Annex EYork Health and Care Partnership

 

 Monday 17 April 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)

Professor Karen Bryan

 

Vice Chancellor

York St John University

(representing higher education)

Sarah Coltman- Lovell

York Place Director

York Place, H&NY ICB

Rebecca Field

Joint Chair of York Health and Care Collaborative

York Medical Group

Sharon Stoltz

Director of Public Health

CYC

Emma Johnson

Chief Executive

St. Leonards Hospice

Brian Cranna

Director of Operations and Transformation, NYY&S

TEWV

Prof Mike Holmes

Chair

Nimbuscare

Michelle Carrington

Executive Director for Quality & Nursing

York Place, H&NY ICB

Alison Semmence

Chief Executive

York Centre for Voluntary Services (CVS)

Present via MS Teams

Debbie Mitchell

Chief Finance Officer

CYC

Sharon Stoltz

Director of Public Health

CYC

Michael Melvin representing Jamaila Hussain

Director of Adults Safeguarding

CYC

Stephanie Porter

Deputy Director System Integration

H&NY ICB

In Attendance

Anna Basilico

Head of Population Health and Partnerships  

York Place, H&NY ICB

Hannah Taylor

Team Administrator

York Place, H&NY ICB

Alex Kilbride

Commissioning and Transformation Manager

York Place, H&NY ICB

Emma Olandj

GP Lead

Priory Medical Group

Polly McMeekin

Director of Workforce and Organisational Development

YSTHFT & Chair York and North Yorkshire workforce group

Vicky Mulvana- Tuohy

Deputy Chief AHP - Lead for AHP Professional Standards

YSTHFT

Lucy Fettes

Advanced Clinical Specialist, Community Palliative Care Therapy Team

YSTHFT

Apologies

Jamaila Hussain

Corporate Director of Adult Service and Integration

CYC

Helena Ebbs

Director Clinical & Professional Services

York Place, H&NY ICB

Denise Nightingale

Director of Transformation (Mental Health & Complex Care)

York Place, H&NY ICB

Martin Kelly

Corporate Director of Children and Education

CYC

Mark Bradley

Director of Finance

York Place, H&NY ICB

Sian Balsom

Manager

York Healthwatch

Gail Brown

CEO

York Schools & Academies Board

Simon Morritt

Chief Executive

YSTHFT

Cllr. Nigel Ayre

Executive Member for Finance and Major Projects

CYC

                                           

Minutes – draft

                                             

Item

Title

Led by

1

Welcome and apologies for absence

 

The Chair welcomed everyone to the meeting.

 

The minutes of the meeting held on 20.03.2023 were approved.

 

There were no declarations of interest in the business of the meeting.

 

 

 

Chair

2

Partnership Comms Plan

 

Due to apologies this item was deferred.

 

 

Sian Balsom

3

Rehab mapping update (including citizens story)

 

Vicky started by recapping her last update to the committee.

Going through slides Vicky and Alex informed the committee of

·        Prevalence of patients not accessing services due to capacity issues with data from QOF in the City of York

·        Figures on patients living with frailty in the Vale of York footprint

·        Mapping of existing Rehab services

·        What Rehab should look like/what it currently feels like

·        Common themes across Services of barriers to accessing care and key themes and opportunities

 

Lucy shared a positive patient story of an individual who received support from the Community Palliative Care Therapy Team who used a holistic approach to care and a crisis situation like hospital admittance was avoided. Lucy also shared that capacity issues within the team would mean that not everyone would be able to access the same level of care.

 

Discussion ensued on:

·        Cost Benefit Analysis

·        Collaboration across providers

·        Increase in prevalence

Actions

·        York Place team to continue to lead this integration work, and as a first step complete a Cost Impact Analysis

·        Looking broader at the whole rehabilitation offer to support integration for the people of York, recognising the significant capacity constraints on all of the service areas explored in the session.

·        Regular Updates to the Committee

 

 

 

Alex Kilbride / Vicky Mulvana-Tuohy/ Lucy Fettes

4

Integrated Community Offer: Frailty SPA

 

Emma started by giving background information on how the Yorkshire Ambulance Service strikes allowed a more collaborative way of working of services to avoid hospital admittance across the York Trust Footprint and gave a patient story as an example.

 

Alex shared the outcomes of a workshop which had representation from organisations within the committee, recognising that work on the Vale footprint would need to be undertaken to cover the Trusts footprint. Alex also linked in the work to the strategy and the potential outcomes of the offer and shared what the next steps are over 90 days.

 

Discussion ensued on:

·        No Criteria to reside

·        Help from Students

·        Pragmatism

 

The Partnership commended this proposal as part of our Integrated Community Offer Priority, and encouraged all partners to continue to explore new ways of working and sign up to a shared agreement, deliverables and outcomes.

 

Action

·        York Place team to continue driving forward this integration work and bring back regular updates to the YHCP.

·        Alex Kilbride and Michelle Carrington to have a further conversation about No Criteria to Reside and what other outcome measures would help demonstrate the impact of a Frailty SPA.

 

 

 

 

 

Alex Kilbride/ Emma Olandj

 

5

System approach to workforce planning

 

Sarah started by giving context on the item, Polly followed by informing the committee about the outcomes of a Workforce Planning session that took place in Autumn 2022.

 

The purpose of the discussion was to understand workforce plans for each partner and discuss specific issues/challenges and where we can work together to address these.

 

Discussion ensued on:

·        International Recruitment

·        Retaining staff/knowledge

·        Cost of Living in York

·        Education

·        Workforce Issues

·        Volunteering opportunities

·        Recruitment Events

·        Placements for Students

·        Inequality in agenda for Change

·        Piece of work on Cultural Work

·        Health and Care Academy

 

Action: It was agreed that Polly McMeekin will follow up the next steps via email to agree a few practical actions that can be taken forward by the Place Partnership in 23/24 to support recruitment and retention of workforce across York.

 

Sarah Coltman-Lovell and Polly McMeekin – group discussion

 

AOB

 

There were no items of any other business.

Chair