Issue - meetings

To consider a report of the Executive Councillors (Support & Governance), (Supporting Adults) and (Independence & Wellbeing)

The Stockport Together partners continue to work closely together on the design and implementation of new delivery models aimed at achieving both the shifts in activity and overall cost reduction required to deal with what is a very significant financial challenge. The Executive’s belief is that through integrated planning, budgeting and commissioning, the combined resource can be deployed more effectively to improve health and care outcomes in the medium term.

Over the past months a number of reports relating to the Stockport Together programme for integrating health and social care have been presented to the Executive, Scrutiny Committees and the Health and Wellbeing Board. The purpose of this report is to provide a further update on progress and to describe and seek approval from the Executive of the steps that need to be taken to formalise important aspects of the integrated arrangements. These include areas such as governance, leadership, management and finances.

Drafts of this report and the accompanying documents were presented to and discussed at an extraordinary meeting of the Corporate Resource Management and Governance Scrutiny Committee on 10 March 2016, which was also attended by members of the Adult Care Services and Housing and Health and Wellbeing Scrutiny Committees. Where appropriate, the comments made at that meeting have been incorporated into this report and the minutes of the Scrutiny meeting will be circulated to Executive members in advance of their meeting.

The Executive is asked to note the progress that has been made on these matters, and to note and take account of the comments made by scrutiny members at the special meeting on 10 March.

The Executive is asked to approve the approach to the Integrated Commissioning of health and social care set out in the report and, subject to any further changes that may be made in discussions with health partners, the following :

·         the Council’s contribution to the pooled budget with the CCG for 2016/17 as set out in paragraph 3.3 and Appendix One;

·         the revised Section 75 Partnership Agreement with the CCG (Appendix Four)

·         the establishment and operation of the Health and Care Integrated Commissioning Board (HCICB) as set out in Appendix Three

·         the Integrated Commissioning arrangements described in paragraphs 3.13-3.16

·         to agree to amend the Executive Scheme of Delegation to allow the HCICB to discharge those functions currently exercisable by the Health and Wellbeing Integrated Commissioning Board (as set out in Part 3, Appendix 9, para 4 of the Constitution)

·         that the Council works in collaboration with the Stockport Together provider organisations and enters into the Memorandum of Understanding (Appendix Five)

Furthermore, the Executive is asked to give delegated authority to the Corporate Director, Corporate and Support Services (the Borough Treasurer from 1 April 2016) and the Corporate Director, Services to People, in consultation with the Executive Councillors for Support and Governance, Supporting Adults and Independence and Wellbeing, to make any changes that are necessary to enable the above arrangements / documents to be implemented as a result of further discussions and negotiations with health partners.

Officer contact: Steve Houston, 0161 474 4000, steve.houston@stockport.gov.uk

A joint report of the Executive Councillors (Support & Governance), (Supporting Adults) and (Independence & Wellbeing) was submitted (copies of which had been circulated) inviting the Executive to consider an update on the development of the Stockport Together health and social care programme, including proposals for a revised Section 75 Agreement with NHS Stockport Clinical Commissioning Group for an expanded pooled budget to support enhanced joint commissioning and the integration of services.

The proposals had been considered by the Corporate, Resource Management & Governance Scrutiny Committee at a meeting on 10 March 2016 at which members of the Adult Care Services & Housing and the Health & Wellbeing scrutiny committees had also participated. The Minutes of that meeting had been circulated.

Executive councillors commended officers from both the Council and Clinical Commissioning Group for their hard work in developing proposals within a complex legislative and financial environment.

RESOLVED – That in relation to the Stockport Together programme for the integration of health and social care services:-

·         progress that has been made on these matters be noted;

·         the comments made by scrutiny committee members at the extraordinary meeting on 10 March be noted and welcomed;

·         the approach to the Integrated Commissioning of health and social care set out in the report be approved and, subject to any further changes that may be made in discussions with health partners, the following also be approved:

·         the Council’s contribution to the pooled budget with the CCG for 2016/17 as set out in paragraph 3.3 and Appendix One;

·         the revised Section 75 Partnership Agreement with the CCG (Appendix Four)

·         the establishment and operation of the Health and Care Integrated Commissioning Board (HCICB) as set out in Appendix Three, and the appointment of Councillors Keith Holloway (Supporting Adults), John Pantall (Independence & Wellbeing) and Iain Roberts (Support & Governance) to the Board;

·         to amend the Executive Scheme of Delegation to allow the HCICB to discharge those functions currently exercisable by the Health and Wellbeing Integrated Commissioning Board (as set out in Part 3, Appendix 9, para 4 of the Constitution)

·         the Integrated Commissioning arrangements described in paragraphs 3.13-3.16

·         that the Council works in collaboration with the Stockport Together provider organisations and enters into the Memorandum of Understanding (Appendix Five)

·           authority be delegate to the Corporate Director for Corporate and Support Services (and the Borough Treasurer from 1 April 2016) and the Corporate Director for People, in consultation with the Executive Councillors (Support & Governance) (Supporting Adults) and (Independence & Wellbeing), to make any changes that were necessary to enable the above arrangements / documents to be implemented as a result of further discussions and negotiations with health partners.