Decision details

Section 75 Agreement (NHS Act 2006) 2023 - 2025

Decision Maker: Executive Director: People

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


For the Executive Director: People and Executive Member for Adult Services, Health and Housing to approve and authorise the Section 75 Agreement 2023 – 2025 and Schedules between Bracknell Forest Council and Frimley Integrated Care Board.


The Executive Member for Adult Services, Health and Housing and the Executive Director: People approve and sign the core S75 Agreement and Schedules as per the delegated authority awarded at the Executive in March 2023

Reasons for the decision:

       i.         The current S75 Agreement expires 31March 2023. Existing and new services that are jointly commissioned and/or funded through a pooled budget need to be covered through a S75 Agreement in order to be compliant with the NHS Act 2006 and have a clear working protocol between Frimley ICB and Bracknell Forest Council.

     ii.         The current S75 Agreement requires a refresh in the context of the devolution of all CCG’s and the formation of Integrated Care Boards. Further opportunity exists to review our joint working approach in the context of inflation, joint uplift processes and renewal timeframes.

    iii.         In addition, the Better Care Fund Schedule and Heathlands Schedule have been updated to reflect current practice  / service delivery.

    iv.         The Better Care Fund (BCF) is one of the government’s national vehicles for driving health and social care integration. It requires integrated care boards (ICBs) and local government to agree a joint plan, owned by the Health and Wellbeing Board (HWB). The joint plans utilise pooled budgets to support integration and is governed by an agreement under section 75 of the NHS Act (2006)

     v.         The Better Care Fund policy framework is published each year and outlines national conditions and metrics. Local Health and Wellbeing Boards are able to set their own priorities driven by local need. Stringent joint planning and review activity is undertaken throughout the year to ensure an integrated approach to providing joined up care.


Alternative options considered:

       i.         Other options such as extending the existing S75 Agreement or not renewing the S75 Agreement are not feasible options as would lead us to be non-compliant.

     ii.         An alternative approach to developing a separate S75 agreement for each individual joint service has been considered but there is joint agreement that this approach is not efficient, time and resource heavy and would lead to repetition across the various S75’s.



Interests and Nature of Interests Declared:


Reason Key: Expenditure >£400,000 & Affects more than 1 ward.;

Wards Affected: (All Wards);

Financial Impact: Spend for these schedules will be determined by the Better Care Fund policy framework

Declarations: None

Subject to Urgent Proceedings: No

Making Representations: In writing to the Executive Director : People

Other reasons / organisations consulted

Internal and Frimley Integrated Care Board


Legal, Commissioning, Frimley Integrated Care Board

Contact: Grainne Siggins, Executive Director People Email:

Publication date: 07/02/2024

Date of decision: 07/02/2024

Effective from: 16/02/2024

Accompanying Documents: