Integrated Commissioning Board Better Care Fund 2016/17 What is the - PowerPoint PPT Presentation

Integrated Commissioning Board Better Care Fund 2016/17

What is the Better Care Fund? • Announced in June 2013 to drive forward transformation of local Health and Social Care Services. • The Care Act 2014 amended the NHS Act 2006 to provide the legislative basis for the Better Care Fund. • NHS England required to ring-fence allocations to Clinical Commissioning Groups (CCG’s) to establish the Better Care Fund. • Social Care Capital grant and Disabled Facilities Grant to form the remaining amounts for the fund, which were paid directly to Local Authorities. • A requirement that the Better Care Fund is transferred into one or more pooled funds established under section 75 of the NHS Act 2006. .

Key Financial Aspects of the Section 75 Agreement • Contains details of the contractual commitments • The Local Authority is host and the Section 151 Officer is the Pooled Fund Manager • Quarterly monitoring reports to the Integrated Commissioning Board • Revenue under and overspends are shared equally between both partners • Unspent capital allocations return to the Local Authority

How is it Governed? National Requirement: A requirement that Health and Wellbeing Boards jointly agree • plans for how the money will be spent, with plans signed-off by the relevant local authority and Clinical Commissioning Group(s) Local Process: • Established the Shadow Integrated Commissioning Board with delegated powers from HWBB, Governing Body and Cabinet

NHS England Better Care Fund Allocations and Pooled Budget Value 2015/16 £000’s Ring fenced allocations to CCG’s (minimum 15,125 value of BCF) HMR CCG/Rochdale Council Pooled Budget 15,912 CCG Contribution above the required minimum 787 value

Spend Against Budget 2015/16 Spend Spend 2015/16 Budget 2015/16 Variance £000’s £000's £000's Adult Social Care Services 8,217 8,217 0 Care Act Implementation 594 594 0 Commissioning Strategy 0 72 -72 Carers Services 563 526 37 Re-ablement Services 1,154 1,396 -242 1,847 1,729 118 Intermediate tier service prior to phase 2 3,537 3,378 159 Intermediate tier service Phase 2 Total Better Care Fund Revenue Spend 15,912 15,912 0

2016/17 Better Care Fund (BCF)Allocations Compared to 2015/16 2015/16 2016/17 Change £000’s £000’s £000’s Ring fenced 15,125 15,560 435 allocations to CCG’s (minimum value of BCF) CCG Contribution above the required 787 489 -298 minimum value HMR CCG/Rochdale Council Pooled 15,912 16,049 137 Budget

2016/17 Significant Increased Requirements Description Increased Contract Reason Commitments 2016/17 £000’s Care Act Implementation 43 In line with NHS Guidance Equipment Loan Store 248 Demand pressures Intermediate Tier Service 457 Full year impact of new contract Total Increased Requirements 748

Review of Commissioning Activity to balance the 2016/17 Budget LA/CCG commissioners reviewed the commitments and propose the following: • No inflation uplifts to Adult Social Care Services and the Council’s carers and Re-ablement Services • Assistive Technology to be funded from Capital • Equipment loan store costs to be part funded from Capital • Removal of contracts now funded through the Integrated Neighbourhood Team (INT) contract • Removal of outreach contract now provided for in the Intermediate Tier Service • Hospital to home service decommissioned (already actioned)

2016/17 Budget against 2015/16 Spend Final Spend Outturn 2016/17 Variance 2015/16 Budget £‘000s £‘000s £’000s Revenue Expenditure Protection of Social Care Services 2015/16 8,217 8,217 0 Care Act Implementation 594 637 43 Commissioning Strategy 72 0 -72 Carers 526 480 -46 Re-ablement 1,397 874 -523 Intermediate Care 5,106 5,841 735 Total Revenue Expenditure 15,912 16,049 137

2016/17 In Year Reviews to be undertaken Dementia New Carers Life after stroke Support Workers Service £484k Service £130k £81k Dementia Mental Health Memory Clinic Flexible Workers Outreach Dementia £60k Workers £100k Workers £48k Equipment Store £585k revenue plus £35k capital

Equipment Loan Store • In 2015/16, the budget for the loan store was £337k and was over spent by £337k (£77k being a provision for potential VAT liabilities) • Additional budget has been assigned to the loan store for 16/17 to cover this (£248k in Revenue and £35k in Capital) • A review of the loan store is under way. The review includes: • Transfer of the ownership of the budget to Pennine Acute through the INT contract • Review of the number of expensive same day / next day ordering • Review of direct correlation of costs increases as a result of more care at home • Review of the timeliness of collecting items no longer needed by patients

Better Care Fund Capital Allocations and Spend 2015/16 2016/17 £000’s £000’s Disabled Facilities Grant 1,122 2,047 Capital Grant 617 0 Total Capital Budget 1,739 2,047 Capital Spend:- Disabled Facilities Main Programme 1,015 1,571 Minor Adaptations 107 100 Assistive Technology 200 Springhill 141 Equipment (Loans Store) 35 Total Spend 1,122 2,047 Variance 617 0

Future of the Better Care Fund Influenced by : • Lessons learnt during 2015/16 • Local decisions on future pooling • National decisions • Greater Manchester decisions re devolution • More will follow!