Health and Wellbeing Board

20 September 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.

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 Annex A.

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

Recommendations

3. The Board are asked to note the report of the YHCP.

Reason: To ensure the Board is up to date with the work of the YHCP, their progress to date, and next steps.

Update on the work of the YHCP.

4. In the August YHCP Executive Committee meeting the focus was on our Integrated Community Offer priority, with a discussion centred around Dementia care. This priority focusses on 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. Dementia Forward provided an update on their delivery model and how this provides personalised care, supporting people in their communities and reducing pressure on other services.

The YHCP also heard an update on the York Dementia Strategy, covering:

• Dementia Diagnosis rates.

• Proposals to renew the offer of a dementia coordinator service located in Primary Care.

• Proposals for an integrated community-based offer of dementia care and support that shifts the focus of delivery to early help and prevention, with personalised care at the center of the approach and which also builds on the existing work of the York Integrated Care and Frailty Team.

The YHCP agreed to collectively think about sustainable, recurrent funding options and resources for Dementia Care.

Winter planning

5. In July 2023 NHS England outlined their expectations[1] for ICBs to deliver operational resilience across the NHS this winter, setting out four areas of focus for systems to help prepare for winter:

I. Continue to deliver on the UEC Recovery Plan by ensuring high-impact interventions are in place.

II. Completing operational and surge planning to prepare for different winter scenarios.

III. ICBs should ensure effective system working across all parts of the system, including acute trusts and community care, elective care, children and young people, mental health, primary, community, intermediate and social care and the VCSE sector.

IV. Supporting our workforce to deliver over winter.

The Department of Health and Social Care has also set out[2] the key steps needed so that adult social care systems are resilient and able to provide people and their carers with the support they need this winter.

Work is underway across the whole York system to prepare for winter, and the YHCP Executive Committee will receive the whole system winter plan at the September meeting. Recognising that resilience plans are often focussed on health and care services, in May 2023 the YHCP agreed to produce a whole system resilience plan summarising the prevention work underway across the partnership to keep people well and supported throughout the year.

The purpose of the whole system plan is to:

• Ensure the partnership is sighted on each organisation’s plans from prevention services to hospital admission and discharge, to ensure that opportunities for integration are utilised.

• Understand if there are gaps in service provision.

• Learn from what worked last year and build on system resilience as we move through winter and beyond.

• Provide opportunity for our system teams to be sighted on the plan by disseminating through the partnership.

• Ensure our plans are in line with our values ‘We are in it together’ and ‘We will connect clinicians and professionals’.

Health Inequalities Projects

6. As outlined in the July 2023 HWB report the YHCP Executive Committee has 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 are in the initiation stage and an update will be provided to the HWB on progress in Q4 2023/24.

Joint Workforce Recruitment Event

7. As part of the YHCP's 'Drive Social and Economic Development' priority a joint workforce event is being held between Health and Social Care services in York. The event will be held on 4^th November at West Offices. The event will bring partners across York Health and Care Partnership to seek to recruit to existing job opportunities, engage with people who are interested in careers in health and care whether that is through college or university programmes, apprenticeships, paid employment or, through volunteering opportunities.

IERUK (Inclusion, Equality, and Race Equality UK) Anti-Racist city

8. At the August YHCP Executive Committee meeting the Partnership also heard from CYC colleagues about the Anti-Racism and Inclusion Strategy. Partners were encouraged to offer pledges of support to the strategy and to support the city-wide summit that is being planned.

Work of the York Population Health Hub

9. 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 at the November HWB meeting.

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. A working group has been set up with system partners to progress this work.

Contact Details

Author: Anna Basilico, Head of Population Health and Partnerships, Humber, and North Yorkshire ICB (York Place)	Chief Officer Responsible for the report: Sarah Coltman-Lovell, NHS Place Director (York), Humber and North Yorkshire ICB Ian Floyd, Chief Operating Officer CYC and York Place Lead

	Report Approved	b	Date		1/9/23
Wards Affected: List wards affected or tick box to indicate all [most reports presented to the Health and Wellbeing Board will affect all wards in the city – however there may be times that only a specific area is affected, and this should be made clear]				All		b

For further information please contact the author of the report

Background Papers:

NHS England Winter Plan

NHS England » Winter Plan – 2023/24

Adult Social Care Winter Letter 2023 to 2024

Adult social care winter letter 2023 to 2024 - GOV.UK (www.gov.uk)

Annexes

Annexe A - YHCP minutes, August 2023