Decision details

Day services for younger people living with dementia - contract extension

Reference: D55504

Decision Maker: Director of Adults and Health

Is Key decision?: Yes

Is subject to call in?: Yes


Brief Description

To take up the option to extend the contract with Community Links to provide day services for younger people living with dementia, for a period of up to three years.

The current contract with Community Links commenced on 1st January 2018, and is due to end at 30th September 2022.  The decision to be made concerns whether to take up the option to extend the contract by up to three years.

The original authority to procure dates from March 2017, and the decision was for a five year contract with options to extend by up to three years: 

The contract award to Community Links, along with minor adjustments to the contract period to facilitate a move of premises and co-working with the Alzheimers Society as the previous provider, was agreed in August 2017.

Impact On Wards

The ‘community of interest’ served is younger people living with dementia in Leeds.  The definition of “younger” is needs-led but broadly refers to people aged under 65.  There are c. 180 people living in Leeds, aged under 65 with a dementia diagnosis. 

Financial and procurement implications

A decision to extend the current contract would lead to the service provision continuing, without going out to competition, for a period of up to three years. 

The funding for this service is shared between the Council (£180Kpa) and NHS Leeds CCG (£112.5Kpa).  It is committed recurrently from both organisations based on a long-standing recognition of the specific needs of this group of people, families & carers. 

Partnership working

Community Links is seeking an uplift in contract value, reflecting that the funding has remained the same over the contract period.  This will be explored in preparing the decision report, including exploring an increase in the NHS contribution.



What decision has been taken?

(Set out all necessary decisions to be taken by the decision taker including decisions in relation to exempt information, exemption from call in etc.)


The Director of Adults and Health gave approval for the Council to offer Community Links a three-year extension to the contract ‘Day Services For Younger People With Dementia’ ref: DN252936, to run from 1st October 2022 to 30th September 2025 for the value of £885,564 (total value for three years).


That a variation is applied to the original terms of the contract, for the offer of a contract extension.  This will cover the following provision for inflationary uplift: 

The annual NHS England tariff uplift will apply to the NHS share of the pooled funding, for the duration of the contract extension. For 2022-23, this uplift is 2.4%, and will be applied from 1st April 2022.  This will add £2,688pa. to the previous level of contract funding, as follows, with zero net impact on Council expenditure:




NHS funding contribution, paid to the Council



Leeds City Council contribution



Total contract funding, paid to Community Links




Leeds City Council will not apply uplift within the current financial year to its share of the pooled funding. 

Day services for people with dementia will be included in the Directorate’s annual decision-making process to determine any uplifts to fees and contracts. 

The Commissioning Programme Lead, Dementia will be responsible for the above actions.



Reason Key: Financial Impact>£500K;

Wards Affected: (All Wards);

Other reasons / organisations consulted

There has been in-depth consultation with people and families who use the service during 2021-22, establishing the positive view and value of the service.  This will serve for the purposes of this decision, as it is clear they wish the service to continue. 

Dialogue with Community Links has established the willingness to enter into a contract extension, and the impact of cost inflation on the service.  This is ongoing.


Community Links re. service delivery & funding level – impact of uplift v. ‘flat’ funding. 


NHS Leeds CCG regarding availability of funding for uplift from April 2023. 

Contact: Tim Sanders, Integrated C & T Manager Dementia (0113) 378 3853 Email:

Publication date: 27/07/2022

Date of decision: 04/08/2022

Effective from: 12/08/2022

Accompanying Documents: