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The Chief Finance Officer for NHS Cheshire and Merseyside introduced this report which provided a description of the arrangements that had been put in place to support effective integrated commissioning. It set out the key issues in respect of: a) budget and variations to the expenditure areas for agreement and inclusion within the 2022/23 shared (“pooled”) fund; and b) risk and gain share arrangements. In 2022/23 Wirral Health and Care partners had chosen to jointly pool £248.97m to enable a range of responsive services for vulnerable Wirral residents as well as a significant component of Better Care Funding to protect frontline social care delivery.

Resolved: That it be noted that

(1)   the forecast position for the Pool at Month 7 is currently a £5.7m overspend position. This is due to CCG / ICB Wirral Place pool commissioned services overspend of £5.9m offset by an underspend on Local Authority Health and Care commissioned services of £0.2m. The ICB Wirral Place holds the financial risks on the £5.9m overspend.

(2)   the shared risk arrangements are limited to the Better Care Fund only, which is reporting a forecast break-even position.