Health and Wellbeing Board

8th May 2024

 

Report of the York Health and Care Partnership

 

Summary

1.   This report provides an update to the Health and Wellbeing Board (HWBB) regarding the work of the York Health and Care Partnership (YHCP), progress to date and next steps.

2.   The report is for information and discussion and does not ask the Health and Wellbeing Board to respond to recommendations or make any decisions.

Background

3.   Partners across York Place continue to work closely together to commission and deliver integrated services for our population. The YHCP shares the vision of the York Joint Local Health and Wellbeing Strategy that in 2032, York will be healthier, and that health will be fairer.

4.   The YHCP has an Executive Committee (shadow) which is the forum through which senior Partnership leaders collaborate to oversee the delivery of the Partnership priorities. The Executive Committee meets monthly, and minutes from the last meeting held in March 2024 are included at Annex A to this report.

Update on the work of the YHCP

March 2024 Executive Committee Meeting

5.   The focus of the March meeting of the Executive Committee was Assurance, Planning and Joint Commissioning. The following reports and presentations were received and discussed:

6.   York Health and Care Partnership Annual Report and Joint Forward Plan: the draft 2023/24 Annual Report captures some of the successes and achievements across the different priority areas for the York Health and Care Partnership. In brief it highlights the purpose of the YHCP; key partnership achievements against the six key priority areas of the YHCP; engagement work to address health inequalities; case studies and intentions for the development of York’s health and care partnership arrangements in 2024/25. The YHCP agreed to retain their current six priorities due to the long-term nature of the ambitions within these. These ambitions also support the ambitions and goals contained within York’s Joint Local Health and Wellbeing strategy and the Humber and North Yorkshire Integrated Care Strategy.

The final version of the Annual Report and Joint Forward Plan will be included in the HWBB’s July agenda.

7.   Place in 2024/25 - Partnership Arrangements: YHCP members are working together to develop a plan that maximises the potential of place-based partnerships. Places are central to driving our aim to narrow the gap in health inequalities and increasing healthy life expectancy. They are focused on delivering outcomes for our people and communities that span the life course.

8.   The strategic intentions for 2024/25 are focused around:

·        Increasing responsibility for services organised locally in York

·        Accelerate delivery of the six priority areas through jointly planning care that is financially better and leads to better outcomes

·        Enabling front-line teams to work to aligned plans and outcomes – especially where teams are working with the same groups of people

·        Working with the other five place health and care partnerships in Humber and North Yorkshire, working as one where we need to influence or tackle issues together

·        Strengthening governance arrangements to build a sense of shared accountability for the resources and outcomes

9.   Partnership at Place takes many forms and is broader than governance and integration for health and care. This may involve formal legal and budgetary agreements and also a broader range of activities for the common good of our communities.

10.       To support this work, members of City of York Council and NHS Humber and North Yorkshire ICB (York Place) agreed to establish a Joint Commissioning Forum. This will be an officer-led group which meets regularly to expand and deepen the collaboration between NHS and local authority commissioners.

11.       Health Inequalities Funding: YHCP received a report detailing proposals for deploying ICB resources to tackle health inequalities in York totalling £280,663. The projects tackle health inequalities across the life course, recognising the importance of focusing on our children, and target our ‘core20plus' groups through the work of the Population Health Hub. .

12.       At their March meeting YHCP approved six new projects which will benefit from funding in 24/25:

·        Ways to Wellbeing Small Grants Programme

·        Health Mela

·        GP Outreach at the Women’s Centre

·        Wellbeing and Recreational Activities for Asylum Seekers and Newly Settled Refugees

·        Raise York Family Hubs

·        Peasholme Homeless Clinics

13.       Updates on Estates Work and Plans for 2024/2025: Work is ongoing between the York Health and Care Partnership and partners to describe the future service delivery model for health, care and prevention and how the estates infrastructure might be shaped to enable this.

Work of the York Population Health Hub

14.       Health inequalities in York Core20PLUS5 profile for adults: The York Population Health Hub (PHH) is a multi-organisation group which brings together colleagues from the local authority, health, public health, and business intelligence to enable, analyse and undertake population health management approaches in York. The PHH has produced the Core20PLUS5 profile for adults living in York to highlight the health inequalities experienced by different groups of people. We hope that this profile is used by professionals working across the York Health and Care Partnership to drive targeted action in healthcare inequalities improvement. 

15.       Core20PLUS5 is an NHS England (NHSE) approach to support the reduction of health inequalities at both the National and System level. The approach defines a target population cohort - the ‘Core20PLUS’ - and identifies ‘5’ focus clinical areas requiring accelerated improvement.

·        Core20: This refers to those living in the 20% most deprived small areas (LSOAs), defined by the 2019 Index of Multiple Deprivation.  York has 9,345 people (4.61% of the population) who live in LSOAs which are amongst the 20% most deprived in England.

·        PLUS groups are identified at local level based on poor access, experience, and/or outcomes who would not be captured in the Core20 alone. PLUS groups are likely to experience inequalities in access, experience and outcomes in one or more of the 5 key clinical areas, however this is not mandatory for a plus group to be included in a Places profile. PLUS groups identified in York:

 

·        Minoritised Ethnic Communities

·        People experiencing homelessness

·         Drug and alcohol dependence

·         Gypsy, Roma, and Traveller communities

·         Vulnerable migrants

·        Sex workers

·        Students

·        Carers

·        Transgender and non-binary people

·        Veterans

 

16.       5: There are five clinical areas of focus which require accelerated improvement. Governance for these five focus areas sits with national programmes; national and regional teams coordinate activity across local systems to achieve national aims. Smoking cessation positively impacts all five clinical areas of focus.

York Mental Health Partnership

17.       The York Mental Health Partnership is now aligned with the Integrated Care System's (ICS) Health and Care Directorate and their 'Place' Board.  The Partnership hosted a meeting in April, focussed upon planning the key foci for its work.  The meeting was informed by ICS developments, as well as input from City of York Council's Director of Public Health, who shared updated statistics on health challenges and health inequalities in the area and region. The Partnership will also seek statistical data from primary care to add into an evidence base that will inform our foci and work going forward.  At the YMHP meeting in June, we will present the key themes that arose from the April scoping meeting, with a view to developing a clear work plan for the Partnership. We also will ensure that the Partnership work plan is aligned with key local health, care and wellbeing strategies. 

 

18.       The first post-prototype Community Mental Health Hub is about to open at 30 Clarence Street.  The Hub will adopt a phased approach to opening its doors and services to enable the Hub team to settle into collaborative working, and to allow a gradual growth in the numbers of people that are able to access support. The Connecting Our City project team are currently scoping locations for more Hubs, with an ambition to open in the city in autumn 2024. 

 

 

 

 

 

 

 

Contact Details

Authors:

 

Tracy Wallis, Health and Wellbeing Partnerships Co-ordinator, City of York Council

 

Chief Officer Responsible for the report:

Sarah Coltman-Lovell, NHS Place Director

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Report Approved

 

Date: 29.04.2024

 

 

ALL
 

Wards Affected

 

 

 

 

 

For further information please contact the author(s) of the report

 

Annexes

 

Annex A: YHCP minutes March 2024