Agenda item - Health & Social Care Integration

Report of the Executive Director, Health & Adult Social Care

1)        That Policy, Resources & Growth Committee note the report and;

·         Agree the principle of further integration between the CCG and Council and the local direction of travel towards a new model of city-wide health and social care.

·         Authorise officers to work with CCG colleagues and other NHS Providers in order to bring detailed proposals to the Policy Resources and Growth Committee in October  2017.

·         Note the direction of national policy.

11.1      The Committee considered a report of the Executive Director, Health & Adult Social Care that set out the proposed shared commissioning arrangements between the council and Clinical Commissioning Group (CCG).

11.2      Councillor Yates stated that the proposals could be taken out of a national policy context and be seen as something that should be undertaken in a local context as the social care and health care systems should be closely conjoined. Councillor Yates stated that integration should take place slowly and sensible steps made forward. Councillor Yates conveyed that the public engagement sessions on this stage of integration had been very comprehensive, genuine and well received.

11.3      On behalf of the Green Group, Councillor Sykes moved a motion to amend recommendation 2.1 as shown in bold italics below:

2.1    That Policy, Resources & Growth Committee note the report and;

·      Agree the principle of further integration between the CCG and Council and the local direction of travel towards a new model of city-wide health and social care.

·      Authorise officers to work with CCG colleagues and other NHS Providers in order to bring detailed proposals to the Policy Resources and Growth Committee in October 2017.

·      Note the direction of national policy.  Express concern about funding gaps in drafts STPs and authorise officers to raise this in relevant fora

11.4      Councillor Mac Cafferty formally seconded the motion.

11.5      Introducing the amendment, Councillor Sykes stated that he was unclear as to the purpose of the report. Councillor Sykes noted that the committee had received a report in September 2016 that was much clearer on the next steps in health and social care integration and timescales. Councillor Sykes added that the recommendations in this report were vague and did not necessarily keep in context of what had been previously agreed. Councillor Sykes noted his concern that there was no specific mention of Sustainable Transformation Plans (STP’s) in the report although it was implicitly referenced.

11.6      Councillor Mac Cafferty stated that more evidence was needed on the need for change. Councillor Mc Cafferty noted a paper produced by the National Audit Office in February 2017 entitled ‘Health & Social Care Integration’. Councillor Mc Cafferty relayed that the paper was damning of health and social care integration and cast extensive doubt on outcomes for patients and the scope for integration process to realise savings. Councillor Mac Cafferty stated that he had great concern for the impact of STP’s and integration for residents and that the likely funding gap would affect those most vulnerable.

11.7      Councillor Bell stated he agreed with the comments made by Councillor Yates. Councillor Bell stated closer integration was something that needed to be done and encouraged. Councillor Bell added that the additional funding from central government was welcome and the position of funding was still uncertain.

11.8      The Chair then put the Green Group motion to the vote that failed.

11.9      The Chair put the recommendations to the vote that passed.

11.10   RESOLVED-

1)        That Policy, Resources & Growth Committee note the report and;

·         Agree the principle of further integration between the CCG and Council and the local direction of travel towards a new model of city-wide health and social care.

·         Authorise officers to work with CCG colleagues and other NHS Providers in order to bring detailed proposals to the Policy Resources and Growth Committee in October 2017.

·        Note the direction of national policy.