Health and Wellbeing Board

25 July 2023

 

 

Report of the York Health and Care Partnership

 

Summary

1.   This report provides an update to the Health and Wellbeing Board (HWB) regarding the work of the York Health and Care Partnership (YHCP), progress to date and next steps. The report also provides an update on the development of Humber and North Yorkshire ICB's Joint Forward Plan.

Background

2.   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 Health and Wellbeing Strategy that in 2032, York will be healthier, and that health will be fairer.

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 meetings held in 2023 are available in Annexes A to G.

This report provides an update to the York Health and Wellbeing Board on the YHCP's progress since the last report provided in January 2023.

3.   Update on the work of the YHCP

YHCP Priorities

Since the January 2023 update the YHCP has agreed a set of priorities for the next five years. This five-year period aligns with Humber and North Yorkshire's Joint Forward Plan, which sets out how the ICB and its partners will contribute and deliver its strategy from 2023-2028 (see section of this report).

These priorities build on those identified in 2022 and provide a longer-term view for our ambitions around integration. The priorities are aligned to the ICB's priorities and the Health and Wellbeing Strategy, with a focus reducing health inequalities and improving population health. The priorities and what they will mean for our citizens are listed in table 1 below.

Table 1: YHCP priorities

Priority

What will this mean for citizens?

Strengthen York’s Integrated Community Offer

Greater access to personalised support and integrated care outside of hospital, with tailored support that helps people live well and independently at home for longer.

Implement an integrated UEC offer for York

A safe, reliable, and resilient service.

Further develop Primary/Secondary shared-care models

Shared care models between patients, GPs, and other specialists, so patients receive a personalised, seamless and holistic care experience.

Develop a partnership based, inclusive model for children, young people, and families

Working together for children, young people, and families to raise a healthy generation of children.

Embed an integrated prevention and early intervention model

A shift to prevention and early intervention across the life course, enabling people to live a healthier, longer life, reducing the gap in health inequalities between the most and least deprived communities in York.

Drive social and economic development

Working at the heart of our communities to use and grow the assets we have, maximising our collective capability, working in partnership taking a cradle to career approach.

 

•      These priorities are underpinned by our integrated Place Plan that has been agreed by the Executive Committee, and will be delivered through the behaviours of the Partnership (see the York Health and Care Prospectus, our ‘pledges’):

•      We are in it together

•      We will trust in people

•      We will be permission-giving and empower staff

•      We are person-centred

•      We will free the power of the community

•      We are committed to improving population health

•      We will connect clinicians and professionals

•      Our finances will align

•      In our Place Plan we have identified our 'system team', the leaders and operational teams from partnership organisations who make up our team to realise our integration ambitions. Within these system teams, work continues under each of these long-term priorities.

•      Updates and items for decision are brought to the Executive Committee as required. To understand progress and outcomes a quarterly update against each priority will be provided to the YHCP by system teams. An annual report will also be produced summarising progress and a forward look for the partnership.

•      The Place Plan is underpinned by a series of key enablers: citizen engagement and communications, quality, digital, workforce and the Population Health Hub.

Health inequalities projects

·        In February 2023 the YHCP Executive Committee agreed a series of Health Inequalities projects following a process to identify schemes that reduce unwarranted variation in access to care, quality of care, or health outcomes, and that focus on York's Core20PLUS5 populations. These schemes are funded by the ICB's health inequalities programme.

 

·        The schemes agreed by the Executive Committee are:

·        Bolstering the Ways to Wellbeing small grants programme led by York CVS

·        Expansion of community-based blood pressure monitoring

·        York's first Health Mela September 2023

·        GP outreach for individuals attending the Women's Wellbeing centre

·        Recreational activities fund for asylum seekers with added health awareness sessions

·        Maternal and child nutrition BFI accreditation

·        York Ending Stigma campaign

·        CYP asthma, implementing the Asthma Friendly Schools programme in York

·        Family and schools link worker to support Children & Young People with anxiety related school absence

The projects are in progress and an update will be provided to the HWB in future briefings.

Work of the York Population Health Hub

As a key enabler of the YHCP, the York Population Health Hub continues to bring together partners to enable, analyse and undertake population health management approaches to provide a clearer picture of the health of the population and the inequalities people face across York place.

Cost of Living data pack

As part of work to understand our population and inform service delivery the Hub is updating the Cost of Living data pack produced in 2022 (Cost-of-Living Crisis in York: Understanding and Reducing the Health Impacts data pack). This update aims to demonstrate the impact of the Cost-of-Living crisis on York's communities during 2023. We will provide an update on the pack later in 2023.

