Agenda and minutes

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Items
No. Item

36.

Apologies for Absence

Additional documents:

Minutes:

Apologies for absence were received from Sylvia Cheater, Dr Paula Cowan and Lesley Doherty, and from Councillor Bernie Mooney.

37.

Declarations of Interest

Members are asked to consider whether they have any disclosable pecuniary interests and/or any other relevant interest, in connection with any item(s) on this agenda and, if so, to declare them and state the nature of the interest.

Additional documents:

Minutes:

There were no declarations of interest.

38.

Minutes pdf icon PDF 130 KB

To confirm the minutes of the meeting of the Joint Strategic Commissioning Board held on 4 December 2018 as a correct record. (Copy attached.)

 

Additional documents:

Minutes:

RESOLVED: That the minutes of the meeting of the Joint Strategic Commissioning Board held on 4 December 2018 be approved as a correct record.

39.

Care and Support at Home Commissioning pdf icon PDF 138 KB

A joint report of the Lead Commissioner, Community Care Market and Assistant Director, Primary Care is attached.

Additional documents:

Minutes:

Further to the decision of the Board at Minute 15 of the meeting held on 21 August 2018 to jointly commission for Care and Support at Home Services, which includes domiciliary care, non-complex Continuing Health Care, and End of Life Care, the Director for Care and Health, Graham Hodkinson introduced a submitted report providing the requested update on the outcome of tender evaluation. 

 

The following tender awards made were advised:-

Wallasey

·  Premier Care  - Primary Provider;

·  Wirral Home Care Alliance (comprising Community Caring, Professional Carers and Aspire) - Secondary Provider;

Birkenhead

·  Premier Care  - Primary Provider;

·  Wirral Home Care Alliance  - Secondary Provider;

West Wirral

·  Wirral Home Care Alliance  - Primary Provider;

·  Haven Care  - Secondary Provider;

South Wirral

·  Haven Care  - Primary Provider;

·  Carewatch  - Secondary Provider;

with the following Peripheral Providers operating across the whole of Wirral:-

·  Care Connect;

·  Castlerock Recruitment Group (CRG);

·  ICARE GB;

·  ICARE Solutions;

·  Kare Plus;

·  Potens;

·  Prime Care; and

·  Routes.

 

The report further outlined the actions to be undertaken in the period to implementation of the new arrangements on 1 April 2019.

 

No alternative to the joint commission arrangement had been undertaken since thorough consideration had been given to available options at the meeting of the Board held in August 2018, details of which were outlined within the submitted report.

 

The Board was further advised that during the procurement process Wirral Council had been approached by the National Audit Office with a view to the production of a case study on the Joint Commissioning approach taken, and the outcome.

 

The NHS Wirral Clinical Commissioning Group Board Members and the Wirral Borough Council’s two Cabinet Members sitting as a Committee of the Cabinet –

 

RESOLVED:  That the commissioning activity undertaken as a result of the resolution at Minute 15 of the meeting of the Joint Strategic Commissioning Board held on 21 August 2018 be noted and supported, specifically:-

(i)  the Care and Support at Home contract being awarded as detailed at paragraphs 1.3 and 1.4 of the submitted report;

(ii)  the implementation and roll out for the new contract, as detailed at paragraph 3 of the submitted report, be agreed;

(iii)  the procurement window being opened twice in year one, then annually for the remainder of the contract, for new Providers to come on the framework as Peripheral Providers; and

(iv)  the submission of a Wirral case study for the National Audit Office on the integrated commission be approved.

40.

Wirral Health and Care Commissioning Pooled Fund Arrangements for April 2019 to March 2020 pdf icon PDF 155 KB

A report by the Director of Care and Health is attached.

Additional documents:

Minutes:

The Director of Care and Health, Graham Hodkinson introduced a report presenting proposed arrangements for pooled fund resources in 2019/20.  It was proposed that the pooled fund would continue on the basis of current arrangements, and that scope be not extended to include additional schemes or areas during 2019 in order to enable joint arrangements to continue without increasing financial risk.  Notwithstanding, in receiving the proposal the Board was reminded of the commitment to review the effectiveness of Better Care Fund (BCF) schemes early in 2019/20 and the financial value in the pool may change slightly due to changes in allocation, inflationary pressures etc.

 

The proposal to continue with current arrangements, as opposed to extending the pooled fund arrangements to new areas, was made as the current arrangements in the Section 75 agreement were still relatively young and feedback needed scrutiny and understanding.  The initial areas for pooling had been those with a clear benefit to individuals and care packages and those related to hospital discharge issues as promoted via the BCF.  The proposal would therefore keep focus on those areas where the most impact could be made.  To broaden the scope to include all NHS Wirral Clinical Commissioning Group and Wirral Council social care spending could potentially increase risk due to ongoing pressure in the health system

 

The Board was advised that the proposal was being brought forward in time for the new financial year as the current Section 75 pooled fund agreement that sets out the detail of pooled budget areas would end at the end of March 2019, and was reminded that there is a legal requirement to have a Section 75 agreement in place to draw down the elements of the pool relating to the BCF. 

 

The Director reported verbally to the Board in respect of a recent Adult Care and Health Overview and Scrutiny Committee workshop, held since the preparation of the submitted report and at which this proposal had been reported and considered.  Ongoing reporting arrangements to enable the Overview and Scrutiny Committee to monitor the pooled fund had been agreed, alongside a requirement that should a significant change be required to a scheme, an opportunity to scrutinize that requirement in advance would be provided.  In response to a query concerning scrutiny on any proposed changes for 2020/21, the Director advised that while timing would depend on the planning process agreed, a commitment to pre-scrutiny had been given. 

 

The interest and involvement of the Adult Care and Health Overview and Scrutiny Committee in pooled fund arrangements was welcomed by the Co-Chairs of the Board.

 

The NHS Wirral Clinical Commissioning Group Board Members and the Wirral Borough Council’s two Cabinet Members sitting as a Committee of the Cabinet –

 

RESOLVED: That the proposal not to increase the scope of the pooled fund for 2019/20 in order to continue mitigating financial risk be endorsed.

 

Wirral Borough Council’s two Cabinet Members sitting as a Committee of the Cabinet –

 

RESOLVED:    That the Director of Care and  ...  view the full minutes text for item 40.

41.

Date and Time of Next Meeting

To note that the next meeting of the Joint Strategic Commissioning Board will be held at 2pm on Tuesday, 2 April 2019 in the Council Chamber of Birkenhead Town Hall.

Additional documents:

Minutes:

RESOLVED:  That it be noted that the next meeting of the Joint Strategic Commissioning Board will be held at 2pm on Tuesday, 2 April 2019 in the Council Chamber of Birkenhead Town Hall.