Agenda and minutes

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Items
No. Item

31.

Apologies

32.

Minutes pdf icon PDF 77 KB

    Members are requested to approve the Minutes of the Meeting held on

    the 30th July 2019.

    Minutes:

    The Chief Finance Officer for Health & Social Care Integration requested that Minute Number 22, Paragraph 2 have the following wording added;

     

    “The Chief Finance Officer for Health & Social Care Integration reported that this increase had resulted in an additional contribution of £265k to the Revenue Budget and Forecast at June 2019 period end. Members were asked to consider and agree to release these monies to go against the recurrent pooled budget gap, the amount agreed was £265k, subject to confirmation that the Adult Social Care protection was in line with the National Guidance minimum requirement”.

     

    A Member stated that at the meetings held in March, June and July 2019, Members had a detailed discussion around the pooled budget and although Members had agreed the recommendations contained within the report included with the Agenda, they had raised some points. It was noted that these points had not been included within the Minutes. Members were reminded that the Minutes for the ICB were written in regards to Local Government legislation that did not record individual concerns, but reported on the consensus of the meeting. It was highlighted that if Members felt strongly about a particular point that they had raised, they could ask for it to be include in the Minutes during the Meeting.

     

    The Assistant Director for Legal, Workforce and Governance and Council Monitoring Officer reminded the Board that the Minutes of the ICB were not intended to record individual Members concerns, but to reflect who was at the meeting and what was resolved. The Monitoring Officer highlighted to Members that there was an option open to them if they want the public to see ICB debates and that was to webcast meetings, which was becoming common practice nationally.

     

    RESOLVED

     

    1)           That the Minutes of the meeting held on the 30th July be agreed as a correct record subject to the inclusion of the following after the second paragraph of Minute 22.

     

    “The Chief Finance Officer for Health & Social Care Integration reported that this increase had resulted in an additional contribution of £265k to the Revenue Budget and Forecast at June period end. Members were asked to consider and agree to release these monies to go against the recurrent pooled budget gap, the amount agreed was £265k, subject to confirmation that the Adult Social Care protection was in line with the National Guidance minimum requirement”.

     

    2)         That the Accountable Officer, Joint Director of Commissioning/DASS and Senior Governance Officer look at the provision to webcast public parts of future ICB meetings if it was appropriate.

     

33.

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 declaration of interests declared.

34.

Items for Exclusion of Public and Press

    To determine any items on the agenda, if any, where the public are to be excluded from the meeting.

    Minutes:

    The Chair informed the Board that there was one item on the Agenda that would require the press and public to leave the room during the discussion of those items.

35.

Urgent Items of Business

36.

Verbal update from the FPR sub group

    The Board will receive a verbel update on the work of the Finance, Performance & Risk Sub Group from the Chief Finance Officer for Health & Social Care Integration.

    Minutes:

    The Chief Finance Officer for Health & Social Care Integration provided the Board with a verbal update on the work of the Finance, Performance and Risk Sub-Group.

     

    Members were informed that the Sub-Group had been looking at Deep Dives included elsewhere on the Agenda, the transformation fund monthly activity monitoring and Risk.

     

    RESOLVED

     

    That the update be noted.

37.

Finance Monitoring Report - P4 pdf icon PDF 170 KB

    The Chief Finance Officer for Health & Social Care Integration will provide Members with a Finance Monitoring report covering period 4.

    Minutes:

    The Chief Finance Officer for Health & Social Care Integration provided the Board with an update on the financial position of the pooled budget for the financial year 2019/20 as at the end of July 2019. It was noted that the pooled budget excludes the Better Care Fund (BCF) and the Greater Manchester Transformation funding, which were being reported separately to the ICB in 2019/20.The pooled budget had been amended to take into account the savings reported at previous reports to ICB.

     

    Members were informed that the gap on the Health & Social Care Pool budget for 2019/20 was £11.7m at the end of July 2019, it was noted that this was a reduction of £1.0m since the position reported in May 2019.

     

    It was reported that as of July 2019 a forecast overspend of £3.3m against the pooled budgets was being reported, this was an increase of £1.4m since the position reported in May 2019.

     

    The Chief Finance Officer for Health & Social Care Integration outlined that the total in year pressure for the Health & Social Care Pool budget pool was £15.0m as at the end of July 2019, which was a £0.4m increase since the position reported in May 2019.

     

    It was noted that the forecast overspend of £3.3m included £1.9m of health related pressures and £1.4m of Adult Social Care related pressures. Public Health was forecasting a nil variance.

     

    Members held a discussion around the budget and the £15 million deficit, it was noted that options and position statement to tackle the deficit was included in Agenda (Minute No 40). It was suggested that table one included in Agenda item 10 on could be included in this Agenda item in future versions of this report to highlight direction of travel with regards to the budget.

     

    RESOLVED

     

    1)     That the integrated Commissioning Board note the funding gap as at the end of July 2019 on the pool as £11.7m and further note that work is underway to address the gap in 2019/20.

     

    2)     That the Board note a £3.3m overspend being reported against the pool budget for 2019/20 (£1.9m on Health related budgets and £1.4m on Adult Social Care) bringing the total pool pressure to £15m.

     

    3)     That the Board note the latest forecast overspend on Children’s Social Care as reported to Cabinet as £4.6m.

     

    4)     That the table 1 from the budget savings report be included within future Finance Monitoring reports.

38.

ICB Terms of Reference pdf icon PDF 121 KB

    The Chair will present to the Board the Terms of Reference for the Integrated Commission Board for approval.

    Minutes:

    The Chair presented to the Board the Terms of Reference for the Integrated Commission Board for their approval.

     

    RESOLVED

     

    That the Terms of Reference for the Integrated Commission Board be approved.

39.

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 two items of business, in accordance with the provisions of Section 100A (4) of the Local Government Act 1972, as amended.

40.

TRANSFORMATION DEEP DIVES and budget savings

    The Committee will receive a report on Transformation deep dives and budget savings proposals by the Strategic Commissioning Programme Director.

    Additional documents:

    Minutes:

    The Strategic Commissioning Director provided the Board with a combined report on the ICB Deep Dives that had been completed to date and had been through the agreed governance process and reported on the  2019/20–2020/21 Savings Programme.

     

    The Board held discussions around governance routes for the Savings Programme prior to submission to ICB, the impact of savings as percentages against departmental budgets, the role of Overview and Scrutiny on transformation, and payments for services.

     

    RESOLVED

     

    1)        That the ICB to approve implementation of the suggested recommendations to immediately cease investment totalling £268k for 2019/20 as outlined.

     

    2)        That discussions held around the entire transformation programme be noted and a report brought to the meeting to be held on the 30th September 2019.

     

    3)        That the governance route for existing savings proposals be noted.

     

    4)        That the business case for the implementation of a new single GP referral and treatment pathway for HMR patients with musculoskeletal (MSK) conditions be approved.

     

    5)        That the next meeting of the ICB be updated on the role of Overview and Scrutiny in scrutinising the transformation programme.

     

    6)        That the ICB Agree with the advice of the NES commissioned clinical audit from Mersey Internal Audit Agency that the ICB pay only 50% of none evidenced referrals, if no evidence can be provided, subject to small amount of discretion to the Chief Finance Officer for Health & Social Care Integration during negotiations.

     

    7)        That future saving reports to ICB include impact of savings as a percentage against individual service delivery budgets e.g acute, mental health, community services, for comparison purposes.