Decision details

Pilot an integrated working arrangement between the Council and the CCGs

Decision Maker: Corporate Director of Health and Adult Services

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


To agree a proposal to pilot an integrated working arrangement between the Council, Vale of York Clinical Commissioning Group (CCG) and North Yorkshire CCG with a focus on quality assurance and quality improvements in care settings.


To agree the proposal to pilot a new working arrangement between the local authority and the NHS Vale of York CCG using a S113 Agreement. This pilot will test new collaborative ways of working, joint management of teams and explore the future integration required to improve quality and improvement in care settings throughout the district.

Reasons for the decision:

Over the period of the Covid-19 pandemic response NYCC Quality Monitoring and Quality Improvement Teams have worked closely with NHS colleagues across our three main Clinical Commissioning Groups (CCG) and Infection Prevention Control Teams (IPC).

There has been particularly close working between the NHS Vale of York CCG (VoYCCG) team and the Quality Improvement Team (QIT) in the Vale of York area where both teams are routinely deployed into care settings to assess quality and offer practical support to improve quality where needed.

This pilot will allow the two organisations to build upon progress over the past two years, create opportunities for more efficient use of resources and understand if this model (using Section 113 Arrangement) can be applied across different service areas and with other CCGs in the future.

Specifically, the local authority and York CCG will use the pilot period to review current job descriptions, departmental structures, share learning around working with Medicines Management, Infection and Prevention Control and explore further opportunities to improve quality improvement through collaborative working in the future.

Alternative options considered:

Not applicable

Publication date: 14/03/2022

Date of decision: 11/03/2022

Effective from: 22/03/2022