Agenda and minutes

The Chair welcomed the arrival of Temporary Chief Constable of North Yorkshire Police, Tim Madgwick to the Board.

At this point in the meeting, Board Members are asked to declare:

·        any personal interests not included on the Register of Interests

·        any prejudicial interests or

·        any disclosable pecuniary interests

which they may have in respect of business on this agenda. A list of general personal interests previously declared is attached.

Board Members were invited to declare any personal, prejudicial or disclosable pecuniary interests, other than their standing interests attached to the agenda, that they might have in the business on the agenda.

Councillors Looker, Simpson-Laing and Wiseman asked that their standing declarations of interest be amended.

Councillor Looker stated that she was no longer a Director of North Yorkshire Credit Union and was not a Governor of Canon Lee School, just an Associate Governor.

Councillor Simpson-Laing reported that she was no longer employed by Relate.

Councillor Wiseman stated that she was no longer a Member of the Council of Governors (Public York) York Teaching Hospital NHS Foundation Trust.

Angela Portz declared a personal interest in Agenda Item 11 (Roundtable Update) in relation to Health Watch. She informed the Committee that York Council for Voluntary Service (CVS), of which she was the Chief Executive, had been awarded the contract to run Local Health Watch.

No other interests were declared.

To approve and sign the minutes of the last meeting of the Shadow Health and Wellbeing Board held on 3 October 2012.

RESOLVED:       That the minutes of the Shadow Health and Wellbeing Board held on 3 October 2012 be signed and approved by the Chair as a correct record.

It is at this point in the meeting that members of the public who have registered their wish to speak can do so. The deadline for registering is by 5pm on Tuesday 4 December 2012.

To register please contact the Democracy Officer for the meeting, on the details at the foot of this agenda.

It was reported that there had been one registration to speak under the Council’s Public Participation Scheme.

John Yates spoke about the general remit of the Board, in particular the style of the reports included in the agenda, given the nature of the complex issues that the Board often considered. He asked whether a simplified media version of the papers could be produced. He felt that this could highlight the intentions of the Board and explain to the general public how they could get involved. He also spoke about Health and Welfare Schemes and stated that given that they might need extra funding, asked if the Board could suggest one or two key priorities.

In response to the comments raised, the Chair informed the Board that a press release would be issued in April 2013 when the Board would no longer have Shadow status.

This report asks Board Members to formally confirm the appointment of the Chief Constable of North Yorkshire Police to the membership of the Shadow Health and Wellbeing Board.

Board Members received a report which asked them to formally confirm the appointment of the Chief Constable of North Yorkshire Police to the membership of the Shadow Health and Wellbeing Board.

RESOLVED:       That the report be noted and the appointment be confirmed.

REASON:           In order to update the Board’s membership.

This report highlights a number of recommendations from the final report of the York Fairness Commission and asks Board Members to;

·        Review the Fairness Commission principles and recommendations

·        Confirm that they, via the four health and wellbeing partnership boards will be the delivery vehicle for Recommendations E and F

·        Agree that they will work alongside other partnerships, including Without Walls, to support the implementation of other recommendations relevant to their remit.

Board Members received a report which highlighted a number of recommendations from the final report of the York Fairness Commission.

Officers informed the Board that it was the intention of the YorOK Board to be responsible for the delivery of Recommendation F (Ensure that childcare, the learning environment and education help tackle inequalities). That Board would then report back to the Shadow Health and Wellbeing Board to update them on the progress of delivering the recommendation.

Regarding Recommendation A (Make York a Living Wage City and inspire Yorkshire to become a Living Wage Region) it was noted that York Council for Voluntary Service (CVS) had implemented a Living Wage for their employees in April 2012.

RESOLVED:       (i)      That the report be noted.

(ii)      That the four health and wellbeing partnership boards, will be the delivery vehicle for Recommendations E and F be confirmed.

(iii)     That the Board work along alongside other partnerships from across the city, including Without Walls, to support the implementation of other recommendations relevant to their remit.

REASON:           To ensure that the findings from the Fairness Commission final report are delivered and influence local policy and practice.     

This report provides an overview of York’s draft health and wellbeing strategy.

Board Members received a report which provided them with an overview of York’s draft Health and Wellbeing Strategy.

Discussion took place between Board Members about mental health issues and the Criminal Justice system. It was noted that a current focus for North Yorkshire Police was how reoffending rates could be reduced and how improvements could be made to house those within the system with mental health problems.

Some Board Members felt this was particularly important given how previous actions on detention had not been an appropriate response to deal with people who had mental health concerns. It was noted that a number of mental health assessments had been made of children whilst under detention in cells by the Police. It still remained unclear whether it was the responsibility for the health service or the criminal justice system to produce an appropriate response to deal with this, although the YorOK Board would examine the issue in order to recommend some actions to avoid this.

Further discussion took place between Board Members which related to access to urgent care for those with mental health concerns in the city. It was noted that a bespoke facility to provide urgent care for those with mental health care was currently under consideration. The Chair asked that information on the development of a facility be brought to the Board’s attention.

In relation to the fifth priority of the Health and Wellbeing Strategy (creating a financially sustainable local health and wellbeing system) for which the Shadow Health and Wellbeing Board would be responsible for, some Board Members questioned whether a sufficient amount of time would allocated to examine how this priority could be carried out. It was reported that the financial implications from this would be considered at a development session for Board Members on 17 December 2012. It was suggested that the key question of any discussion about financial sustainability  would be how could all partners within the Health and Wellbeing sector in York work together given budgetary allocations.

