Agenda and minutes

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, that they had in relation to the business on the

agenda.

Inspector Bill Scott declared a personal interest in the remit of the Board as a member of Tees, Esk and Wear Valleys NHS Foundation Trust and the Mental Health and Learning Disabilities Partnership Board.

The Chair noted that although Inspector Bill Scott was not an appointed substitute for Tim Madgwick, she would grant him temporary speaking rights for the meeting.

No other interests were declared.

To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 20 July 2016.

Discussion took place about whether any action had been taken following the Board’s suggestion of removing the word ‘co-production’ from all Sustainability and Transformation Plans (STP) documents. It was noted that this reference reflected a wider relevance on the process of public engagement and transformation at a local level.

Resolved: That the minutes of the Health and Wellbeing Board

held on 20 July 2016 be approved as a correct

record and then signed by the Chair.

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 Tuesday 6 September 2016 at 5.00 pm

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

Filming, Recording or Webcasting Meetings

Please note this meeting will be filmed and webcast and that includes any registered public speakers, who have given their permission.  This broadcast can be viewed at http://www.york.gov.uk/webcasts.

Residents are welcome to photograph, film or record Councillors and Officers at all meetings open to the press and public. This includes the use of social media reporting, i.e. tweeting.  Anyone wishing to film, record or take photos at any public meeting should contact the Democracy Officer (whose contact details are at the foot of this agenda) in advance of the meeting.

The Council’s protocol on Webcasting, Filming & Recording of Meetings ensures that these practices are carried out in a manner both respectful to the conduct of the meeting and all those present.  It can be viewed at: http://www.york.gov.uk/download/downloads/id/11406/protocol_for_webcasting_filming_and_recording_of_council_meetings_20160809.pdf

It was reported that there had been no registrations to speak at

the meeting under the Council’s Public Participation Scheme.

This report asks the Board to confirm two appointments to its membership.

The Board received a report which asked them to confirm two appointments to the Board.

Reference was made to the increase of representation of the NHS Vale of York Clinical Commissioning Group (CCG) on the Board, following the appointment of the Vice Chair at the previous meeting. This meant that there were three CCG Board Members on the Health and Wellbeing Board.

Officers reported that a governance review undertaken would consider the Board’s membership.

Resolved:

That;

·      Fiona Philips, Assistant Director- Consultant in Public Health be appointed as a substitute member of the Board for Sharon Stoltz.

·        That the appointment of Phil Mettam, Accountable Officer at NHS Vale of York Clinical Commissioning Group (CCG) be noted.

Reason: In order to ensure proper representation on the Health and Wellbeing Board.

This report updates the Health and Wellbeing Board on the progress to date around Rehabilitation and Recovery, adult mental health service developments in York and Selby.

Consideration was given to a report which informed the Board of the progress to date around Rehabilitation and Recovery, adult mental health service developments in York and Selby. The report included the background and context associated with the temporary closure of Acomb Garth Adult Rehabilitation and Recovery Unit in York and the progress to date following a Quality Improvement event held on 29 February -2 March 2016.

The Director of Operations and Locality Manager for Adult Mental Health from Tees, Esk and Wear Valleys NHS Foundation Trust presented the report.

The Board were informed that a capital bid would be submitted to central government for a crisis café to be open at all hours.

It was noted that the crisis café could be based at Sycamore House and that this could be managed in addition to other activities and services being provided there.

In regards to inpatient mental health care in York, it was confirmed that there were no rehabilitation facilities in York, but that a senior nurse had been appointed to visit those patients in rehabilitation beds. There were also no plans to reopen Acomb Gables as a rehabilitation or recovery unit, it would be used as an older people’s unit.

Resolved: That the report be received and noted.

Reason: To keep the Health and Wellbeing Board updated in relation to progress.

This report updates the Health and Wellbeing Board around the current position for mental health facilities in York.

