Agenda and minutes

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Items
No. Item

79.

Apologies

80.

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.

81.

Items of Urgent Business

82.

Minutes pdf icon PDF 76 KB

    To consider the Minutes of the meeting of the Shadow Integrated Commissioning Board held 28th February 2018 and that meeting’s actions list. (10 minutes)

    Additional documents:

    Minutes:

    The Shadow Integrated Commissioning Board considered the minutes of the previous meeting held 28th February 2018.

     

    Further to Minute 71 Dr Chris Duffy, on behalf of HMR CCG, stated that the CCG’s membership of the Integrated Commissioning Board was still subject to clarification, insofar as the status of HealthWatch Rochdale’s representative was to be clarified and it was hope that this issue would be resolved ahead of the Board’s next meeting on 10th April 2018.

     

    Further to minute 71, the Chair requested the inclusion of an action requesting a report on a Communications, Participation and Engagement Strategy and it was agreed that a report on this matter would be submitted to a future meeting. 

     

    Further to minute 77 (QIPP Programme), the Board was advised that the decisions contained therein were to be consulted upon.

     

    The Board were advised that further to the development session, held in January 2018, a further two targeted sessions were due to be held during the summer of 2018 and further details would be forwarded to ICB members in due course.

     

    Decision:

    1.    That the minute in relation to no 77 (QIPP Proposals) be amended to reflect that the decisions made therein were for consultation at this stage

    2.    Further to minute 71, information clarifying the Clinical Commissioning Group’s membership of the Integrated Commissioning Board be reported to the next meeting on 10th April 2018;

    3.    A report on a Communications, Participation and |Engagement Strategy be submitted to a future meeting of the Board.

83.

Joint Strategic Needs Assessment - Summary Document pdf icon PDF 5 MB

    Director of Public Health to report – for information (10 minutes)

    Minutes:

    The Director of Public Health submitted a report that provided a summary of some of the findings from the Borough’s Joint Strategic Needs Assessment (JSNA). The complete JSNA would be developed as webpages that could be updated and browsed.

     

    The JSNA was a tool that described and helped understanding of the needs and resources of the Borough’s population. It can be used in different ways. One important use is for planning services to meet the needs of our residents and communities. Another was to help develop ways to improve health and wellbeing. Another was to help prevent illness, accidents or harm. The JSNA is an ongoing story about how the population is made up, how healthy it is and the resources people have to help them stay healthy. To inform the JSNA information is gathered from local professionals, services, statistics and local people. The aim is to have an accurate understanding of previous patterns, current need and use this to predict future needs. It is therefore an ongoing process of understanding the population rather than a fixed state.

     

    In terms of wellbeing, a wellbeing approach was seen as central to how the Borough can tackle needs that have been identified. Wellbeing is about practical welfare, relationships and ‘mind and body’ feelings. People tend to use fewer services and are generally healthier if they have good wellbeing. Here wellbeing covers taking charges of life and health. Wellbeing is also about what people can do and be, going beyond the material.

     

    The JSNA also examines life course and much of the JSNA is presented in relation to a life course from ‘cradle to grave’. A life-course approach was described as aiming to increase the effectiveness of interventions throughout a person’s life, focusing on a healthy start to life and targets the needs of people at critical periods throughout their lifetime. Life course promotes timely investments with a high rate of return for health and the economy by addressing the causes, as well as the consequences, of ill health. For many, the critical periods of their life occur during transition phases from one part of their life to another. These include first going to school, entering the workplace and retirement.

     

    The Board discussed the document in some detail, commending its aims and aspirations and requesting clarification on a number of issues contained therein. These included the role of General Practitioners, noting the large number of unnecessary presentations at the hospital’s accident and emergency unit. Mental Health was also an issue that prompted much discussion and it was noted that this was referenced on multiple occasions in the JSNA document. It was noted (in the Mortality and Illness Section) that life expectancy in the Rochdale Borough was ‘levelling off’ and it was suggested that a report be submitted to a future meeting analysing the fall in life expectancy in the Borough.

     

    The JSNA was due to be submitted to the Health and Wellbeing Board’s next meeting on 27th March 2018, after which it  ...  view the full minutes text for item 83.

84.

Twelve Month Review of Integrated Commissioning

    Director of Commissioning/DASS to report (30 minutes)

    Minutes:

    The Director of Commissioning reported that the Local Care Organisation (LCO) was presently on course to ready for formal commencement by the end of March 2018. The Gateway process had now been formally established and agreed by the LCO’s Board including its contracting arrangements and its scope.

     

    In addition to Core Plus 2 there were 17 transformation interventions including mobilised interventions, that had been agreed should come under LCO responsibility from 1st April 2018.  The new contract was to be in place for the revised areas of responsibility from 1st April 2018, following completion of the Due Diligence process. All aspects of the Due Diligence process were subject to final clarification and review.

     

    There was in place a target date for the completion of the due diligence process to be achieved by April 2018. The implementation of the Organisational Development programme recommendations were also to be achieved by April 2018. The target for agreement of the contractual scope of the LCO for April 2018 to March 2019 had been met, so this action was ready for implementation. And agreement had also been reached as to the contractual arrangements of the LCO from April 2018. Agree approach to LCO development until 2021 by March 2018 including:Contract scope and services transition.

