Agenda and draft minutes

The Board is asked to elect a Chair for the duration of the meeting.

RESOLVED: That Mr Majid Hussain be elected Chair for the duration of the meeting.

Apologies for absence were received from Councillor Brownridge, Dr Gopi, Gerard Jones and Claire Smith.

There were no items of urgent business received.

There were no declarations of interest received.

The Minutes of the meeting of the Commissioning Partnership Board held on 17^th February 2022 are attached for approval.

RESOLVED: That the minutes of the meeting of the Commissioning Partnership Board, held 17^th February 2022, be approved as a correct record.

There were no questions received from members of the public.

The Commissioning Partnership Board considered a joint report of the Directors of Finance (Oldham Council and Oldham CCG), which asked that consideration be given to Oldham Cares Section 75 pooled budget position at the year-end of 2021/2022. The report set out the Oldham Cares Section 75 (S.75) pooled budget position as at the end of the 2021/22 financial year, based on the final CCG position and the provisional outturn for the Council. It showed expenditure of £465.286m compared to a budget of £465.333m resulting in a net under spend £0.047m. This net position was made up of a range of under and overspends within the pools, being a net overspend on Council contributions, and a net underspend on CCG contributions.

S.75 agreements existed between Local Authorities and the NHS nationally for the pooling of budgets to facilitate closer working. Oldham Council and Oldham CCG entered into such an agreement to facilitate a whole system approach to deliver care to the citizens of Oldham. The agreement for 2021/2022, was considered at the Commissioning Partnership Board’s meeting on 27^th January 2022, with authority to approve the final agreement delegated to officers of the Council and CCG.

The purpose of the report therefore was to set out the year end position in respect of the Section 75 pooled fund for Oldham Cares for 2021/2022. The Commissioning Partnership Board were reminded that the CCG’s contribution to the pooled budget for 2021/2022 was increased to incorporate a wider range of CCG commissioned services compared to the prior years as part of the “Pooled Aligned” budget. The CCG position was confirmed, whilst the Council’s position was provisional with accounts due to be completed and submitted to external auditors on 31^st March 2022.

In considering the report members of the Commissioning Partnership Board expressed their gratitude to officers in the finance service, of both the Council and the CCG, for their efforts in ensuring that a positive budgetary position was achieved.

RESOLVED: that the report be noted.

The Commissioning Partnership Board considered a joint report of the Directors of Finance (Oldham Council and Oldham CCG),  which asked the Commissioning Partnership Board to note the current draft version of the 2022/2023 Oldham Section 75 legal document, the proposed scheme specifications included and the proposed financial contributions of the CCG and OMBC and to delegate authority for approval of the final agreement to the Director of Finance for Oldham Council and the Chief Finance Officer of Oldham CCG.

The report updated the Board on proposals for the final version of the 2022/2023 Section 75 (S.75) legal agreement. The report proposed the scope and scale of the S.75 to reflect the financial value of relevant areas of Oldham CCG’s draft plan for 2022/2023 and an expanded portfolio from Oldham Council to reflect the 2022/2023 budgets impacting on the wider determinants of heath. The report also recognises the complex governance arrangements which will be in place for 2022/2023 due to the transfer of the S.75 to Greater Manchester Integrated Care from the CCG and the level of budget delegation to Place.

Originally the S.75 agreement covered expenditure funded by the Better Care Fund. The agreement was initially expanded to include the Improved Better Care Fund and the Winter Resilience Grant. The Council and the CCG have subsequently determined to further widen the scope of the agreement to incorporate several areas where services are commissioned jointly. The main purpose therefore was to facilitate a whole system approach to deliver care where and how it can be best delivered to the citizens of Oldham.

The Oldham system has a strong history of joint working and of organisations providing support where flexibility allows. Some examples of the financial system working include: Oldham CCG providing additional funding to Adult Social Care through the Better Care Fund of over £6m between 2014/15 and 2016/17; OMBC providing investment funds of £5.9m in 2019/20; Oldham CCG and Pennine Acute Hospitals NHS Trust agreeing financial contracts that moved away from activity tariffs to move to a more constructive relationship focussed on joint working; and Oldham CCG providing additional funding to support Adult Social Care in 2020/21 and 2021/22.

RESOLVED: That

1.    The Board notes the strong history of joint working and funding arrangements in Health and Social Care in Oldham.

2.    The Board notes the current, draft version of the 2022/2023 Oldham Section 75 Partnership Agreement as attached at Appendix 1, to the submitted report.

3.    The Board agrees to delegate approval jointly to the Director of Finance of Oldham Council and the Chief Finance Officer of Oldham CCG Officer, in consultation with Members of the Commissioning Partnership Board, to finalise the S.75 Agreement including the financial expenditure and contribution figures, that are detailed at Schedule 8 of Appendix 1, of the submitted report, if required following legal review.

4.    The Board approves the intention to adopt a flexible approach to contributions to support delivery of the best services for Oldham residents.

5.    the Board authorises the Council’s Director  ...  view the full minutes text for item 8.