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City of York Council |
Committee Minutes |
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Meeting |
Health and Wellbeing Board |
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Date |
18 January 2023 |
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Present |
Councillors Runciman, Craghill, Looker and Waller Siân Balsom - Manager, Healthwatch York [until 17:06] Sarah Coltman Lovell - York Place Director Jamaila Hussain - Corporate Director Adult Social Care and Integration, City of York Council Martin Kelly - Corporate Director of Children’s and Education Services, City of York Council David Kerr - Community Mental Health Transformation Programme & Delivery Lead (NYY&S) & TEWV Lead Master Coach (NYY&S) (substitute for Zoe Campbell) John Pattinson - Operations Director, Independent Care Group (substitute for Mike Padgham) Alison Semmence - Chief Executive, York CVS Sharon Stoltz - Director of Public Health, City of York Council Lisa Winward - Chief Constable, North Yorkshire Police [from 17:30] |
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In Attendance
Apologies |
Peter Roderick - Consultant in Public Health, City of York Council/NHS Vale of York Clinical Commissioning Group Tracy Wallis - Health and Wellbeing Partnerships Coordinator, City of York Council
Zoe Campbell – Managing Director, Yorkshire, York & Selby - Tees, Esk & Wear Valleys NHS Foundation Trust Simon Morritt - Chief Executive, York & Scarborough Teaching Hospitals NHS Foundation Trust Mike Padgham – Chair, Independent Care Group |
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124. Declarations of Interest (16:36)
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. None were declared.
125. Minutes (16:36)
Resolved: That the minutes of the last meeting of the Health and Wellbeing Board held on 16 November 2022 be approved as an accurate record.
126. Public Participation (16:37)
It was reported that there had been one registration to speak under the Council’s Public Participation Scheme.
Flick Williams spoke on agenda item 4 – Healthwatch York Report: Cost of Living and praised the work the team completed but highlighted that the survey might be underrepresented. She provided further information on how the cost of living crisis has affected disabled people specifically, in particularly due the failure of the legacy benefits appeal and how some benefit recipients were denied the Government cost of living payment. She concluded by explaining that disabled people were facing increased fuel poverty and energy debt.
127. Healthwatch York Report: Cost of Living (16:42)
The Manager for Healthwatch York presented a report which examined the results of a survey exploring the health impacts of the rising cost of living. She noted that:
· In partnership with City of York Council, Healthwatch York analysed the Council Tax Support benefit and were engaging in phone conversations with residents who had acquired debts.
· There was a clear correlation between the residents with long-term physical and/or mental health conditions and living in poverty during the cost of living crisis.
· Healthwatch York would repeat this survey in early 2023 in an attempt to engage with more residents and to gauge the impact of the winter months.
She then praised the staff who work in the voluntary sector and help residents during this difficult time. The Director of York Place then confirmed that this report and the work of the voluntary sector would be discussed at other partnership meetings.
The Board then discussed the report, namely around the cost of living crisis, government benefits and health concerns around new-borns and infants, amongst others.
In response to questions from Members, the Director of Public Health, City of York Council, stated that there was real time data surrounding the adverse effects of the cost of living crisis as Public Health received death data from registrars on a weekly basis and that the Population Health Hub had been able to gather data and intelligence from partners to get an accurate picture.
Resolved: That Healthwatch York’s report, Cost of Living: The impact of rising costs on people in York be received by the Board.
Reason: To keep up to date with the work of Healthwatch York and be aware of what members of the public are telling us.
128. York Health and Care Partnership Report (17:06)
The Director of York Place presented the report which provided an update to the Health and Wellbeing Board on the work of the York Health and Care Partnership (YHCP), including the progress to date and next steps. She noted that:
· The YHCP has faced system and operational pressures due to increased demand and industrial action, and there have been discussions and action plans on this to support each other.
· The Partnership agreed on a series of priorities and a set of strategic actions to support each priority. These actions are also linked to the York Health and Care Prospectus and York’s Joint Health and Wellbeing Strategy.
· They continue to work with the York Population Health Club and have brought partners together to make key decisions on shared resources.
In response to questions, the Director of York Place and the Corporate Director Adult Social Care and Integration, City of York Council, explained that:
· The YHCP would be tracking and measuring its progress and improvements to check how patients were able to access health services, for example new data around GPs being analysed and included.
· The capacity and number of GP appointments has increased since the pandemic and there have been additional funds allocated to support this increase.
· The Better Care Fund would help to reach the strategic targets through its schemes and work with various partners. For example, its Home First approach had seen a 53% increase in the number of patients going home this time last year.
· The Partnership was able to work with partners to oversee the allocation and utilisation of the funds and ensure that the money and resources are in the correct places and schemes.
Resolved:
i. That the contents of the report and the progress made be noted by the Board.
ii. That the Board receives an update from the YHCP every 6 months.
Reason: To keep the Board updated on the work of the York Health and Care Partnership.
129. Framework for Delivery and Performance Management of the new Joint Health and Wellbeing Strategy 2022-2032 (17:32)
The Consultant in Public Health, City of York Council, presented a report on the suggested framework for an Action Plan and Population Health Outcomes Monitor for the new Joint Health and Wellbeing Strategy 2022-2023.
He stated the aim of these documents is to assure Members that the strategy makes a difference by showing the actions put in place and how they are tracked. He proposed that the action plan covers the first two years of the strategy’s lifespan and is focussed around the 10 big goals set out in the Joint Health and Wellbeing Strategy before it demonstrated how the identified actions link to the big six ambitions contained in the strategy. He then went on to explain that the Population Health Outcomes Monitor is also linked to the ten big goals and is designed to provide Members with a holistic view of whether the strategy is making a difference to the health and wellbeing of York’s population by using outcome data.
