Decision details

Integrated Care System-Update

Decision Maker: Cabinet

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


To provide an update in relation to the development of locality governance arrangements and an operating model for the Integrated Care System.


The Cabinet has considered a report providing background and context information relating to the Integrated Care Systems (ICS), including the opportunities for Stockport, the Greater Manchester ICS Model, Stockport’s transition work and the emerging Stockport integrated health and care model and has then:-


(1) Approved and endorsed the recommendations proposed by the People and Communities Subgroup (Appendix 1).


(2) Agreed that the Council vary (prior to 1 July 2022) the existing Section 75 agreement between the CCG and SMBC to pool only the Better Care Fund (BCF), Improved Better Care Fund (iBCF) and Disabled Facilities Grant (DFG) in 2022/22 which is the “minimum legal requirement”.


(3) Agreed that the Council enter into a MoU to formally document resources and funding contributions transacted between the CCG and SMBC which are pooled under the existing Section 75 agreement but will not be pooled if only BCF, iBCF and DFG resources are pooled.


(4) Agreed that a Section 75 Committee be established to sit within, alongside or outside (to be confirmed) the Locality Board in order to administer and be the decision-making body for the Section 75 agreement from 1 July 2022. This committee could take the form of the existing Health and Care Integrated Commissioning Board (HCICB) subject to arrangements being put in place to amend the name of the committee, its membership (only noting the necessary change that any Members representing the CCG will become Members representing the ICS) and its terms of reference.


(5) Agreed that the Locality Board jointly considers aligned budgets as well as the Section 75 Pooled Budgets.


(6)  Delegated authority to the Deputy Chief Executive and/or the Director of Strategy and the Strategic Head of Service (Legal and Democratic Governance) to do such things as are necessary or incidental to the implementation of the above recommendations.

Alternative options considered:


Interests and Nature of Interests Declared:

Councillor Baynham declared a personal interest as an employee of Stockport NHS Foundation Trust.

Reason Key: Affects 2 or more wards;

Wards Affected: (All Wards);

Equality and/or Environmental Impact Assessment: The People and Communities sub group has been established to consider the impact of the introduction of the integrated care system on all our communities. An update and recommendations in terms of how any inequalities will be addressed will be included in this report. Work to understand any environmental impact, in particular as a result of any changes to the estate and/or ways of working, will also be undertaken as the new arrangements are embedded.

Decision Reference: CAB382

Declarations or conflicts of Interest: Councillor Baynham declared a personal interest as an employee of Stockport NHS Foundation Trust.

Forward Plan Reference: H&ASC1

Other reasons / organisations consulted

Development sessions with key stakeholders have taken place and will inform the process, including an all member briefing session. The views of the public and wider stakeholders have been ascertained during the extensive consultation period that took place during the development of the One Health and Care Plan.

Contact: Laura Mercer, Strategic Commissioning and Contract Performance Manager Email: Tel: 0161 218 1799.

Report author: Laura Mercer

Publication date: 29/06/2022

Date of decision: 28/06/2022

Decided at meeting: 28/06/2022 - Cabinet

Effective from: 06/07/2022

Accompanying Documents: