Issue - meetings

The Board resolved :-

(i)    to notes that a full paper detailing the finances of the IJB will be brought to the meeting on the 28 October 2020;

(ii)  to note the position with regard to the Care at Home contract and the reasons for the level of movement;

(iii) to agree to the contract value being adjusted for the Care at Home tender as discussed within paragraphs 3.3 to 3.7 of this report

(iv) to agree to provide additional Care at Home hours during the winter period up to a cost of £700,000 and purchase 69 additional care beds at a cost estimated of £1.6 million;

(v)  to Make the direction in Appendix A;

(vi) to instructs the Chief Officer to issue the Direction at Appendix A to Aberdeen City Council (ACC).

The Board had before it a report from the Chief Finance Officer, ACHSCP which provided an update on the financial position of the IJB both in relation to the funding to be received for the Mobilisation Plan, and in respect of the Care at Home contract. The report sought approval to commission additional social are services to support winter planning.

The Board heard from the Chief Finance Officer who presented a summary of the report by topic.

Frailty Pathway

Members heard that the transfer of resources from NHS Grampian within this service was ongoing and that to facilitate successful delivery it may be necessary to increase capacity within the Care at Home Contract.

Members were advised that any additional spend would only happen on funding availability being confirmed.

Finance Update

Members heard that further to a recent Scottish Government announcement on increased funding, further detail was awaited to enable HNS Boards to underspend the allocation of these funds. This was quite a time consuming and detailed review which would hopefully see an outcome report within a week or two.

Care at Home

Members heard that work continued with Grampian Consortium Group with regards to this contract which had been slightly extended due to delayed funding which necessitated the timeline of the tender being extended.

Members were advised that there were many variables to the needs being met and the unmet need required. This was proving difficult to estimate as some ‘double counting’ was occurring due to the contract requirements which was being reviewed and that developments and re-negotiation would be necessary and involve a 6-month transitional period to provide assurance to both sides, and to the Board.

Members queried the Chief Finance Officer on several aspects of the report however indicated that they were assured by all the information they had received.

The report recommended :-

the Board -

(a)         to note that a full paper detailing the finances of the IJB will be brought to the meeting on the 28 October 2020;

(b)         to note the position with regard to the Care at Home contract and the reasons for the level of movement;

(c)          to agree to the contract value being adjusted for the Care at Home tender as discussed within paragraphs 3.3 to 3.7 of this report

(d)         to agree to provide additional Care at Home hours during the winter period up to a cost of £700,000 and purchase 69 additional care beds at a cost estimated of £1.6 million;

(e)         to Make the direction in Appendix A;

(f)           to instructs the Chief Officer to issue the Direction at Appendix A to Aberdeen City Council (ACC).

The Board resolved :-

to approve the recommendations.

-       COUNCILLOR SARAH DUNCAN, Chair