Agenda and minutes

Venue: Hollingworth - (Room 108AB), First Floor, Number One Riverside, Smith Street, Rochdale, OL16 1XU. View directions

Contact: Fabiola Fuschi  Senior Governance and Committee Officer

Items
No. Item

1.

Apologies

To receive any apologies for absence.

Minutes:

Apologies for absence were received from Councillor Rachel Massey, Dr. Bodrul Alam and Ms. Joanne Newton.

 

The following officers informed that they could not attend the meeting: Steve Rumbelow, Asif Ibrahim, Alison Kelly and Jonathan Evans.

2.

Minutes pdf icon PDF 101 KB

Members are requested to approve the minutes of the meeting held on 29th Mar 2022

Minutes:

RESOLVED that the minutes of the meeting held on 29th Mar 2022 be approved as a correct record.

3.

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 received.

4.

Items for Exclusion of Public and Press

To determine any items on the agenda, if any, where the public are to be excluded from the meeting.

Minutes:

There were no items for exclusion of public and press.

5.

Urgent Items of Business

To determine whether there are any additional items of business which, by reason of special circumstances, the Chair decides should be considered at the meeting as a matter of urgency.

Minutes:

There were no items of urgent business received.

6.

Health and Social Care Pooled Budget Outturn 2021/22 pdf icon PDF 191 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer - Report to follow

Minutes:

The Board considered a report of the Cabinet Member for Health which updated on the financial position of the pooled budget for the financial year 2021/22. The pooled budget had been amended to reflect the savings previously reported to this Board.

 

Finance Officers from both the Council and the Clinical Commissioning Group (CCG) attended the meeting to present the information and addressed the questions of the Board.

 

Officers reported that in 2020/21 the Covid-19 pandemic had caused a change in the funding arrangements for the CCG and the uncertainty caused by the impact of the pandemic had led the Board to agree a change in the risk share agreement so that both partners (i.e.: the CCG and the Council) were responsible for their own pooled fund gap and in year underspend. This agreement had been extended for 2021/22.

 

Officers reported that the outturn position for the Health and Social Care pooled budget was a break even position following contributions for Covid-19 pressures. The outturn Covid pressures of £3.6m had been identified across the Health and Social Care pooled budget in relation to Children’s (£1.4m) and Adults Social Care (£2.2m). £1.3m had been funded via the Hospital Discharge Programme, and the remaining £2.3m had been wholly funded from Government emergency funding received by the Local Authority leaving no in year pooled Covid pressure.

 

An in year saving of £1.3m was being reported against non-Covid Adult Social Care budgets, primarily due to lower than expected standard residential placements as a result of the pandemic and one off funding arrangements in place for 2021/22. There was an overspend on Children’s services of £0.4m due to increased placement numbers.

 

Alternatives considered and rejected:

The operation of a formal pool in 2021/22 was based on the shadow pool that was operated by the Integrated Commissioning Board in 2017/18 and was in line with previous years reporting; therefore there were no alternatives to consider.

 

RESOLVED:

1.    That the break-even position reported against the Health and Social Care pooled budget for 2021/22 be noted;

2.    That it be noted that as at the outturn, £3.6m of Covid costs against the Health & Social Care pooled budget. £1.3m of this would be funded via the Hospital Discharge Programme, and the remaining £2.3m would be wholly funded from Government emergency funding received by the LA leaving no in year pooled Covid pressure;

3.    That it be noted that the in-year saving of £1.3m be reported against non-Covid Adult Social Care budgets, primarily due to lower than expected standard residential placements as a result of the pandemic and one off funding arrangements in place for 2021/22. There is overspend on Children’s services of £0.4m due to increased placement numbers;

4.    That it be noted that from the Adult Care reported in year saving, £1M had been used to establish a Social Care Reserve to support mitigating demand led pressures in 2022/23.

 

Reason for decision:

This report updated the Board on the Health and Social Care pooled budgets for 2021/22  ...  view the full minutes text for item 6.

7.

Final Health and Social Care Pooled Budget 2022/23 pdf icon PDF 459 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer - Report to follow

Minutes:

The Board considered a report of the Cabinet Member for Health which, following the agreement of the final health budgets for 2022/23, updated on the final pooled fund opening budget and proposed risk share arrangements for 2022/23.

 

The Finance Officers from both the Council and the CCG were in attendance to present the information and addressed the questions of the Board Members.

 

Officers reported that the CCG Governing Body had approved a draft budget for 2022/23 on 18th March in line with the allocations received. The final CCG budgets had been confirmed on 28th April 2022 as per the national NHS timetable and were presented in today’s report. The CCG Governing Body had approved the final health care budgets on 20th May 2022.

