Issue - meetings

Health and Social Care Integration (CAB03_21/22)

Meeting: 27/07/2021 - Cabinet (Item 9)

9 Health and Social Care Integration (CAB03_21/22) pdf icon PDF 217 KB

Report by the Executive Director of Adults and Health.

 

Cabinet is asked to agree the recommendations in the report which set out how the county council will work with partners to commission and deliver integrated care in line with new legislation, as well as appointments to NHS Hospital Trusts.  

 

The Cabinet Member for Adults Services will introduce the report.

 

The Chairman of the Health and Adults Social Care Scrutiny Committee will be invited to speak for up to three minutes to provide the views of the Committee on the report.

 

Each of the main minority group leaders will be invited to speak for up to three minutes each on the report.

 

The Cabinet will then discuss the report and proposals prior to taking any decision.

Additional documents:

Decision:

Following consideration of the report, Cabinet resolved to approve:

 

1.   The approach set out in the report to maintain the County Council’s lead role and commitment to integrated care and improving population health working where appropriate across Sussex and to develop further plans with the local NHS to maintain this approach.

2.   That the Director of Public Health shall sit on the shadow NHS Sussex Integrated Care System Board to represent the County Council’s full range of interests.

 

3.   That the Executive Director Adults and Health (DASS) continues to sit on the Sussex Health and Care Partnership Executive to represent the County Council’s full range of interests.
 

4.   To add the shadow Sussex Integrated Care System Partnership Forum to the County Council’s Outside Body list and appoint Cllr Bob Lanzer, as Chairman of the West Sussex Health and Wellbeing Board, Cllr Amanda Jupp, as Cabinet Member for Adult Social Care and Cllr Garry Wall, as the Chairman of the Health and Adult Social Care Scrutiny Committee to represent the County Council on the Sussex Integrated Care System Partnership Forum, until the end of the term of the County Council in May 2025.

 

5.   To confirm the appointments to the NHS Hospital Trusts as listed in 2.11 of the report, until the end of the term of the County Council in May 2025.

 

The call-in deadline is 5 August 2021

 

Minutes:

9.1       Cabinet considered a report by the Executive Director of Adults and Health. The report was introduced by Cllr Amanda Jupp, Cabinet Member for Adults Services who outlined that the newly published Health and Social Care Bill formalised working relationships between local authorities, the NHS and other partners. The Integrated Care System (ICS) proposed should help these partnerships plan and deliver the best outcomes for communities and improve health. Keith Hinkley, Executive Director for Adults and Health added that how West Sussex responds and engages the new arrangements is key, and the integrated governance model acknowledges the critical sovereignty of the partners.

 

9.2       A statement was read from Cllr Garry Wall, Chairman of the Health and Social Care Scrutiny Committee, in which he welcomed the report and recommendations and the council’s commitment to integrated care. He noted the changes were necessary to provide the complex range of services to residents but asked whether the required funding will be available to manage demands on services. The committee would be considering how best to scrutinise the proposals at its next Business Planning Group meeting.

 

9.3      Cllr Chris Oxlade, Leader of the Labour Group welcomed the commitment to partnership working across health and social care in West Sussex but felt that appointments to the outside bodies should also include councillors from the minority groups, particularly members with particular experience or a background in health. He felt that information sharing between partners needed to improve and awaited the developing plans with interest.

 

9.4      Cllr Kirsty Lord, Leader of the Liberal Democrat Group submitted a written statement in which she welcomed the increased integration of commissioning and services but had concerns about the size of the ICS and the danger that it could lose touch with local community needs. Cllr Lord also suggested further consideration be given to the outside body appointments and asked that MPs and government were lobbied to clarify the funding arrangements now and into the future. 

 

9.5      The following points were raised by Cabinet:

 

ØThe concept of an integrated care system was welcomed; the pandemic had encouraged joint working and this had delivered positive outcomes. The ICS was therefore appropriate and timely.

ØCabinet felt it was important that time is given to allow the approach to integrated working to bed in and to learn from experiences before making any further changes to the framework.

ØFinancial and resource implications would need to be carefully considered as the plans developed.

ØAppointments to these outside bodies had been carefully considered.

 

9.6      Keith Hinkey, Executive Director of Adults Services advised, in response to questions over the finances that this provided an opportunity to develop joint and agreed plans, and questions surrounding investment would be settled through the core budget setting process within the county council. The issue of boundaries of responsibility would require ongoing discussions guided by the Care Act and national guidance to enable a collaborative approach to transforming services. A further governance charter was expected, as was information on  ...  view the full minutes text for item 9