Agenda and minutes

Venue: Zoom / YouTube

Contact: Michael Garraway 

Note: Due to Government guidance on social-distancing and the Covid-19 virus it will not be possible to hold a physical meeting. Arrangements have been made for the press and public to follow the public parts of the meeting via Zoom. Details of how to watch the meeting will be published on this page a week before the meeting. 

Media

Items
No. Item

1.

Minutes pdf icon PDF 303 KB

    Members are requested to approve the minutes of the meeting held on 25 February 2020.

    Minutes:

    RESOLVED

    That the minutes of the meeting of the Integrated Commissioning Board held on the 25 February 2020 be approved as a correct record.

2.

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 relating to items on the agenda.

3.

Better Care Fund Budget Report 2020/21 pdf icon PDF 606 KB

    To consider the attached report from the Chief Finance Officer (Health & Social Care Integration)

    Minutes:

    Consideration was given to a report of the Chief Finance Officer – Health & Social Care Integration, seeking approval of the revised revenue and capital budgets for the Better Care Fund for 2020/21; including the proposed allocation of the Disabled Facilities Grants, with the flexibility to vire budget between the various schemes as necessary.  Members were advised that details of the minimum contribution to Adult Social Care had yet to be confirmed, and so the proposed revenue budget was subject to change.

     

    Overall, the Better Care Fund had increased by £0.889m due to a 5.22% increase in Clinical Commissioning Group contributions to the Better Care Fund. The Council’s Better Care Fund contributions were in line with the 2019/20 contributions as the grants had remained at the same level. The overall increase in Better Care Funding for 2020/21 was 3.03%.

     

    The capital Disabled Facilities Grant budget for 2020/21 had been confirmed as £2.632m, the same as the allocation received in 2019/20. Table 2 within the submitted report included a draft spending plan submitted for approval but did not take account of any 2019/20 capital budgets to be carried forward.

     

    Alternatives considered

    There were no alternatives considered

     

    RESOLVED

    1.    That approval be given to the revised revenue and capital budgets for the Better Care Fund for 2020/21.

    2.    That it be noted the details of the minimum contribution to Adult Social Care has yet to be confirmed, and so the proposed revenue budget is subject to change.

    3.    That approval be given to the proposed allocation of the Disabled Facilities Grant budget with the flexibility to vire budget between the various schemes as necessary, subject to executive decision making arrangments.

4.

Health & Social Care Pool Budget Outturn 2019/20 pdf icon PDF 230 KB

    To consider the attached report from the Chief Finance Officer (Health & Social Care Integration)

    Minutes:

    Consideration was given to a report of the Chief Finance Officer – Health & Social Care Integration updating the Integrated Commissioning Board on the financial position of the pooled budget for the financial year 2019/20 as at the end of March 2020.  Members were informed that the pooled budget excludes the Better Care Fund and the Greater Manchester Transformation funding which were reported separately.

     

    The pooled budget has been amended to take into account the savings previously reported.  The remaining pool gap of £0.8m reported in February 2020 had been funded via an increased contribution from the Clinical Commissioning Group (CCG).  There had been an increase in the overspend against the Health & Social Care (H&SC) Pool budget gap of £0.6m due to an increase in the Adult Social Care overspend. This pressure has been funded to balance the H&SC pool budget for 2019/20.

     

    The outturn for the Council pooled budgets for 2019/20, before adjusting for additional contributions was a £1.8m overspend for Adult Social Care, a break-even position for Public Health and a £1.7m overspend on Children’s services. The £1.7m overspend from Children’s services had been managed by the Council outside of the pool.  The CCG pooled budget outturn position was a £2.7m overspend.

     

    RESOLVED

    1.    That it be noted the increase in the Health & Social Care pool overspend of £0.6m had been funded initially by the Council in 2019/20 would result in a reduced contribution to the pool in 2020/21

    2.    That it be noted the Council identified mitigating actions for the variations in 2019/20 (£1.7m).

    3.    That it be noted the £2.7m of pressures on the acute and mental health budgets for 2019/20, and that the CCG contributed additional funding from reserves to cover the £0.9m increase in overspend since initial contributions to close the pool gap had been previously agreed by the Integrated Commissioning Board.

5.

Health & Social Care Better Care Fund Outturn Report 2019/20 pdf icon PDF 574 KB

    • View the background to item 5.

    To consider the attached report from the Chief Finance Officer (Health & Social Care Integration)

    Minutes:

    Consideration was given to a report of the Director of Commissioning updating the Integrated Commissioning Board on the financial outturn position for the Better Care Fund for the financial year 2019/20.  Members were advised that the revenue spend for 19/20 was £106k below budget, which had in turn been used to support Adult Social Care Services, following an increase in demand during the final quarter of the year.  There had been an underspend of £636k on capital budgets which would be carried forward.

     

    RESOLVED

    That the report be noted.

6.

