PwC for NHS England, 23 September 2016
- Cambridgeshire and Peterborough CCG (CPCCG) entered into a contract with Uniting Care Partnership LLP in November 2014 for the provision of older people’s services. The Older People and Adult Community Services contract was terminated in December 2015.
- This report examines the role of the CPCCG executive leadership and Governing Body through the procurement and contract period, the role of external advisors and the effectiveness of the Gateway review process.
- The key observations from the investigation are:
- A silo approach to the evaluation workstreams which reduced the communication of key risks
- Lack of clarity for collating, escalating and monitoring emerging risks and issues
- A Programme Board which provided limited capability to challenge the procurement process
- Diluted reporting to leadership which reduced the ability to make informed decisions on key risks
- Outsourcing ownership of concerns about financial sustainability despite these being raised consistently during the procurement process
- Parental guarantees were not communicated as a condition in the preferred bidder notification letter; three opportunities to put guarantees in place were missed
- Differing views of roles and responsibilities of Strategic Projects Team.
- Limited advisor input was retained by the CCG after preferred bidder selection when fundamental negotiations were occurring
- Cultural appetite and push to achieve a successful appointment within the tight delivery timeframes
- The report makes 21 recommendations.
- Read the Kings Fund analysis here
https://www.england.nhs.uk/mids-east/wp-content/uploads/sites/7/2016/09/ucp-proc-review-report.pdf
