Decision details

SERVICE AREA:

Commissioning

SUBJECT MATTER:

COMMUNITY HEALTH ESTATE AND INTEGRATION

DECISION:

1.    Note the prioritisation of estates and neighbourhood integrated hubs within Greater Manchester and that external resource has been made available centrally to develop opportunities.

2.    Note that Tameside and Glossop Strategic Commission have been successful in securing some of this resource via funding bids ranging from £25k to £80k and totalling £250k.

3.    Approve the spend of these funds to gain more detailed understanding of potential neighbourhood opportunities leading to development of Outline Business Cases.

DECISION TAKER(S):

Strategic Commissioning Board

DESIGNATION OF DECISION TAKER(S):

Not applicable.

DATE OF DECISION:

12 December 2018

REASON FOR DECISION:

There is a clear need to deliver solutions for the community health estate which addresses building condition, rising costs and service need.  These solutions need to encourage a collaborative public asset approach and a multi-agency delivery approach to ensure that resident / patient needs and care are joined up.

ALTERNATIVE OPTIONS REJECTED (if any):

To not undertake further consideration of potential options would not provide the required solutions.  In each neighbourhood, there are a variety of estate options and differing pressures to be considered and these shall be considered within each Outline Business Case.

CONSULTEES:

This strategy is sighted economy wide and all executive and stakeholder groups are in support of its development.

FINANCIAL IMPLICATIONS:

(Authorised by Section 151 Officer)

Full consideration shall be given to the financial implications of each outline business case when produced.  The financial implications will vary in nature but all will need to demonstrate a return on investment and value for money in order to proceed through our governance route.

LEGAL IMPLICATIONS:

(Authorised by Borough Solicitor)

This report seeks only to approve expenditure of Funding provided to the CCG for the purpose of developing business cases.  Such expenditure must comply with Financial Standing order and procurement obligations.

It should be noted that all Outline Business Cases will need to be agreed in advance by the Strategic Commissioning Board – any approvals and authorisations will be dependent on the source of the budget for the proposals if reliant on council funding and this ultimately may be dependent on full Council approval.  Meanwhile no liabilities should be committed to and / or incurred before such authority provided.

There are some significant legal and financial issues that will need to be considered by any potential delivery model, this is because the Council is able to buy and hold land whereas health can only lease land through a health company – therefore any integrated approaches whilst on the face of them provide a common sense approach, there is currently no legal framework in place that would protect the council in the event that any lease was reneged upon.  Accordingly these are issues that need to be developed further and understood before any individual business case can be agreed.  It is something we will need to get our external auditors to sign off.

CONFLICT OF INTEREST:

None.

DISPENSATION GRANTED BY STANDARDS COMMITTEE ATTACHED:

Not applicable.

REFERENCE DOCUMENTS:

The background papers relating to this report can be inspected by contacting the report author Mathew Chetwynd, Estate Business Manager, by:

Telephone: 0161 342 5500

e-mail: mathew.chetwynd@nhs.net