Agenda and minutes

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Items
No. Item

18.

Apologies

19.

Declarations of Interest

    Members are required to declare any disclosable pecuniary, personal or personal and prejudicial interests they may have and the nature of those interests relating to items on this agenda and/or indicate if S106 of the Local Government Finance Act 1992 applies to them.   

    Minutes:

    There were no declarations of interests.

20.

Urgent Items of Business

    To determine whether there are any additional items of business which, by reason of special circumstances, the Chair decides should be considered at the meeting as a matter of urgency.

    Minutes:

    The Chair advised that an additional item of business entitled ‘Better Care Fund 2017 – 2019 Planning Template’, should be accepted onto the agenda as a late item on the grounds that Board members needed to be advised of the report’s content prior to the next meeting on 10th October 2017.

     

    Decision:

    The report ‘Better Care Fund 2017 – 2019 Planning Template’ be accepted onto the agenda.

21.

Minutes pdf icon PDF 70 KB

22.

Better Care Fund Section 75 Agreement 2017/18 pdf icon PDF 114 KB

    Additional documents:

    Minutes:

    The Assistant Director of Adult Care advised that Section 75 of the National Health Service 2006 Act gave powers to local authorities and health bodies to establish and maintain pooled funds out of which payments may be made towards expenditure incurred in the exercise of prescribed Local Authority functions and prescribed National Health Service (NHS) functions. In order to operate a pooled budget the partners are required to have a Section 75 agreement.

     

    The submitted report recommended updates to the Section 75 Agreement for 2017/18.

     

    Alternatives considered: It is a requirement of NHS England that a signed Section 75 agreement is in place and a copy is sent to them, therefore there were no alternative options to consider.

     

    Decision: (1) The Integrated Commissioning Board approve the amendments to the Section 75 agreement for 2017/18, as detailed in the submitted report.

    (2) the Council’s Health and Wellbeing Board be requested to consider this report, at a future meeting for information purposes.

     

    Reasons for the Decision: In order to be able to carry out the joint service provision in the pooled budget the partners required a Section 75 agreement to be in place and a signed copy shared with NHS England and the submitted report provided the Integrated Commissioning Board with an updated section 75 Agreement for the Better Care Fund for 2017/18.

23.

Options for use of the carried forward Capital funding in the Better Care Fund (BCF) pdf icon PDF 136 KB

    To consider a report of the Director of Adult Care Services

    Minutes:

    The Assistant Director of Adult Care reported that in relation to capital funding in the Better Care Fund there was a carry forward of £1,177,500 which was made up of £672,000 general capital funding and £505,500 of Disabled Facilities Grant (DFG) capital funding.

     

    The general capital funding carry forward was as a consequence of a successful bid to NHS England for capital to fund the refurbishment of the Springhill Resource Centre.

     

    The submitted report put forward potential projects for the use of the capital funding carry forward.

     

    In considering the report it was recommended that members of the Integrated Commissioning Board delegate to the Joint Director of Integrated Commissioning, in consultation with the Portfolio Holder for Corporate and Resources, the priorities for the investment of these funds in order to progress transformation schemes which offer the biggest potential savings to close the locality financial gap at the earliest opportunity. Should the locality be successful in securing capital funds from any other sources the BCF capital fund will be recompensed.

     

    Alternatives considered: The capital carry forward does not have to be spent in 2017/18 and it can be carried forward again into 2018/19. However, as there were proposals that will support the implementation of the Integrated Commissioning Directorate’s strategic plans which will support the objective of having a sustainable health and social care system it would be beneficial to have an outline capital programme for this funding.

     

    Decision: (1) the Integrated Commissioning Board notes that the options for use of the £672,000 Better Care Fund capital funding carried forward into 2017/18 and agrees the that prioritisation be delegated to the Joint Director of Integrated Commissioning in consultation with the Council’s Portfolio Holder for Corporate and Resources;

    (2)  The Integrated Commissioning Board approves the proposed options for the use of the £505,500 DFG capital funding carried forward into 2017/18;

    (3) a report updating the Board on DFG funding be submitted to the Board’s meeting in November 2017.

     

    Reasons for the recommendation: Capital funding of £672,000 was carried forward into 2017/18. There are a number of priority capital projects in the transformation plan. The report provides options for the use of the available capital which the Integrated Commissioning Board was asked to consider. The DFG Capital funding of £505,500 was carried forward into 2017/18. This funding had to be spent within the guidance for DFGs. The submitted report proposed a number of projects which fit within the criteria for DFGs which the ICB are asked to approve.

24.

Health and Social Care Shadow Pool Budget Report - Period 4 2017/18 pdf icon PDF 208 KB

    Chief Finance Officers to report.

    Additional documents:

    Minutes:

    The Board considered a report of the Council’s Interim Director of Resources which updated the Integrated Commissioning Board (ICB) on the current position of the shadow pooled budget for Health and Social Care for the financial year 2017/18. The shadow pooled budget  currently includes Adults Health and Social Care but this will be expanded to incorporate Children’s Health and Social Care in the period 6 monitoring due to be reported to the November ICB, as agreed at the last meeting on 8th August 2017.

     

    The current position shows an anticipated in-year overspend of £1,500,000 which includes £400,000 in year saving in Adult Social Care which will be carried over as a reserve against 2018/19 locality pressures and a £1,900,000 pressure in the Clinical Commissioning Group (CCG) which will be funded from the CCG contingency and reserves in 2017/18.

     

    Alternatives considered: the operation of a shadow pooled budget allows learning taking place prior to the formal pool which will be in place from April 2018 as part of the agreement for Transformation Funding from Greater Manchester (GM) Health and Social Care Partnership.

     

    Decision: (1) the Integrated Commissioning Board notes the current position for the shadow pooled budget for 2017/18;

    (2) the Integrated Commissioning Board notes that the Children’s Health and Social Care budgets will be brought into the shadow pooled budget from period 6 (2017/18) which will be reported at the ICB meeting in November 2017.

     

    Reasons for the recommendation: At a previous meeting in April 2017 the Integrated Commissioning Board agreed that Adults Health and Social Care, prescribing and Public Health budgets would form part of the shadow pooled budget for 2017/18 and regular monitoring was agreed. A further report to the August 2017 Integrated Commissioning Board recommended that the pool be expanded to include Children’s Health and Social Care and this will be incorporated into the period 6 monitoring report due to the Integrated Commissioning Board in November 2017. This report updates the Board on the current budgets being included in the pooled budget and monitoring position as at the end of July 2017.

25.

Recruitment of Independent Chair

    Joint Director of Integrated Commissioning to report.

    Minutes:

    Further to minute 14 of the Board’s last meeting on 8th August 2017, the Joint Director of Commissioning updated the Board on progress relating to the recruitment of an independent Chair of the Integrated Commissioning Board.

     

    Decision – That the report be noted.

26.

Better Care Fund 2017 - 2019 Planning Template

    Minutes:

    The Assistant Director of Adult Care submitted a template that was intended to be considered in conjunction with the Better care Fund Policy Framework document and the Better Care Fund Planning Requirements document which provides the background and further details on the planning requirements for 2017 – 2019.

     

    Decision: that the report be noted.