Agenda and draft minutes

Apologies for absence were received from Councillor Ray Puddifoot, Mr Shane DeGaris (THH), Dr Ian Goodman (CCG) and Mr Tony Zaman (Adult Social Services).  Mr Mike Robinson (THH) attended as a substitute.  

RESOLVED:  That the minutes of the meeting held on 27 August 2013 be agreed as a correct record.

RESOLVED:  That all items of business be considered in public.

FOR DISCUSSION

The proposal to undertake a BID (Business Improvement Delivery) review to examine the possible formation of a new form of service delivery vehicle had been discussed further with the CCG.  The proposal had not been agreed and would not now take place. 

RESOLVED:  That no further action be taken to progress the BID review proposal. 

Consideration was given to the report and to the steps that now needed to be undertaken in relation to the Integration Transformation Fund (ITF).  It was clear that little of the £3.8bn available through the ITF would be new money (£1.9bn was from existing funding from across the NHS and social care and £1.9bn was from current CCG budgets).  However, it was noted that £1bn of the funding would be performance-related. 

Concern was expressed that no indication had yet been given as to what the allocation criteria would be for the ITF.  Consideration was given to putting a plan together to detail what joint work could be undertaken by the CCG and the Council to progress the integration of health and social care and whether this would improve Hillingdon’s chances of securing a larger share of the ITF.

It was noted that guidance on the apportionment criteria was expected in the next 2-3 weeks.  Although it was anticipated that the criteria would be based on outcomes such as delayed transfers and shared commissioning plans, this would not actually be known until the guidance had been published.  Furthermore, it was suggested that the bidding process may be more about ensuring that Hillingdon secured the money that it had contributed to the ITF rather than being rewarded for innovative joint working projects.  It was agreed that officers would need to produce a plan that was safe but also innovative. 

It was anticipated that officers would be in receipt of the ITF guidance by the next Board meeting on 31 October 2013 and would then be able to establish a range of options for inclusion in a plan. 

RESOLVED:  That officers and partners consider the ITF guidance as it is issued from Government and prepare evidence to form a potential plan.  This should include mapping existing integration activity and developing outline proposals for future integration, to report back at a further meeting of the Sub-Committee in December 2013.