Board Members received a report which updated them on the current position on mental inpatient health facilities in York. The Director of Operations from Tees, Esk and Wear Valleys NHS Foundation Trust introduced the report.

It was confirmed that due to a fire, Peppermill Court would not open until the first week of October.

Male beds for dementia patients would be provided at Acomb Gables from Winter 2016 along with additional outpatient bed space.

It was noted that issues such as a significant overprovision of older people’s beds in mental health inpatient facilities and that more work needed to be done on patient flows would be identified in the consultation document for the new mental health hospital.

In response to a Member’s question about financial information about the new mental health hospital. It was reported that it would cost approximately £29m for the building, but that the costs would be reviewed in terms of the site.

Resolved:  That the update on the work undertaken to address the transformation of mental health services and the proposed plans for the new hospital be noted.

Reason:    To keep the Health and Wellbeing Board up to date with developments in relation to mental health inpatient facilities for the city.

This report provides the Board with an update on the work that has been undertaken by the Joint Strategic Needs Assessment/Joint Health and Wellbeing Strategy Steering Group (‘the Steering Group’) since it was first established in late 2015.

The Board received an update report on work that had been undertaken by the Joint Strategic Needs Assessment/Joint Health and Wellbeing Strategy Steering Group (‘the Steering Group’) since its establishment in late 2015.

Board Members were informed that two needs assessments had taken place over the past year, one on Learning Disabilities and one on Self Harm. Two further needs assessments were planned on Autism and Student Health. The Chair highlighted that delegation would be given to the Mental Health and Learning Disabilities Partnership Board to lead on reporting back on progress achieved on implementing the recommendations from the needs assessments to the Steering Group.

The Director of Public Health informed the Board that the JSNA/JHWBS Steering Group work plan would be included as part of the next JSNA/JHWBS Steering Group update report to the Board.

It was reported that the new Joint Health and Wellbeing Strategy (JHWBS)  would be written using a whole life course approach, examining  wellbeing through to aging and end of life care. A draft would be shared with the Board for initial comments. The final version would be brought for sign off to the Board in January.

Board Members were informed that there would be an eight week consultation period for the new JHWBS, the draft document would be shared with the Board. It was hoped that the first edition of an external newsletter would be launched alongside the JHWBS.

In response to how broader topics such as integration and finance would fit with the new Joint Health and Wellbeing Strategy, it was noted that the JHWBS would set out vision and aspiration. There remained a number of system wide issues that would need to be addressed to realise the ambitions set out in the strategy.

Resolved: (i) That the report be received and noted.

                (ii) That the recommendations arising from both the self harm and learning disabilities needs assessments be agreed.

              (iii) That the Mental Health and Learning Disabilities Partnership Board implement the recommendations from the need assessments.

Reason:       To update the Board on progress made with the JSNA and the JHWBS.

This report summarises discussions that have taken place at the Integration and Transformation Board.

Consideration was given to a report which summarised discussions which had taken place at the Integration and Transformation Board.

The Director of Adult Social Care introduced the report and informed the Board that the ITB had taken on the responsibility for management of the Better Care Fund (BCF) in the Vale of York area.

He highlighted that the development of the ITB reflected a longer term change in thinking and as such there was a need for a joint commissioning strategy and joint commissioning plan. He spoke about a Joint Commissioning Forum which would allow for discussion to take place outside of the ITB. This forum would look at the shift from community based models of care and market development in health care. Other topics would also include, rehabilitation services and intermediate care in the city, for example the future proposals for Archways.

Board Members raised the following points;

·        The ITB would bring together providers and commissioners in one place.

·        None of the organisations involved in the Sustainable and Transformation Plan shared the same geographic boundaries, which meant that the ITB would allow for locality based decision making.

·        Consideration of a terms of reference for the Joint Commissioning Board would be brought to the Health and Wellbeing Board.

Discussion took place on the closure of Archways Intermediate Care Unit during which the following comments were raised;

·        Archways was an invaluable resource for those discharged from hospital who needed support before they returned home.