The Director of Public Health, City of York Council, also spoke on the importance of the wider determinants that impact public health, such as employment and housing, and how the Council can engage with numerous departments to create an environment to improve public health.
In response to questions from Members, the Consultant in Public Health and the Director of Public Health noted that:
· The framework was aimed at promoting health equity and reducing health inequalities but it should also fit in with the wider aspirations and strategies throughout York so can be amended to reflect this.
· Suicide attempts were not recorded officially so it was difficult to generate accurate numbers but there was ongoing work with partners to gain an understanding of these problems. An update would be brought to the Board.
Board Members were asked to comment on the following options:
i. Will the proposed action plan framework enable us to plan the right actions, and will the proposed outcomes monitor enable us to know if it’s working?
ii. How many actions should be prepared for each of the 10 goals across the first 2 years of the strategy (suggestion is 2 or 3)
iii. How often would HWBB members like to be updated on progress against the actions and the status of the Population Health Outcomes Monitor?
iv. How do we ensure ownership of the actions in the plan by all organisations?
v. How do we maximise the co benefits between actions designed to improve health and wellbeing, and actions falling out of the Economic and Climate Change Strategies?
The Chair requested Members to send their responses to the above to the Health and Wellbeing Partnerships Coordinator.
Resolved:
i. That the draft action plan at Annex A and the draft performance management framework at Annex B, be noted and comments are sent to the Partnerships Coordinator.
ii. That the Board agreed to proceed with two documents above so that final versions can be presented to the Board in March 2023.
iii. That the Board be updated on the progress against the actions and the status of the Population Health Outcomes Monitor every three months.
Reason: To ensure that the Health and Wellbeing Board fulfils its statutory duty to deliver on their Joint Health and Wellbeing Strategy 2022-2032.
130. Humber and North Yorkshire Integrated Health and Care Strategy (17:52)
The Director of York Place presented the report and explained the approach taken to develop an Integrated Health and Care Strategy (ICS) for Humber and North Yorkshire. She provided some background on the ICS and then noted that:
· The Health and Care Act sets out the four core elements of an ICS these are Place, Provider/Sector Collaboratives, Integrated Care Board (ICB) and an Integrated Care Partnership (ICP).
· The Strategy was developed through engagement with communities and stakeholders through a number of open sessions.
· There were a number of themes within the Strategy focussed on the wider determinants of improved health to ensure people start well, live well, age well and die well, and these included:
o Creating the conditions for change, to make it easier for people, communities and organisations to come up with solutions that will work best to improve their lives.
o Think person by listening and paying attention to what people tell us mattered the most to them
o Think family by considering different ways people consider a family and focussing on supporting families.
o Think community to recognise the assets in communities and use their strengths to implement health and care services.
In response to questions from Members, the Director stated that the report would be in the public domain and there would also be a website which detailed the strategy and it would be continuously updated to reflect any changes.
Members discussed the report and welcomed some of the concepts and ambitions detailed in the report. They also stated that they would like an action plan as to how the Strategy aligns with the work that has taken place in York.
Resolved:
i. That the update in the paper be noted
ii. That the final draft content of the Humber and North Yorkshire Integrated Health and Care Strategy (appendix A) be considered and approved.
iii. That the next steps be noted.
Reason: To keep the Board updated on the Humber and North Yorkshire Integrated Health and Care Strategy.
131. Progress on Appointment of Independent Chair to the Mental Health Partnership (18:12)
The Director of Public Health, City of York Council, provided a verbal update on the progress on the appointment of a new Independent Chair to the Mental Health Partnership.
She stated that the Partnership had previously advertised the new role but was unsuccessful in filling the position. The role will be advertised again by the end of January with the applicant selection process in February so that the Chair can be in position by March. The Partnership has since changed the way in which they advertised for the role with more focus on recruitment through social media and existing network channels, amongst others.
The Chair concluded by inviting Members to send their recommendations or suggestions for the new role.
Resolved: That the update is noted by the Health and Wellbeing Board.
Reason: To keep the Board updated on the appointment of an Independent Chair to the Mental Health Partnership.
132. Urgent Business - Better Care Fund update (18:16)
The Corporate Director Adult Social Care and Integration, City of York Council, presented the paper and provided an update on the allocation of the Adult Social Care discharge funds. She noted that:
· There was a change in the allocation of money for the Adult Social Care discharge fund with local authorities now receiving 40% of the £500 million fund and the Integrated Care System (ICS) receiving the remaining 60%.
· The City of York Council received £609,834 and the ICS received £1,006,902 and the expenditure was overseen by the Better Care Fund (BCF) Delivery Fund.
· There were a number of schemes introduced and implemented to improve discharges from hospitals. They will be evaluated regularly to ensure they are successful.
· A home first approach was implemented to create additional community voluntary support around transport and increasing domiciliary care, amongst others.
She concluded by stating that since the publication of this report, an additional £200 million was allocated by the national government and the Board will receive a report on this at the next scheduled meeting.
Members discussed the report and in response to questions, the Corporate Director explained that there was a strong indication that the Adult Social Care discharge fund will carry into 2024 but that the BCF fund has been agreed for another two years and noted the importance of its schemes.
Resolved:
i. That the allocation of the Adult Social Care discharge funds be ratified.
ii. That the contents of the report be noted.
iii. That an update be provided to the partnership monthly.
Reason: To keep the Board updated on the allocation of the Adult Social Care discharge funds.
Councillor Runciman, Chair
[The meeting started at 4.34 pm and finished at 6.26 pm].