Agenda and minutes

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Contact: Peter Thompson  01706 924715

No. Item




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.   


    There were no declarations of interests.


Minutes pdf icon PDF 70 KB


Better Care Fund pdf icon PDF 159 KB


Transformation Fund - Update pdf icon PDF 2 MB

    Including a presentation on implications and effects on Children’s Services


    The Integrated Commissioning Board considered a report that provided members with an update on the following issues:

    a.            Transformation Delivery – delivery is starting to pick up pace but concern remains re the delivery of deflections in line with the plan. The paper aims to quantify this at high level and describes future steps to further develop understanding.

    b.            Local Care Organisation Development – the report described the key decisions made at the Local Care Organisation’s Board in terms of development

    c.            Performance against Locality Plan high level indicators – high level overview is provided

    d.            Risk – describes the development of an integrated risk management strategy and details the risk register that has been shared with the Greater Manchester Health and Social Care Partnership.


    The Board was advised that had progressed to clarify the following areas of work:


    Non-Elective Admissions– these currently stood at 16.1% above the recognised targets. The performance management programme was currently undergoing a review to understand the impact of new Sepsis coding and the apparent increase in admissions attributed to Sepsis, the ambulatory coding/pathway change which is affecting all Greater Manchester localities and an impact assessment of the increased opening hours of the Paediatrics’ centre at Oldham to understand if this had increased non elective admissions. Work was being undertaken locally to accurately quantify these issues.


    A&E attendances – these were 1.5% below targets, however, they were 0.4% above target in December. Further work was to be undertaken to understand the increasing disparity between accident and emergency attendances and non-elective admissions performance reporting. We are working with theme leads to understand if the transformation deflections are out performing target or if there is another factor.


    Elective Admissions- were 6.5% above targets and this would heavily affect IECP referrals/coding issue. Work was underway to quantify and understand the impact of this issue.


    Outpatient appointments -were 2.5% above target, by end of December 2017.


    In considering the report members of the Board commented on the increase in admissions attributed to Sepsis and requested a report thereon to a future Board meeting, along with a separate report relating to trends analysis around accident and emergency admissions.



    1.    That the report be noted;

    2.    That a report outlining the reasons for the increase in admissions attributable to sepsis be presented to a future meeting of the Board;

    3.    A report detailing trend analysis around presentations to accident and emergency units be submitted to a future meeting of the Board.   


Strategic Self Assessment Process and Public Service Reform pdf icon PDF 95 KB

    Director of Children’s Services to report

    Additional documents:


    The Board considered a report of the Director of Children’s Services that detailed the investment plan proposal to Greater Manchester for the release of Troubled Families funding from the Greater Manchester Reform Investment Fund. The investment proposal articulated how funds were utilised during 2017/18 and proposals for additional investment for 2018-2020.  The proposal had been developed in the context of other funding streams as part of an integrated approach. In addition the report shared a summary of the Borough’s strategic self-assessment of Service Reform and Integration which has informed elements of the investment proposal.



    1.    That the report be noted

    2.    The Director of Children’s Services be authorised to forward the strategic self-assessment summary to the Greater Manchester Combined Authority.


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.



    That the Press and Public be excluded from the meeting during consideration of the following items of business, in accordance with the provisions of Section 100A (4) of the Local Government Act 1972, as amended.


    Reason for Decision:

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


Health and Social Care Shadow Pool Budget Report - 2017/18


The Chief Finance Officer presented a report that updated the Integrated Commissioning Board on the current position of the shadow pooled budget for Health and Social Care for the financial year 2017/18 at November period end.


The shadow pooled budget now included Adults Health and Social Care, Public Health and Children’s Health and Social Care budgets.  The current position showed an anticipated in year overspend of £5.1m which includes a balanced position in Adult Social Care which is a worse position than reported at period 6 (£0.4m) due to increased demand on services, a £1.2m overspend in Children’s Social Care which is £0.6m worse than reported at period 6, £0.6m, due to additional expensive placements, and a £3.9m overspend in the Clinical Commissioning Group which is £0.2m worse than reported at period 6, resulting from additional prescribing costs.


The CCG pressures were to be funded from the CCG contingency and slippage on reserves in 2017/18. The Local Authority pressures were to be funded from Local Authority reserves in 2017/18.



That the report be noted.


Locality Plan/Pooled Fund Financial Update for 2018/19

    Chief Finance Officers to report.


    The Chief Finance Officer submitted a report that updated the Board on the current size of the Locality Plan Gap, and within that the size of the gap appropriate to HMR CCG and the Council which would effectively become the gap on the pooled fund. The report considered:

    a.            Confirmation of what was agreed with the Greater Manchester Health and Social Care Partnership in October 2017, namely:- the Locality Gap before the impact of TF Programme benefits; the impact of the TF Programme; and the Locality Gap post the impact of TF Programme benefits;

    b.            An update on subsequent changes to the Locality Gap before the impact of benefits from the Transformation Fund Programme;

    c.            An update on changes to the Transformation Fund Programme and confirmation of the impact of this on the revised Locality Plan Gap (that were contained in the body of the report).



    That the report be noted.