Agenda and minutes

Health and Wellbeing Board Commissioning Sub-Committee
Wednesday, 28th March, 2018 4.00 pm

Venue: Board Room, Nottingham City Clinical Commissioning Group, Standard Court, Park Row, Nottingham, NG1 6GN

Contact: Jane Garrard  Senior Governance Officer

Items
No. Item

130.

Apologies for absence

Minutes:

Katy Ball

131.

Declarations of interests

Minutes:

None

132.

Minutes pdf icon PDF 205 KB

To confirm the minutes of the meeting held on 31 January 2018

Minutes:

The minutes of the meeting held on 31 January 2018 were agreed as an accurate record.

133.

Better Care Fund Financial Plan 2017/ 18 pdf icon PDF 307 KB

Additional documents:

Minutes:

Darren Revill presented the report on the Better Care Fund Financial Plan 2017/18.

 

RESOLVED to

 

(1)  approve the 2017/18 Better Care Fund financial plan as set out in Appendix 1 to the report;

 

(2)  note the savings below included within the Better Care Fund 2017/18 plan that have been agreed through the Health and Wellbeing Board Commissioning Sub Committee

 

2017/18 APPROVED CHANGES

Scheme

Service

Commissioner

Value

£

Access and Navigation

Nottingham Health and Care Point

Local Authority

36,000

Independence Pathway

Health Reablement Service

CCG

46,000

Co-ordinated Care

Hospital Discharge Team

Local Authority

32,000

Access and Navigation

Care Co-ordination

CCG

69,000

Independence Pathway

Older People Living Support Service

Local Authority

30,000

Total

 

 

213,000

 

(3)  note the current forecast underspend within the Better Care Fund 2017/18 plan as detailed below and recognise the 90/10 percentage split of efficiencies and underspends between Nottingham City Council and NHS Nottingham City Clinical Commissioning Group as agreed by the Health and Wellbeing Board Commissioning Sub Committee on 13 December 2017;

 

NOTTINGHAM CITY BETTER CARE FUND – MONITORING STATEMENT (QUARTER 3)

 

Area of spend (Scheme)

2017/18 (£000)

S75 Annual Budget (Plan)

Annual Forecast

Forecast Variance Over/ (Under) Spend

Access and Navigation

2,331

2,294

(37)

Assistive Technology

1,210

1,083

(127)

Carers

1,444

1,376

(68)

Co-ordinated Care

6,734

6,669

(65)

Co-ordinated Care – Improved BCF

8,570

8,570

0

Capital Grants

2,075

1,985

(90)

Independence Pathway

12,002

1,992

(10)

Programme Costs

247

(108)

(355)

Total

34,613

 

(752)

 

(4)  delegate authority to the Head of Commissioning (Nottingham City Council) to agree the City Council schemes that will be identified to utilise the underspend in the 2017/18 Better Care Fund ensuring these align to the objectives of the Better Care Fund; and

 

(5)  delegate authority to the Assistant Director of Out of Hospital Care (NHS Nottingham City Clinical Commissioning Group) to agree the Clinical Commissioning Group schemes that will be identified to utilise the underspend in the 2017/18 Better Care Fund ensuring these align to the objectives of the Better Care Fund.

134.

Better Care Fund Programme 2017/18 - 2018/19 pdf icon PDF 216 KB

Additional documents:

Minutes:

RESOLVED to

 

(1)  ratify savings for the LION Directory of £29,000 for the period 1 April 2018 to 31 March 2019; and

 

(2)  approve the utilisation of £100,000 of the Disabled Facilities Grant allocation for the period 1 April 2017 to 31 March 2018 to meet capital costs within the Assistive Technology Service.

135.

Assistive Technology Eligibility Consultation and Finance Report pdf icon PDF 437 KB

Minutes:

RESOLVED to

 

(1)  note the findings and conclusion of the citizen consultation regarding the proposal to revise eligibility to receive a subsidised alarm service;

 

(2)  approve the proposed eligibility criteria for the Dispersed (subsidised) Alarm service and Telecare equipment as part of the Assistive Technology Service with effect from 1 May 2018;

 

(3)  approve the budget breakdown and savings level for Assistive Technology services in 2018/19 as set out in the report; and

 

(4)  sanction an options appraisal to consider how the risks identified through the citizen consultation and stakeholder engagement can be mitigated, potentially through some additional flexibility in the service eligibility criteria.