Common use of Background and Scope Clause in Contracts

Background and Scope. The Health and Care Commissioning Board will have overarching responsibility (subject to reserved matters) for all matters relating to the Integrated Health and Care Fund (Pooled Budget and Aligned Budgets) as set out in the Partnership Agreement Relating to Integrated Health and Care Commissioning Arrangements (the Partnership Agreement) between Salford City Council (SCC) and NHS Salford Clinical Commissioning Group (SCCG). This document sets out commissioning arrangements where GPs via SCCG and Councillors of SCC can contribute to, and make decisions with regards to health and social care matters. The ethos of partnership working will underpin the programme of work, recognising that on occasion, difficult decisions may be required to benefit the Salford population. In respect of the Integrated Health and Care Fund (Pooled Budget), the Health and Care Commissioning Board (‘the Board’) will sit as a joint committee established under Regulation 10(2) of the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 (“the 2000 Regulations”). In respect of the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budgets), the Board will sit as a Committee of the Governing Body of SCCG on which there is Council representation. For the avoidance of doubt, insofar as the Board sits as a joint committee under the 2000 Regulations, SCC and/or SCCG are delegating the making of commissioning decisions to the Board and not to their individual representatives on the Board. For the avoidance of doubt where the Board sits as a Committee of the Governing Body of SCCG, SCCG is delegating the making of commissioning decisions to the Board collectively and not to their individual representatives on the Board. The Board also acts as a venue in which decisions may be taken by the relevant SCC or SCCG Officer or SCC Member in respect of Retained Decisions. Retained Decisions relate to statutory duties and are decisions only exercisable by a specified Officer or SCC Member as detailed in Schedule 4 of the Partnership Agreement. For the avoidance of doubt, the relevant SCC or SCCG Officer or SCC Member retains an absolute discretion to take Retained Decisions outside of the venue of the Board. Before reaching such a decision the Officer or SCC Member shall use reasonable endeavours to ensure that he/she has heard and participated in discussion on the subject matter relevant to such Retained Decision at the relevant meeting of the Board Such decisions should be formally reported to the next relevant meeting of the Board (although a failure to so report will not invalidate the decision). The Board will provide a place for engagement regarding “in view” decisions, which are made by SCC or SCCG. Such “in view” decisions made by SCC or SCCG should also be reported to the Board for information (although a failure to so report will not invalidate the decision). The Board will be responsible for setting the principles and high level strategic direction across the full responsibilities of health and social care commissioning that is the responsibility of the two partners, and that give effect to the priorities set out in the Locality Plan. The Board will have responsibility for considering and deciding on the movement of funding up to £1m between the three elements of the Integrated Health and Care Fund - Children’s, Adults’ and Primary Care (save that no such movement of funding may occur from that portion of the Aligned Budget relating to funding in relation to primary care services delegated from NHS England) . The Board will provide oversight for decisions on all age services and on services for transition between Children’s and Adults’ commissioning responsibilities, where they do not obviously fall within the remit of either of the Commissioning Committees. In these instances the Board shall consider advice from the relevant Commissioning Committees. In line with the Locality Plan and relevant commissioning plans the Board, sitting in its different configurations, will have overarching responsibility for the management of system level performance as well as the overall performance of providers commissioned from the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have overarching responsibility for the oversight of quality improvement and assurance of both the health and care system, and of providers commissioned for the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have responsibility for providing a Salford response to Greater Manchester or Bolton, Salford and Wigan Partnership wide commissioning matters. The Board will have delegated decision making authority of up to £1m with regards to the Integrated Health and Care Fund (Pooled Budget), the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budget) and any other relevant new funding streams (such as grants). Ordinarily, commissioning decisions of £1m or less in value should not need to be taken by the Board, but it is recognised that on occasion such decisions may be escalated for consideration by the Board. In addition to the Board, other officers and committees will have the authority to commit ‘Pooled’ and ‘Aligned’ resources as identified in Schedule 5 of the Partnership Agreement (this schedule will be attached to the working copies of the Terms of Reference). Through its decision making processes the Board will adhere to all relevant aspects of SCC’s Constitution, including SCC’s duties of transparency in relation to ‘Key Decisions’ (see Schedule 5 of the Partnership Agreement). It will also adhere to all relevant aspects of the SCCG’s Constitution (including its Standing Orders and Standing Financial Instructions). As required, the Board may establish non-decision making groups and seek assurances about progress via the receipt of regular reports. These Terms of Reference have been prepared to outline the responsibilities of the Board and have been approved by SCCG’s Governing Body and by SCC’s City Mayor in consultation with the SCC’s Cabinet. They form part of the Partnership Agreement. They will remain valid until such time as there is a need to implement revised governance arrangements, in accordance with section 9 of these Terms of Reference. Partnership working is vital to the success of integrated commissioning, however it is acknowledged that at all times, individual organisation powers remain in place as set out below and in the Partnership Agreement .

