Decision details

Allocation for additional funding for adult social care

Decision Maker: Director for adults and wellbeing (Historic)

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes

Purpose:

To approve the detailed allocation of the additional funding for adult social care

Decision:

That:

a) the allocation of the £3.573m additional funding for adult social care for 2017/18 and £4.721m for 2018/19 be approved as set out in paragraph 20 of the report

Reasons for the decision:

The spring budget 2017 recognised that adult social care services are under significant pressure nationally; one expression of this being the increased number of patients whose discharge from hospital has been delayed while they wait for a social care placement. As a consequence, the chancellor announced an additional £2bn for councils to spend on adult social care over the next three years (2017/18 to 2019/20). This funding is required to be included in the wider pooling of resources between councils and the NHS through the Improved Better Care Fund (iBCF). Of this national funding, the total allocation for Herefordshire is £7.3m.

On 4 May 2017, Cabinet delegated authority to the director for adults and wellbeing, following consultation with the cabinet member health and wellbeing and the section 151 officer, to determine the detailed allocation of the funding, having regard to the principles agreed and any national conditions associated with the funding. This report details the proposed allocations for 2017/18.

Alternative options considered:

Not approving the allocation to the schemes suggested or allocating the budget in a different way is an option; however the schemes detailed at paragraph 20 have been developed in partnership with key stakeholders and fully meet all grant conditions set. A substantial amount of the schemes support the current adult social care budgetary pressures and aim to enable delivery in priority areas. A key grant condition for the additional funding is that the full allocation for each year is spent within that financial year. Formal approval is required to allow the budget to be allocated and spent within the timescales set

Resource Implications:

This funding is made available to councils on a reducing basis over the next three years, and is in addition to improved BCF funding announced in the 2015 comprehensive spending review (CSR).

The proposed allocation to the following schemes for 2017 – 2019 is as detailed below. All lines detailed below will be reviewed and updated on a regular basis and any adjustment of the figures for individual schemes will be managed to ensure there is no impact upon overall expenditure, which will be contained within the total iBCF envelope:

Improved Better Care Fund- Funding Detail 2017/18 & 2018/19
Contribution to IBCF Grant Condition	Scheme title	2017/18	2018/19
Contribution to IBCF Grant Condition	Scheme title	£,000	£,000
Improving Integrated Commissioning Capacity	BCF Performance / Contract Management	28	48
	Digital Delivery Programme Manager	18	72
	BCF Project Management Support	19	42
	BCF Joint Strategic Finance Lead	37	85
	BCPG Minor Investments	7	15
	Interim Strategic System Evaluation	0	15
Meeting Adult Social Care Needs	Care Packages	819	819
	LD Placements	350	350
	Operational Staffing	200	400
	Care Home Placements	624	624
	Contracts & Services for Vulnerable Groups	522	480
	AWB Professional Standards Leads	37	112
	Housing Support Role	16	24
	Night Care Team	144	72
Reducing Pressures on the NHS Including Supporting Hospital Discharge	Community Based Anticipatory Care Planning	16	63
	Expansion of Rapid Response Service	161	284
	Enhancing Adults Wellbeing Pathway Roles	90	158
	Admiral Dementia Nurses	0	111
	Care Navigator Frequent Fallers	11	45
	Balanced Lives Hereford	18	50
	Hospital Discharge Facilitation (self funder)	38	150
Supporting Local Social Care Provider Market	Clinical Professional Standards Lead	17	52
	Use of Technology in Care Homes	0	23
	Care Workforce Development Programme	64	17
Total Funding Committed		3,235	4,112
Total Grant Funding		3,573	4,721
Total Funding Remaining to Commit		338	609

Reason Key: Expenditure and strategic nature / impact on communities;

Wards Affected: (All Wards);

Contact: Amy Pitt, Director of Strategy and Performance Email: Amy.Pitt@herefordshire.gov.uk Tel: 01432 383758.

Publication date: 11/12/2017

Date of decision: 19/12/2017

Effective from: 29/12/2017

Accompanying Documents:

Allocation for additional funding for adult social care, main report PDF 241 KB