Agenda for Joint Commissioning Board on Monday, 26th January, 2009, 5.00pm
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Agenda, decisions and minutes
PDF 220 KBVenue: Committee Room 3, Hove Town Hall. View directions
Contact: Caroline De Marco, Democratic Services Officer
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Procedural Business
(b) Declarations of Interest by all Members present of any personal interests in matters on the agenda, the nature of any interest and whether the Members regard the interest as prejudicial under the terms of the Code of Conduct.
(c) Exclusion of Press and Public - To consider whether, in view of the nature of the business to be transacted, or the nature of the proceedings, the press and public should be excluded from the meeting when any of the following items are under consideration.
NOTE: Any item appearing in Part 2 of the Agenda states in its heading either that it is confidential or the category under which the information disclosed in the report is exempt from disclosure and therefore not available to the public.
A list and description of the categories of exempt information is available for public inspection at Brighton and Hove Town Halls. Minutes: 32 (a) Declarations of Substitutes
32.1 There were none.
32 (b) Declarations of Interests 32.2 There were none.
32 (c) Exclusion of Press and Public
32.3 In accordance with section 100A of the Local Government Act 1972 (“the Act), the Board considered whether the press and public should be excluded from the meeting during an item of business on the grounds that it was likely, in view of the nature of the business to be transacted or the nature of the proceedings, that if members of the press and public were present during that item, there would be disclosure to them of confidential information (as defined in section 100A (3) of the Act) or exempt information (as defined in section 100I(I) of the Act).
32.4 RESOLVED - That the press and public be not excluded from the meeting.
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Minutes of the Previous Meeting Minutes of the meeting held on 8 December 2008 (copy attached). Minutes: 33.1 RESOLVED – That the minutes of the Joint Commissioning Board Meeting held on 8 December 2008 be agreed and signed by the Chairman.
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Chairman's Communications Minutes: 34.1 There were none.
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Public Questions (The closing date for receipt of public questions is 12 noon on 19 January 2009)
No public questions received by date of publication. Minutes: 35.1 There were none.
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Financial Performance Report - Month 8 Report of Director of Finance, Brighton & Hove PCT (copy attached). Decision: (1) That the financial position of the pooled budgets - forecast at breakeven – and the actions underway to manage the pressures within the system, be noted.
(2) That progress on the substance misuse and community alcohol services tender be noted.
Minutes: 36.1 The Board considered a report of the Director of Finance, Brighton & Hove PCT which set out the financial position of the pooled budgets at the end of Month 8, and the forecast year end outturn. The report highlighted emerging pressures and set out plans to address these pressures (for copy see minute book). The Director of Finance, PCT informed the Board that he was confident that the pressures and risks could be managed.
36.2 Councillor Taylor asked for an explanation of risk share in table 3.2. The Director of Finance, PCT explained that the application of risk share was £300,000. There had been a carry forward from last year. Pressure from this year could be offset. The Financial Recovery Plan had been discussed at the Contracts Board and would be discussed at future Contract Board meetings.
36.3 Richard Ford reported that he was confident that the Sussex Partnership Trust would reach a concurrent financial situation. The Trust was looking to improve the financial position in three areas. A paper would be prepared on Older Peoples’ Mental Health Services in the next few weeks. Officers were looking to reduce the overspend in Substance Misuse and were ensuring that placements in Working Age Mental Health were best for each person. Officers were looking to move more people into self directed support. This would not save money in the short term but would save money in the long term.
36.4 Councillor Taylor asked if the figure of £64,000 was the total Section 75 variance overspend. The Director of Adult Social Care & Housing explained that this figure was the total Section 75 variance on the Learning Disability budget. A report on this matter would be brought to the Special Joint Commissioning Board on 23 February 2009.
36.5 RESOLVED - (1) That the financial position of the pooled budgets - forecast at breakeven – and the actions underway to manage the pressures within the system, be noted.
(2) That progress on the substance misuse and community alcohol services tender be noted.
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Independent Sector Care Home and Domiciliary Care Fee Increases 2009/10 Report of Director of Strategy, PCT and Director of Adult Social Care & Housing, Brighton & Hove City Council (copy attached). Decision: (1) That it be approved that City Older People and OPMH care home providers who are eligible for inclusion on the Preferred Provider Scheme be awarded a 3.5% increase. That it be approved that providers who do not qualify for inclusion on the Preferred Provider Scheme be awarded a 2.5% increase (see Appendices 1 and 2), subject to agreement of the 2009/10 budget package. The 2.5% increase constitutes the inflationary increase, whereas the additional 1% is for quality.
(2) That an inflationary award of 2.5% is awarded to the following, subject to agreement of the 2009/10 budget package: § Those in Older People and OPMH care homes who do not qualify for inclusion in the Preferred Provider Scheme. § Out of City Older People and OPMH care homes. § Those care homes providing services for other categories of care where there are no set rates, excluding learning disability services. § Domiciliary care agencies providing services for all categories of care. § Direct Payment rates.
Minutes: 37.1 The Board considered a report of the Director of Strategy, PCT and the Director of Adult Social Care & Housing, Brighton & Hove City Council which sought approval for the proposed fee increases for inclusion within the budget 2009/10 package, for in city care homes providing services for Older People and Older People with Mental Health Needs (OPMH) within the context of Fairer Contracting. The Board was asked to note proposed increases which were in line with inflation (for copy see minute book).
37.2 The report was presented within the context of the current annual round of fee increase negotiations with those independent sector providers who are supplying care services on behalf of Brighton & Hove City Council.
37.3 The Director of Community Care (Adult Social Care) explained that the report had already been submitted to the Adult Social Care & Health Cabinet Member Meeting.
37.4 John Dearlove asked whether there were plans to deal with a major nursing home going into administration due to the current economic climate. He also asked which inflation index was used by officers. The Director of Community Care replied that the inflation increase was based on the council’s budget increase. No new block contracts were being placed with firms that appeared to be in difficulties. The Council wanted a dialogue with firms that were in trouble. The Director of Adult Social Care & Housing explained that officers were looking at the pressures being placed on the independent sector. Inflation in real terms was lower than 2.5%. Meanwhile, Extra Care Housing was now on stream and would take pressure off the system.
37.5 Janice Robinson asked if new developments had been delayed. The Director of Community Care replied that Bupa were still waiting to submit a planning application for a new home. However, 78 units of Extra Care Housing would make a huge difference.
37.6 RESOLVED - (1) That it be approved that City Older People and OPMH care home providers who are eligible for inclusion on the Preferred Provider Scheme be awarded a 3.5% increase. That it be approved that providers who do not qualify for inclusion on the Preferred Provider Scheme be awarded a 2.5% increase (see Appendices 1 and 2), subject to agreement of the 2009/10 budget package. The 2.5% increase constitutes the inflationary increase, whereas the additional 1% is for quality.
(2) That an inflationary award of 2.5% is awarded to the following, subject to agreement of the 2009/10 budget package: § Those in Older People and OPMH care homes who do not qualify for inclusion in the Preferred Provider Scheme. § Out of City Older People and OPMH care homes. § Those care homes providing services for other categories of care where there are no set rates, excluding learning disability services. § Domiciliary care agencies providing services for all categories of care. § Direct Payment rates.
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