Issue details

The Enhance Programme 2022/23

Brief Description

The Enhance Programme’s main aims are “to support safe and sustainable discharge from hospital and neighbourhood teams into a secure home environment and to link Neighbourhood Teams with third sector organisations to enhance capacity in both sectors and avoid both delayed discharges and readmissions.”


The total £800,000 funding budget is being provided by Leeds NHS Community Healthcare Trust (LCHT)  and there is no call on LCC funding for the programme. Leeds Older People’s Forum (LOPF) would administer the fund within the Leeds third sector through a bidding process.  The whole fund is intended to be distributed in 2022/23.


Adults and Health are taking the lead system role for this in partnership with LCHT as A&H  is the lead commissioner for Forum Central/LOPF and therefore has the existing infrastructure to manage the arrangement.


The decisions required are:

-  That LCC enters into an NHS Act Section 256 agreement with LCHT in order to receive £800,000 from LCHT and so that LCC can adopt the lead commissioning role for the Enhance Programme on behalf of the partnership between LCHT and LCC.


-  That £800,000 is grant-awarded to Leeds Older People’s Forum (LOPF)  in line with financial regulations so that they can distribute this to the Leeds third sector through a bidding process.


Impact On Wards

The Enhance Programme aims to improve outcomes for people living in all wards of the city (it is a city-wide scheme)

Financial and procurement implications

The £800,000 funding for the Enhance Programme is being provided by LCHT and the programme requires no call on LCC funding. It is proposed that the £800,000 LCHT funding is transferred to LCC using NHS Act flexibilities (a Section 256 agreement).


The proposal is that a direct grant award is made to LOPF. Note that the £800,000 is all for distribution within the Leeds Third Sector through a competitive bidding process and does not fund any LOPF administration costs (which are being met separately by LCHT).

Partnership working

This proposal has been developed through partnership working with LCHT and LOPF.


Decision type: Key

Reason Key: Financial Impact>£500K;

Decision status:

Wards affected: (All Wards);

Notice of proposed decision first published: 25/03/2022

Decision due: 25 Apr 2022 by Director of Adults and Health

Lead director: Director of Adults and Health

Department: Adult and Health

Contact: James Woodhead, Interim Head of Commissioning (Integration) 0113 378 3841 Email:

Consultation process


Leeds third sector community organisations.