Agenda and decisions

Report of the Deputy City Mayor/Lead Member for Adult Social Care

Salford City Council - Record of Decision

I Cllr John Merry, Deputy City Mayor, in exercise of the powers contained within the City Council Constitution do hereby approve:

·         The amended Partnership Agreement between the City Council and Salford NHS Clinical Commissioning Group, to take immediate effect; specifically

·         Adoption of the new Interim Locality Board, replacing the Health and Care Board and dissolution of the related Commissioning Committee’s (Adults, Children’s and Primary Care);

·         Revised scope and service schedule, reflecting the movement of NHS medical services and funding to the GM Integrated Care Board;

·         The amended risk share agreement reflecting the changed financial scope of the Partnership Agreement; and

·         Note that further updates on joint arrangements between the City Council and the Greater Manchester Integrated Care Board will be presented to Cabinet as permanent arrangements are clear.

The Reasons are:

Salford City Council and Salford NHS Clinical Commissioning Group entered into a joint Partnership Agreement and Integrated Fund to support delivery of integrated health, children’s, adults and public health services, across the two organisations.  The Partnership Agreement underpins operation of a pooled budget, integrated decision making, joint commissioning and planning of services, and shared financial risk.

CCGs will cease to exist with the advent of Integrated Care Systems from 1 July. From this date, within Greater Manchester, all existing Agreements will transfer from the CCG to the GM Integrated Care Board, by operation of law under amended NHS legislation. 

There are three areas where it is recommended to update the Salford Partnership Agreement before 1 July. This is necessary to ensure the efficient and effective continuation of integrated decision making and financial and service planning and risk management for health, care and wellbeing across Salford. 

• The first amendments are to reflect new integrated decision making arrangements.  A new Interim Locality Board is proposed, replacing the current Health and Care Board associated Commissioning Committees. 

Draft Terms of Reference have been agreed by the Shadow Locality Board, and reflect previous updates.  A full copy of these terms of reference are included at schedule 7 of the Partnership Agreement.

Further changes have been made to the Terms of Reference to adopt relevant elements of a standard Greater Manchester produced “boiler plate” terms of reference document.  These changes ensure a minimum standard of consistency across the ten locality arrangements, and are consistent with principles already agreed by Salford partners.

·                       Schedule 3 of the Partnership Agreement sets out its scope, with funding grouped into three categories: pooled, non-pooled (aligned) and in-view.  Changes now proposed to the scope of the Partnership Agreement  align Salford’s arrangements with the agreed GM ICS direction of travel, most significantly:

·        medical specialties, maternity and non-contracted hospital activity (NCA's) move from the pooled budget to in view;

·         surgical specialities, termination of pregnancies, NHS 111 services, Ambulance Services, research grants and delegated primary care commissioning move from the aligned budget to in view

·         Community Services and Mental Health block contracts are split with non NHS remaining in the pool and NHS spend moved from  ...  view the full decision text for item 3.