Maria Principe

Alison Challenger

The Chair noted that it was Dr Ian Trimble’s last meeting as a member of the Health and Wellbeing Board Commissioning Sub Committee and the Committee extended its thanks to Dr Ian Trimble for his contribution.

None.

To confirm the minutes of the meeting held on 16 March 2016

The minutes of the meeting held on 16 March 2016 were confirmed as an accurate record and signed by the Chair.

Clare Gilbert, Interim Strategy Commissioning Manager, introduced the report outlining proposals around the utilisation of the Better Care Fund 2015/16 underspend.  Clare Gilbert and Jo Williams, Assistant Director of Health and Social Care Integration, provided the following information:

a)  There needed to be a realignment of projects within the Better Care Fund to meet the additional cost of contracts for a range of CityCare services.

b)  The new proposals for the underspend were:

a.  Looking After Each Other pilot.  It was initially agreed that this would form part of the Better Care Fund plan but it was proposed that it be moved into the underspend to enable cost pressures for a range of CityCare contracts to be met.  The pilot would be going ahead as planned but funded from the underspend.

b.  The Hospital Discharge Service was a proposal from CityCare.  The initial proposal was for £152,370 but it was proposed that opportunities to ensure a cost effective approach are explored and that a maximum of £70,000 is allocated.

c.  The creation of a City Council Generic Homecare Team is intended to address a gap of approximately 45 people who are waiting for homecare or are currently receiving care in inappropriate settings.  It had not been possible to increase the supply in the external market.

d.  One to One Care project intends to embed the better outcomes for citizens that were achieved in the pilot.

e.  Integration of the City Council and CityCare Reablement and Urgent Care Services is intended to be achieved through the delivery of efficiencies.  This proposal is to cover costs for 2016/17.

c)  The underspend funds are non-recurrent.

RESOLVED to

(1)  increase the Better Care Fund allocation for CityCare contracts by £111,000;

(2)  transfer the funding for the Looking After Each Other (LAEO) Project from the main Better Care Fund submission to the underspend budget;

(3)  approve utilisation of 2015/16 Better Care Fund underspend and approve spend for this purpose as detailed below

Looking After Each Other Pilot  £95,000

One to One Care  £50,838

Integration of CityCare and NCC

Reablement and Urgent Care Services  £108,282 

Creation of NCC Generic Homecare Team  £303,000

Hospital Discharge Service Proposal by CityCare  £70,000 

(4)  require that the agreed proposals are subject to robust performance management arrangements which will be reported to the Integrated Care Board.

To agree dates for future meetings of the Health and Wellbeing Board Commissioning Sub-Committee

RESOLVED to

(1)  meet on 20 July 2016 2pm; and

(2)  defer agreement of future meeting dates until the next meeting.

To consider excluding the public from the meeting during consideration of the remaining items in accordance with section 100a(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.

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 the basis that, having regard to all the circumstances, the public interest in maintaining the exemption outweighs the public interest in disclosing the information.

Dave Miles, Assistive Technology Project Manager introduced the report about an Integrated Assistive Technology Service.

RESOLVED to approve the recommendation as set out in the exempt report.