Decision details

Summary of Decision

The Cabinet Member for Adult Social Care, Public Health and Voluntary Sector has agreed to delegate the authority to the Executive Director for Adult Social Care and Public Health:

1.              To negotiate and finalise the terms for the s75 Agreement for Better Care Funded Services between the City of Westminster and the NWL ICB.

2.              To negotiate and finalise appropriate terms for any variations to the s75 Agreement for Better Care Funded Services, in consultation with the Cabinet Member for Adult Social Care, Public Health and Voluntary Sector.

Reasons for Decision

One of the most ambitious programmes ever introduced across the NHS and local government, the Better Care Fund (BCF) encourages integration by requiring ICBs and local authorities to enter into pooled budget arrangements and agree an integrated spending plan.

The BCF national condition for grant funding is that a signed s75 agreement is in place between the local authority and the ICB. If this condition is not met, NHS England is able to direct the ICB in our Health and Wellbeing Board area about the use of the funding.

A Key Decision is required if the local authority incurs expenditure which is, or the making of savings which are, significant having regard to the relevant local authority’s budget for the service or function to which the decision relates or has significant local impact on communities living across two or more wards of the borough.