Agenda and minutes

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Contact: Michael Garraway  Senior Committee Services officer

Items
No. Item

34.

Minutes pdf icon PDF 246 KB

To consider the minutes of the meeeting of the Integrated Commissioning Board meeting held on 25 August 2020.

Minutes:

Resolved

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

35.

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 in relation to the items for consideration.

36.

Phase 3 NHS Response (part 1) pdf icon PDF 167 KB

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

Minutes:

Consideration was given to a report of the Assistant Director – Commissioning setting out changes in ways of working across health and social care in order to meet the needs of the population, in the context of the third Phase of NHS response to COVID 19 in the following areas

·         the initial process adopted in Rochdale to support system readiness

·         the second submission to Greater Manchester

·         the other returns required as part of this process

·         next steps for the Rochdale system

 

Resolved

That the report be noted.

37.

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

 

Reason for resolution

Should the press and public remain during the 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.

38.

Phase 3 NHS Response (part 2)

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

Minutes:

Consideration was given to a report of the Assistant Director – Commissioning setting out changes in ways of working across health and social care in order to meet the needs of the population, in the context of the third Phase of NHS response to COVID 19.

 

The Integrated Commissioning Board were informed that Work will continue on the data based submissions following feedback from Greater Manchester and the North West Region. It is anticipated that there will be further challenge across all areas to maximise restoration of activity.

 

Resolved

That the report be noted.

 

39.

Update on acute hospital site reconfiguration

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

Minutes:

Consideration was given to a report of the Assistant Director – Commissioning, updating the Integrated Commissioning Board on the views of Rochdale Commissioners in relation to the received business cases for the hospital sites reconfiguration.

 

The Integrated Commissioning Board were advised that Rochdale Commissioners would continue to work in partnership with the Northern Care Alliance and Local Care Organisation provider to support delivery of the best possible services for the population of Rochdale. The potential for changes across hospital sites required care planning and consideration and it should be noted that in some areas formal consultation may be required.

 

Resolved

That the report be noted.

40.

Preventative Mental Health and Wellbeing service: contracting options from 1 April 2021

To consider the attached report from the Director of Commissioning

Minutes:

Consideration was given to a report of the Director of Commissioning seeking approval of amendments to the contracting of preventative mental health and wellbeing services; and, approval of commencing new arrangements from 1 April 2021.

 

Alternatives considered

The existing contract ends on 31 March 2021. To do nothing would leave the residents of HMR with no access to these prevention level mental health services.

 

Resolved

That the arrangements for this service from an NHS national contract to an NHS grant funded service using the current specification with a view to commencing the new arrangement from the 1st April 2021. The commissioning intention is to issue two 12 month grant agreements to be confirmed to Rochdale & District MIND in writing to provide a level of assurance and stability to the provider.

 

Reason for resolution

The council and CCG have conducted a review of prevention services and mental health prevention services to ensure a whole system approach. The review of the current provision was very positive with all 6 services within the contract performing above expectations.  The recommendation seeks to build on these successes to provide continuity for local residents who benefit from the Mental Health and Wellbeing Service.

41.

Eating Disorders (Adults)

To consider the attached report of the Director of Commissioning

Minutes:

Consideration was given to a report of the Director of Commissioning seeking approval contractual agreement to establish an Eating Disorder Service for adults based on a detailed business case; changing from a spot purchase arrangement to a contract with Greater Manchester Mental Health Foundation

Trust to provide an adult community Eating Disorder Service.

 

Alternatives considered

The report set out four options for consideration in commissioning provision for the service, along with a fifth option to continue with the current arrangements.

 

Resolved

1)    That approval be given to the establish a block contract with Greater Manchester Mental Health Foundation Trust to provide an Adults Eating Disorder Service for assessment, treatment and medical management for all adult HMR patients requiring two clinically approved programmes

a.    First Episode Rapid Early Intervention for Eating Disorders

b.    Severe and Enduring Eating Disorders.

2)    The annual contract value to be the current spend plus spot purchased treatment plus £88,000.

 

Reason for resolution

To provide a more effective and efficient approach to meeting the needs of adult patients with eating disorders.

42.

Dementia: Post Diagnosis Support Service (Alzheimer’s Society)

To consider the attached report from the Director of Commissioning

Minutes:

Consideration was given to a report of the Director of Commissioning seeking approval of the continuation of the Post Diagnostic Dementia service provided by the Alzheimer’s Society and extend the current NHS grant funded arrangements for a further 2 years from the 1st April 2021 to the 31st March 2023.

 

Alternatives Considered

To not provide the service would leave the residents of HMR with no access to dementia post diagnostic support services.  Extending beyond March 2023 would incur additional costs.

 

Resolved

That approval be given to extend the current Grant funded arrangements for a further two years from the 1 April 2021 to the 31March 2023 at the value detailed within the submitted report.

 

Reason for Resolution

The service supports the CCG and RBC to deliver its priorities for dementia in line with the GM project Dementia United and priorities identified locally by the local Dementia Partnership steering group.

43.

Recommissioning of Adult Care prevention Contracts

To consider the attached report from the Director of Commissioning

Minutes:

Consideration was given to a report of the Director of Commissioning seeking approval to redesign the Adult Care prevention contracts.  There were thirteen contracts delivered by seven providers with a total annual value of £1.6million.  The recommendation sought to provide a more targeted response from those contracts and achieve significant savings.

 

Alternatives considered

To do nothing and let the contracts expire without replacement would put a large number of vulnerable people at risk of tenancy breakdown and could lead to significant additional pressures on the health and care system as a whole.

 

Resolved

1.    That approval be given to the new delivery model for Adult Social Care Prevention Services as below:

·         Cease eleven contracts and replace with one Life Skills Supportcontract as detailed within the submitted report.

·         To retain the ‘Bond Board’ and the Young Parents Services which would be recommissioned on a similar basis as the present arrangements.

 

2.    That a mitigation fund is approved to ensure that a smooth transition to the new arrangements are managed. This will be invested as follows:

·         A transition period to enable current service users to access new long terms tenancies and funding to support the delivery of the Accommodation with Support strategy

·         Integrated Neighbourhood budgets to provide anticipated low level but ongoing support packages for those moving to mainstream tenancy rather than supported living or other residential type support arrangements.

 

Reason for resolution

The Prevention contracts aimed to support people to move on from temporary to mainstream, permanent accommodation. However, in some instances, throughput has been limited with some people being supported in temporary arrangements on a long-term basis.

44.

Commissioning intentions- The provision of Healthwatch and Advocacy services-Options appraisal

To consider the attached report from the Director of Commissioning

Minutes:

Consideration was given to a report of the Director of Commissioning setting out the context and overview of the Healthwatch and Advocacy services and opportunities and commissioning options with existing concessions both expire on the 31 March 2021.

 

Alternatives considered

The submitted report set out three alternative approaches for the commissioning of the service.

 

Resolved

1.    That the advocacy service contract be retendered to align with the North East Sector.

2.    That the Healthwatch contract utilise the two year extension opportunity within the existing contract.

 

Reason for resolution

To allow for fair market testing of the advocacy service and provide continuity of service provision within the Healthwatch service.