Monday 20 February 2023, 12:30 - 15:00

Severus Meeting Room; First Floor, West Offices

Chair: Ian Floyd

Present
Ian Floyd (Chair)	Chief Operating Officer		City of York Council (CYC)
Simon Morritt	Chief Executive		Y&STHFT
Professor Karen Bryan	Vice Chancellor		York St John University
Rebecca Field	Joint Chair of York Health and Care Collaborative		York Medical Group
Sarah Coltman- Lovell	York Place Director		York Place H&NY ICS
Alison Semmence	Chief Executive		York Centre for Voluntary Services (CVS)
Cllr. Nigel Ayre	Executive Member for Finance and Major Projects		CYC
Professor Mike Holmes	Chair		Nimbuscare
Gail Brown	CEO		York Schools & Academies Board
Martin Kelly	Corporate Director of Children and Education		CYC
Sian Balsom	Manager		York Healthwatch
Emma Johnson	Chief Executive		St. Leonards Hospice
Stephanie Porter	Interim Director of Primary Care		York Place H&NY ICS
Debbie Mitchell	Chief Finance Officer		CYC
Present via MS Teams
Simon Bell	Finance Director		York Place H&NY ICS
Sharon Stoltz	Director of Public Health		CYC
Jamaila Hussain	Corporate Director of Adult Service and Integration		CYC
In Attendance
Neil Ferris	Director of place		CYC
Peter Roderick	Consultant in Public Health		York Place H&NY ICS/CYC
Anne-Marie	Director of Clinical Services		St Leonards Hospice
Anna Basilico	Head of Population Health and Partnerships		York Place H&NY ICS
Hannah Taylor	Team Administrator		York Place H&NY ICS
In Attendance via MT
Gary Young	Lead Officer Primary Care		York Place H&NY ICS
Apologies
Michelle Carrington	Executive Director for Quality & Nursing	York Place H&NY ICS
Brian Cranna	Director of Operations and Transformation, NYY&S	Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV)
Melanie Woodcock	General Manager CAMHS & LD Services	Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV)

