RISK AND BENEFIT SHARE ARRANGEMENTS. Has a risk management strategy been drawn up? Set out arrangements, if any, for the sharing of risk and benefit in relation to the Individual Scheme.
RISK AND BENEFIT SHARE ARRANGEMENTS. 45.1 The risk share arrangements w h i c h a p p l y t o t h e F i n a n c i a l C o n t r i b u t i o n s are detailed in the memorandum of understanding / risk share agreement set out in Schedule 4.
RISK AND BENEFIT SHARE ARRANGEMENTS. The risk and benefits in relation to this scheme are set out in schedule 3 of the s75 agreement for the Better Care Fund.
RISK AND BENEFIT SHARE ARRANGEMENTS. [The Schedule 3] Financial Protocol shall apply to the XXXX Services. 46 REGULATORY REQUIREMENTS Regulatory Requirements are set out in the specification embedded at paragraph 5 above.
RISK AND BENEFIT SHARE ARRANGEMENTS. Majority of the risks are managed as part of the existing local authority core public health business, due to the statutory responsibility to provide an open access sexual health service. The key risk is to the CCGs if activity levels are higher than predicted. This will be monitored on a quarterly basis and CCGs have the ability to provide the local authority 12 months’ notice if they wish to cease the arrangement.
RISK AND BENEFIT SHARE ARRANGEMENTS. 13.1 The risk and benefit sharing arrangements set out in Schedule 4 will operate.
RISK AND BENEFIT SHARE ARRANGEMENTS. This Agreement covers areas of children’s services, which potentially have related financial and resource risks. These risks are mainly an increase in demand for services, where the agreed aligned budget at the time of budget setting can sometimes become insufficient during the financial year to meet the increased demand. In practice, all placements services within the S75 agreement are demand led, and this has the potential to bring about under spends or overspends against the aligned budget. The S75 Agreement is clear about how projected overspends or under spends on the pooled budget should be managed (see Clauses 12.2-12.6) with a report with recommended options being brought to JSCG, but the underlying principle is that they should both be assigned to the each party to this Agreement (the Council and the BLMK ICB) in the same proportion as the contributions made by both parties to this Agreement. The Council, as the Lead Commissioner, must notify the BLMK ICB as soon as a projected tolerance level of 5% below the budget is identified, and that no overspends on the pooled budget are allowed without the prior agreement of the BLMK ICB. In practical terms, this means that the BLMK ICB and the Council will be requested to increase their contributions to the pooled budget in the same proportions as the initial allocations, in order to reduce the likelihood of a year-end negative balance. The highest risk area within the aligned budget are the services provided to children with complex or continuing health care needs. The initial budgets are based on current expected numbers of children and young people; however, due to the low volume and associated high costs, the demand for services in inherently volatile. To mitigate this risk, cases will be reviewed through allocation panels, at which commissioners and providers can discuss provision according to need, identify changes in care packages and forecast future demand. Cases are discussed by the panel against a set of agreed criteria. The panels include: • Children with Complex Needs Panel (to include mental health complex needs) • Care Management Resource Panel for Children and Young People If funding is agreed that would potentially take the aligned budget into an overspend position, the Council’s Population Wellbeing Department Finance Business Partner will inform the BLMK ICB Associate Director of Finance (Reporting & Contracting), as part of quarterly budget monitoring reporting. BLMK ICB. In addition, t...
RISK AND BENEFIT SHARE ARRANGEMENTS. The scheme follows the same risk arrangements as detailed in schedule 3.
RISK AND BENEFIT SHARE ARRANGEMENTS. The Pooled Fund will include funds ring-fenced from Long Stay In-Patient Beds commissioned by the CCGs, in relation to agreed “dowry” patients. The full current weekly cost of these placements will be transferred into the Pooled Fund with effect from the start of the patient’s Community Care Placement, and that weekly cost transfer will continue. The Pooled Fund will be agreed at the start of the Agreement and reviewed in accordance with paragraph 13 above. If the patient dies, it is proposed that the dowry payments continue and are retained in the Pooled Fund for the benefit of other people in the Transforming Care cohort; similarly, if the patient returns into long-stay hospital inpatient care, the Pooled Fund will fund that hospital placement. If the Community Care Placement costs more than the previous hospital cost for the Service User, the CCG and the Council who are responsible for the care of that patient will each further contribute [50%] [This 50% is for guidance purposes only and the Parties should agree their respective contributions] of the excess cost into the Pooled Fund, again until the patient dies, moves back into Long-Stay Inpatient Bed Care or becomes 100% Continuing Health Care funded. If the Community Care Placement costs less than the previous hospital cost, the surplus will be retained in the Pool Fund and, if there is an overall surplus at the end of the financial year, this will be carried forward into the next financial year to help offset any future excess costs for the CCG and Council. Should these arrangements not be extended beyond one year, the surplus shall be apportioned between the Partners pro rata to the value of their respective Financial Contributions [excluding Non-Recurrent Payments] for the Financial Year in respect of which the surplus occurs. Within the overall Pooled Budget for the TCP area, there will need to be separate accounting arrangements maintained and reported on for each individual CCG and Council relationship i.e. funding arrangements for the dowry patients they alone are responsible for. The Pooled Budget and its transactions (payments in and out) will be maintained, reported on and carried out by the nominated Pooled Fund Manager of the Council on behalf of all the Partners. [This assumes one of the local TCP Councils will be holding the pooled budget and that the Pooled Fund Manager will be an officer from that Council]. The Pooled Fund Manager will report on the position of each CCG/Council dowry ...
RISK AND BENEFIT SHARE ARRANGEMENTS. The liability for any spend on the part of the CCG will be limited to what it is able to reclaim from NHSE. Any spend over and above this will be the responsibility of the Council.
