How can we help you...

Agenda item

Prevention and Early Intervention - CUS/23/064

Minutes:

The Council had before it a report by the Director of Commissioning which advised of the approach taken to embed prevention and early intervention into the commissioning cycle and shape budget decisions to positively deliver on outcomes for Aberdeen.

 

The report recommended:-

that the Council -

(a)         note the development to date of the Council’s approach to resource allocation in aid of supporting the deliberate shift to prevention as advocated by the Council’s Target Operating Model and agree to further develop it by instructing the following corporate wide developments:

1)         instruct the Chief Officer - Finance in consultation with the Chief Officer - Early Intervention and Community Empowerment to develop a new financial reporting template to capture the prevention and early intervention tiered resource allocation model, and to include this in the annual budget process, with effect from the 2024/25 budget cycle, to demonstrate the proposed allocation of resources per tier;

2)         instruct the Chief Officer - Finance, in consultation with the Chief Officer - Governance and Chief Officer - Commercial and Procurement to work with the Group entities and Tier 1 ALEOs to prepare a statement of tiered resource allocation across the Aberdeen City Council family group, and to include this in the annual budget process with effect from the 2024/25 budget cycle;

3)         instruct the Chief Officer - People and Organisational Development in consultation with the Chief Officer - Early Intervention and Community and Empowerment and Chief Officer - Finance to develop a training programme for staff and elected members on early intervention and prevention and report on delivery progress to the Staff Governance Committee;

4)         instruct the Chief Officer - Governance to amend the committee reporting template to include commentary on tiered resource allocation on prevention, early intervention and response services; and

5)         instruct the Chief Officer - Data & Insights to work through the Aberdeen Health Determinants Research Collaborative to ensure that the Council’s approach to resource allocation and the continued shift to prevention is supported by appropriate evidence, research and evaluation.

(b)         as part of the next stage of the development of the resource allocation approach to underpin the shift to prevention, agree to instruct the following on-going spend analysis using the three tier intervention framework:

1.            instruct the Chief Officer - Strategic Place Planning to include a tiered analysis of resource requirements in the refreshed Local Housing Strategy  to be presented for approval to the Communities, Housing and Public Protection Committee noting the significance of housing         as one of the key determinants of population health;

2)         instruct the Chief Education Officer and Chief Officer - Integrated Children’s and Family Services to undertake tiered analysis of the resource requirements to support the refreshed Integrated Children’s Services Plan (2023-2026) and present the Integrated Children’s Services Plan to the Education and Children’s Services Committee for approval noting the significance of early years interventions in population health;

(c)          note the approved IJB Strategic Plan (2022-2025) and request the Chief Officer of Aberdeen City Health and Social Care Partnership to include tiered analysis on annual reporting against the Health and Social Care Partnership Strategic Plan 2022-25 as part of evidencing the shift to a preventative approach rather than a medical approach to ageing well; and

(d)         as part of demonstrating how the Council’s expenditure was driving achievement of better outcomes through co-ordination and collaborative working:

1.            note the commitments contained in the Council Delivery Plan COM/23/074which are aligned to the Local Outcome Improvement Plan outcomes;

2.            note the assessment of the Council Delivery Plan commitments using the tiered analysis detailed in this report; and

3.            instruct the Director of Commissioning, as Chair of the Community Planning Partnership Management Board, to encourage Community Planning Partners to adopt this approach to tiered analysis of organisational spend to support the development of a citywide perspective on resource allocation.

 

Councillor Nicoll moved, seconded by Councillor Yuill:-

That the Council approve the recommendations contained within the report.

 

Councillor Tissera moved as an amendment, seconded by Councillor Watson:-

That the Council approve the recommendations contained within the report subject to the following changes:-

 

(d) 3. advise the Chair of the Community Planning Partnership Board, to encourage Community Planning Partners to adopt this approach to tiered analysis of organisational spend to support the development of a citywide perspective on resource allocation; and

(e) agree the Council’s approach to resource allocation in aid of supporting the deliberate shift to prevention as advocated by the Council’s Target Operating Model should not include a Review of Statutory Functions which could lead to outsourcing or privatisation of Statutory Functions.

 

On a division, there voted:-

 

For the motion  (30)  -  Lord Provost; Depute Provost; and Councillors Al-Samarai, Allard, Alphonse, Boulton, Bouse, Brooks, Hazel Cameron, Clark, Cooke, Copland, Cormie, Davidson, Fairfull, Farquhar, Greig, Henrickson, Houghton, Hutchison, Kusznir, MacGregor, McLellan, McLeod, McRae, Mennie, Nicoll, Radley, van Sweeden and Yuill.

 

For the amendment  (12)  -  Councillors Ali, Blake, Bonsell, Crockett, Graham, Grant, Lawrence, Macdonald, Malik, Thomson, Tissera and Watson.

 

Absent from the division  (1)  -  Councillor Massey.

 

The Council resolved:-

to adopt the motion.

Supporting documents: