Issue - meetings

Cabinet Member: Adult Services

Forward Plan Ref: 2012/013

Contact: John Pearce, Service Manager, Strategic Commissioning Tel: (01865) 323619

Report by Director for Social & Community Services (CA15).

Part one : Joint arrangements with Oxfordshire Primary Care Trust (Commissioner)

 The framework provided by the National Health Service Act 2006 means money can be pooled between health bodies and health-related local authority services, functions can be delegated and resources and management structures can be integrated.

The arrangements allow commissioning for existing or new services, as well as the development of provider arrangements, to be joined-up. They cover:

• lead commissioning
• integrated provision
• pooled budgets.

This paper asks the Cabinet to:

Endorse the proposed renewal  of the current s75 NHS Act 2006 pooled budget agreement and lead commissioning with Oxfordshire  Primary Care Trust  from April 2012-March 2013 for the two pooled arrangements for:

§         Older people and people with physical disabilities and

§          People with a Learning Disability.

This paper has also been submitted to the Oxfordshire Clinical Commissioning Group and agreed in February 2011  

Part two : Joint arrangements with Oxford Health (Provider)

The framework provided by the National Health Service Act 2006 has been used to develop integrated provision and pooled budgets with Oxfordshire and Buckinghamshire Mental Health NHS Foundation Trust

This paper asks the cabinet to:

Delegate the responsibility to the Director Social and Community Services to enter into a further Mental health pooled Section 75 agreement with Oxford Health. The purpose of this Agreement is to facilitate the provision of integrated services by the partners in the manner and locations specified in this Agreement and to be limited to eligible people within the Council’s borders. 

Cabinet are RECOMMENDED to:

(a)              Endorse the proposals to agree joint agreements with Oxfordshire PCT set out above which have been approved by Oxfordshire Clinical Commissioning Group

(b)             Grant delegated authority to the Director and s151 officer to agree the section 75 partnership agreement with Oxford Health.

The Cabinet considered a report which proposed the renewal of the current s75 NHS Act 2006 pooled budget agreement and lead commissioning with Oxfordshire  Primary Care Trust  from April 2012-March 2013 for the two pooled arrangements for:

§               Older people and people with physical disabilities and

§               People with a Learning Disability.

and in relation to Joint arrangements with Oxford Health (Provider) to delegate the responsibility to the Director Social and Community Services to enter into a further Mental health pooled Section 75 agreement with Oxford Health. The purpose of this Agreement was to facilitate the provision of integrated services by the partners in the manner and locations specified in this Agreement and to be limited to eligible people within the Council’s borders. 

Councillor Jenny Hannaby, Shadow Cabinet Member for Adult Services stated that the area for Older people and people with Physical disabilities and People with Learning Disabilities had not historically in some areas preformed as well as she would have liked. She hoped the new agreement, which she noted had a cut off clause, would make a difference including a proper look at the services with more focus on areas needing improvement

She sought assurance that their would be sufficient residential care and respite places available and that supported living support services, which would be funded through personal budgets, received the correct funding and that monitoring took place to make sure the funding is sufficient for their needs.

She welcomed the fact that existing staff arrangements would continue with the new arrangements and that the Oxfordshire clinical group had approved the new arrangements for authority to rest with Director and 151 officers.

The Cabinet Member for Adult Services responded to the points made commenting that he was aware of the concerns that Councillor Hannaby raised and would continue to monitor the situation carefully.

RESOLVED:  to:

(a)               endorse the proposals to agree joint agreements with Oxfordshire PCT set out above which have been approved by Oxfordshire Clinical Commissioning Group;

(b)              grant delegated authority to the Director and s151 officer to agree the section 75 partnership agreement with Oxford Health.