Agenda and minutes

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Items
No. Item

82.

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 interest.

83.

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 advised that agenda item 6 – Savings Programme Update, would be taken as a private item on the grounds that pursuant to Section 100(A)4 of the Local Government Act 1972 that presentation and subsequent discussions would 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.

     

    RESOLVED

    That the Savings Programme Update be considered following the exclusion of press and public.

84.

Minutes pdf icon PDF 73 KB

    To consider the minutes of the meeting of the Integrated Commissioning Board held on 28 January 2020

    Minutes:

    It was advised that Dr York was not in attendance at the meeting of the Integrated Commissioning Board held on 29 January 2020.

     

    RESOLVED

    That with the amendment detailed above, the minutes of the meeting of the Integrated Commissioning Board held on 29 January 2020 be approved as a correct record.

85.

Health and Social Care Pooled Budget Monitoring Report- January 2020 pdf icon PDF 164 KB

    To receive a report of the The Chief Finance Officer for Health & Social Care Integration.

    Minutes:

    The Integrated Commissioning Board received a report from the Chief Finance Officer on the financial position of the pooled budget for the financial year 2019/20 as at the end of December 2019. It was noted that the pooled budget excluded the Better Care Fund and the Greater Manchester Transformation funding which were being reported separately to the Integrated Commissioning Board in 2019/20. The pooled budget had been amended to take into account savings proposals that had previously been reported to the Integrated Commissioning Board.

     

    It was reported that as at the end of December, it was forecast that the Health & Social Care (H&SC) Pool budget would be balanced for 2019/20 due to one off contributions identified by both partners.  This was subject to a one off contribution of £0.8m from the LA that will only be made if required at year end, and as at the end of January the forecast pressure outstanding remains at £0.8m.

     

    The forecast overspend against pooled budgets as at the end of January had increased by £0.1m to £3.9m, due to an increase in the health-related pressures to £2.7m from £2.6m. The increase was in relation to a £0.4m increase in prescribing costs offset by a £0.3m reduction in Learning Disability/ Mental Health costs. 

     

    RESOLVED

    1.    That the pressure on the H&SC pool budget as at the end of December is £0.8m and resources required to fund the gap, are noted.

    2.    That it be noted there is a £3.9m overspend being reported against the pool budget for 2019/20 (£2.7m on Health-related budgets and £1.2m on Adult Social Care), however these have been partially offset by the agreed one-off contributions from the LA and CCG, with only a £0.8m pressure outstanding.

    3.    That the latest forecast overspend on Children’s Social Care reported to Cabinet is £2.9m. This is being reported for information only, as the in-year overspend is managed by the LA and does not form part of the pool.

     

    REASON FOR RESOLUTION

    Updates to the integrated Commissioning Board on the Health and Social Care pooled budgets for 2019/20 are required in line with National Health Service England (NHSE) guidelines and the Greater Manchester Health and Social Care Partnership requirements. As part of operating a pooled budget regular monitoring reports are required.

     

    ALTERNATIVES CONSIDERED

    The operation of a formal pool in 2019/20 is in line with the requirements of the Greater Manchester Health and Social Care Partnership and builds on the shadow pool that was operated by the ICB in 2017/18 and is in line with 2018/19 reporting; therefore there are no alternatives to consider.

     

86.

Alzheimer's Society grant agreement 2020/21 pdf icon PDF 141 KB

    To receive a report from the Director of Commissioning

    Minutes:

    The Integrated Commissioning Board considered a report of the Director of Commissioning which sought approval to re-issue a grant agreement to the Alzheimer’s Society at £156,002 for twelve months to support the provision of the post diagnostic support for people diagnosed with dementia in Heywood, Middleton and Rochdale.

     

    The Alzheimer’s Society had since September 2016 received the grant agreement to support the post.  It was reported that the service, along with other Mental Health grant funded services, was in the process of being reviewed, with the outcomes to be reported to the Integrated Commissioning Board.

     

    RESOLVED

    That approval be given to re-issue a grant agreement to the Alzheimer’s Society at £156,002 for twelve months to support the provision of the post diagnostic support for people diagnosed with dementia in Heywood, Middleton and Rochdale, subject to grant services reviews.

     

    REASON FOR RESOLUTION

    The grant will support continuation of post diagnosis dementia services to the residents of HMR living with dementia and their carer’s.

     

    ALTERNATIVES CONSIDERED

    Not renewing the contract would leave residents with no access to dementia post diagnostic services.

     

     

87.

