Monday 21^st August 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)
Sarah Coltman- Lovell	York Place Director	York Place, H&NY ICB
Rebecca Field	Joint Chair of York Health and Care Collaborative	York Medical Group
Emma Johnson	Chief Executive	St. Leonards Hospice
Zoe Campbell	Managing Director, NYY&S	TEWV
Prof Mike Holmes	Chair	Nimbuscare
Alison Semmence	Chief Executive	York Centre for Voluntary Services (CVS)
Simon Morritt	Chief Executive	YSTHFT
Professor Karen Bryan	Vice Chancellor	York St John University (representing higher education)
Martin Kelly	Corporate Director of Children and Education	CYC
Jamaila Hussain	Corporate Director of Adult Service and Integration	CYC
Debbie Mitchell	Chief Finance Officer	CYC
Cllr Claire Douglas (on behalf of Cllr Coles)	Leader of Labour Group	CYC
In Attendance
Anna Basilico	Head of Population Health	York Place, H&NY ICB
Hannah Taylor	Team Administrator	York Place, H&NY ICB
Kerry Carroll	Deputy Director of Strategic Development	North Lincolnshire and Goole Hospital
Lynette Smith	Deputy Managing Director, Humber and North Yorkshire Collaboration of Acute Providers	H&NY ICB
Joy Dodson	Governance	H&NY ICB
Andy Growns	Governance	H&NYICB
Sheila Fletcher	Commissioning Manager; Mental Health and Vulnerable Adults	York Place, H&NY ICB
Jill Quinn	CEO	Dementia Forward
Pauline Stuchfield	Director, Customer, and Communities	CYC
Laura Williams	Assistant Director, Customer, and Communities and Inclusion	CYC
Anita Dobson (on behalf of Peter Roderick)	Consultant in Public Health	CYC
Dan Moynihan	Contract Commercial Senior Lawyer	CYC
Shaun Macey	AD Primary Care Transformation and Pathways	York Place, H&NY ICB
Apologies
Helena Ebbs	Director Clinical & Professional Services	York Place, H&NY ICB
Cllr Jo Coles	Executive Member for Health, Wellbeing and Adult Social Care	CYC
Peter Roderick	Acting Director of Public Health/ Deputy Director of Population Health	CYC/York Place, H&NY ICB
Gail Brown	CEO	York Schools & Academies Board
Sian Balsom	Manager	York Healthwatch
Brian Cranna	Care Group Director of Operations & Transformation, North Yorkshire, York and Selby Care Group	TEWV

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 17.07.2023 were approved. There were no declarations of interest in the business of the meeting. Alison Semmence highlighted the roll out of the York Ending Stigma Suicide Prevention film is starting in the autumn. The YHCP is asked to support roll out of the film through showings in each organisation. 9^th September, Alison would send out in an email following the meeting.	Chair
Extra Item	Integrated Care Offer (Intermediate Care) Sharing Slides Jamaila gave an update on the integrated care offer sharing the highlights from the task and finish groups that had been set up in the 3 programme areas. Jamaila shared information on the Frailty Hub plans, future model and the timelines, Single point of Access plans, outcomes and vision and Specification development, timeline and the next steps updating the board will continue to get highlights and when the 3 phases will be implemented.	Jamaila Hussain
2	Citizen Story Jill shared a story of an individual with Young Onset Dementia who has received ongoing support from Dementia Forward. Jill outlined how the Dementia Forward  helpline supported the individual  and their family throughout receiving the diagnosis and shared how Dementia Forward offered wrap around support to the individual  when they were unable to engage with the service. Dementia Forward have also offered support and education to the individual, people around them and places they frequently visit to support the individual to live a well and fulfilled life. Jill ended with some positive feedback they had received from the individual and family members around how Dementia Forward have continuously helped the individual to maintain routines and stay well in their community.	Jill Quinn
