Agenda and minutes

Venue: Rochdale Leisure Centre, Entwisle Road, Rochdale, OL16 2HZ. View directions

Contact: John Addison  01706 924715

Note: Reconvened Meeting 

Items
No. Item

70.

Apologies

    To receive any apologies for absence.

    Minutes:

    The Chair welcomed everyone to the reconvened meeting of the Integrated Commissioning Board from the 27th November 2018. The Chair reminded the board that as the meeting held on the 27th November 2018 was not quorate, a number of items had been discussed, but no legal decisions had been taken. With the agreement of the board, the Chair declared that for transparency they would go through each Agenda item in turn and formally resolve each item.

     

    The Board further agreed to take Agenda items 12, 13 and 10 first proper items of business.

     

    APOLOGIES

     

    Apologies were received by Dr Alam (Substitute Karen Hurley) and Joanne Newton (Substitute Peter Riley).

     

71.

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:

    Councillor Heakin and Dr Duffy declared non-pecuniary interests in agenda item 13 – Saving Proposals.

     

72.

Minutes pdf icon PDF 73 KB

73.

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:

    RESOLVED:

     

    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 (3) of the Local Government Act 1972, as amended.

     

    Reason for Decision:

     

    Should the press and public remain during the debate on this item there may be a disclosure of information that is deemed to be exempt under Part 3 of Schedule 12A of the Local Government Act 1972.

     

74.

Savings Proposals pdf icon PDF 195 KB

    The Integrated Commissioning Board are asked to consider the savings proposals. (30 Minutes)

    Additional documents:

    Minutes:

    The Chair reminded the Board of discussions Members had with regards to Savings Proposals to contribute to closing the budget gap for the Integrated Health & Social Care Pooled Fund for 2019/20 & 2020/21.

     

    RESOLVED:

     

    1)            That the ICB approve the savings programme timetable contained in appendix 1 of the report.

     

    2)            That the ICB accept the proposals contained within the private report and recommend them for implementation/consultation as appropriate.

     

75.

Posture and mobility pdf icon PDF 148 KB

    The Committee will consider the proposed changes to service specification for the Posture and Mobility Centre. (10 Minutes)

    Additional documents:

    Minutes:

    The Director of Operations and Executive Nurse provided the Board with a report on the proposed changes to service specification for the Posture and Mobility Centre.

     

    It was reported that the review of the Posture and Mobility services provided by Pennine Care Foundation Trust had jointly been undertaken in collaboration with Bury CCG, as at present the service was not efficient in terms of waiting times for patients in its current form.

     

    It was noted that three broad options for change had been proposed as a result of the review for Board Members to consider. It was reported that at the appropriate point a thorough review would be made of the impact of each of the proposed options which would inform the decision on any requirements for consultation in due course.

     

    Option 1:        Involved reviewing the process to offer a wheelchair unconditionally and replace it with a needs-based approach.

    Option 2:        Is a proposal to withdraw the provision of wheelchairs where they are currently in place across a number of care homes in the Borough. An audit of chairs in current circulation had revealed that many were not in good working order and so the action would mitigate the risk of a patient being transported in a broken chair that had been provided by the commissioned service. It was noted that this proposal was to withdraw the pool chairs in current circulation at selected homes and it would not affect the assessment and provision of a chair to someone in the care home who required it on a personal basis.

    Option 3:        Proposes to cease some of the provision of wheelchairs for children and adults where there is no postural permanent mobility need. At present, the service provided chairs for these patients to use on an infrequent basis for trips and specific occasions. This equates to 9% of the provision that the service makes for children’s wheelchairs as a whole. Other service providers would be accessed if this proposal was agreed. There would be no change to the provision of wheelchairs to children or adults who do have postural or mobility needs.

     

    In response to a question around the policy for wheelchair issue and return, Members were informed that un-needed wheelchairs should be returned to the service and work had been done to improve return rates that now stood at 60%.

     

    The Board held a discussion around savings from the proposals and with Officers stating that the aim of the proposals was about efficient use of resources but gave assurances that any savings generated would be reinvested back into the service. Members further requested that the criteria for assessment be brought back to a future meeting of the Board and that a report be presented to the Board in 12 months’ time on the return of unneeded wheelchairs and equipment.

     

    RESOLVED:

     

    1)            That the three options listed above, to improve access to posture and mobility services whilst a wider review was undertaken be approved.

     

    2)            That the criteria for assessment  ...  view the full minutes text for item 75.

76.

Items for Exclusion of Public and Press

77.

Transformation Position Statement

    The Committee will receive a presentation on the Transformation Position Statement. (45 Minutes)

    Minutes:

    The Chair reminded the Board about the presentation received by the Strategic Commissioning Director for the CCG and the Chief Officer for the Local Care Organisation at the adjourned meeting held on the 27th November 2018.

     

    RESOLVED:

     

    That the Officers be thanked and that the presentation on the Transformation Position Statement be noted.

     

78.

Integrated Commissioning Board - Terms of Reference pdf icon PDF 99 KB

79.

Clinical professional Advisory Panel (CPAP) - Terms of Reference pdf icon PDF 136 KB

80.

Outcomes framework pdf icon PDF 202 KB

    For the Committee to receive a report on the Outcomes Framework. (10 Minutes)

    Minutes:

    The Board was remined that it had previously received a presentation on the options for an Outcomes Based Framework for Rochdale at a previous meeting. The Board was now being asked to consider and formally approve the adoption of outcomes-based commissioning and accountability in Rochdale, and to agree ten strategic outcomes as the foundation for our local Outcomes Framework;

     

    It was noted that the Ten proposed strategic outcomes for Rochdale Borough were:

     

    1.    All residents feel healthy and remain in good state of health for as long as possible.

    2.    All residents are protected from harm, through support in times of need and by safeguarding and protecting those who are vulnerable.

    3.    All residents have good mental wellbeing, are resilient, enjoy life, and are able to cope with life’s challenges.

    4.    All children are healthy and ready to succeed when they start school and all children and young adults achieve their potential.

    5.    All residents have the opportunities they need to enable them to help themselves, their loved ones and their communities to achieve their full potential.

    6.    The borough is a place where people age well, can live with dignity and have equitable access to services and opportunities.

    7.    The borough is safe, resilient, and clean and has good quality places where people choose to live, work and invest.

    8.    The borough has thriving growing businesses and new enterprises and creates the conditions for high skill levels and high-quality jobs.

    9.    The borough has sound finances and is able to provide services to meet resident’s needs now and in the future.

    10. The borough is friendly, fair and co-operative.

     

    RESOLVED:

     

    That the Outcomes Based Framework be approved and adopted.

     

81.

Family Service Model

    Members will receive a verbal update on the Family Service Model. (10 Minutes)

    Minutes:

    The Chair reminded the Board of the verbal update on the Family Service Model in regards to the current position of the Pennie Care NHS Foundation Trust (PCFT), received at the adjourned meeting held on the 27th November 2018.

     

    In response to a question around timescales on the Family Service Model, it was reported that a meeting had taken place on the 3rd December with the PCFT and a further meeting was scheduled to take place on the 10th December 2018. An update would be brought back to ICB in January 2019.

     

    RESOLVED:

     

    That the verbal update be noted.

     

82.

Performance Report - for information pdf icon PDF 134 KB