{meta} Agenda for Adult Commissioning Committee on Wednesday, 8 January 2020, 3.00 pm

Agenda and decisions

Venue: The Salford Room - St James's House Pendleton Way Salford M6 5FW.. View directions

Contact: Carol Eddleston 

Items
No. Item

1.

Apologies for Absence

2.

Declarations of Interest

3.

Draft Minutes of the Meeting Held on 6 November 2019 pdf icon PDF 121 KB

4.

Patient Story - 5 minutes

5.

Finance Report - Verbal Update - Steve Dixon - 10 minutes

6.

Integrated Care: models proposed to continue transformation tests of change - Karen Proctor (Sarah Cannon) - 30 minutes pdf icon PDF 2 MB

Decision:

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.

 

7.

Postural Stability Service - Gillian Mclaughlan - 15 minutes pdf icon PDF 647 KB

Decision:

 

 

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 and agree to the continuation of the Enhanced Postural Stability Service. This will be recurrently funded at current level in line with Adults Advisory Board recommendation. I, agree to retain SCL as provider on grounds of cost effectiveness and continuity of service.

 

The Reasons are:

  1. Salford Community Leisure are retained as the provider on the grounds of cost effectiveness and continuity of service.
  2. Assurance has been provided regarding Best Value and future tendering options including the broader Salford City Council wider partnership agreement and commission with Salford Commission Leisure.
  3. The SCL Enhanced Postural Stability Service has achieved all contract requirements and Key Performance Indicators.
  4. The service is an integral part of the Salford’s Falls Pathway, therefore providing a comprehensive service for residents who have and are at risk of falling.

 

Options considered and rejected were:

  • Not to commission a postural stability service.
  • Re-tender of service

Assessment of Risk: Low

 

The source of funding is: Integrated Fund.

 

Legal Advice obtained.

 

Financial Advice obtained.

 

Procurement Advice obtained.

         

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

         

Enhanced Postural Stability Business case

 

Contact Officer: Helen Dugdale, Public Health Strategic Manager

Tel No 0161 793 3543                 


 

 

 

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.

 

8.

Extra Care Service Specification - Judd Skelton - 20 minutes pdf icon PDF 150 KB

Additional documents:

Decision:

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 Final Draft Salford ASC Extra Care Service Specification

 

The Reasons are to support Salford Care Organisation with the procurement of a new care provider(s) in the six Extra Care Schemes. To ensure the service delivered fits with Adult Social Care’s personalisation and strengths based approaches. Improve the quality of the service provided and ensure value for money. Improve service user experience. Standardise the provision of Extra Care across Salford.

 

To improve the quality of service provided Extra Care - Care. Quality Improvement, improvement in service user experience, support tender process.

         

Options considered and rejected were - Not applicable as specification has been taken forward to support Salford Care Organisation with the tender process through which a new care provider(s) will be identified.

         

Assessment of Risk – Medium, should the service specification not be approved this would impact on the procurement process

 

The source of funding is – Integrated All-Age Pooled Budget

         

Legal Advice obtained - Not applicable at this stage.

 

Financial Advice obtained – Provided by Salford City Council and Salford Care Organisation

         

Procurement Advice obtained – Not applicable as procurement is being undertaken by Salford Care Organisation.

         

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

Extra Care – Care Service Specification – Cover Paper v1.0;

Appendix 1 – Final Draft Salford ASC Extra Care Service Specification v0.4;

Appendix 2 – CIA Initial screening updated Extra Care – Care specification v1.0;

Appendix 3 – Extra Care Position Statement and Strategic Recommendations for Salford

 

Contact Officer: Paul Walsh                    Tel No:  0161 212 4844

 

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.

 

8a

Financial Appraisal for Arrow Street (Extra Care Strategy) - Paul Walsh - 15 minutes pdf icon PDF 1 MB

Decision:

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 recommendation of the financial appraisal for the Arrow Street Extra Care scheme in order to progress the development of the scheme.

 

The Reasons are to support the strategic development of Extra Care services in Salford.

         

Options considered and rejected - To not progress with this scheme.

         

Assessment of Risk – Medium, should the service not be supported, additional service quality, choice and cost effectiveness would not be secured for Salford people.

         

The source of funding is – Integrated All-Age Pooled Budget.

         

Legal Advice obtained – not applicable at this stage.

 

Financial Advice obtained – provided by Salford City Council finance.

         

Procurement Advice obtained – not applicable. Salford Care Organisation will be responsible for any subsequent procurement exercise.

         

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

 

‘Extra Care ACC Paper - Arrow Street Financial Appraisal Update - Jan 2020’


Contact Officer: Paul Walsh                    Tel No:  0161 212 4844

 


 

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.

 

9.

Proposed amendment to Terms of Reference for Adults' Commissioning Committee - H Dobrowolska - 5 minutes pdf icon PDF 135 KB

10.

Adult Commissioning Report - Karen Proctor - 10 minutes pdf icon PDF 821 KB

11.

Any Other Business - Chair

12.

Time and Dates of Future Meetings

3:00pm on Wednesday 12 February 2020 – Civic Centre, Salford Suite;

3:00pm on Wednesday 11 March 2020 – St James’ House.