A report from the Executive Director – People is attached. (Key decision – reference number 5173)
Councillor Alev Cazimoglu (Cabinet Member for Health and Social Care) introduced the report of the Executive Director – People providing details of the 2020/21 Section 75 funding arrangement between the London Borough of Enfield and NHS North Central London Commissioning Clinical Group (CCG).
1. That no significant changes to funding arrangements were proposed. Both parties were seeking to renew the Section 75 (pooled funding) Agreement for 2020/21. The spending plan was subject to joint agreement by NHS North Central London Clinical Commissioning Group (CCG) and the Council.
2. That the Better Care Fund was a programme spanning both the NHS and local government which sought to join up health and care services, so that people could manage their own health and wellbeing and live independently in their communities for as long as possible, as detailed in the report.
3. The detailed funding and summary schedules provided in the report.
4. The significant impact of and increasing pressures arising from Covid-19. There was a joint commitment to continue to deliver the services required. The Council would continue to lobby Government for increased funding levels to meet service demands.
5. The proposals set out in the report and reflected in the decisions below.
Alternative Options Considered: NOTED, that the pooled budget arrangement had been an effective way for the Commissioning Clinical Group and the Council to pool 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 to
1. Note the arrangements for pooled funding.
2. Delegate formal sign off of the Section 75 Agreement between NHS North Central London CCG and the Council to the Director of Health and Adult Social Care as the approved statutory DASS (Director of Adult Social Services).
3. That within the financial year 2020/21 the Director for Adult Social Care could make minor amendments throughout the year to the schemes and funding arrangements based on the Government Guidance published in 2019 up until the formal national guidance was available and launched.
Reason: The detailed reasons for the proposals were set out in paragraphs 10 to 13 of the report. The report informed Cabinet of the requirement to deliver the Section 75 agreement and of the pooled funding arrangements which underpin it.
(Key decision – reference number 5173)