Venue: LH 2.32 - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Phil Wye
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Apologies for absence Minutes: Councillor Alex Norris Candida Brudenell |
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Declarations of interest Minutes: None |
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Minutes of the last meeting PDF 18 KB Minutes of the last meeting held on 8 September 2015 (for confirmation) Minutes: The minutes of the meeting held on 8 September 2015 were confirmed and signed by the Chair. |
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Better Care Fund Quarter 2 Budget Monitoring Report PDF 240 KB Joint report of the Director of Finance and the Corporate Director for Children and Adults Minutes: Darren Revill, Finance Analyst, presented the joint report of the Director of Finance and the Corporate Director for Children and Adults, summarising the second quarter Better Care Fund (BCF) Monitoring Report and updating the Commissioning Sub-Committee on the pay for performance element of the fund.
There is a forecasted underspend in 2015/16 of £2.348 million. Applying the agreed approach to meet any pay for performance shortfall from underspends within the pooled fund, this figure is reduced to £1.834 million.
RESOLVED to
(1)
note the cash flow position of the BCF Pooled Fund as
at Quarter 2 of 2015/16:
(2)
note the forecast position of the BCF Pooled Budget as
at Quarter 2 of 2015/16 as an underspend of £1.834
million; (3) note the updated position in relation to the Pay for Performance element of the fund:
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Better Care Fund (BCF) 15-16 Underspend Proposals PDF 314 KB Report of the Corporate Director for Children and Adults Minutes: Antony Dixon, Strategic Commissioning Manager, presented the report of the Corporate Director for Children and Adults, updating the Sub-Committee on proposals for utilisation of the Better Care Fund (BCF) underspend which will support the delivery of BCF metrics, support further integration of Health and Social Care provision in the city and improve outcomes for vulnerable older citizens and those with long-term conditions.
Antony highlighted the following:
(a)
a substantial in-year underspend of the BCF pooled budget against
agreed funding has been identified, predominantly due to delay in
implementing seven day service provision; (b)
eight proposals have been made in order
to ensure continued delivery against BCF metrics and improve
citizen outcomes. These are all short-term measures that require
funding in-year; (c) the first proposal is for a contingency fund to mitigate against any failure to deliver pay for performance targets. As guidance in relation to future pay for performance elements of the BCF is not yet available, if there is no future pay for performance element of the BCF this will be released back into the underspend;
The following answers were given in response to questions from the Sub-Committee:
(d)
the minimum wage uplift will raise the
hourly rate of Care at Home Framework providers earlier than the
original intention of April 2016. This will assist in recruiting
new workers in an increasingly competitive area; (e)
the proposals for reducing unnecessary
delays were clarified. This is a proposal to apply mental health
principles to the care of physical health patients, in particular
post-operative period to reduce length of stay. The Sub-Committee
felt that the language used for this was subjective and could be
improved; (f)
the outcomes from the pilots will be reported back at different
times depending on their timescales; (g) the full contract value of the proposal for Care at Home Framework 24 Hour Pick Up is £201,541, however the estimated cost to the pooled fund is £85,153.
RESOLVED to
(1) approve proposals for utilisation of 2015/16 BCF underspend and approve spend to the value of £1,013,906 as detailed below:
(2)
approve dispensation from section 5.1.1 of the
council’s contract procedure rules in accordance with section
3.29 of the council’s financial regulations in relation to
the award of contracts for 24 hour Care at Home urgent pick up
pilots to Nottingham City Council Care Bureau; (3)
approve dispensation from section 5.1.1 of the
council’s contract procedure rules in accordance with section
3.29 of the council’s financial regulations in relation to
the extension of a contract for the Community Navigator pilot to
Bestwood Directions; (4) approve carry forward of BCF underspend to meet the cost of these proposals, currently estimated at £537,000. |
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Exclusion of the Public To consider excluding the public from the meeting during consideration of the remaining item in accordance with section 110a(4) of the Local Government Act 1972 on the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs the public interest in disclosing the information. Minutes: RESOLVED to exclude the public from the meeting during consideration of the remaining item in accordance with section 100a(4) of the Local Government Act 1972 on a basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighed the public interest in disclosing the information. |
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Better Care Fund (BCF) 15-16 Underspend Proposals - Procurement and Legal comments Minutes: The sub-committee noted the information in the exempt appendices.
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