Background and Scope. The Health and Care Adults’ Commissioning Board Committee will have overarching responsibility (subject to reserved matters) for all matters relating to the Adults’ Services Integrated Health and Care Fund (Pooled Budget and Aligned Budgets) as set out in the Partnership Agreement Relating to Integrated Health and Care Commissioning Arrangements (the Partnership Agreement) between Salford City Council (SCC) and NHS Salford Clinical Commissioning Group (SCCG). This document sets out commissioning arrangements where GPs via SCCG and Councillors of SCC can contribute to, and make decisions with regards to health and social care matters. The ethos of partnership working will underpin the programme of work, recognising that on occasion, difficult decisions may be required to benefit the Salford population. In respect of the Integrated Health and Care Fund (Pooled Budget), the Health and Care Adults’ Commissioning Board Committee (‘the BoardCommittee’) will sit as a joint committee established under Regulation 10(2) of the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 (“the 2000 Regulations”). In respect of the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budgets), the Board Committee will sit as a Committee of the Governing Body of SCCG on which there is Council representation. For the avoidance of doubt, insofar as the Board Committee sits as a joint committee under the 2000 Regulations, SCC Salford City Council and/or SCCG NHS Salford CCG are delegating the making of commissioning decisions to the Board Committee and not to their individual representatives on the BoardCommittee. For the avoidance of doubt where the Board Committee sits as a Committee of the Governing Body of SCCG, SCCG is delegating the making of commissioning decisions to the Board Committee collectively and not to their individual representatives on the BoardCommittee. The Board Committee also acts as a venue in which decisions may be taken by the relevant SCC or SCCG Officer or SCC Member in respect of Retained Decisions. Retained Decisions relate to statutory duties and are decisions only exercisable by a specified Officer or SCC Member as detailed in Schedule 4 of the Partnership Agreement. For the avoidance of doubt, the relevant SCC or SCCG Officer or SCC Member retains an absolute discretion to take Retained Decisions outside of the venue of the BoardCommittee. Before reaching such a decision the Officer or SCC Member shall use reasonable endeavours to ensure that he/she has heard and participated in discussion on the subject matter relevant to such Retained Decision at the relevant meeting of the Board Committee. Such decisions should be formally reported to the next relevant meeting of the Board Committee (although a failure to so report will not invalidate the decision). The Board Committee will provide a place for engagement regarding “in view” decisionsdecisions relating to adults, which are made by SCC or SCCG. Such “in view” decisions made by SCC or SCCG should also be reported to the Board Committee for information (although a failure to so report will not invalidate the decision). The Board Committee will be responsible for setting the principles and high level strategic direction across the full responsibilities of health and social care commissioning that is the responsibility of the two partners, and that give effect to the priorities set out in the Locality Plan. The Board will have responsibility for considering and deciding on the movement of funding up to £1m between the three elements of the Integrated Health and Care Fund - Children’s, Adults’ and Primary Care (save that no such movement of funding may occur from that portion of the Aligned Budget Locality Plan relating to funding adults and associated commissioning plans. The Locality Plan outlines our ambitions in relation to primary health, care services delegated from NHS England) . The Board will provide oversight for decisions on all age services and on services for transition between Children’s and Adults’ commissioning responsibilitiespublic health services, where they do not obviously fall within the remit of either of the Commissioning Committees. In these instances the Board shall consider advice from the relevant Commissioning Committees. In line with the Locality Plan and relevant commissioning plans the Board, sitting in its different configurations, will have overarching responsibility for the management of system level performance as well as the overall performance of providers commissioned from the Integrated Health work being done to prevent and Care Fund (Pooled Budget reduce ill health, improve outcomes and Aligned Budget)promote wellbeing. The Board will have overarching responsibility for the oversight of quality improvement and assurance of both the health and care system, and of providers commissioned for the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have responsibility for providing a Salford response to Greater Manchester or Bolton, Salford and Wigan Partnership wide commissioning matters. The Board Committee will have delegated decision making authority of up to £1m in relation to all associated adult commissioning decisions, with regards to the Integrated Health and Care Fund (Pooled Budget), the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budget) and any other relevant new funding streams (such as grants). Ordinarily, commissioning decisions of £1m or less in value should not need to be taken by the Board, but it is recognised that on occasion such decisions may be escalated for consideration by the Board. In addition to the Boardaddition, other officers and committees will have the authority to commit ‘Pooled’ and ‘Aligned’ resources as identified in Schedule 5 of the Partnership Agreement (this schedule will be attached to the working