Agenda item

Agenda item

Adult Social Care Winter Funding 2018

The report of the City Treasurer is enclosed.

Minutes:

In October 2018 the Department of Health and Social Care had announced £240m of additional funding for councils to spend on adult social care services to help councils alleviate winter pressures on the NHS. Councils were to use the extra money to help patients be more quickly discharged from hospital to their homes, so as to free up hospital beds across England. The funding was intended to enable further reductions in the number of patients that are medically ready to leave hospital but are delayed because they are waiting for adult social care services to be arranged for them at home. The allocation of that money to the City Council was to be £2.67m, but it was not to recur in future years.

 

A report submitted by the Director of Adult Services set out proposals for the use of that money. The report explained that the proposals had been aligned with other health and social care funding sources and had been developed jointly with partners across the health and social care system. This integrated approach therefore aligned the use of the additional grant with other health funding arising from an underspend on community health services. The inclusion of that underspend had been agreed with the Executive of the Manchester Local Care Organisation (MLCO) and the Manchester Foundation Trust (MFT). It is also intended that health funding for primary care resilience would be included in due course.

 

The proposals for the use of the grant were:

 

2018/19

£’m

2019/20

£’m

Total

£’m

Priority Discharge programme

0.675

 

0.675

Mental Health bed bureau

0.037

0.018

0.055

Mental Health housing support workers

0.024

0.012

0.036

Mental Health DTOC team

0.044

0.022

0.066

Homecare bridging capacity

0.144

 

0.144

Homecare transitional arrangements

0.169

0.085

0.254

Bed based transitional care

0.063

 

0.063

Care home support (North)

0.037

 

0.037

Care home support (South)

0.039

 

0.039

Reablement

0.205

0.052

0.257

Complex reablement

0.206

0.102

0.308

Crisis clean

0.023

0.012

0.035

Social/PAT Capacity

0.257

0.128

0.385

Advocacy

0.025

 

0.025

Neighbourhood apartments

0.051

0.059

0.110

Homelessness

0.107

0.070

0.177

Total Funding

2.106

0.560

2.666

 

The details of each of the main areas of proposed expenditure were described in the report. Appended to the report was a schedule of the proposed uses of the £0.685m of other health funding that was also being deployed to this area of work.

 

Set out within the details of a number of the expenditure proposals was the intention to increase the number of people deployed to the various areas of work. It was explained that whist there would be a requirement to use some agency staff where that proved necessary, it was preferred for these people to be taken on as permanent additions to the Council’s staffing; where that was financially feasible noting that this Adult Social Care Winter Funding was non-recurring. Council managers would have the appropriate delegated authorities to allow recruitment of permanent staff and agency workers to proceed as necessary.

 

Decisions

 

1.         To approve the proposals for the use of the funding as detailed in the report and summarised in the table above.

 

2.         To delegate authority to the Acting DASS, in consultation with the Executive Member for Adult Health and Wellbeing, the Executive member for Finance and Human Resources, and the City Treasurer, to make long-term or permanent staff appointments when required to further the priorities set out in paragraph 3.1 of the report, with the additional costs set against the 2019/20 Adult Social Care budgets.

 

 

Supporting documents: