Decision details

Request for Extension of the Reassessment Team for Two Years, April 2023 to March 2025

Reference: D56161

Decision Maker: Director of Adults and Health

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


Brief Description

The original intention of the Reassessment Team was to address the issue whereby 700 plus individuals in Adults and Health were not being billed for services commissioned, this presented inequality in terms of the charging policy along with £3million in lost income. The Team have worked effectively and efficiently since its inception in 2019 and has achieved substantial income generation and several million of pounds worth of cashable Value for Money reassessments. Approval is sought to extend the Team for a further two years on the basis of its success to date and its impact upon driving up quality standards in commissioned services.

Impact On Wards

This work will ensure that people with health and care needs across all communities will benefit from a regular reviewing programme in order to tailor support plans to maximise independence and to address any quality of care matters that may arise.

Financial and procurement implications

The Team has to date funded itself via the cashable savings generated and it is envisaged that they will continue to generate significant savings and continue its work with regards to income generation.

Partnership working

The programme of work which will be undertaken by the Team will also involve people who are subject to Section 117 aftercare and any generated efficiencies will also benefit the ICB. The ICB have demonstrated an interest in also wanting to invest in nurses to enhance a dual discipline / review process.



The Interim Director of Adults and Health has approved:-

·  A 24-month extension for the Reassessment Team on the delivery of Value for Money (VfM) work and discreet commissioning programmes of work which will result in both cashable and non-cashable savings. The focus will primarily be reassessments and reviews and there are a significant number of individuals across learning disability and mental health who have not had reviews since 2021 back to 2009. In addition there are 107 individuals in the learning disability service with no recorded review on CIS.


The Interim Director of Adults and Health has noted:-

·  That the work is overseen by the Head of Service for Specialist Services and the relevant Service Delivery Managers within those areas.


Reason Key: Financial Impact>£500K;

Wards Affected: (All Wards);

Other reasons / organisations consulted

The Trade Unions have been involved and communicated with in regards to the initial implementation and the plans for extension of the Reassessment Team.


GMB and Unison

Contact: Shona McFarlane, Chief Officer Access and Care Delivery 0113 378 9848 Email:

Publication date: 17/03/2023

Date of decision: 27/03/2023

Effective from: 04/04/2023

Accompanying Documents: