Decision details

Council and CCG Integration- Next Steps

Decision Maker: Cabinet

Decision status: Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

To seek support for the emerging proposals for further development of integrated commissioning arrangements between the Council and CCG.

Decision:

RESOLVED (unanimously) that the Cabinet agreed to:

 

1)  Support the development of stronger integrated arrangements between the Council and CCG and approve further work to develop the governance proposals so that they can be taken forward to the full Council meeting in May 2018;

2)  Delegate to the Strategic Director for People and Communities to set up shadow arrangements in January 2018 in consultation with the Cabinet Members;

3)  Support the resource request to develop the integration proposal to the next stage.

Reasons for the decision:

The proposals set out in this report represent a natural next step in the development of the partnership between the Council and CCG and reflect both national and local strategic direction.  At a time of significant challenge, there is the opportunity to achieve a range of benefits from further extending and expanding the Council and CCG’s integrated commissioning arrangement, including improved health and wellbeing outcomes for the people of Bath and North East Somerset and longer-term sustainability.

Alternative options considered:

The risks and benefits of not progressing with the expansion and extension of integrated commissioning have been considered.  However, whilst the current joint working arrangements have delivered benefits they are highly unlikely to enable and support achievement of the range of benefits, particularly in the context of the financial challenges facing both the Council and the CCG.

The risks and benefits of full integration have also been considered.  However, taking the recommended approach will enable and support further testing and evaluation of the risks and benefits at each stage.  Also, the current legislative framework does not support the establishment of a new legal entity.

 

Report author: Mike Bowden

Publication date: 08/11/2017

Date of decision: 08/11/2017

Decided at meeting: 08/11/2017 - Cabinet

Effective from: 16/11/2017

Accompanying Documents: