{meta} Decision - Integrated Care: models proposed to continue transformation tests of change - Karen Proctor (Sarah Cannon) - 30 minutes

Decision details

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: Yes


Salford City Council - Record of Decision


I, Councillor Gina Reynolds, Lead Member for Adult Services, Health & Wellbeing and co-chair of the Adults Commissioning Committee, in exercise of the powers contained within the Council Constitution, do hereby approve


The Integrated Care Transformation Models of Care 2020/21 to 2021/22


The Reasons are.

The Adults Integrated Care Transformation Programme has tested models of care between 2016/17 and 2019/20. Positive progress has been seen with system measures of integration during this time, including improvement in urgent hospital measures (stabilisation of A&E rates and reduction of emergency admissions against population growth). There is also a decline in care home admissions and many examples of improved experiences for patients through transformation services. The new models for the next two years seek to maintain and grow impact and improve outcomes. They draw on the learning from the test projects and are a combination of continuation and change. Equally the proposals consider interrelated recurrent services to ensure a holistic approach, with no duplication, best use of resources and effective integrated pathways. The models of care are in-line with national recommendations and evidence. They cover health and social care transformation for some intermediate care and neighbourhood services. 


Options considered and rejected were.

Stop all integrated care transformation projects. This was rejected as impact achieved and the learning over the previous three years will be lost. This will also include losing specialist staff from transformation services.

Continue all integrated care transformation projects as tested. This was rejected as the tests were set up to learn what worked best and to ensure transformation aligned with existing services in pathways. There are some elements which were tested on a smaller scale which would not be cost effective on a larger scale and so models required some change.         


Assessment of Risk: Low - Medium


The source of funding is. CCG funding


Legal Advice obtained. N/A


Financial Advice obtained. N/A

Procurement Advice obtained. N/A


The following documents have been used to assist the decision process.

Paper outlining proposed new models and benefits achieved from previous three years.


Contact Officer: Sarah Cannon               Tel No:  0161 212 5192




The appropriate scrutiny committee to call-in the decision is the Health and Social Care Scrutiny Panel.



Signed:      GINA REYNOLDS                Dated:           09 January 2020


          Lead Member Adult Services, Health & Wellbeing 




This decision was published on 10 January 2020.    


This decision will come in force at 4.00 p.m. on 17 January 2020 unless it is called-in in accordance with the Decision Making Process Rules.


Publication date: 10/01/2020

Date of decision: 08/01/2020

Decided at meeting: 08/01/2020 - Adult Commissioning Committee

Effective from: 18/01/2020

Accompanying Documents: