Decision details

To confirm the strategic direction of health and social care integration and specific recommendations which will support this

Part 2 annex

1.         That the progress made towards the integration of health and social care, particularly in North East Hampshire and Farnham and Surrey Heath CCG areas be noted.

2.         That the development of frameworks to support integration, such as pooled budgets or the development of separate integrated care organisations, be approved.

3.       That authority be delegated to the Strategic Director of Adult Social Care Wellbeing and Independence, the Director of Public Health and the Director of Finance, in consultation with Cabinet Member for Adult Social Care Wellbeing and Independence, to approve pooled budget agreements for the integration of health and social care.

Reasons for Decisions:

The approach to integration proposed will support the provision of better outcomes to Surrey residents at less cost and enable the council to better influence and control the source of demand for social care services.

The proposals further work towards expanding pooled budgets beyond those currently within the remit of the Better Care Fund under Section 75 agreements. Including more Adult Social Care and NHS funding, with agreement on shared risks, will ensure we are jointly focusing on reducing the increasing demands on our services.

‘Fast-tracking’ two areas will provide learning for the rest of the County and support the local approach of the right pace and form for each area dependent on needs and context.

The models and degrees of integration available are varied and range between, for example, co-location, joint commissioning arrangements, one accountable organisation as a  lead commissioner, pooled budgets and the creation of a separate integrated care organisation. All key decisions required in the progress to integration will follow the County Council’s due process, and where required will be reported back or brought to the Cabinet for decision. 

Pursuing opportunities for further integration will help to ensure the County Council

meets its statutory duties, set out in both the Care Act 2014 and the Health and

Social Care Act 2012, for encouraging and promoting the integration of health and

social care.

[The decision on this item may be called in by the Social Care Services Scrutiny Board or the Wellbeing and Health Scrutiny Board]