Agenda and minutes

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Contact: Michael Garraway 

Items
No. Item

1.

Minutes pdf icon PDF 276 KB

To consider the minutes of the meeting of the Integrated Commissioning Board held on 30 March 2021.

Minutes:

RESOLVED

That the minutes of the meeting of the Integrated Commissioning Board held on 30 March 2021 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.

3.

Health & Social Care Better Care Fund Outturn Report 2020/2021 pdf icon PDF 292 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer

Minutes:

Consideration was given to a report of the Cabinet Member for Adult Care and Wellbeing / Chief Finance Officer (Health and Social Care Integration) updating Members on the agreed the revised 2020/21 budgets for the Better Care Fund with the financial outturn position for the financial year 2020/21.

 

Alternatives considered

It is a requirement of the National Health Service England guidance to produce a budget for 2020/2. 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 it be noted that the revenue spend for 20/21 was £221k below budget, and that this amount has been transferred to an earmarked reserve to support the additional cost of implementing Real Living Wage based fees to local care providers in 2021/22.

2.    That the forecast underspend against capital budgets of £1.575m in relation to the Disabled Facilities Grant (£1.196m), the Autism Project adaptations (£150k) and the Integrated Neighbourhood Team (INT) hubs (£230k), and the carry forward of these budgets to be spent in 2021/22.

 

Reason for resolution

To update Members in relation to the Better Care Fund.

4.

Health and Social Care Pooled Fund Opening Budgets 2021/22 pdf icon PDF 230 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer

Minutes:

Consideration was given to a report of the Cabinet Member for Adult Care and Wellbeing / Chief Finance Officer (Health and Social Care Integration) seeking approval of the opening budgets and the revised risk share arrangements for the Pooled Fund.

 

Alternatives considered

The operation of a formal pool in 2021/22 is in line with the requirements of the GM Health and Social Care Partnership and therefore no alternatives considered.

 

RESOLVED

1.    That the opening budgets and the revised risk share arrangements be approved for the Pooled Fund be approved for 2021/22.

2.    That this is a time limited proposal as a result of Covid 19 and a risk sharing approach will be implemented for 2022/23.

 

Reason for resolution

Approval of the Pooled Fund is a statutory requirement.

 

5.

Health and Social Care Pooled Budget Outturn Report 2020/2021 pdf icon PDF 211 KB

To consider the attached report of the Portfolio Holder for Finance / Chief Finance Officer

Additional documents:

Minutes:

Consideration was given to a report of the Cabinet Member for Adult Care and Wellbeing / Chief Finance Officer (Health and Social Care Integration) on the financial position of the pooled budget outturn position for the financial year 2020/21.

 

Alternatives considered

No alternatives were considered.

 

RESOLVED

1.    That the break-even position being reported against the H&SC pooled budget for 2020/21 be noted.

2.    That in 2020/21 £8.5m of Covid costs were incurred against the Health & Social Care Pool Budget. £5.2m of these costs had been reclaimed from the NHS Covid fund, and £3.3m forms part of the Local Authority overall Covid-19 pressure. The pool Covid pressure of £3.3m has been wholly funded from Local Authority Government emergency funding leaving no in year pool pressure.

 

Reason for resolution

The Health and Social Care pooled budgets for 2020/21 are reported to the Board in line with National Health Service England guidelines and the Greater Manchester Health and Social Care Partnership requirements.

6.

Update on the Integrated Health & Social Care Pooled Fund Section 75 Agreement pdf icon PDF 228 KB

To consider the attached report of the Portfolio Holder for Finance / Chief Finance Officer

Minutes:

Consideration was given to a report of the Cabinet Member for Adults and Social Care / Chief Finance Officer (Health & Social Care Integration) on the

Integrated Health & Social Care Pooled Fund Section 75 Agreement for 2021/22.

 

Alternatives considered

 

 

RESOLVED

1.    That the Integrated Health & Social Care Pooled Fund Section 75 Agreement covers the period 2020/21-2021/22 be noted.

2.    That the Integrated Health & Social Care Pooled Fund Section 75 Agreement had been updated to reflect the 2021/22 budgets, be noted.

3.    That it be noted the pausing of the risk share agreement for the Health & Social Care Pooled budget in 2020/21 as a result of the pandemic, will continue for 2021/22.

 

Reason for resolution

Monitoring of the opening budgets agreed for 2021/22 within the Section 75 agreement is essential for financial management of the fund.

7.

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.

8.

Public Health Commissioning Intentions 2021/22

To consider the attached report of the Portfolio Holder for Health / Assistant Director of Commissioning

Minutes:

Consideration was given to a report of the Cabinet Member for Health / Director of Public Health which sought approval of contracts in relation to Specialist Health Improvement Provision; Women’s Domestic Abuse Refuge Service; Victim Support Domestic Abuse Service; Adult Substance Misuse Service; and Young People’s Substance Misuse Service.

 

Alternatives considered

The procurement of each service was considered to be essential to provide support for service users within each subject.

 

RESOLVED

1.    That approval be granted to tender for the Specialist Health Improvement Provision in 2021/22 in line with contractual requirements.

2.    That approval be given to the extension of the Women’s Domestic Abuse Refuge Service and Victim Support services by a period of one year (2022/23).

3.    That approval be given to the extension of the Adult Substance Misuse Service by a period of one year (2022/23).

4.    That approval be given to the extension of the Young People’s Substance Misuse Service by a period of one year (2022/23).

5.    That delegated authority be given to the Director of Public Health in consultation with the lead Cabinet Member for Healthy Lives, to sign any contract extension and contract award documents that are required relating to the contracts detailed above.

 

Reason for resolution

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

9.

Urology

To consider the attached report of the Portfolio Holder for Health / Assistant Director of Commissioning

Minutes:

Consideration was given to a report of the Cabinet Member for Healthy Lives / Assistant Director of Commissioning (CCG) updating Members on the proposals for Urology services across the Northern Care Alliance footprint.

 

Alternatives considered

There were no alternatives considered

 

RESOLVED

That the report be noted.

 

Reason for resolution

The proposals for Urology Services are designed to improve the availability of services to the local population through the development of Investigation units and inpatient services on the Salford and Oldham sites.

10.

Contract Award Complex Needs

To consider the attached report of the Portfolio Holder for Health / Assistant Director of Commissioning

Minutes:

Consideration was given to a report of the Cabinet Member for Adult Care and Wellbeing / Assistant Director of Commissioning seeking approval to rescind the award of a contract to the Hesley Group and to instead approve the direct award of a complex needs placement to an alternative provider following a rapid selection process conducted between 19 April and 28 May 2021.

 

Alternatives considered

Six potential options for placement had been identified, but three of those were discounted by a panel of officers from both the Integrated Commissioning directorate and Adults Social Care Operations at a selection meeting.  The remaining three had been assessed based on a number of key selection criteria based around timescales / urgency of placement, ability to meet extremely complex needs and provide the right environment, location and cost.

 

RESOLVED

1.    That the approval given to directly award this contract to the Hesley Group at the meeting of the Integrated Commissioning Board held on 23 February 2021 be withdrawn.

2.    That the award of the contract be approved to the Priory Group at their Mount View complex for learning disabilities and autism in Syke, Rochdale.

 

Reason for resolution

To provide the best possible care for the individual.