Minutes – draft

Item	Title	Led by
1	Welcome and apologies for absence The Chair welcomed partners to the meeting. The minutes of the meeting held on 16.01.2023 were agreed. Outstanding actions are being progressed outside of the meeting or were on the agenda for this meeting. There were no declarations of interest in the business of the meeting.	Chair
2	Patient story Gail Brown started the meeting by sharing a story about a child within the York area who has moved from a mainstream school to a specialist school. Due to worries about the child's health an MDT took place with the family and multi-agency professionals to assess the child's needs, with the outcome being a joint referral being made for the child to have an operation to improve their health. Worries about a decline to the child's weight were expressed and a planned intervention was put in place to improve their health. The family are grateful for the partnership working and collaboration that took place in order to meet the needs of the child and family. The Partnership discussed: · Whether there were earlier opportunities to support the child · The need to focus on children and families living in areas of deprivation · Family Hub developments A meeting has been convened between partners to discuss a joined-up approach to supporting children, young people, and their families. It was suggested that Martin Kelly and Niall McVicar discuss family hubs at a future meeting. Action: feedback from the meeting about children, young people and their families, and a presentation on the family hubs, to be brought to a future meeting.	Gail Brown
3	CYC Local Plan and Health opportunities Neil Ferris presented the current housing development plans included in the CYC local plan. Neil informed Partners that the local plan is in the consultation stage, the plans will be submitted at Easter and then a response is anticipated around June 2023. The developments will see a 20% growth in York over the next 15-18 years which will mean an increase in the number of NHS patients in the area. To progress with the plans, developers are required to show that they have engaged with health care services so that the communities will have sufficient provision of services. Partners highlighted the importance of engagement in health care provision planning from both a CYC and Health perspective to ensure health and care provision is considered at each stage of the planning process. The Partnership discussed: · Affordable housing · Workforce · Inclusion of the ageing population · Early Intervention · Connecting better instead of creating new processes Action: Sarah Coltman-Lovell to arrange discussions across health and care and with CYC, and feedback any updates to the group.	Neil Ferris
4	Overarching priority: System pressures report Due to a delay in receiving data this item was deferred. This item will now move to a quarterly update, recognising that much of the information covered in the report is picked up through other discussion items on the agenda. Urgent and Emergency plan Sarah provided context on the purpose of the Quality Improvement Group (QIG), why it was set up and the purpose and the slides that were distributed were shown to NHS England and CQC at their meeting the previous week to show the collaborative work being undertaken to improve. The schemes are split into three main categories avoiding complex admissions, in hospital care and transfers of care. Sarah noted that all the small things add up to help but noted challenges, for example workforce. The impact of the schemes meant that over winter York achieved a standstill position on delayed discharges despite increased demand. The focus for the year would be on developing integrated Urgent and Emergency Care plans. Work is being undertaken to think about in a York system way to forward planning to look at the totality of resource and capacity available across partners. Work is also being undertaken to review the 22/23 schemes; feedback will be used to inform planning for winter 2023.	Sarah Coltman-Lovell
5	Humber and North Yorkshire Health Inequalities funding AS declared a declaration of interest for this item. Sharon Stoltz presented a paper on Health Inequalities funding. Humber and North Yorkshire ICB received its allocation of the national £200m NHS Health Inequalities programme funding for 2022/23.This funding is being overseen by the ICB's Population Health and Prevention Executive Committee who allocated remaining funds to Place using a Health Inequalities formula with the York being allocated £366,000. A small panel of partners from the ICB, CYC and the CVS met to discuss allocation of the funds and made proposals for the use of York's health Inequalities funding to YHCP for approval. Partners discussed the included proposals for the allocation of the Health Inequalities fund for York and agreed to fund the proposals. The Partnership would like to see evaluation of these schemes, as well as how future years potential funding might be planned. One proposal considered was for the ICB to fund advice services in GP practices delivered by Citizens Advice York, which is currently funded year on year from a limited financial inclusion grant held by CYC. The proposal was not accepted as the service requires recurrent funding. The board were supportive of the paper but agreed to hold further conversations around future planning and voluntary sector funding. Action: Peter Roderick to discuss CAY funding with CYC.	Sharon Stoltz/ Peter Roderick
6	Summary of future plans for delegation Sarah Coltman-Lovell presented a report in response to the January YHCP meeting where partners discussed future delegation options. The purpose of the report was to set out the proposed operating arrangements for 23/24 and development roadmap. Partners agreed with suggested recommendations and to continue with the Executive Committee in its current form in 23/24 and to contribute to development work over the next 1-5 years. The group discussed having a children and young people's existing committee as a sub-group of this work, as well as the SEND partnership. This will be discussed as part of the future agenda item on children, young people, and their families. In a discussion on making the meetings public it was decided that this would be reviewed as part of the development roadmap and would broaden in scope to include how we engage the public in our work as a Partnership.	Sarah Coltman-Lovell
7	Integrated Market Sustainability - Sub-Group Highlight Report Jamaila Hussain provided an update on Integrated Market Sustainability - Sub-Group, highlighting a local spike in the cost of care across the sector since covid started potentially resulting in local market to be unaffordable and no capacity in the region. Further work is ongoing to set a local cost of care with Key Performance Indicators (KPIs) that reflect good quality care provision across the city. A market sustainability subgroup will ensure any future commissioning is joined up between partners. The group will also explore opportunities of creating closer integrated care across community health, primary care, and Local Authority in house services. Across the sector evidence shows care needs have increased and care providers often supporting higher health and social care needs. Despite the challenges, unlike other areas York has been able to maintain provision of care There was no specific ask of YHCP at this time. Due to winter pressure the subgroup’s first meeting will be held in April once a date has been agreed she will circulate a draft Terms of Reference. The next step is to share Market Position Statement across partners. Also, series of workshops to be arranged during Q1 23/24 to start the process of setting a local cost of care. The Commissioning workshop took place on the 13^th Feb. Responding to a question from Steph, Jamila informed that they are not currently looking at any new care homes in York and with the self-funder market due to change in 2025 care homes will be less able to prioritise Self-Funders over local authority funded patients. Data that had been found showed there are a lot of people in care homes in York prematurely. Sarah expressed an interest in seeing the cost of care audit so that a further conversation on what additional offers we can give to care homes could take place.	Jamaila Hussain
	AOB Informing the board about the need for Foster Carers in York Martin Kelly asked the board if there were any areas with a high footfall that could display adverts for people to be Foster Carers. Members of the board were supportive and offered some of their venues, Martin informed he would circulate the materials once they had been finalised.	Chair