copies of the Terms of Reference). Through its decision making processes the Board it will adhere to all relevant aspects of SCC’s Constitution, including SCC’s duties of transparency in relation to ‘Key Decisions’ (see Schedule 5 of the Partnership Agreement). It will also adhere to all relevant aspects of the SCCG’s Constitution (including its Standing Orders and Standing Financial Instructions). In line with the Locality Plan and relevant commissioning plans the Committee in its different configurations, will have responsibility for the management of system level performance relating to adults as well as the overall performance of providers commissioned from the Integrated Health and Care Fund (Pooled Budget and Aligned Budget), the most significant of which will be the Integrated Care Organisation. As required, the Board Committee may establish non-decision making groups and seek assurances about progress via the receipt of regular reports. These Terms of Reference have been prepared to outline the responsibilities of the Board Committee and have been approved by SCCG’s Governing Body and by SCC’s City Mayor in consultation with the SCC’s Cabinet. They form part of the Partnership Agreement. They will remain valid until such time as there is a need to implement revised governance arrangements, in accordance with section 9 of these Terms of Reference. .. Partnership working is vital to the success of integrated commissioning, however it is acknowledged that at all times, individual organisation powers remain in place as set out below and in the Partnership Agreement Agreement.

Background and Scope. The Health and Care Children’s Commissioning Board Committee will have overarching responsibility (subject to reserved matters) for all matters relating to the Children’s Services Integrated Health and Care Fund (Pooled Budget and Aligned Budgets) as set out in the Partnership Agreement Relating to Integrated Health and Care Commissioning Arrangements (the Partnership Agreement) between Salford City Council (SCC) and NHS Salford Clinical Commissioning Group (SCCG). This document sets out new commissioning arrangements where GPs via SCCG and Councillors of SCC can contribute to, and make decisions with regards to health and social care matters. The ethos of partnership working will underpin the programme of work, recognising that on occasion, difficult decisions may be required to benefit the Salford population. These Terms of Reference form part of the Partnership Agreement Relating to Integrated Health and Care Commissioning Arrangements (“the Partnership Agreement”) between Salford City Council (SCC) and NHS Salford Clinical Commissioning Group (SCCG). In respect of the Integrated Health and Care Fund (Pooled Budget), the Health and Care Children’s Commissioning Board Committee (‘the BoardCommittee’) will sit as a joint committee established under Regulation 10(2) of the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 (“the 2000 Regulations”). In respect of the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budgets), the Board Committee will sit as a Committee of the Governing Body of SCCG on which there is Council representation. For the avoidance of doubt, insofar as the Board Committee sits as a joint committee under the 2000 Regulations, SCC Salford City Council (SCC) and/or SCCG NHS Salford CCG (SCCG) are delegating the making of commissioning decisions to the Board Committee and not to their individual representatives on the BoardCommittee. For the avoidance of doubt where the Board Committee sits as a Committee of the Governing Body of SCCG, SCCG is delegating the making of commissioning decisions to the Board Committee collectively and not to their individual representatives on the BoardCommittee. The Board Committee also acts as a venue in which decisions may be taken by the relevant SCC or SCCG Officer or SCC Member in respect of Retained Decisions. Retained Decisions relate to statutory duties and are decisions only exercisable by a specified Officer or SCC Member as detailed in Schedule 4 of the Partnership Agreement. For the avoidance of doubt, the relevant SCC or SCCG Officer or SCC Member retains an absolute discretion to take Retained Decisions outside of the venue of the BoardCommittee. Before reaching such a decision the Officer or SCC Member shall use reasonable endeavours to ensure that he/she has heard and participated in discussion on the subject matter relevant to such Retained Decision at the relevant meeting of the Board Committee. Such decisions should be formally reported to the next relevant meeting of the Board Committee (although a failure to so report will not invalidate the decision). The Board Committee will provide a place for engagement regarding “in view” decisionsdecisions relating to children, which are made by SCC or SCCG. Such “in view” decisions made by SCC or SCCG should also be reported to the Board Committee for information (although a failure to so report will not invalidate the decision). The Children’s Advisory Board is responsible for supporting the programme management and coordination of SCC’s transformation programme for Children, Young People and their Families. The Board focus will be on the system wide transformation outlined in the diagram below: The Committee will be responsible for setting the principles and high level strategic direction across the full responsibilities of health and social care commissioning that is the responsibility of the two partners, and that give effect to the priorities set out in the Locality PlanCommissioning Plan for 0-25 People’s Service. The Board will have responsibility for considering and deciding on the movement of funding up to £1m between the three elements of the Integrated Health and Care Fund - Children’s, Adults’ and Primary Care (save that no such movement