Decision details

It has previously been agreed to explore a ‘whole population budget’ arrangement for our whole ESBT health and social care economy to underpin integrated commissioning, through EHS and HR CCGs and ESCC bringing together our commissioning budgets so that we can work within one ESBT financial planning envelope for our c£860million resource.

A Financial Framework Agreement has now been prepared to describe how EHS and HR CCGs and ESCC manage their finances in order to get the most value out of our collective available resource, realising the benefits for the local population of an integrated health and care system. Together, the collective budgets will be known as the Integrated Commissioning Fund, and the Financial Framework Agreement sets out the mechanisms for integrated financial planning and management.

Approval is sought to:
1) agree the draft Financial Framework Agreement; and
2) delegate authority to the Chief Executive and Chief Finance Officer to finalise the details of the Financial Framework Agreement alongside the Integrated Commissioning Fund for 2018/19.

19.1     The Leader and Lead Member considered a report by the Director of Adult Social Care and Health.

DECISION

19.2     The Leader and Lead Member RESOLVED to (1) agree in principle the Financial Framework Agreement, proposed scope and content of the East Sussex Better Together (ESBT) Integrated Commissioning Fund (ICF) for 2018/19, and the integrated financial planning arrangements as set out in Appendix 1 of the report; 

(2)        delegate authority to the Chief Executive and the Chief Finance Officer to agree the terms of and enter into the Financial Framework Agreement alongside the ICF for 2018/19; and 

(3)        note the proposed next steps to further strengthen leadership and governance to support integrated health and social care system commissioning in the ESBT footprint in 2018/19, with Eastbourne Hailsham and Seaford Clinical Commissioning Group (EHS CCG) and Hastings and Rother Clinical Commissioning Group (HR CCG).

Reasons

19.3     The draft Financial Framework Agreement will enable an ESBT Integrated Commissioning Fund to be established and operated with EHS and HR CCGs in 2018/19.  Stronger system leadership and governance, supported by the Financial Framework Agreement and Integrated Commissioning Fund, will underpin robust integrated health and social care commissioning. 

19.4     The Financial Framework Agreement and proposed scope and content of the ESBT Integrated Commissioning Fund for 2018/19(subject to the finalisation of the Integrated Commissioning Fund and Integrated Finance and Investment Plan for 2018/19), have been agreed in principle by EHS and HR CCGs’ Governing Bodies at their meeting on 28 March 2018.