The Corporate Director Social Services and Wellbeing reported on progress in the implementation of the business case to deliver integrated intermediate care services at an optimal scale and sought approval to enter into a renewal agreement for the provision of adult and older people (intermediate care) services between with Abertawe Bro Morgannwg University NHS Trust (ABMU HB) for 2018/2019.  She also sought delegate authority in consultation with the Section 151 Officer and Head of Legal and Regulatory Services, to negotiate and enter into a formal partnership agreement for the provision of adult and older people (intermediate care) services between Bridgend County Borough Council and Cwm Taf University Health Board (Cwm Taf HB) following the health board boundary change in April 2019.

The Corporate Director Social Services and Wellbeing informed Cabinet that as a consequence of the business case, investment was made in an optimal intermediate care service model, which comprised 3 elements, Common Access Point; Rapid Response and Reablement.  She stated that the business case attracted an investment through the Intermediate Care Fund.  In its commitment to the Business Case, Cabinet endorsed a recommendation to ‘approve in principle the establishment of an arrangement to pool resources with partners in the Western Bay Programme, subject to formal agreement in accordance with Section 33 of the National Health Service (Wales) Act 2006 by April 2015’. 

The Corporate Director Social Services and Wellbeing reported that in approving the Business Case for Intermediate Tier Services there was approval to establish a formal pooled fund in accordance with Section 33 of the National Health Service (Wales) Act 2006.  That agreement took effect from 1 October 2015 and expired on the 31 March 2018.  The parties continued to provide the service under the governance of the Joint Partnership Board as if the provisions of the original Section 33 Agreement were still in force while the parties agreed the terms of the revised agreement.  Agreement has now been reached with ABMU HB on the terms of the renewed Section 33 Agreement, to take effect from 1 April 2018 up to the health boundary change on 1 April 2019. 

The Corporate Director Social Services and Wellbeing informed Cabinet that during the transition arrangements for the health board boundary change, Cwm Taf HB had signalled a commitment to work in partnership to deliver intermediate care services for Adult and Older People’s Services.  Negotiations are underway with the aim of entering into a formal partnership agreement to take effect from 1 April 2019.  These integrated services are intended to form part of the revised partnership agreement Cwm Taf HB.

RESOLVED:           That Cabinet:   

  • Approved entering into a renewal Section 33 of the National Health Service (Wales) Act 2006 Agreement with ABMU HB for the provision of adult and older people (intermediate care) services for 2018/2019; and

•            Delegated authority to the Corporate Director for Social Services and Wellbeing, in consultation with the Section 151 Officer and Head of Legal and Regulatory Services, to negotiate and enter into a formal agreement for the provision of adult and older people (intermediate care) services with Cwm Taf HB in accordance with paragraph 4.4 of the report.