of funding may occur from that portion of the Aligned Budget relating to funding in relation to primary care services delegated from NHS England) . The Board will provide oversight for decisions on all age services and on services for transition between Children’s and Adults’ commissioning responsibilities, where they do not obviously fall within the remit of either of the Commissioning Committees. In these instances the Board shall consider advice from the relevant Commissioning Committees. In line with the Locality Plan and relevant commissioning plans the Board, sitting in its different configurations, will have overarching responsibility for the management of system level performance as well as the overall performance of providers commissioned from the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have overarching responsibility for the oversight of quality improvement and assurance of both the health and care system, and of providers commissioned for the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have responsibility for providing a Salford response to Greater Manchester or Bolton, Salford and Wigan Partnership wide commissioning matters. The Board Committee will have delegated decision making authority of up to £1m in relation to all associated children’s commissioning decisions, with regards to the Integrated Health and Care Fund (Pooled Budget), ) and the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budget) Budgets), and any other relevant new future funding streams (such as grants). Ordinarily, commissioning decisions of £1m or less in value should not need to be taken by the Board, but it is recognised that on occasion such decisions may be escalated for consideration by the Board. In addition to the Boardaddition, other officers and committees will have the authority to commit ‘Pooled’ and ‘Aligned’ resources as identified in Schedule 5 of the Partnership Agreement (this schedule will be attached to the working copies of the Terms of Reference). Through its decision making processes the Board it will adhere to all relevant aspects of SCC’s Constitution, including SCC’s duties of transparency in relation to ‘Key Decisions’ (see Schedule 5 of the Partnership Agreement)’. It will also adhere to all relevant aspects of the SCCGNHS Salford CCG’s Constitution (including its Standing Orders and Standing Financial InstructionsInstructions In line with the Commissioning Plan the Committee in its different configurations, will have responsibility for the management of system level performance as well as the overall performance of providers commissioned from the Integrated Health and Care Fund (Pooled Budget and Aligned Budgets). As required, the Board Committee may establish non-decision making groups and seek assurances about progress via the receipt of regular reports. These Terms of Reference have been prepared to outline the responsibilities of the Board and have been Committee. They will be approved by SCCG’s Governing Body and by SCC’s City Mayor in consultation with the SCC’s Cabinet. They form part of the Partnership Agreement. They will remain valid until such time as there is a need to implement revised governance arrangements, arrangements in accordance with section 9 of these Terms of Reference. Partnership working is vital to the success of the integrated commissioning, however it is acknowledged that at all times, individual organisation powers remain in place as set out below and in the Partnership Agreement Agreement.

Background and Scope. The Health and Care Commissioning Interim Locality Board will have overarching responsibility (subject to reserved matters) for all matters relating to the Integrated Health and Care Fund (Pooled Budget and Aligned Budgets) as set out in the Partnership Agreement Relating to Integrated Health and Care Commissioning Arrangements (the Partnership Agreement) between Salford City Council (SCC) and NHS Salford Clinical Commissioning Group (SCCG). This document sets out commissioning arrangements where GPs via SCCG and Councillors of SCC can contribute to, and make decisions with regards to health and social care matters. The ethos of partnership working will underpin the programme of work, recognising that on occasion, difficult decisions may be required to benefit the Salford population. In respect of the Integrated Health and Care Fund (Pooled Budget), the Health and Care Commissioning Board (‘the Board’) will sit as a joint committee established under Regulation 10(2) of the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 (“the 2000 Regulations”). In respect of the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budgets), the Board will sit as a Committee of the Governing Body of SCCG on which there is Council representation. For the avoidance of doubt, insofar as the Board sits as a joint committee under the 2000 Regulations, SCC and/or SCCG are delegating the making of commissioning decisions to the Board and not to their individual representatives on the Board. For the avoidance of doubt where the Board sits as a Committee of the Governing Body of SCCG, SCCG is delegating the making of commissioning decisions to the Board collectively and not to their individual representatives on the Board. The Board also acts as a venue in which decisions may be taken by the relevant SCC or SCCG Officer or SCC Member in respect of Retained Decisions. Retained Decisions relate to statutory duties and are decisions only exercisable by a specified Officer or SCC Member as detailed in Schedule 4 of the Partnership Agreement. For the avoidance of doubt, the relevant SCC or SCCG Officer or SCC Member retains an absolute discretion to take Retained Decisions outside of the venue of the Board. Before reaching such a decision the Officer or SCC Member shall use reasonable endeavours to ensure that he/she