Agenda and minutes

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Items
No. Item

67.

Minutes pdf icon PDF 204 KB

To consider the minutes of the meeting fo the Integrated Commissioning Board held on 1 December 2020.

Minutes:

RESOLVED

That the minutes of the Integrated Commissioning Board held on 1 December 2020, be approved as a correct record.

68.

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:

Councillor Heakin and Dr Duffy declared personal interests in relation to items considering Local Care Organisation matters at agenda items 6, 7 and 12.

69.

Social Care Better Care Fund Budget Monitoring Report – Quarter 3 2020/21 pdf icon PDF 533 KB

To consider the attached report of the Cabinet Member for Social Care and Ageing Well/ Chief Finance Officer (Health & Social Care Integration).

Minutes:

Consideration was given to a report of the Chief Finance Officer – Health & Social Care Integration, which sought to update the Board on the revised 2020/21 budgets for the Better Care Fund (BCF), with the Quarter 3 (April to December 2020) budget monitoring for the BCF for the financial year 2020/21.

 

Alternatives considered

It is a requirement of the National Health Service England guidance to produce a budget for 2020/21. The report updated the monitoring against the 2020/21 budget which is a requirement of the Section 75 agreement. Therefore there are no alternatives to consider.

RESOLVED

1.    That the Quarter 3 monitoring information as at December 2020 period end be noted.

2.    That it be noted there are contingencies being held for budgets not yet allocated in 2020/21 of £37k and a forecast underspend against the equipment store budget of £175k giving a total forecast revenue underspend of £212k.

3.    That it be noted the forecast underspend against capital budgets of £363k in relation to the Autism Project adaptations (£150k) and the INT hubs (£213k), both of which are now expected to be spent in 2021/22.

4.    That it be noted an additional £355k DFG capital grant was allocated by the Government in December 2020, and that this increases the forecast in year underspend on DFG to £976k, which is expected to be spent in 2021/22. The forecast in year underspend relates primarily to delays in carrying out DFG adaptations as a result of Covid restrictions.

 

Reason for resolution

To update Members on the position of the Better Care Fund.

70.

Health and Social Care Pooled Budget Monitoring Report November 2020 pdf icon PDF 530 KB

To consider the attached report of the Cabinet Member for Social Care & Ageing Well / Chief Finance Officer (Health & Social Care Integration).

Minutes:

Consideration was given to a report of the Chief Finance Officer – Health & Social Care Integration, updating Members on the financial position of the pooled budget for the financial year 2020/21 as at the end of November 2020.

 

Alternatives considered

No alternatives were considered

 

RESOLVED

That the report be noted.

71.

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 the decision: Should the press and public remain during the debate on the following 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.

72.

Proposed Adult Social Care Provider Fee Rates 2021/2022 Financial Year

To consider the attached report from the Cabinet Member for Social Care and Ageing Well / Director of Commissioning

Minutes:

Consideration was given to a report of the Cabinet Member for Social Care and Ageing Well / Assistant Director – Commissioning seeking approval for the adult social care fee rates for the financial year 2021/22.

 

Alternatives considered

At the meeting of the Integrated Commissioning Board held on 27th October 2020 it was determined that the fee rates for 2021/22 would enable the real living wage to be paid to care workers therefore no alternatives were considered.

 

RESOLVED

1.    That the externally commissioned care and support fees for 2021/22 be approved as:

a.    Supported Living Hourly Rate £16.30

b.    Complex cases hourly rate £17.30

c.    Sleep in Rate (per night) £74.00

d.    Home Care (hourly rate) £17.25

e.    Outreach £15.98

2.    That the proposed banding be approved for Residential Care Homes Weekly Rate

                                  i.    Band 1 £546.00

                                ii.    Band 2 £595.00

                               iii.    Band 3 £644.00

3.    That the introduction of an individual pricing tool be approved to enable improved care cost calculations for expensive care packages for people with the most complex needs that fall outside of the standard rates.

4.    That it be noted the proposed rates allow for a 6.7% increase in day services and a 5.8% increase in respite care which is included within the personal budget day services and respite care section.

5.    That respite care fees for older people be uplifted in line with the residential fees for 2021 and the results of consultation with other respite providers supporting people of working age be reported to a future meeting of the Integrated Commissioning Board.

6.    That the personal expenditure allowance for residential and nursing care at the minimum rate defined by the Department of Health be retained.

 

Reason for resolution

The fees are assessed as being sufficient to maintain the adult social care market in its current state and allow providers to pay the real living wage to all care staff.

73.

Commissioning Intentions - Specialist Health Improvement Provision

To consider the attached report of the Cabinet Member for Healthy Lives / Director of Commissioning.

Minutes:

Consideration was given to a report of Cabinet Member for Healthy Lives / Assistant Director – Commissioning, seeking approval for the commissioning of specialist health improvement provision. 

 

Alternatives considered

To commission the vast majority of the functions within the specialist health improvement provision and the creation of an internal specialist lifestyle service were discounted on the grounds that elements would remain located within other organisations.

 

RESOLVED

1.    That the existing contract be extended for six months.

2.    That the Director of Public Health be delegate4d approval for the determination of contractual notices in consultation with the Cabinet Member for Healthy Lives.

 

Reason for resolution

To allow further alignment to the prevention review and inform future delivery models.

74.

Approval to tender for Payroll/Accountancy/Brokerage services for Cash Budget Recipients

To consider the attached report of the Cabinet Member for Healthy Lives / Director of Commmissioning

Minutes:

Consideration was given to a report of the Cabinet Member for Social Care and Ageing Well / Director of Commissioning seeking approval to tender for payroll, accountancy and brokerage services for the delivery of adults personal budget provisions.

 

Alternatives considered

To not enter a joint procurement exercise with Trafford MBC and Trafford CCG and wither continue without a dedicated system or seek to tender for one as an individual organisation.

 

RESOLVED

1.    That the Council enter into a Flexible Purchasing System framework in partnership with Trafford Council and Trafford CCG.

2.    That the awarding of the contract be delegated to the Director of Commissioning in consultation with Cabinet Member for Social Care and Ageing Well

2.

Reasons for resolution

The requirement for this service will be an ongoing requirement. The Flexible Purchasing System will be commissioned on a ten year basis meaning that there will be internal resource efficiencies as a result of not having to complete regular re-tendering and market testing exercises.

75.

Recommissioning of the Contract for the delivery of assessments under the Deprivation of Liberty Scheme

To consider the attached report of the Cabinet Member for Social Care & Ageing Well / Assistant Director (Commissioning)

Minutes:

Consideration was given to a report of the Cabinet Member for Social Care and Ageing Well / Director of Commissioning seeking approval for the recommissioning of the contract for the delivery of assessments under the Deprivation of Liberty Scheme.

 

Alternatives considered

No alternatives were considered

 

RESOLVED

That the contract of £668k for the delivery of assessments under the Deprivation of Liberty Scheme be approved for procurement.

 

Reason for resolution

To ensure that the Council remains contractually compliant in relation to the services in scope.