Draft Joint Equality, Diversity and Inclusion Strategy 2020-2024 pdf icon PDF 209 KB

    • View the background to item 87.

    To receive a report from the Equality, Diversity and Inclusion Strategic Lead

    Additional documents:

    Minutes:

    The Integrated Commissioning Board considered a report of the NHS HMRCCG Equality, Diversity and Inclusion Strategic Lead which provided an update on the development of the proposed Joint Equality, Diversity and Inclusion Strategy 2020-24 and its role in helping satisfy Rochdale Borough Council’s and NHS Heywood Middleton and Rochdale Clinical Commissioning Group’s obligations under the Public Sector Equality Duty (section 149 of the Equality Act 2010).

     

    The report set out the proposed Joint Equality, Diversity and Inclusion Strategy 2020-24 and sought the views of the Integrated Commissioning Board.  This was the first joint EDI strategy of NHS Heywood Middleton and Rochdale Clinical Commissioning Group and Rochdale Borough Council.  Previously both organisations had their own equality and diversity strategies which have now expired.

     

    RESOLUTION

    That the Integrated Commissioning Board supports the proposed Joint Equality, Diversity and Inclusion Strategy (2020-24).

     

    REASON FOR RESOLUTION

    To meet the requirements of the section 149 of the Equality Act 2010 by providing a new set of joint equality objectives.

     

    ALTERNATIVES CONSIDERED

    There was no alternative considered in meeting Rochdale Borough Council’s and NHS Heywood Middleton and Rochdale Clinical Commissioning Group’s obligations under the Public Sector Equality Duty (section 149 of the Equality Act 2010).

     

     

     

88.

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.

89.

Savings Programme Update

    • View the background to item 89.

    To receive a presentation from the Director of Integrated Systems Development

    Minutes:

    The Integrated Commissioning 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 Pooled fund gap position reported in January was £16.2m with a savings programme identified of £12.8m leaving a gap of £3.4m. The CCG are currently updating the 20/21 financial plan to meet the national deadline for submission of the 5th of March so the figures are still subject to change.

     

    RESOLVED

    That the report be noted.

     

     

     

     

90.

Proposed Provider Fee Rates 2020/2021 Financial Year

    To consider a report of the Director of Commissioning

    Minutes:

    The Director for Public Health and Wellbeing presented the Board with a report that proposed new fee rates for externally commissioned care funded services and recommendations for fee increases for homecare, residential care and supported living services.

     

    The Integrated Commissioning Board considered options and implications of delivering a fee structure that enabled care providers to pay staff the Real Living Wage as opposed to the National Living Wage in the 20/21 financial year.  The proposed recommendation, although not delivering the Real Living Wage, did move fees closer to it.  The working assumption being that by the next financial year, 21/22, Home Care and Supported Living would be in line with the Real Living Wage. Care Homes will take longer with the forecast being that it would be delivered in 2023/24.

     

    RESOLVED

    That approval is given to an overall 5.1% increase in externally commissioned care and support fees, including the retention of for the next financial year, 2020/21.  This is forecast to increase costs by £3.46million, which has been allocated to Adult Social Care as part of the budget setting process.

     

    REASON FOR RESOLUTION

    The Care Act requires the LA to ensure that there is a sustainable market to meet the adult social care needs of its residents.  The duties include a requirement that LA’s pay fees at a level that enables providers to retain an effective workforce and, at least, to comply with the National Living Wage.

     

    ALTERNATIVES CONSDIERED

    Not to increase the fee levels represents a cut of fee levels in real terms and the council would need to be able to clearly demonstrate how this would be achievable by providers and still meet the essential costs of care and could leave the Council in breach of Statutory duties under the Care Act 2014. 

     

    To achieve the delivery of the Real Living Wage across all providers in the fees allocated for 20/21 would increase cost by £1.963m.  To achieve the delivery of the Real Living Wage by rebalancing the fee rates paid to providers reducing the assumed provision for overheads and profit. This would reduce Council cost of moving to the Real Living Wage to £1.15m and would mean that local care providers would be asked to fund £0.8m of the increase in wages

91.

Contract negotiations - update

    To receive a presentation from Director of Finance / Director of Commissioning.

    Minutes:

    The Director of Adult Care provided a presentation which outlined the key features of the work undertaken to support the effective development of the Locality Care Organisations (LCOs) in the Borough, progress achieved within the delivery models and future plans to build on the outcomes based approach. 

     

    RESOLVED

    That the presentation be noted.