Issue - meetings

Report CS18067

The Executive considered an update on the Integrated Care Networks (ICNs) which summarised the function and the impact of the ICNs on Adult Social Care and made recommendations relating to the Council’s future involvement in the ICNs.

In October 2016, three Integrated Care Networks were established across Bromley with the aim of providing a Multi-Disciplinary Team (MDT) approach to ensure the most appropriate care and support was available to Bromley residents with complex care needs.  Over 550 referrals had been made to the Integrated Care Networks during the first nine months of operation up to the end of June 2017, with an average service user age of 82 years.  The Integrated Care Network Alliance Agreement initially consisted of six signatories to a Memorandum of Understanding that set out the objectives of the Integrated Care Networks, expected deliverables and the operational framework for the partners to work together.  The six signatories comprised Bromley Healthcare, Oxleas NHS Foundation Trust, King’s College Hospitals NHS Foundation Trust, Bromley GP Alliance, St Christopher’s Hospice and Bromley Third Sector Enterprise.  The Local Authority had not signed up to the Memorandum of Understanding at that time, but participated in Multi-Disciplinary Team discussions where there was a service user who received or might require social care support.  It was proposed that the Local Authority formally sign and join the Integrated Care Networks Alliance Agreement and that a number of drawdown requests be agreed to meet the costs of additional care packages and resource the Local Authority’s involvement in the Integrated Care Networks.

The Head of Programme Design (Commissioning) reported that due to limitations on data sharing the Local Authority did not have the NHS numbers of 42% of service users referred to the Integrated Care Networks as at end of June 2017 which had limited its ability to track service users.  A detailed data sharing agreement and robust data collection measures were in now in place and NHS numbers were registered for 90% of service users being referred to the Integrated Care Network.

In considering the report, Members were broadly supportive of the proposals.  In wishing officers success for the proposal, the Leader requested that in October 2018 Members be provided with an update setting out the benefits achieved from the Integrated Care Network.

Members noted that the report had been scrutinised by the Care Services PDS Committee on 9^th October 2017.

RESOLVED: That

1.  The Council formerly signing and joining the Integrated Care Network (ICNs) Alliance Agreement as set out in para 4.8;

2.  The drawdown from the Improved Better Care Fund (IBCF) of £365,000 in year, increasing to £629,000 in a full year, for the next 3 years, as a result of additional care packages costs as set out in para. 6.1-6.7 of Report CS18067 be agreed; and,

3.  The drawdown of £150,000 per annum from the IBCF, for 3 years, of IBCF funding for resourcing the Council’s involvement in the ICNs be agreed.