has heard and participated in discussion on the subject matter relevant to such Retained Decision at the relevant meeting of the Board Such decisions should be formally reported to the next relevant meeting of the Board (although a failure to so report will not invalidate the decision). The Board will provide a place for engagement regarding “in view” decisions, which are made by SCC or SCCG. Such “in view” decisions made by SCC or SCCG should also be reported to the Board for information (although a failure to so report will not invalidate the decision). The Board will be responsible for setting the principles and high level strategic direction across the full responsibilities of health and social care commissioning that is the responsibility of the two partners, and that give effect to the priorities set out in the Locality Plan. The Board will have responsibility for considering and deciding on the movement of funding up to £1m between the three elements of the Integrated Health and Care Fund - Children’s, Adults’ and Primary Care (save that no such movement of funding may occur from that portion of the Aligned Budget relating to funding in relation to primary care services delegated from NHS England) . The Board will provide oversight for decisions on all age services and on services for transition between Children’s and Adults’ commissioning responsibilities, where they do not obviously fall within the remit of either of the Commissioning Committees. In these instances the Board shall consider advice from the relevant Commissioning Committees. In line with the Locality Plan and relevant commissioning plans the Board, sitting in its different configurations, will have overarching responsibility for the management of system level performance as well as the overall performance of providers commissioned from the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The Board will have overarching responsibility for the oversight of quality improvement and assurance of both the health and care system, and of providers commissioned for the Integrated Health and Care Fund (Pooled Budget and Aligned Budget). The responsibilities for the Interim Locality Board will cover the same geographical area as SCC, except in relation to certain NHS services where registered population is relevant. The Board will have responsibility for providing a Salford response to Greater Manchester or Bolton, Salford and Wigan Partnership wide commissioning matters. The Board will have delegated decision making authority of up to £1m (annual spend) with regards to the Integrated Health and Care Fund (Pooled Budget), the CCG Aligned Budget element of the Integrated Health and Care Fund (Aligned Budget) and any other relevant new funding streams (such as grants). Ordinarily, commissioning decisions of £1m or less in value should not need to be taken by the Board, but it is recognised that on occasion such decisions may be escalated for consideration by the Board. In addition to the Board, other officers and committees will have the authority to commit ‘Pooled’ and ‘Aligned’ resources as identified in Schedule 5 of the Partnership Agreement (this schedule will be attached to the working copies of the Terms of Reference). Through its decision making processes the Board will adhere to all relevant aspects of SCC’s Constitution, including SCC’s duties of transparency in relation to ‘Key Decisions’ (see Schedule 5 of the Partnership Agreement). It will also adhere to all relevant aspects of the SCCG’s Constitution (including its Standing Orders and Standing Financial Instructions). As required, the Board may establish non-decision making groups and seek assurances about progress via the receipt of regular reports. These Terms of Reference have been prepared to outline the responsibilities of the Board and have been approved by SCCG’s Governing Body and by SCC’s City Mayor in consultation with the SCC’s Cabinet, the Terms of Reference have been endorsed by the Locality’s Shadow Locality Board. They form part of the Partnership Agreement. They will remain valid until such time as there is a need to implement revised governance arrangementsarrangements , in accordance with section 9 of these Terms of Reference. Partnership working is vital to the success of integrated commissioning, however it is acknowledged that at all times, individual organisation powers remain in place as set out below and in the Partnership Agreement Agreement. In addition, these Terms of Reference account for the place based Interim Locality Board requirements in light of the establishment of the Greater Manchester Integrated Care Board (GMICB) from 1 July 2022. Neighbourhood and place-based working provides the closest connection to the broadest range of factors affecting people’s health and wellbeing. Most people will receive most of their day-to-day care for most of their lives in the neighbourhood or locality. The only place where local authority spend and planning, not only on care services, but also on the wider determinants of health comes together with NHS spend is at the locality level. Salford has engaged with stakeholders to develop our local model, which reflects our distinctiveness. The notion of a single Locality Board in each GM locality predates the Integrated Care System legislation – but the case for it was strengthened by that legislation. Locality Boards will accelerate our journey to place-based working by forming a single entity that can deliver accountability for decisions and budgets at place level. This is even more essential now given that the phasing out of CCGs means that there will no longer be a statutory health budget holding and planning body in each locality. The Locality Board will take accountability for health spend in our locality – and do so in concert with the new Integrated Care Board.