It is a condition of receipt of Better Care Fund resources that there should be a joint agreement between the Council and the ICB (NHS Integrated Care Board) under Section 75 of the NHS Act 2006 on how the money will be spent and the arrangements for its governance.

Following formal NHSE approval, ICB funding agreed within Better Care Fund plans must be transferred into one or more pooled funds established under the 2006 Act. The Mayor in Cabinet is therefore recommended to agree to the Council entering into a joint agreement with NHS North East London Integrated Care Board (NEL ICB), under Section 75 of the NHS Act 2006, to give formal (retrospective) effect to the 2022-23 Better Care Fund Plan and approve the draft Section 75 agreement.

In 2020, Cabinet agreed to delegate the Better Care Fund Section 75 sign off to the Corporate Director, Health, Adults & Community the authority to make amendments and enter into subsequent Better Care Fund Section 75 agreements for a period of five years from 2020/2021. The mayor has requested that this decision is reversed and sign off returned to the mayor in Cabinet.