 

The CCG had modelled the potential expenditure that the CCG may incur in 2022/23 in line with the operational planning guidance issued by National Health Service England (NHSE).

 

Alternatives considered and rejected:

The operation of a formal pool in 2022/23 was based on the shadow pool

that had been operated by the Integrated Commissioning Board in 2017/18 and was in line with 2018/19 to 2021/22 reporting; therefore, there were no alternatives to consider.

 

RESOLVED:

1.    That the approved opening budget for the Council and opening budget for the CCG for 2022/23 be noted;

2.    That the continuation of the Section 75 agreement for 2022/23 be agreed and the Chief Executive be given delegated authority to sign the documentation for the Section 75 agreement on behalf of the Council, and the Director of Strategic Commissioning be given delegated authority to sign the documentation for the Section 75 agreement on behalf of the CCG.

 

Reason for decision:

This report updates the Board on the Health and Social Care pooled budgets for 2022/23 in line with National Health Service England (NHSE) guidelines. As part of operating a pooled budget, regular monitoring reports are required.

 

The Better Care Fund had been excluded from the pooled fund and would be reported separately to the Board in line with NHSE requirements for reporting each quarter.

8.

Health and Social Care Better Care Fund Budget Outturn 2021/22 pdf icon PDF 205 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer - Report to follow

Minutes:

The Board considered a report the Cabinet Member for Health which updated on the financial outturn position for the Better Care Fund for the financial year 2021/22.

 

Finance Officers from both the Council and the Clinical Commissioning Group (CCG) attended the meeting to present the information and addressed the questions of the Board.

 

Alternatives considered and rejected:

It is a requirement of the NHS England guidance to produce a budget for 2021/22 which the Board approved at its March 2021 meeting. This report updated the monitoring against the 2021/22 budget which was a requirement of the Section 75 agreement. Therefore there were no alternatives to consider.

 

Board Members queried the underspend in relation to the Disabled Facilities Grant and measures to address the backlog linked to it. Officers agreed to provide an update at the next meeting of the Board to outline how this matter was being addressed. 

 

RESOLVED:

1.    That Better Care Fund on budget revenue spend for 2021/22 be noted;

2.    That the forecast underspend against capital budgets of £1.777m in relation to the Disabled Facilities Grant (£1,623k), and the INT hubs (£154k), and the carry forward of these budgets to be spent in 2022/23 be noted;

3.    That a report be submitted at the next meeting of the Board to outline measures to address the backlog linked to the underspend of the Disabled Facilities Grant.

 

Reason for decision:

The Strategic Place Board have ultimate sign off of the Better Care Fund budget as mandated in the Better Care Fund Policy Framework and Planning Guidance. The Strategic Place Board have delegated responsibility for the Better Care Fund to the Integrated Commissioning Board. The revised 2021/22 budget for the Better Care Fund was agreed by the Integrated Commissioning Board in March 2021, this report provided an update on the outturn position against those budgets.

9.

Better Care Fund Budget 2022/23 pdf icon PDF 210 KB

To consider a report of the Portfolio Holder for Finance and Corporate / Chief Finance Officer - Report to follow

Minutes:

The Board considered a report of the Cabinet Member for Health which outlined the proposed budget for the Better Care Fund (BCF) for the financial year 2022/23.

 

Finance Officers from both the Council and the Clinical Commissioning Group (CCG) attended the meeting to present the information and addressed the questions of the Board.

 

Alternatives considered and rejected:

It is a requirement of the NHS England guidance to produce a budget for 2022/23. The report provided details of the proposed 2022/23 budget taking into account the known changes in Better Care Fund Allocations. Therefore, there were no alternatives to consider.

 

RESOLVED:

1.    That the revised revenue and capital budgets for the BCF for 2022/23 be approved;

2.    That the details of the minimum contribution to Adult Social Care confirmed as 5.66% be noted;

3.    That the proposed allocation of the DFG budget in Table 2 of the report, with the flexibility to transfer budget between the various schemes as necessary, noting the 2021/22 carry forward, be approved.

 

Reason for decision:

The Strategic Place Board have ultimate sign off of the Better Care Fund budget as mandated in the Better Care Fund Policy Framework and Planning Guidance. However, the Strategic Place Board have delegated responsibility for the Better Care Fund to the Integrated Commissioning Board. The 2022/23 budget is based on the 2021/22 budget, taking into account known changes in allocations.