3	Update on the Dementia Strategy Jill informed the Committee about Dementia Forward and their purpose, outlining how their delivery model helps to divert people from calling GP's and Social Workers, the aspirations for the future model and the numbers of people they offer support to within the York area. Sheila highlighted some areas from the circulated paper including: · A funding gap which resulted in the loss of Dementia Co-Ordinators within Primary Care · Non recurrent funding for the Brain Health Café, Dementia Wellbeing Café, and the Dementia Nurse via Dementia forward · Estimated 53% growth in Dementia by 2030 with a timely diagnosis crucial for the new medication that is being rolled out. · 28.5 week to get a diagnosis · Data on the amount of people who are waiting a diagnosis and how much the cost of Dementia will be by 2030 · Patient Story of a Lady who attends the Brain Health Café. Discussion from the Committee took place on: · Number of Young Onset Dementia being unique in York and queries as to why this may be. · Collectively thinking about Dementia and sustainable, recurrent funding options. · Number of people who get a diagnosis after support from Dementia Forward pre-diagnosis. · Reablement. · Improvement of coding health records with pre-dementia diagnosis and the possibility of using the 'working diagnosis' code prior to confirmed diagnosis. Action Sarah Coltman-Lovell will have a conversation with Nigel Wells and Helena Ebbs about improving the use of the 'working diagnosis' code. Further Paper to come to the Committee to look at resource and innovated funding – Sheila Fletcher.	Jill Quinn Sheila Fletcher
4	Conflicts of Interest Andy shared a presentation informing the board of how the ICB manage Declarations of interest, purpose of the Conflict of Interest Policy, where to find the ICB Declaration of Interest register and the roles/responsibilities/duties. Joy added that it is best people declare an interest if they are unsure and it is important to declare so that decisions are made right. Dan updated on how the council manage declarations of Interest. Action Hannah Taylor to compile and circulate a Declaration of Interest Register	Andy Growns Dan Moynihan Joy Dodson
5	Collaborative of Acute Providers development of the H&NY Planned Care Strategy/Framework Lynette and Kerry updated on the planned care strategy approach sharing the collaborative of acute providers is reflected in the NHS Long Term Plan. Sharing the next steps and collate outputs from the 4 trusts within the ICB data driven from the 4 trusts on where they are in elective care, engagement, and continuation. Discussion ensued on: · Future items on how the collaboratives fit into Place would be helpful for the Committee · Where providers come together, what place is doing to support · Primary/Secondary Care Interface group which has recently met. Action Simon Morritt to bring an item to a future meeting on what CAP do, what they are trying to achieve both ICB and Nationally, what they focus on and the Future. Anna to explore performance reporting at ICB level linked to our place priorities and bring back recommendations to this meeting.	Lynette Smith Kerry Carroll
6	IERUK Anti-Racist city Pauline started by giving some background, adding that the intention for the circulated supporting document is to promote equality and diversity. Pauline informed that City of York Council approved and funded the work but even with York being a City of Sanctuary there is still a way to go to tackle casual racism in York, the next step is for a paper to go back to the Council CMT in November with a detailed action plan for the Council and they have been asked to make a pledge against racism which has now been signed by the Leader of the Council, Cllr Douglas. Pauline asked how do partners wish to contribute and would they support a city-wide summit. Topics covered in discussions were · The pledge link is on the council website · Where the document has been circulated · Some information not accurate in the paper reported by TEWV · Discrimination from patients to Medical Staff · Partners to contact Pauline with names of People for the Summit Action Board to receive further updates from Pauline Stuchfield/Laura Williams All partners to contact Pauline Stuchfield with names of people for the Summit.	Pauline Stuchfield Laura Williams
	AOB Sarah informed that she would be emailing partners following the meeting about the NHS Winter Plan and the focus of the September Board meeting be on Winter Planning with a strong element in the NHS and Local Authority Plan to consider and submit. Sarah informed the Committee of a Health and Care Recruitment, Careers and Volunteering Event that is taking place at West Offices on the 4^th November and encouraged partners to sign up for a stall. Action Sarah Coltman-Lovell to email the YHCP members with information about winter planning in preparation.	Chair