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. 

Declarations made by members of the Strategic Commissioning Board are listed in the CCG’s Register of Interests which is presented under this agenda and is also available from the CCG’s Corporate Office or via the CCG website.

•      Declarations of interest from today’s meeting

The Cabinet Member for Environment, Climate Change and Operations advised that he was now retired, the Cabinet Member for Health and Wellbeing advised her son worked for a practice in Bury, and the Registered Lay Nurse of the Governing Body advised she had submitted a revised register of interest.

•      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 October 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 6 September 2021.

There were no public questions raised.

The Strategic Commissioning Board:

Noted the information.

The Chief Executive, Bury Council / Accountable Officer, NHS Bury CCG provided an update on the latest CCG and Council developments. He detailed some of the health and social care pledges included in the Autumn Budget announcements, including 3.8% increase in revenue per annum for the NHS, 3% increase for Local Government in spending power (assuming an increase in Council Tax), and £5.9 billion for elective cases but no additional funding for general practice. He also reported that Bury had been successful with two Levelling Up funding bids of £20 million to support a new market flexi hall to strengthen Bury's town centre offer, and the development of a new civic hub in the heart of Radcliffe's town centre as discussed by the Board at their last meeting.

With regards to Covid, it was noted that infection rates had fallen in nine boroughs in Greater Manchester but Bury had increased. These rates were driven by schools and was being addressed through use of facemasks and covid tests for pupils. Vaccinations, boosters, and flu jabs continued and the borough was ready to implement Plan B if necessary. It was noted that pressures remained in the health care system, with Fairfield hospital at OPEL 3 to 4, and an exceptional level of demand was being seen across Greater Manchester.

Finally, it was reported that Sir Richard Leese had been appointed as the new Chair-designate of the Integrated Care Board for Greater Manchester, and that the Chief Officer interviews had taken place.

The Strategic Commissioning Board:

Noted the update.

The Joint Executive Director of Strategic Commissioning, Bury Council & NHS Bury CCG presented a report which detailed the updated arrangement to maintain sufficient discharge to assess beds in the Bury system. This followed previous reports approved by the Board in October 2020 and February 2021 regarding retrospective commissioning of additional capacity in the community to release hospital capacity.

The Strategic Commissioning Board:

Gave retrospective approval of the extension of 29 Discharge to Assess beds at Heathlands Care Home until 31st March 2022 with awareness of the financial risk.

The Joint Executive Director of Strategic Commissioning, Bury Council & NHS Bury CCG presented the report which sought permission to disseminate an approximate combined total of £1,794,200 of Infection Control and Testing Fund monies from the Department of Health and Social Care to appropriate care providers.

The Strategic Commissioning Board:

1.   Approved the request to disseminate the grant monies in line with Department of Health and Social Care Grant requirements.

2.   Delegated authority to the Executive Director of Strategic Commissioning to agree the dissemination of any future Infection Control and Testing fund monies in line with Department of Health and Social Care Grant requirements to ensure the strict timelines are met.

The Executive Director of Finance, Bury Council & NHS Bury CCG presented the report which provided an update in respect of the five strategic risks which are captured on the CCG’s Governing Body Assurance Framework (GBAF) which had been assigned to the Strategic Commissioning Board for oversight. It was noted four risks remained unchanged with one risk, Creation of GM ICS (Integrated Care System), reducing in score owing to closer partnership working arrangements.

The Strategic Commissioning Board:

Received and reviewed the Strategic Commissioning Board Risk Registers.

The Chair summarised the main discussion points from today’s meeting and thanked members for their contributions. It was noted that the timing of the next meeting be reviewed to better fit with the Shadow Locality Board meeting.

The Strategic Commissioning Board:

Noted the information.