RESOLVED:       (i)      That the report be noted.

(ii)      That the Board be updated in relation to the development of a new mental health care facility in York.

REASON:           To ensure that the Health and Wellbeing Strategy has the support of all organisations represented on the Shadow Health and Wellbeing Board and that we have the collective commitment to deliver it.

This report provides an update of for the Shadow Health and Wellbeing Board on progress made and future plans to establish the new partnership boards sitting directly below the Health and Wellbeing Board.

Board Members received a report which provided them with an update on progress made and future plans to establish the new partnership boards sitting directly below the Shadow Health and Wellbeing Board.

In response to the composition of the four partnership boards underneath the Shadow Health and Wellbeing Board, Angela Portz informed the Board that York CVS wished to be involved in these groups at a senior level.

In relation to the new temporary post that would support the Health and Wellbeing Partnership Boards, Board Members were asked to identify people from their partnerships who might be able to carry out the post.

A general comment was made over how there was a need for an appropriate method of data sharing needed to be put into place between all the Partnership Boards.

RESOLVED:       That the report be noted.

REASON:           To inform Members of the Shadow Health and Wellbeing Board of the progress made in developing the new health and partnership structure.

A representative from the NHS Commissioning Board will lead a discussion about the report ‘A mandate from the Government to the NHS Commissioning Board: April 2013 to March 2015’ which sets out the objectives of the new NHS Commissioning Board.

Board Members received a report which set out the objectives of the new NHS Commissioning Board.

A number of questions were raised by Board Members in relation to the functions of Area Teams (which would succeed Local Area Teams) in relation to Commissioning Boards.

Julie Warren, a representative of the current Local Area Team for North Yorkshire and Harrogate, shared her thoughts on how the Area Teams would operate. She told the Board that the Area Teams would be responsible for the direction of commissioning and that they would also provide a person responsible for Assurance and Delivery across the Commissioning Boards.

RESOLVED:       That the report be noted.

REASON:           To share information about the NHS Commissioning Board, their objectives and understand how it relates to the work of the Shadow Health and Wellbeing Board.

This report informs the Board about the introduction of Health and Wellbeing Passports.

Board Members received a report which informed them of the implementation of the Health and Wellbeing Passport.

Jane Perger from York Local Involvement Network (LINk), who had developed the Health and Wellbeing Passport informed the Board that a meeting had taken place between LINk and the Neurological Alliance and they had agreed that the passport be piloted in a number of surgeries. She asked Board Members whether they would give their approval to the pilot. Some Members suggested that if the pilot target range was widened then they would be happy to promote it within their partnerships.

Discussion took place in regards to avoiding duplication of patient details, particularly in relation to similar documents used by the Out of Hours Services and work currently carried out with Disabled Children. Some Board Members suggested that information from all involved with the patients be combined into the one document.

RESOLVED:       (i)      That the report be noted.

(ii)      That the Board agree to the use of the Health and Wellbeing Passports within their own organisations within the next six months (by June 2013), subject to the target groups being widened.

(iii)     That a commitment be made in the longer term, if the pilot is successful, to use the passport across the whole organisation and services it provides/commissions.

REASON:           Health and Wellbeing Passports are a specific action within the draft Health and Wellbeing Strategy. They enable increased understanding of the needs and are one way of increasing the control people have over their care and support.

This item will allow for the Board to receive verbal updates on changes to Health and Wellbeing including;

·        Finance (Feedback from the PCT Board Meeting, financial position of the PCT, North Yorkshire and York Review and KPMG report, current pressures and budget management.)

·        Establishment of the Vale of York Clinical Commissioning Group

·        National/Regional NHS Bodies

·        Transfer of Public Health

·        Commissioning of Health Watch

The Board received verbal updates from various partners on a number of issues.

Finance-KPMG Report

Board Members were informed that a report on how to reduce the deficit and the current financial status of the NHS in North Yorkshire produced by KPMG would be presented to the NHS North Yorkshire and York Board in January.

Patrick Crowley, the Chief Executive of York Hospital felt that the outcome of the report would raise a number of questions about how the NHS governed  their performance management and how existing governance and partnership boards could work together to deliver the recommendations of the report. This interdependent working would then lead to a greater level of accountability.

Vale of York Clinical Commissioning Group

The Board was also informed on a number of departures and arrivals in post at the Vale of York Clinical Commissioning Group. They were also informed that a post of Chief Nurse and Director of Quality Assurance had been created within the VOYCCG management team.

Transfer of Public Health and Commissioning of Local Health Watch

The Board were informed about a number of developments that had taken place in relation to Public Health in York and North Yorkshire such as;

·        The contract for Sexual Health Services would be lead by North Yorkshire County Council for both the NHS North Yorkshire and York area.

·        That York CVS had been chosen as the provider for Local Health Watch in the City.

·        That York MIND had been selected to provide the NHS Complaints Advocacy service in York.

Priorities for new Police and Crime Commissioner for North Yorkshire

Tim Madgwick, the temporary Chief Constable of North Yorkshire Police, reported that one of the new Police and Crime Commissioner’s priorities would be focused around harm reduction in relation to the wellbeing strand of her role, such as in prevention work around sexual health and exploitation.

RESOLVED:       That the updates be noted.

REASON:           In order to keep the Board up to date with how Health and Wellbeing reforms are being carried out in the city.