Health and Care Next Phase Planning pdf icon PDF 628 KB

    To consider the attached report from the Director of Integrated Systems Development

    Minutes:

    Consideration was given to a report of the Director of Integrated Systems Development outlining the next planning phase for Health and Care development, taking into account learning from the locality response to the COVID-19 pandemic.

     

    Members were provided an update on the position of the Strategic Commissioning Function (SCF) and Local Care Organisation (LCO) prior to COVID-19; detailed analysis of work undertaken in the response to COVID-19 and consideration of how this learning could be embedded in future delivery and system operating arrangements.

     

    Learning would focus on four key learning themes:

    ·         Integrated leadership and cultural change

    ·         A focus on the out of hospital offer

    ·         Primary care transformation

    ·         Integrated/shared enabling functions

     

    The strategic aims and priorities originally considered for the LCO contracting arrangements have been reviewed and will be further considered in a revised scope and phasing timeline.

     

    RESOLVED

    That the report be noted.

7.

Second Phase NHS response to COVID-19 - Locality response pdf icon PDF 313 KB

    To consider the attached report of the Director of Integrated Systems Development

    Additional documents:

    Minutes:

    Consideration was given to a report of Director of Integrated Systems Development providing details of the local response to the expectations of all NHS organisations as they moved into the second phase response to COVID-19 as set out in a letter dated 29th April 2020 Sir Simon Stevens, Chief Executive Officer of the NHS.

     

    Sir Simon Stevens’s letter set out requirements to step up a response to Non-COVID-19 related urgent services with the report setting out the early risk assessment against each of the requirements including any actions required and a residual risk assessment.  The will form the starting point for a system wide recovery plan.

     

    RESOLVED

    That the report be noted.

     

8.

Adult Social Care Accommodation Market Position Statement pdf icon PDF 331 KB

Minutes:

Consideration was given to a report of the Director of Commissioning for approval of the publication of the accommodation strategy and market position statement for the borough of Rochdale on the Council’s website.

 

The strategy sets out the approach to commissioning specialist accommodation providing support for residents’ who may need it, and outlines the strategic context in which this work is undertaken. The market position statement outlines the current state of the market within the borough and will continue to be updated regularly to reflect changes as they occur.

 

Alternatives considered

Not to publish the strategy until the figures have been revised based on the impact of Covid-19. This was discounted on the basis that:

a)    It will be unclear what the impact of Covid-19 will be on the market for some time.

b)    It would delay the ability of commissioners to have meaningful conversation with providers about the Council’s commissioning intentions.

c)    The next phase of developing the plan for this area of work would be delayed, with the potential to impact on the potential benefits associated.

 

RESOLVED

That approval be given to the publication of the accommodation strategy and market position statement for the borough of Rochdale on the Council’s website, along with the following caveat and time-table:

This document was prepared, and all the data and information included in it was all gathered, before the Covid-19 virus affected the UK.

Since then radical changes have occurred, and the effects of the virus have had a major impact on the validity of the evidence relied on as a predictor of future requirements. The assumptions and the conclusions we can draw within this document must therefore be subject to the possibility of revision in light of the impact of the virus on this sector. However, as our general approach to commissioning is likely to remain the same, we have decided to publish it with the above caveat. We are reviewing the statement in light of the new situation and we reserve the right to make amendments to this documents over the coming months.

The time-table for such re-publication is below:

·         Analysis of impact – May 2020

·         Revision of data – June 2020

·         Re-publish – July 2020

 

Reason for resolution

The Care Act also places a requirement on the council to promote an effective market for care and support services, so we have developed this adult social care accommodation strategy and market position statement.

9.

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 resolution

    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.

10.

Pooled fund opening Budgets 2021

    To consider the attached report from the Chief Finance Officer (Health & Social Care Integration)

    Minutes:

    Consideration was given to a report of Chief Finance Officer – Health & Social Care Integration) seeking approval from the Integrated Commissioning Board on the Pooled fund opening budget and risk share arrangements for 2020/21. Members were informed that the Council’s budget had been approved at the meeting on February 2020 with the Clinical Commissioning Group submitting its second draft set of plans to NHS England on Thursday 5th of March 2020.

     

    In response to a Members request that the decision be deferred until the impact of Covid-19 on the pooled fund could be fully understood, the Chair advised that the opening budget would not be amended by the implications and that the impact on the budget would be reported in further monitoring updates at future meetings of the Integrated Commissioning Board.

     

    Alternatives considered

    No alternatives were considered as it is a requirement of the National Health Service England guidance to produce a budget for 2020/21.

     

    RESOLVED

    1.    That the opening budgets be approved.

    2.    That the revised risk share arrangements for the Pooled fund be noted.

     

    Reason for resolution

    Determination of the Health and Social Care pooled budgets for

    2020/21 in line with National Health Service England guidelines and the Greater Manchester (GM) Health and Social Care Partnership requirements is a function of the Integrated Commissioning Board.