Decision details

Pursuant to County Council Minute 81 of 15 February 2018 relating to the Notice of Motion set out below as previously submitted and formally moved and seconded by Councillor Shaw that:                

‘This Council is concerned by the decision of the Devon Clinical Commissioning Groups to introduce an Accountable Care System for Devon’s NHS and adult social care services from 1st April 2018, without the full agreement of this Council.

In view of the widespread public concern over Accountable Care Systems and Accountable Care Organisations, and the decision of NHS England to hold a 12-week consultation on ACOs, this Council calls on the Devon CCGs to put the introduction of the ACS on hold until local people have been fully consulted on the plans’.

and having had regard to the advice of the Cabinet (the amendment) set out in Minute 149(a) of 14 March 2018:

(i)   that the Council be asked to note the Report of the Chief Executive (ACS/18/83) which outlined the key features of an emerging Devon Integrated Care System, outlining the statutory duty of the local authority to co-operate with NHS partners and the focus on Integrated Care Systems bringing together aspects of health and social care, enabling organisations to share services, budgets, staff and resources where appropriate to best meet the needs of the populations they serve and also the briefing note circulated to all Members of this Council on 9 February which confirmed there was no creation of a new organisation;

(ii)     that the Council be asked to note there are no proposed changes to existing Governance or accountability arrangements from 1 April 2018; and

(iii)   that the Council, in line with the recommendations to Cabinet in Report ACS/18/83, welcome and endorse the invitation for the Health and Adult Care Scrutiny to include Integrated Care System Governance in its work programme to inform future decision making and to ensure Scrutiny Members are involved in the planning for these integrated arrangements.

Councillor Hart MOVED and Councillor McInnes SECONDED that the Cabinet’s advice be accepted and that Notice of Motion be amended as outlined above.

The amendment in the name of Councillor Hart was then put to the vote and declared CARRIED.

Councillor Connett then MOVED and Councillor Greenslade SECONDED that the Motion be amended as follows;

That (ii) be amended by the addition of the following words and the end of the current sentence;

“that any future proposed changes to governance and accountability arrangements be subject to scrutiny in advance of any changes being agreed; and”

The amendment in the name of Councillor Connett was put to the vote and declared LOST.

(In accordance with Standing Order 32(4) Councillors Brazil, Connett, Dewhirst, Greenslade, G Hook, J Hook and Way asked that their vote for Councillor Connetts amendment be recorded).

The Motion in the name of Councillor Hart was put to the vote and declared CARRIED.