Population projections to inform CYC's Local Development Plan

Informed by discussions at the Executive Committee around the New Local Plan, the York Population Health Hub has undertaken analysis on population projections to understand the impact of population growth on the utilisation of health and care services. This work is being used to support estates conversations between the Local Authority, health and care services and the New Local Plan developers to ensure that future developments include plans around increasing health and care infrastructure to support population increases.

Resilience Planning

The YHCP have committed to producing a Partnership Resilience Plan. We want to ensure our population is kept well throughout the year, and that when people do need to access health and care services, they can access care in the right place and at the right time. The plan will focus on the resilience of health, care and VCSE services throughout the year, and has an initial focus on winter 2023.

Integrated Communications Group

Led by Healthwatch, the YHCP has also established an Integrated Communications group to align and strengthen our communications offer for the public. This group is also looking at how we can engage with communities in partnership to gain deeper insights into our population. As part of our partnership resilience planning an integrated communications plan is being developed to align messaging and communicate our offer clearly to the public.

 

4.   Update on Humber and North Yorkshire ICBs Joint Forward Plan

 

•      Integrated Care Boards with their Partners have a statutory duty to prepare a 5-year Joint Forward Plan (JFP). The purpose of a JFP is to describe how the health and care system will arrange and/or provide NHS services to meet their populations needs.

•      This section provides an update on the Humber and North Yorkshire ICB JFP. The draft plan was presented at the March HWB to provide partners with an opportunity to be involved in production and feedback has been considered.

 

Summary of the JFP

·        The Humber and North Yorkshire JFP seeks to bring together in one place how all parts of our ICB are working together with partners to deliver our ambitions and commitments to meet the needs of local populations. 

·        Our plan is being published as a working draft which will continue to develop as we develop more insights into the priorities of our populations.

·        A very early draft of the plan was presented to the HWB in March 2023 by the NHS Place Director, and feedback about structure, and content was subsequently shared to be incorporated into the plan.

·        The approach in HNY has been to build the plan 'from the ground up'.  This means that we take used existing planning and engagement activities at place and across the ICB rather than seeking to duplicate.

·        The plan sets out broad delivery of the vision over the next 5 years while providing some tangible milestones for delivery in the next 12 months so that we can measure our progress.

·        The plan has been published on the ICB website and is available here.

 

Key points for consideration

·        The plan summarises the plans and priorities outlined in Joint Local Health and Wellbeing plans to set out the stall across the whole ICB.  It demonstrates how together we will deliver the strategic vision set out in HNY’s Integrated Care Partnership Health and Care strategy (Start Well, Live Well, Age Well, and Die Well).

·        The work happening in York Place is referenced in the JFP in multiple sections:

-      Place priorities section:

·        The York Place page reflects our vision outlined in the HWB strategy and our Place priorities highlighted previously in this report (see section 3).   

·        The North Yorkshire page references the work underway on the redesign of urgent and emergency care across both Places.  

-      Sector Collaboratives section:

·        Summarising plans that bring together NHS providers together across the ICS, working with clinical networks, alliances, and other partners, to benefit from working at scale. The plans demonstrate how the collaboratives will deliver ICB and local priorities to strengthen services, to improve the care and support available across organisations.

-      ICS wide Programmes section:

·       Urgent and Emergency Care: Programme working in partnership to provide patients with safe, effective, and easily accessible UEC services, with limited variation and as standardised as possible, whilst recognising the needs of our diverse populations in each Place.

·        Population health prevention and health inequalities: Programme to support people to start well, live well and age well by ensuring that people feel included and know what to do if they need help. The Programme has six strategic priorities that will deliver ICS wide and Place based work to support the switch to prevention and focus on population health.

 

Next steps

 

The YHCP continues to develop and mature partnership arrangements in preparation for delivery of integration priorities in York.

Recommendation:

The Health and Well Being Board is asked:

      i.        To receive the Joint Forward Plan and provide any feedback on the approach that can support the ongoing development of the planning process for future iterations.

  1. To note the content of the report and progress made.

Reason: To keep the Health and Wellbeing Board up to date with the work of the York Health and Care Partnership.

 

 

 

 

Contact Details

Author: Anna Basilico, Head of Population Health and Partnerships, Humber, and North Yorkshire ICB (York Place)

a.basilico@nhs.net

Chief Officer Responsible for the report:

Sarah Coltman-Lovell, NHS Place Director

 

Ian Floyd, Chief Operating Officer CYC and York Place Lead

 

 

Report Approved

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Date

04/07/23

 

 

 

 

 

 

Wards Affected: 

All

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Annexes

 

Annexes A – G: YHCP minutes December 2022 – June 2023

Annex H: York Health and Care Prospectus

Annex I:  Humber and North Yorkshire ICB Joint Forward Plan