REPORT OF THE

EXECUTIVE MEMBER

ADULT SOCIAL CARE

PART II

HAMPSHIRE INTEGRATED COMMUNITY EQUIPMENT SERVICE

1. The Executive Member has approved the entering into an agreement with Hampshire Primary Care Trust under Section 75 of the National Health Service Act 2006 to deliver an Integrated Community Equipment Service (ICES) to the citizens of Hampshire. As part of the agreement the County Council and Hampshire Primary Care Trust each agrees to meet half of the financial contribution to provide the service which is £1,736,126 per annum at 2008/09 costs for the duration of the agreement.

2. The Integrated Equipment Service will be operated by the County Council on behalf of the County Council and the Primary Care Trust. The Section 75 Agreement sets out the parameters and covers:

· The aims of the service

· The duration of the agreement

· Governance

· Management of the service

· The pooled funding arrangements

· Capital expenditure

· Audit arrangements

· Liabilities and insurances

· Commissioning

· Performance monitoring and management

· Early termination

· Termination reconciliation

· Winding down

· Complaints

:

3. Along with the main topics above, the agreement outlines the specific requirements that the service must meet to ensure the agreement is executed in accordance with the agreement of both parties. These are:

· Description of service provided

· Financial contributions

· The Terms of Reference of the ICES Board

· The information sharing protocol

· Service standards and performance measurement

· The terms of reference of the performance management group

· The terms of reference of the professional user group

4. The process of managing the agreement will be through the ICES Board which will address the governance of the agreement. Representation at the Board includes senior managers from both organisations along with representation from Hampshire Coalition of Disabled People.


5. The Service supports two of the corporate priorities; Hampshire safer and more secure for all and maximising well-being. It does so through the timely provision of equipment to citizens who are disabled or frail in all service areas including older people, adults and children within Hampshire. The range of equipment purchased and stocked is essential to enable people to remain within their own homes or within a community based setting. Most of the equipment is re-used and re-issued. It also promotes independence and wellbeing and is central to safe and timely hospital discharges. The provision of equipment prevents hospital, residential or nursing home admissions by minimising the risks of falls, immobility and breakdown of formal or informal care arrangements.

SUBSTANCE MISUSE STRATEGIC REVIEW

1. The Executive Member has given approval to formally consult on future delivery and commissioning arrangements for substance misuse services in Hampshire over a twelve week period and carried out in line with the One Compact (A framework for the working relationship between Hampshire County Council and the Voluntary and Community Sector)

2. Drug and alcohol treatment services are currently commissioned via a number of separate commissioning processes by various statutory agencies - principally, Hampshire Drug and Alcohol Action Team (DAAT), Hampshire Primary Care Trust and Adult Services. As a result of the recent announcement by the National Treatment Agency regarding the centrally funded, 3-year Adult Pooled Treatment allocation to the DAAT for 2008/09 to 2010/11, Hampshire DAAT is required to reduce its annual spending by 16.5% (£995,535) by 2010/11 against 2007/08 planned in-year expenditure levels.

3. The requirement to undertake this review has been prompted by the following key issues:

· a significant reduction in the central allocation of ring fenced funding for drugs services over the next 3 years

· in order to streamline current commissioning arrangements

· to provide a robust commissioning strategy for both drugs and alcohol

4. The findings from the consultation will inform the production of a 3/5 year commissioning strategy for drug and alcohol services which will ensure that the best possible configuration of drug and alcohol services are effectively commissioned, properly contracted and monitored to meet needs and targets, and are affordable within the available budget.

FELICITY HINDSON, MBE

Executive Member for Adult Social Care

4IR511008