Public Document Pack STRATEGIC COMMISSIONING BOARD Day: Wednesday Date: 12 February 2020 Time: 1.00 pm Place: Committee Room 1 - Tameside One Item AGENDA Page No. No 1. WELCOME AND APOLOGIES FOR ABSENCE To receive any apologies for the meeting from Members of the Panel. 2. DECLARATIONS OF INTEREST To receive any declarations of interest from Members of the Panel. 3. MINUTES OF THE PREVIOUS MEETING 1 - 2 The Minutes of the meeting of the Strategic Commissioning Board held on 22 January 2020 to be signed by the Chair as a correct record. 4. FINANCIAL CONTEXT a) MONTH 9 INTEGRATED FINANCE REPORT 3 - 18 To consider the attached report of the Executive Member, Finance and Economic Growth / CCG Chair / Director of Finance. b) BUDGET CONVERSATION 2020-21 19 - 40 To consider the attached report of the Executive Leader/Executive Member Finance and Economic Growth/Joint Chairs CCG/Director of Governance and Pensions/Assistant Director, Policy, Performance and Communications. 5. COMMISSIONING FOR REFORM a) LOCALLY COMMISSIONED SERVICES - 2020/21 DEVELOPMENTS 41 - 50 To consider the attached report of the Executive Member, Health, Social Care and Population Health / Director of Commissioning. b) MENTAL HEALTH ESTATES 51 - 58 To consider the attached report of the Executive Member, Health, Social Care, and Population Health / Director of Commissioning / Director of Growth. 6. URGENT ITEMS To consider any additional items the Chair is of the opinion shall be dealt with as a matter of urgency. From: Democratic Services Unit – any further information may be obtained from the reporting officer or from Carolyn Eaton, Principal Democratic Services Officer, to whom any apologies for absence should be notified. This page is intentionally left blank Agenda Item 3 STRATEGIC COMMISSIONING BOARD 22 January 2020 Comm: 1.00pm Term: 1.20pm Present: Dr Ashwin Ramachandra – NHS Tameside and Glossop CCG (Chair) Councillor Warren Bray – Tameside MBC Councillor Gerald Cooney – Tameside MBC Councillor Bill Fairfoull – Tameside MBC Councillor Leanne Feeley – Tameside MBC Councillor Allison Gwynne – Tameside MBC Councillor Joe Kitchen – Tameside MBC Councillor Oliver Ryan – Tameside MBC Councillor Brenda Warrington – Tameside MBC Councillor Eleanor Wills – Tameside MBC Steven Pleasant – Tameside MBC Chief Executive and Accountable Officer for NHS Tameside and Glossop CCG Dr Asad Ali – NHS Tameside and Glossop CCG Dr Vinny Khunger – NHS Tameside and Glossop CCG Dr Christine Ahmed – NHS Tameside and Glossop CCG Carol Prowse – NHS Tameside and Glossop CCG In Attendance: Sandra Stewart Director of Governance & Pensions Stephanie Butterworth Director of Adults Services Ian Saxon Director of Operations & Neighbourhoods Richard Hancock Director of Children’s Services Jessica Williams Director of Commissioning Tom Wilkinson Assistant Director of Finance Ilys Cookson Assistant Director, Exchequer Services Sarah Threlfall Assistant Director, Policy, Performance and Communications Debbie Watson Assistant Director, Population Health Sarah Exall Consultant Population Health 53 DECLARATIONS OF INTEREST There were no declarations of interest. 54 MINUTES RESOLVED That the minutes of the meeting of the Strategic Commissioning Board held on 18 December 2019 be approved as a correct record with the addition of Councillor Kitchen to the list of persons present in his ex officio capacity as Chair of Council Business. 55 PERMISSION TO SPEND: TENDER FOR THE PROVISION OF A HEALTH IMPROVEMENT SERVICE Consideration was given to a report of the Executive Member Adult Social Care and Population Health / CCG Chair / Director of Population Health / Consultant in Public Health, which outlined the proposed approach to the re-commissioning of Health Improvement Services with an annual budget of £1,092,000. The report sought authorisation to tender the service for new contracts to Page 1 start on 1 October 2020. The Council were working with STAR procurement to re-tender the service. The report gave details of: the case for change; consultation and engagement; proposed new model; value for money; contracting proposal; alternatives considered and discounted; equalities; and risk management. RESOLVED That the Strategic Commissioning Board: (i) Approves the tender for the Health Improvement Service to commence 1 October 2020 for a five year period with a termination period of six months; and (ii) That approval be given for the Director of Public Health to approve the contract award following the tender, subject to compliance with the Council’s Procurement Standing Orders. 