Minutes:
Report CS17072
To provide non-recurrent investment into developing the Bromley out of hospital programme, Bromley Clinical Commissioning Group (BCCG) sought £7m for 2016/17 and 2017/18 from the Council’s earmarked reserve for the Section 75 agreement. Developing the programme would significantly contribute to recurrent savings in excess of £24.713m over the two years, enabling BCCG to continue to meet its financial targets.
Bromley CCG had met its financial and savings targets over the previous three years (since inception) and, with release of the monies, was forecast to do so again in 2016/17. However, with significant income reductions over the next two years, the CCG and NHS faced a significant financial challenge and a requirement for major savings to meet financial targets going forward.
Developing the out of hospital strategy through Integrated Care Networks (ICNs) in Bromley was a key part in delivering savings. Work was progressing at pace on phase one of the strategy - introducing two new pathways in pro-active care and frailty. Governance structures were also in place including Bromley CCG and L B Bromley (as commissioners) as well as major providers in Bromley, the latter signing up to the Memorandum of Understanding on key principles and objectives as well as metrics aligned to the CCG QIPP savings programme and Better Care Fund (BCF) targets.
Metrics and
performance information would measure the impact of the networks on
all parts of the health and social care economy in Bromley.
Monitoring would allow commissioners to re-design the system where
necessary, with mechanisms in place to shift funding to the most
appropriate area or to effect changes mitigating any potential cost
increases.
During the implementation period, the one-off investment would cover non-recurrent implementation costs, pump-priming investment and double running costs in the community and acute sector. Funding set aside by Bromley CCG in the section 75 agreement would cover such costs.
In discussion, the Council’s actions in maintaining the earmarked reserve were highlighted without which the programme would encounter significant problems.
In considering the recommendations, Members proposed that Council approve release of the first tranche of monies for 2016/17 with any release of funds for 2017/18 referred back to the Executive for final approval.
RESOLVED that in considering the release of £7m from earmarked reserves (Section 75 agreement monies), as requested by Bromley Clinical Commissioning Group (see paragraph 3.2 of Report CS17072), Council be recommended to:
(1) approve the release of funds for 2016/17 (at £3.5m); and
(2) request that a further report be provided to the Executive at a later stage to seek approval for the release of funds (at £3.5m) for 2017/18.