Agenda and minutes

The Chair welcomed those present to the meeting and noted apologies.

The Chair advised that the quoracy had been satisfied.

The Strategic Commissioning Board: Noted the information.

The Chair reported that the CCG and Council both have statutory responsibilities in relation to the declarations of interest as part of their respective governance arrangements.

It was reported that the CCG had a statutory requirement to keep, maintain and make publicly available a register of declarations of interest under Section 14O of the National Health Service Act 2006 (as inserted by Section 25 of the Health and Social Care Act 2012). The Local Authority has statutory responsibilities detailed as part of Sections 29 to 31 of the Localism Act 2011 and the Relevant Authorities (Disclosable Pecuniary Interests) Regulations 2012.

The Chair reminded the CCG and Council members of their obligation to declare any interest they may have on any issues arising from agenda items which might conflict with the business of the Strategic Commissioning Board. 

Declarationsmadeby members ofthe Strategic Commissioning Board arelisted in the CCG’s Registerof Interests which is presented under this agenda and is also available from the CCG’s Corporate Office or via the CCG website.

·       Declarationsof interest from today’s meeting

The Cabinet Member Environment and Climate Change, Bury Council declared a personal interest as his son and daughter are both employed by the NHS and he is a member of the Down’s Syndrome Association. It was noted that both these interests were also included on the Declaration of Interest Register.

·       Declarations of Interest from the previous meeting

There were no declarations of interest from the previous meeting raised.

The Strategic Commissioning Board: Noted the published register of interests.

·       Minutes

The minutes of the Strategic Commissioning Board meeting held on 4 January 2021 were agreed as an accurate record.

• Action Log

There were no updates in relation to the Action Log.

The Strategic Commissioning Board: Approved the minutes of the meeting held on the 1 February 2021

There were no public questions raised.

The Strategic Commissioning Board: Noted the information.

The Joint Executive Director of Strategic Commissioning, Bury Council & NHS Bury CCG presented the report which outlined the proposal to renew the contract between Bury Council and Persona Care and Support Limited from 1st April 2021 for a 10-year tenure until 31st March 2031.

It was noted that an outcome based 10-year contract will set out the status of existing services provided by Persona and will capture our future ambition to innovate service delivery and meet the changing needs of the partners and customers. The benefit of this approach will give the Council, Persona, and our wider partners a more sustainable commissioning platform on which to develop new and innovative services, sustain a quality and committed workforce and allow opportunities for external funding, broader business development and build on community assets, realising social value, which in turn will benefit the customers and the people of Bury.

The contract will also be flexible enough to allow for national policy change which may result in local changes in direction and/or financial restrictions that may be required in response to any such change. The overarching principles in the agreement between partners will minimise any emerging risks and provide reassurance to all parties.

The Strategic Commissioning Board: Received the report proposing the renewal of the contract between Bury Council and Persona Care and Support Limited for a period of 10 years commencing on 1st April 2021 and noted that Executive Board approved the proposal on 15th February 2021 and that the report will be presented to Health Scrutiny on 2nd March 2021 and to Cabinet on 24th March 2021.

The Interim Chief Finance Officer, NHS Bury CCG presented the report which provided an update on the Integrated Commissioning Fund budget for 2020/21 and forecast outturn for 20/21 at quarter 3.

The CCG only received formal notification of allocation of budget for the year in November and for the second half of the year the CCG is only receiving additional allocations for spend deemed “out of envelope”. The CCG has been notified of a total allocation of £352.6m to date with a further £2.3m forecast in allocations to be received before the end of the financial year.

At month 9, the ICF is forecasting an overspend of £2.3m which reduces to a small underspend of £0.1m following receipt of anticipated CCG allocations. There is a £4.3m overspend on services held within the section 75 pooled budget, £1.9m underspend on aligned services and breakeven position on in-view services. The key overspends are driven by COVID related expenditure, loss of income across Council services and delays in the achievement of savings.

The Board discussed the risks around hospital discharge costs, the funding for which would cease on 31 March, and it was noted that work was underway to understand the impact a reduction of funding and possible mitigations.

The Strategic Commissioning Board:

·       Noted the increase to the ICF budget as a result of CCG budget allocations received since the last report to Strategic Commissioning Board for 20/21 and their allocation to the ICF.

·       Noted the ICF forecast financial position at month 9 of breakeven and the assumptions on which it is based.

·       Noted the use of underspends in the aligned fund to address overspends in the pooled fund.

·       Noted the financial risks to Bury.

·       Noted the findings of the annual review not to make any changes to the ICF objectives, responsibilities, risk share and structure for 20/21

·       Noted the planned work on the ICF for 21/22 and report to be produced on the delivery against objectives in 20/21.

The Chair summarised the main discussion points from today’s meeting and thanked members for their contributions.

The Strategic Commissioning Board: Noted the information.