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Thursday, February 19th, 2015

Report from ICASS board – 17 July 2014

Meeting Name: Integrated Care and Support Solihull (ICASS) Programme Board

Date of Meeting: 17th July 2014

Key Points of Wider Interest Discussed:

The Clinical Commissioning Group – Effectiveness Review Group reported to this Board (as well as to the H&WBB) on the need to make savings in the CCG budget and the requirement to deliver savings of £10.1 million in 2014/2015 and £7.6million in 2015/2016. It was noted that much of the deterioration in the CCG financial position is not of the CCG’s own making as it relates to technical adjustments and top slicing which could not have been anticipated.  To deal with the gap in funding the Governing Body approved an Effectiveness Review Group (ERG) to undertake a review of all expenditure area.  This was necessary as the CCG is required under the Health and Social Care Act to operate within statutory financial limits; the powers of the act allow NHS England to enforce external ‘support’ if it does not have confidence in Solihull CCG to deliver a sustainable financial position.  The Health and Wellbeing Board endorsed the position that it is essential that health care commissioning for the people of Solihull remains in Solihull to ensure that local services are not diluted within a ‘Greater Birmingham’ environment as well as to enable the continued focus on our shard integration agenda with SMBA.

The ERG has identified potential savings of £4.959m, split across three categories:

  • non–renewal of contracts- where duplication of services has been found; or do not demonstrate value for money, or do not demonstrate the expected return on investment
  • service thresholds – where services will continue but access criteria will be redefined to target those most in need
  • contract renegotiation- where contracts may continue but where there is a need to seek price reductions

The ICASS Board were concerned about any stoppages in service and the potential impact on clients and the long term plans for integrated care.  It was noted that there are plans in place to meet with all providers affected.

‘Getting on well in Solihull’ will be the new strapline for the integrated care programme in Solihull.

The Care Act – The need to ensure we meet the requirements of the Care Act within ICASS was discussed and it was agreed that the Care Act Implementation Project Manager, should brief the Board on the Care Act at the September meeting.

Better Care Fund – has been submitted but not signed off as it is not clear what the impact will be on the acute provider.  The guidance has now changed and there will be a need to do a re-submission by the end of the summer, so the Better Care Group is being reformed to review the submission.

Potential Follow Up Action/Discussion/Feedback Required:

  • Note that some voluntary sector organisations may be affected by the CCG Effectiveness Review Group cuts
  • The link for the Dementia Friend site to be circulated please to encourage sign up to help meet the borough target.
  • The Care Act – implications for the voluntary sector?

Date of Next Meeting:  12th September 2014

Name and Contact No of Rep Completing:  Anne Hastings

Phone 0121 704 3361 or email