Issue - meetings

To consider a report of the Cabinet Member for Health & Adult Social Care.

The report provides details relating to the 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.

The report also provides a further update and describes the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality arrangements.

The Cabinet is recommended to:-

(1) Approve and endorse the recommendations proposed by the People and Communities Subgroup (Appendix 1).

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

(6)  Delegate 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.

Officer contact: Laura Mercer on 0161 218 1799 or email: laura.mercer@stockport.gov.uk

The Cabinet Member for Health & Adult Social Care (Councillor Keith Holloway) submitted a report (copies of which had been circulated) 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.

The Leader of the Council (Councillor Mark Hunter) stated that he would be chairing the new locality board as part of a collective determination to make the new arrangements work in the interests of the residents of Stockport.

RESOLVED - (1) That the recommendations proposed by the People and Communities Subgroup (Appendix 1) be approved and endorsed.

(2) That it be 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) That it be 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) That it be 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) That it be agreed that the Locality Board jointly considers aligned budgets as well as the Section 75 Pooled Budgets.

(6)  That authority be delegated 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.

To consider a report of the Director of Strategy.

The report provides details relating to the 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.

The report also provides a further update and describes the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality arrangements.

The Scrutiny Committee is recommended to comment on and note the report.

Officer contact: Laura Mercer, 0161 218 1799,laura.mercer@stockport.gov.uk

The Director of Strategy submitted a report (copies of which had been circulated) which provided details relating to the 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.

The report also provided a further update and described the opportunities afforded by the new legislation; highlighted the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlighted the progress made at Greater Manchester level; and provided an overview of the future direction of Stockport’s Locality arrangements.

The Cabinet Member for Health and Adult Social Care (Councillor Keith Holloway) attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/issues raised:-

·         Raised concerns in relation to lack of clarity around the delegation, governance and decision-making structure of the ICS given the approaching deadline.

·         In response it was stated that this year was a transition year and the council had recently received more clarity through the Greater Manchester Integrated Commissioning Board constitution, however the council were awaiting a scheme of delegation. Members were advised that the governance model was becoming increasingly clearer and a further Greater Manchester Integrated Commissioning Board which would provide the scheme of delegation and Locality Board meeting was planned for 1 July 2022.

·         Requested clarification in relation to management accountability of staff affected by the introduction of the ICS.

·         In response, Members were advised that delays at a national and Greater Manchester level had resulted in a degree of uncertainty, however as of 1 July 2022 the CCG staff would remain in their current position and continue their responsibilities whilst officially being transferred to Greater Manchester NHS Integrated Care.  In due course, there would be collaborative conversations to understand whether further integration was needed and staff would be consulted as appropriate.

·         Commented on the importance of Stockport’s local voice being heard at a Greater Manchester level.

·         Welcomed the holistic approach of the ICS and noted the wider determinants of health including transport, the environment, housing and education.

RESOLVED – (1) That the report be noted.

(2) Requested that Greater Manchester ICS senior colleagues be invited to a future meeting of the Committee to ensure accountability for the residents of Stockport.

(3) Requested that a standard update item relating to the ICS be placed on the Scrutiny Committee agenda moving forwards.

To consider a report of the Director of Strategy.

The report provides details relating to the 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.

The report also provides a further update and describes the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality arrangements.

The Scrutiny Committee is recommended to comment on and note the report.

Officer contact: Laura Mercer, 0161 218 1799,laura.mercer@stockport.gov.uk

The Director of Strategy submitted a report (copies of which had been circulated) providing details relating to the 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. The report also provided a further update and description regarding the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality arrangements.

The Cabinet Member for Children, Family & Education Services attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/ issues raised:-

·       Members enquired about the 11 proposals for adoption referred to in the appendices. In response, it was stated that the feedback received referenced putting people, patient and community voice at the heart of everything, which is reflected in the 11 proposals.

·       Clarification was sought regarding the transformation process and accountability. In response, it was noted that the Locality Board will develop a relationship in Greater Manchester and held to account by NHS England and this would be delivered by the Integrated Care Board and the Integrated Care Partnership.

·       There would be a big impact on the clinical commissioning staff from the 1^st July 2022 who would no longer be employed by the clinical commissioning group, but by the Integrated Care Partnership going forward led by the Chief Executive.

RESOLVED – That the report be noted.

To consider a report of the Director of Strategy.

The report provides details relating to the 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.

The report also provides a further update and describes the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality arrangements.

The Scrutiny Committee is recommended to comment on and note the report.

Officer contact: Laura Mercer, 0161 218 1799, laura.mercer@stockport.gov.uk

The Director of Strategy submitted a report (copies of which had been circulated) providing details relating to the 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. The report also provided a further update and description regarding the opportunities afforded by the new legislation; highlights the progress and recommendations made by the Shadow Locality Board and its constituent working groups; highlights the progress made at Greater Manchester level; and provides an overview of the future direction of Stockport’s Locality  arrangements.

The Cabinet Member for Finance and Resources attended the meeting to respond to questions from the Scrutiny Committee.

The following comments were made/ issues raised:-

·       The Chair proposed that the Integrated Care System become a standard item on the agenda for each meeting to provide updates to the Committee.

·       Members commented on the governance aspects of the report and that as a Committee not losing site of the opportunity to influence change and improve.

·       It was noted that the aims and policies identified in the report was key to its success including the governance and support that would be needed to develop the system.

RESOLVED – (1) That the report be noted.

(2) That the Integrated Care System be included on the agenda for each meeting to provide updates and provide information as it develops.