Agenda item

Report of the County Solicitor (CSO/18/11) on the Notices of Motion referred to the Cabinet by the County Council on 15 February 2018, incorporating relevant briefing notes to facilitate the Cabinet’s discussion of the matters raised.

(a)   Accountable Care Systems; and

(b)   Sunset for the Royal Marines and Future Resilience

(a) Accountable Care Systems

Councillor Shaw attended in accordance with Standing Order 8 and Councillors Ackland and

Hannaford attended in accordance with Standing Order 25(2) and spoke to this item).

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’.

The Mover of the Notice of Motion (wording of Motion outlined above) had sought the Cabinet’s support for the course of action originally proposed and raised further concerns over the Governance of future arrangements. Members considered the relevant Officer’s factual briefing/position statement on the matter and their support for the recommendation now before the Cabinet, representations previously made and to actions now proposed or already undertaken and any other relevant factors (e.g. public health, financial, environmental, risk management and equality and legal considerations and Public Health impact):

It was MOVED by Councillor Hart, SECONDED by Councillor Leadbetter, and

RESOLVED

(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.

(b) Sunset for the Royal Marines and Future Resilience

Councillor Greenslade attended in accordance with Standing Order 8 and Councillor Hannaford attended in accordance with Standing Order 25(2) and spoke to this item).

The County Council expresses concern at the conclusions of the Defence Select Committee report “Sunset for the Royal Marines” regarding the future strength of the Royal Marines and the implications for the economy of the county and the viability of Royal Marine bases in Devon such as those in Plymouth and at RMB Chivenor.

Devon County Council resolves to play an active part in lobbying to retain Royal Marine bases in our County’.

The Mover of the Notice of Motion (wording of Motion outlined above) had sought the Cabinet’s support for the course of action originally proposed. Members considered the relevant Officer’s factual briefing/position statement on the matter, the relevant Cabinet Members willingness to endorse the underlying principles therein and their support for the recommendation now before the Cabinet, representations previously made and to actions now proposed or already undertaken and any other relevant factors (e.g. public health, financial, environmental, risk management and equality and legal considerations and Public Health impact):

It was MOVED by Councillor Hart, SECONDED by Councillor Barker, and

RESOLVED that it be recommended that, following the conclusions of the Defence Select Committee, the County Council join with Plymouth City Council and write to the Secretary of State for Defence expressing support for the retention of Royal Marine bases in Devon and Plymouth.  The letter to include concerns about the effect any reductions will have on the economy of Devon and Plymouth.