Issue details

Response to System and Winter Pressures - temporary step-down bed service at Elmet House (Colton Lodges)

Brief Description

This request is outlining one of the Council’s responses to the hospital pressures across the city.  The temporary service at Elmet House (Colton Lodges) commenced on 10th January 2022 for an initial 3-month pilot and is providing 15 step-down beds (with the option to increase to 30 beds) to facilitate timely hospital discharges and prevent hospital admissions.  The approach to support is to maximise people’s independence, recovery, and rehabilitation. The service includes the lease of a unit at Colton Lodges Nursing Home which is owned by HC-One. The service was extended through a delegated decision of the Director of Adults and Health for a further period of 3 months due to ongoing pressures in the health and care system.


The service is part funded by the Leeds Clinical Commissioning Group (CCG) with the Councils in-house Care Delivery Service being the lead provider.

A decision is now being taken through the Integrated Commissioning Executive (ICE) to further extend the service for a period of up to 9 months to cover winter pressures and ongoing pressures in the system. This could potentially include the requirement to expand the service to offer 30 beds should there be a demand within the city and dependent upon recruitment and retention within the in-house Care Delivery Service.


If the decision is agreed at ICE, the Director of Adults and Health will be recommended to agree the extension of the service for a further period of up to 9 months and agree a new lease with HC-One to facilitate this.

Impact On Wards

Admissions to the service will be predominantly from LTHT for people who live across the city

Financial and procurement implications

The temporary service will be funded on a 50/50 basis by the Leeds Clinical Commissioning Group and Adults and Health

Partnership working

The Clinical Commissioning Group are part funding the service and Leeds City Council will be the lead provider. The decision on whether to extend the service will be made at the Integrated Commissioning Executive.


Decision type: Key

Reason Key: Financial Impact>£500K;

Decision status: For Determination

Wards affected: (All Wards);

Notice of proposed decision first published: 19/05/2022

Decision due: June 2022 by Director of Adults and Health

Lead director: Director of Adults and Health

Department: Adult and Health

Contact: Mark Phillott, Commissioning Manager 0113 3783923 Email:

Consultation process

Consultation will be undertaken with staff and Trade Union colleagues and the Executive Member



Staff and Trade Union colleagues, and Executive Member for Adults Social Care, Children’s Social Care and Health Partnership.


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  • DDN