Torbay Liberal Democrats are demanding answers following the collapse of the risk share arrangement between Torbay Council and Torbay and South Devon Health and Care Foundation Trust. They have held a meeting with officers to explore why such decisions are being made "on the hoof" rather than in a considered manner.
Cllr Steve Darling, leader of the Liberal Democrats on Torbay Council, said: “We warned about this months ago, but it was suggested by senior Conservatives on the council that we were scaremongering. This is the latest example of our Conservative Government failing to understand the challenges that our NHS and health service face.
This is a health and social care crisis created by our Conservative government and backed by our two Torbay MPs as a result of voting for the inadequate budget for our Council and the NHS.“
Cllr Steve Darling went on to say: “The risk share arrangement was vaunted nationally as a way of rewarding preventative spending so as to ensure that resources were moved to help people in the community. This failure has national implications and we have sought assurances that representations have been made to the government about the barriers that stopped the continuation of this innovative model of funding.”
Statement to all Torbay Councillors from senior officer at Torbay Council on the "Risk Share Agreement"
"As we move into the last quarter of this financial year, it is clear that the financial challenges and pressures facing the health and social care system in Torbay are intensifying.
A Risk Share Agreement between the CCG, the Trust and Torbay Council was established to reflect the shared support of our integrated care organisation. It was designed to align financial incentives across health and social care. However, regulators have no flexibility to support this arrangement and still requires the NHS to meet centrally controlled financial targets. In this context, and with increased financial pressures, our risk share agreement does not work.
If we continue as we are, we will not meet our financial targets, resulting in the Trust losing access to the £5m sustainability and transformation funding it would otherwise receive. This is a significant sum that we cannot afford to lose from our local health and social care community.
To try to avoid this situation, the Trust has given notice of its decision to withdraw from the current five-year risk share agreement, with the goal of renegotiating a better contract before the 12 month notice period expires. All three organisations will continue to work together to find a long term solution which enables each to deliver the quality of care we all seek within the financial allocation we receive.
In the meantime, all three organisations remain totally committed to working together to deliver the best integrated care while taking cost out, via the shared systems savings plan.”
Director of Adult Services and Transformation