     

    Decision:

    1.    The Gateway approach, as detailed in the report and presentation be approved in principle;

    2.    The Gateway timeline, as detailed in the report and the presentation be approved in principle;

    3.    The Board accepts the Gateway content, as detailed in the submitted report, in principle

85.

Local Care Organisation Gateways and Business Development pdf icon PDF 118 KB

    Director of Commissioning/DASS and Programme Director to deliver a presentation at the meeting (25 minutes)

    Additional documents:

    Minutes:

    The Integrated Commissioning Board considered a report of the Director of Joint Commissioning that gave consideration to the Local Care Organisation and Business development.

     

    The LCO was to have responsibility for all health and care service delivery and this approach would support that successful transition from the current ways of working to the new over this timeline.

     

    Underpinning the whole implementation process will be an oversight of Quality Directives and assurance, seeking that there is adherence to National and Local imperatives in relation to Safeguarding. This should ensure that the responsibility to protect children and adults at risk from abuse and harm is fulfilled in accordance with statute and statutory guidelines by the Alliance.

     

    The Board discussed the various risks associated with this matter and agreed that a report thereon be submitted to the Board in due course

     

    Decision:

    1.    Gateway approach and content, as detailed in the submitted report be approved,

    2.    that the LCO’s proposed Business Plan requirements, as detailed, in the submitted report,

    3.    that the Gateway timeline, as detailed in the submitted report, be approved,

    4.    that the proposed outcomes and performance proposals, detailed in the submitted report be approved,

    5.    that any proposed amendments to the April 2018 Gateway be delegated to the Council’s Chief Executive to determine;

    6.    a report detailing the development of a risk and reward agreement between the LCO and the Strategic Commissioning team be submitted to a future meeting.

     

    Reasons for the recommendations:

    The Local Care Organisation for Rochdale Borough requires that the transfer of Health, Care and Wellbeing services to effectively deliver the new models of care. This would in turn support the ambition outcomes and requirements of the Rochdale Locality Plan and taking charge at a “Greater Manchester” level.

86.

Exclusion of Press and Public

    To consider that the press and public be excluded from the remaining part of the meeting pursuant to Section 100(A)4 of the Local Government Act 1972 on the grounds that discussions may involve the likely disclosure of exempt information as defined in the provisions of Part 1 of Schedule 12A to the Local Government Act 1972 and public interest would not be served in publishing the information.

    Minutes:

    Decision:

    That the Press and Public be excluded from the meeting during consideration of the following item of business, in accordance with the provisions of Section 100A (4) of the Local Government Act 1972, as amended.

     

    Reason for Decision:

    Should the press and public remain during debate on this item there may be the disclosure of information that is deemed to be exempt under Part 1 of Schedule 12A of the Local Government Act 1972.

87.

Adult Care Fee Levels for Commissioning Services for 2018/19

Minutes:

The Integrated Commissioning Board (ICB) considered a report of the Assistant Director (Adult Care) which sought approval of proposed fee rate increases for a range of Adult Social Care services delivered by externally commissioned providers in Rochdale Borough.

 

The ICB was required to make the decisions in this regard as it fell within the context of the Council’s statutory responsibilities in relation to the Adult Social Care Market as set out in the Care Act 2014. The Care Act requires that the Council ensures that there is a sustainable market to meet the adult social care needs of its residents. The duties include a requirement that Councils pay fees at a level that enables providers to retain an effective workforce and, at least, to comply with the National Living Wage (NLW). 

             

The Council’s Adult Social Care, wherever possible, worked collaboratively with providers to reach agreement regarding contracting issues including fee levels. Consequently, a four week period of consultation had commenced with Home Care, Outreach, Care Home and Supported Living providers on 1st February 2018 on the proposed new fee rates. Feedback from consultation has been taken into account and the proposed fee rate increases were amended based on this feedback.

 

Alternatives considered:

The Board could decide not to award an increase because of the financial constraints within which it is operating and the significant risks associated with such a decision were detailed in the report

 

Decision:

1.    That the Integrated Commissioning Board notes the current challenges in the adult care provider market including the impact of the new National Living Wage;

2.    The Board approves the increase in fee rates as detailed in paragraph  4.48 of the submitted report.

 

Reason for the decision:

The Board had duties, delegated to it by the Council, under the Care Act to ensure that there was a sustainable market to meet the adult social care needs of its residents. The duties included a requirement that Council’s pay fees at a level that enables providers to retain an effective workforce and, at least, to comply with the new National Living Wage. The fees that were recommended in the report were assessed as being sufficient to maintain the adult social care market in its current state.

88.

Health and Social Care Shadow Pool Budget Report - Period 10 2017/18

Minutes:

The Integrated Commissioning Board considered a report of the Chief finance officers (CCG/RBC) that presented an update on the current position of the shadow pooled budget for Health and Social Care for the financial year 2017/18 at 31st January 2018.

 

The shadow pooled budget included Adults Health and Social Care, Public Health and Children’s Health and Social Care budgets.  

 

At a 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 meeting recommended that the pool be expanded to include Children’s Health and Social Care which had been incorporated into the report.

 

Decision:

That the report be noted.