(1) That the setting up of a joint committee (formally from April 2022 and in Shadow form from October 2021) be agreed in principle.

(2) That the proposed arrangements operate in shadow form from October 2021 with accountability and decision making remaining with individual statutory organisations.

(3) That the suggested locality board functions be agreed, noting that clarity on the finer detail is still to be fully determined.

(4) That the proposed revised membership from October 2021 be agreed.

(5) That the arrangements for the appointment of a chair to the proposed shadow joint committee, as set out in the report, be noted.

(6) That it be noted that the details relating to the terms of reference, delegations, voting and quoracy of the joint committee will be brought back to the Executive for further consideration at a later date.

The Trafford system governance working group and subsequently the One System Board considered the guidance and the various governance options and proposes that the development of a joint committee of Trafford partners with the ICB is the preferred option for the following reasons: Would show commitment from Trafford partners for shared decision making, accountability and stewardship; would support fair representation from all partners; joint delivery of Trafford Locality Plan; suitable vehicle for pooling of locality funding; and provide governance for delivery of delegated NHS functions without appearing to be health dominated.

Not to have a joint committee arrangement and opt for alternative governance arrangements as highlighted in the paper. Certain governance models in the report would not enable the rigour and shared accountability and stewardship of a joint committee that will provide the opportunity to strategically move forward with a place based integrated health and social care commissioning and delivery system – based upon a collectively agreed, integrated strategic direction that is reflective of the health and social care system at present.