56 CORPORATE PLAN PERFORMANCE UPDATE Consideration was given to a report of the Executive Leader / Joint CCG Chairs / Director of Governance and Pensions, which provided an update on progress to implement and embed the Corporate Plan Performance Monitoring Framework across Tameside & Glossop Strategic Commission. The report provided some key headlines in terms of any changes in performance since the last report in October 2019. The updates scorecard was appended to the report, showing the position as at 29 November 2019. It was explained that, of the 56 indicators being me4asured in the Corporate Plan; 45 could be measured against the national average. Of these 45 indicators; 12 were performing better than the national average, 26 were performing worse than the national average and 7 were in line with it. The key changes in performance were outlined in the report. RESOLVED That the content of the report and the progress being made across the range of indicators, be noted. 57 URGENT ITEMS The Chair reported that there were no urgent items for consideration at this meeting. CHAIR Page 2 Agenda Item 4a Report To: EXECU STRATEGIC COMMISSIONING BOARD Date: 12 February 2020 Executive Member / Cllr Ryan – Executive Member (Finance and Economic Growth) Reporting Officer: Dr Ash Ramachandra – Lead Clinical GP Kathy Roe – Director of Finance Subject: STRATEGIC COMMISSION AND NHS TAMESIDE AND GLOSSOP INTEGRATED CARE FOUNDATION TRUST – CONSOLIDATED 2019/20 REVENUE MONITORING STATEMENT AT 31 DECEMBER 2019 AND FORECAST TO 31 MARCH 2020 Report Summary: With a gross budget for 2019/20 in excess of £948m, as at month 9 the Integrated Commissioning Fund has a forecast net spend of £619.6m, against a net budget of £617.2m. The forecast overspend of £1.550m is primarily driven by Children's Services, offset by contingency and capital financing. Further detail on the economy wide position is included at Appendix 1. The forecast has got worse from last month by £1.252m, mainly due to increased costs in Children’s Services. Recommendations: Members are recommended to : 1. Acknowledge the significant level of savings required during 2019/20 and beyond to deliver a balanced recurrent economy budget together with the related risks which are contributing to the overall adverse forecast. 2. Acknowledge the significant financial pressures facing the Strategic Commission, particularly in respect of Children’s Social Care, Acute, and Growth. 3. Approve the acceptance of the Urban Tree Challenge grant funding set out in paragraph 2.4. 4. Note the write offs of irrecoverable debt for the period 1 October to 31 December 2019. Links to Community Budget is allocated in accordance with the Community Strategy: Strategy Policy Implications: Budget is allocated in accordance with Council Policy Financial Implications: This report provides the 2019/20 consolidated financial position statement at 31 December 2019 for the Strategic (Authorised by the Commission and ICFT partner organisations. For the year Section 151 Officer & to 31 March 2020 the report forecasts that service Chief Finance Officer) expenditure will exceed the approved budget in a number of areas, due to a combination of cost pressures, shortfalls in income and non-delivery of savings. These pressures are being partially offset by savings and additional income in Capital and Financing, Corporate and Contingency budgets Page 3 which may not be available in future years. The report emphasises that there is a clear urgency to implement associated strategies to ensure the projected funding gap in the current financial year is addressed and closed on a recurrent basis across the whole economy. The Medium Term Financial Plan for the period 2019/20 to 2023/24 identifies significant savings requirements for future years. If budget pressures in service areas in 2019/20 are sustained, this will inevitably lead to an increase in the level of savings required in future years to balance the budget. It should be noted that the Integrated Commissioning Fund (ICF) for the Strategic Commission is bound by the terms within the Section 75 and associated Financial Framework agreements. Legal Implications: There is a statutory requirement for the Council to deliver a (Authorised by the balanced budget whilst ensuring all services deliver value for Borough Solicitor) money. Given the implications for each of the constituent organisations this report will be required to be presented to the decision-making body of each one to ensure good governance and to enable the two organisations to determine how the budget gap will be addressed. Risk Management: Associated details are specified within the presentation. Failure to properly manage and monitor the Strategic Commission’s budgets will lead to service failure and a loss of public confidence. Expenditure in excess of budgeted resources is likely to result in a call on Council reserves, which will reduce the resources available for future investment. The use and reliance