Agenda and minutes

Venue: Council Chamber - Town Hall, Rochdale, OL16 1AB. View directions

Contact: John Addison  Senior Committee Services officer

Items
No. Item

57.

Apologies

    To receive any apologies for absence.

    Minutes:

    Apologies for absence were received from Councillor Iftikhar Ahmed (Rochdale Borough Council); Dr C. Duffy, K. Hurley and Dr A. York (HMR CCG).

58.

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:

    Doctor B. Alam declared a personal interest in agenda item 12 (Changes to 2019/2020 Savings Programme).

59.

Minutes pdf icon PDF 95 KB

    Members are requested to approve the Minutes of the Meeting held on the 29th October 2019.

    Minutes:

    Resolved;

    That the Minutes of the meeting of the Integrated Commissioning Board held 29th October 2019, be approved as a correct record.

60.

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 and Social Care Integration provided the Board with a verbal update on the work of the Finance, Performance and Risk Sub-Group.

     

    The Board was informed that the Sub-Group had been looking at various savings proposals (to be considered later on in this meeting), the transformation fund monthly activity monitoring and risk management.

     

    In considering the update the Board requested that a report detailing the financial position at the end of Period 9 (2019/20) be submitted to the meeting of the Board that is scheduled to be held on 28th January 2020.

     

    Resolved:

    1.    That the update be noted.

    2.    The Chief Finance Officer for Health and Social Care Integration be requested to submit a financial update report, detailing the position at the end of Period 9 (2019/20) to the Integrated Commissioning Board’s meeting on 28th January 2020.

61.

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

     

    Reason for the Decision:

    Should the press and public remain during debate on these three items there may be a disclosure of information that is deemed to be exempt under Parts 1 and 4 of Schedule 12A of the Local Government Act 1972.

62.

LCO proposition

    For Members to receive a report on the LCO.

    Minutes:

    The Board considered a report and presentation of the Director of Commissioning/DASS which detailed proposals which set out a timeframe for the establishment of a whole system/population budget lead provider model and contract for the Local Care Organisation (LCO) to be fully mobilised by 1st April 2023.

     

    Resolved:

    1.    The Board approves the proposal to proceed with Phase 3 LCO development as outlined in the submitted report;

    2.    The Board approves in principle the long term proposition and support for the direction of travel for phases 4 and 5, and commencement of discussions with NHS England (NHSE) in relation to the development of an Integrated Care Provider Contract, after further consideration by a future meeting of the Integrated Commissioning Board.

    3.    A report be submitted to the Board’s meeting, scheduled to be held on 25th February 2020 regarding the development of the commissioning approach in Greater Manchester’s North East Sector.

     

    Reasons for the decision:

    The Board were reminded that at a previous meeting it had been agreed that a lead provider model for the LCO be established, and that a move toward a whole system, population budget, place based, approach to transform service delivery models and outcomes be put in motion. The Board was advised that the report’s recommendations were in line with the approach described in the Locality Plan, Greater Manchester Health and Social Care Integration, and with the recommendations from the Greater Manchester Commissioning Review.

63.

Approval to appoint a domicilliary care provider

    The Board are asked to consider a report on approval to appoint a domicilliary care provider for Harehill Extra Care housing scheme.

    Minutes:

    The Board were asked to consider a proposal, submitted by the Director of Commissioning/DASS, to appoint a domiciliary care provider for Harehill Extra Care housing scheme, Littleborough.

     

    Resolved:

    The Integrated Commissioning Board approves the appointment of Comfort Call as the new domiciliary care provider, as they were the highest ranked organisation following the approved procurement exercise.

     

    Reasons for the decision:

    The Adult Care Service had conducted a thorough evaluation process recommended that the contract should be awarded to Comfort Call Limited. They were the highest ranked organisation and were regarded as the best fit against the requirements of the service specification and required outcomes of the service.

64.

Delegated Contract Award: Children, Young People and Families Substance Misuse Service

    Members are asked to approve a report from the Young People and Families Substance Misuse Service.

    Minutes:

    The Integrated Commissioning Board considered a report of the Director of Commissioning/DASS that sought approval to delegate the contract award of the Children, Young People and Families Substance Misuse Service to the Director of Public Health following a comprehensive procurement process.

     

    Resolved:

    The Integrated Commissioning Board approves the delegation of the contract award of the Children, Young People and Families Substance Misuse Service to the Director of Public Health.

     

    Reasons for the decision:

    The Board was advised that the contract for the Children, Young People and Families Substance Misuse Service was due to expire on 31st March 2020; the procurement process to secure provision for this service over the next two to five years was underway; and to ensure the procurement process was completed on time, whilst allowing enough time for the new provider to complete the necessary implementation preparation delegated authority was required to be granted to the Director of Public Health to award the contract following a competitive procurement process.

65.

Transformation

    The Committee will receive an update on Transformation deep dives.

    Minutes:

    The Chief Finance Officer for Health and Social Care Integration presented a report that updated the Integrated Commissioning Board on expenditure incurred through to the end of October 2019 on the Greater Manchester funded Transformation Programme.

     

    The report evaluated the implementation of the Transformation Fund Programme noting that outturn expenditure reporting is a key indicator on the maturity of the interventions in terms of workforce and mobilisation and thus the achievement of strategic outcomes of the Locality Transformation Plan.

     

    Resolved:

    That the report be noted.

66.

Changes to 2019/20 Savings Programme

    The Committee will receive a report on savings proposals by the Strategic Commissioning Programme Director.

    Minutes:

    The Board considered a report of the Programme Director for Strategic Commissioning that provided an update on the Savings Programme. The Savings Programme had been through robust challenge at the Savings Delivery Board and this report presented in detail at the joint Finance, Performance and Risk Committee.

     

    The report described the impact on the savings for 2019/20 and how the savings programme would be impacted by the potential to agree a block settlement/year end deal with the acute provider. The report added that the impact of this agreement would reduce the total programme by £692,000; however only £59,000 of this is against the ‘probable’ case scenario. There had also been further reductions in the pipeline of £1,639,000.

     

    The report also provided an update on the savings programme for 2020/21 and 2021/22. This described the increase in the approved programme schemes of £3,500,000 and the subsequent reduction in pipeline scheme to £1,600,000, which is expected as schemes move out of the pipeline into the approved programme.

     

    Alternatives considered:

    The Integrated Commissioning Board could decide not to implement some or all of the proposals detailed in the report and provide alternate options to enable the achievement of a balanced budget.

     

    Resolved:

    1.     That the Integrated Commissioning Board notes the increase in the approved programme of £3,500,000 to £5,200,000 giving a total of £7,700,000 in the fully approved programme for 2020/2021.

    2.     The Board notes that the ‘pipeline’ has been reduced by £3,300,000 to £1,600,000 and which is as expected following the movement of schemes into the approved programme.

     

    Reasons for the decision:

    The recommendations supported the closure of the pooled budget gap in 2019/2020, 2020/2021 and 2021/2022.