·        Why was an effective resource being closed before a suitable replacement had been put in place?

·        Patients were more likely to stay in hospital as a result of the closure of the rehabilitative unit.

·        The hospital was looking to increase overall capacity rather than reducing resources at Archways.

The Deputy Chief Executive of York Teaching Hospital NHS Foundation Trust informed the Board that;

·        There was evidence that many patients could be cared for in their own homes if community support was given.

·        In order to develop further community services, maintaining Archways alongside this could not be done.

·        GPs, consultants all supported the closure.

·        Their commitment was to inform the staff involved first.

Further comments raised included;

·        There would still be some inpatient beds available for rehabilitative care in the city.

·        Was the setting the best use of resources for the care provided?

·        Further work needed to be carried to enable real co-production with service users, as the consequences of service change on the system had not been made explicit.

·        The closure of Archways would be considered in more depth at the next meeting of the Health and Adult Social Care Policy and Scrutiny Committee.

Resolved: (i) That the report be received and progress noted.

                 (ii) That the work being done to develop a joint commissioning strategy be supported.

                 (iii) That comments made around the need for a Joint Commissioning Board be considered and noted.

                 (iv) That a further report on the Section 75 Agreement be received by the Board.

Reason:        To keep the Health and  ...  view the full minutes text for item 23.

The purpose of this report is to present the findings of the public consultation on the draft Alcohol Strategy for York 2016-2021.

Consideration by the Board was given to a report which presented the findings of the public consultation on the draft Alcohol Strategy for York 2016-2021.

It was recommended that the Safer York Partnership (SYP) be delegated responsibility to finalise and sign off the draft Alcohol Strategy. The Director of Public Health commented that she would be reviewing the public health membership of the SYP as she felt that it had not paid sufficient attention to the health impacts.

Resolved:  (i)      That the consultation response to the draft alcohol strategy be noted, and that it be acknowledged that the strategy is being amended to take account of this prior to being finalised for publication.

                 (ii)     That the delegation of responsibility for strategic oversight of the delivery of the alcohol strategy to the Safer York Partnership be approved.

                (iii)      That it be agreed to receive annual reports detailing progress on the implementation of the alcohol strategy.

Reason:    To support the delivery of an alcohol strategy for York that will reduce alcohol-related harm across the city.

The Board will receive a verbal update on Sustainability and Transformation Plans in the NHS in the Vale of York area.

The Board received a verbal update on Sustainability and Transformation Plans (STP) in the NHS in the Vale of York area.

The Chief Operating Officer from NHS Vale of York Clinical Commissioning Group (CCG) informed the Board that a Draft STP had been submitted to NHS England in June which identified areas where work needed to take place. Each of the localities within the STP area had been asked to prepare a local plan, this was not finalised in the Vale of York area. Partners to the Integration and Transformation Board (ITB) were involved in an ongoing piece of work to develop this local plan.

Concerns were raised about the Humber Coast and Vale (HCV) STP and the relationship with the work of the Integration and Transformation Board. Comments included;

·        The STP process was not at this stage open and transparent.

·        There was public concern over a large scale reorganisation of the NHS and there needed to be public information about what cuts would be made.

·        How would the high level STP plan link with the local plan and what opportunities would there be for localities to influence plans at all levels?

The Board felt that it was useful to consider what could be shared around the HCV STP. The Locality Director (North) NHS England underlined that any changes to services within the NHS would be publicly consulted upon.

Resolved: That the verbal update be received and noted.

Reason:   So that Members are kept informed of developments in Sustainability and Transformation Plans in the NHS in the Vale of York area.

To consider the Board’s Forward Plan.

Board Members were asked to consider the Board’s Forward Plan for 2016/17.

It was suggested that a Suicide Prevention Update be added to the Board’s November meeting.

Resolved: That the Board’s Forward Plan be approved with the amendment detailed above.

Reason:    To ensure that the Board have a planned programme of work in place.