
This notice is a public document also available to view on the Council's website www.hillingdon.gov.uk
reflected in an appropriately worded break clause
within the contract. There is consequently no risk of
financial pressure on the General Fund.
4. Community Intravenous (IV) Antibiotics Service: The
funding covers clinical staffing, equipment, and
operational costs to provide IV antibiotic therapy in
the community rather than in Hillingdon Hospital,
enabling earlier discharge and avoidance of
admissions. This not only improves experience of
care but also frees up hospital capacity.
5. Same Day Urgent Care Service: The funding will
maintain the additional GP and nurse practitioner
staffing in the three local access hubs in the borough
funded in 2025/26 and will support approximately 50
additional rapid access appointments a week each
year during the funding period to divert residents from
attending the Emergency Department at Hillingdon
Hospital.
6. Urgent Community Response Service: In 2025/26
the Urgent Community Response (UCR) team was
enhanced by embedding a senior clinical decision
maker in the service and enhancing community
diagnostic support using Discharge Funding to
strengthen on-the-spot decision making. This service
is being utilised to provide essential tests for
housebound or frail residents in their own homes.
This prevents unnecessary hospital attendances for
diagnostics.
7. D2A Therapy Service: The continued investment in
this service consolidates improvements made in
2025/26 by facilitating the recruitment of permanent
staff rather than agency, thereby ensuring service
stability and quality.
Alternative options
considered and rejected
Approve a direct award for a longer period:
Officers considered an initial contract of two years with the
option to extend for a further year. This option was not
pursued for the reasons explained in paragraph 2. Subject
to approval by the Leader of the Council and Cabinet
Member, however, the recommendations do give flexibility
to allow two-year contracts to be entered into once there is
greater clarity about future funding arrangements and if it
continues to be in the interests of the place -based health
and care system.
Not approve direct awards:
Executive Decision Notice – 10 April 2026
This notice is a public document also available to view on the Council's website www.hillingdon.gov.uk
This is not recommended due to the potential impact on bed
capacity at Hillingdon Hospital and ability of the local health
and care system to manage demand.
Competitive tender option:
This option has not been considered because of the
intention to improve efficiency and effectiveness through
closer integration between existing p lace-based providers.
The addition of further providers increases the risk of service
fragmentation and a negative experience of care by
residents.
Classification Part II – Members Only and Not for Publication
Link to associated report That this report be declared as exempt from publication as
it involves the disclosure of information in accordance with
Section 100(A) and paragraph 3 of Part 1 of Schedule 12
(A) to the Local Government Act 1972 (as amended), in that
the report
contains information relating to the financial or
business affairs of any particular person (including the
authority holding that information) and that the public
interest in withholding the information outweighs the public
interest in disclosing it.
Relevant Officer contact
& Directorate
Gary Collier – Adult Social Care & Health
Any interest declared by
the Cabinet Member(s) /
dispensation granted
N/A
Implementation of decision & scrutiny call-in
[Internal Use only]
When can this
decision be
implemented by
officers?
Officers can implement Cabinet Member decision in this notice only
from the expiry of the scrutiny call-in period which is:
5pm on Friday 17 April 2026
However, this is subject to the decision not being called in by
Councillors on the relevant Select Committee. Upon receipt of a
valid call-in request, Democratic Services will immediately advise
the relevant officer(s) and the decision must then be put on hold.
Councillor scrutiny
call-in of this
decision
Councillors on the relevant Select Committee shown in this notice
may request to call-in this decision. The request must be before the
expiry of the scrutiny call-in period above.
Councillors should use the Scrutiny Call-in App (link below) on their
devices to initiate any call-in request. Further advice can be sought
from Democratic Services if required:
Scrutiny Call-In - Power Apps (secure)
Executive Decision Notice – 10 April 2026
This notice is a public document also available to view on the Council's website www.hillingdon.gov.uk
Further information These decisions, where applicable, have been taken under The
Local Authorities (Executive Arrangements) (Meetings and Access
to Information) (England) Regulations 2012.
This is the formal notice by the Council of the above executive
decision, including links to the reports where applicable.
If you would like more information on this decision, please contact
Democratic Services on 01895 250636 or email:
democratic@hillingdon.gov.uk.
Circulation of this decision notice is to a variety of people including
Members of the Council, Corporate Directors, Officers, Group
Secretariats and the Public. Copies are also placed on the
Council’s website.
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