Issue details

East Sussex Better Together –Financial Framework Agreement for the proposed Integrated Commissioning Fund

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.


Decision type: Key

Reason Key: Expenditure > £500,000 and affects more than 1 ward;

Decision status: Recommendations Approved

Divisions affected: (All Divisions);

Notice of proposed decision first published: 16/03/2018

Decision due: 16 Apr 2018 by Leader and Lead Member for Strategic Management and Economic Development

Lead member: Leader and Lead Member for Strategic Management and Economic Development

Lead director: Director of Adult Social Care and Health

Contact: Email:, Vicky Smith, Integrated Care System Strategic Development Manager Email:


Agenda items