Issue - meetings

To consider the recommendations of the Corporate Policy Committee.

Consideration was given to the recommendations from the Corporate Policy Committee in relation to the governance for the Integrated Care System.  

It was proposed that under Section 75 of the Health and Care Act 2006 a committee be established, with the NHS Cheshire Clinical Commissioning Group, from 1 April 2022 to oversee and manage the Section 75 Better Care Fund Agreement and Plan.

The Integrated Care System arrangements continued to be developed and a number of issues were still to be resolved. It was important for the Council to monitor and review emerging details of governance arrangements, particularly those that related to scrutiny, which would be undertaken by the Adults and Health Committee and the Scrutiny Committee.  These arrangements needed to be considered carefully by Members,  including those on the Constitution Working Group, and by full Council in order to ensure that the Constitution was updated.  This needed to be a responsive process and could not wait until the next annual review of the committee system in July 2023.

RESOLVED:  That Council

1          establish with NHS Cheshire Clinical Commissioning Group, a Committee under Section 75 of the Health and Care Act 2006 from 1 April 2022, as set out in Section 13 of the report, to oversee and manage the Section 75 Better Care Fund Agreement and Plan.

2          delegate authority to the Executive Director Adults, Health and Integration, in consultation with the Director of Governance and Compliance, to agree and finalise the Terms of Reference of the Section 75 Committee.

3          appoint the Executive Director Adults, Health and Integration (or their nominated representative) to the S75 Committee.

4          delegate authority to making any consequential amendments to the Constitution to the Director of Governance and Compliance.

To consider a report on progress with the governance for the Integrated Care System.

The Committee considered a report on progress with the governance for the Integrated Care System. The purpose of the report was for members to note the progress on the proposed changes to the governance arrangements for local Health and Care services in scope of future Place arrangements, and to agree the governance for the S75 Agreement.

Members made the following comments in relation to this matter:

§  It was hoped that the proposed S75 Committee would fully represent the interests of the residents of Cheshire East.

§  A report should come forward to a future meeting of the appropriate committee on the nature of S75 Agreements in general.

§  Efforts should be made to ensure that the Scrutiny Committee was outward facing and fully engaged with the Council’s health care partners.

§  It was hoped that this latest reorganisation would achieve more joined up and effective delivery of services to the benefit of patients.

RESOLVED

That the Committee

1.    notes the progress to date;

2.    recommends that the Council establish, with NHS Cheshire Clinical Commissioning Group, a Committee under Section 75 of the Health and Care Act 2006 from 1st April 2022, as set out at Section 13 of the report, to oversee and manage the Section 75 Better Care Fund Agreement and plan;

3.    recommends that the Council delegate authority to the Executive Director (Adults, Health & Integration) in consultation with the Director of Governance to agree and finalise the Terms of Reference of the Section 75 Committee;

4.    requests the Council to appoint the Executive Director - Adults, Health & Integration (or her nominated representative) to the S75 Committee; and

5.    recommends that the Council delegate authority to making any consequential amendments to the constitution to the Director of Governance and Compliance.