Agenda item

Report of the Director of Community & Children’s Services.

The Board noted that the NHS was facing growing financial and service pressures at a time of rising demand. NHS England published a five-year plan to address some of these challenges and encourage health and social care organisations to work more closely together to address them.

Local areas were required to produce Sustainability and Transformation Plans (STPs) that set out how organisations will work together at a local level to meet the

challenges set out in the plan. This includes looking at transforming services and

using resources differently. Although local authorities are part of the plans, their

budgets are not included in the overall budget total for STPs. However, some of the

service changes proposed through STPs could have an impact on adult social care

services and their funding, for example an increased focus on preventative services

or providing more care based in the community rather than in hospitals.

The Board noted that the City of London Corporation was part of the North East London STP, which included eight local authorities, seven Clinical Commissioning Groups (CCGs) and three acute hospital providers. London Borough of Hackney and City and Hackney CCG had already proposed a devolution pilot, which is now reflected in the STP. The pilot was about exploring the delegation of powers to a local level relating to estates, licensing powers to support public health and prevention and the development of models for integrated commissioning.

Members noted the opportunities and risks of the proposed integrated commissioning model and agreed that it was a timely opportunity for the City Corporation.

Resolved – that the report be received.