Issue - items at meetings - KD 4885 - Section 75 Agreement: Approval of Revisons for 2019/2020

Issue - meetings

KD 4885 - Section 75 Agreement: Approval of Revisons for 2019/2020

Meeting: 12/06/2019 - Cabinet (Item 5)

5 Section 75 Agreement: Approval of Revisions for 2019/2020 pdf icon PDF 207 KB

A report from the Executive Director – People is attached. (Key decision – reference number 4885)

(Report No.6)

(7.30 – 7.40 pm)

Minutes:

Councillor Alev Cazimoglu (Cabinet Member for Health and Social Care) introduced the report of the Director of Health and Adult Social Care (No.6) providing details of the 2019/2020 Section 75 funding arrangement between the London Borough of Enfield and NHS Enfield Clinical Commissioning Group (CCG).

 

NOTED

 

1.            The detail of and background to, the Section 75 funding agreement as set out in the report. Approval was now being sought for the 2019/2020 Section 75 funding arrangement between the London Borough of Enfield and NHS Enfield Clinical Commissioning Group (CCG).

 

2.            That the integrated service provision sought to improve the lives of the most vulnerable and included the enabling of more people to live independently; reduce demand on health care services; and, avoid unnecessary emergency admissions to hospital and care provision.

 

3.            The detailed funding of the arrangements as set out in the report. The total included within the Section 75 agreement was £43.36m.

 

4.            The positive outcomes that had resulted from the integrated health and social care schemes as set out in section 3.3 of the report.

 

5.            The continuing pressures on service provision at a time of population growth and Government funding cuts. Enfield would continue to seek to improve service provision whilst recognising the significant challenges being faced. Members noted the uncertainty regarding future funding arrangements and would continue to lobby the Government for a fair and sustainable funding settlement.

 

6.            In response to a question raised, it was noted that the funding did not sufficiently address the additional pressures being faced on Adult Social Care services. The funding enabled the statutory obligations to be met; the continuing pressures were highlighted. Enfield was recognised as being one of the top service providers nationally. The hard work of all involved was acknowledged. The Council would continue to seek to support its most vulnerable residents.

 

7.            In conclusion, it was noted that this was a reflection on the national funding situation and at a local level, the positive key indicators for providing good value for money services.

Alternative Options Considered: The pooled budget arrangement had been an effective way for the Commissioning Clinical Group and the Council to pull resource together to support some of the most vulnerable people in the community. A collaborative approach to meeting both organisations’ strategic goals had delivered the desired outcomes. NHS England guidance required the pooling of the Better Care Fund to be via a Section 75 Agreement.

 

DECISION: The Cabinet agreed 

 

1.            To note the arrangements for pooled funding.

 

2.            To delegate formal sign off of the Section 75 Agreement between NHS Enfield Clinical Commissioning Group (CCG) and the Council to the Director of Health and Adult Social Care as the approved statutory Director of Adult Social Services (DASS).

 

3.            That the Director for Adult Social Care, in agreement with the Director of the Clinical Commissioning Group (CCG), to make minor amendments throughout the year to the schemes and funding arrangements to reflect any change in circumstances.

 

4.            That the Section 75 Agreement  ...  view the full minutes text for item 5