Health and Wellbeing Board

24 January 2024

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 November 2023.

3. Update on the work of the YHCP

November Executive Committee Meeting

In the November YHCP Executive Committee meeting the focus was on the expansion of the Frailty Hub, the LeDeR report and a discharge stocktake.

Frailty Hub Expansion

The York Frailty Crisis Hub is a new service for this Winter and is a fully integrated collaborative team from four different providers working together at Acomb Garth Community Centre to support and keep people that are vulnerable and frail safe in their homes whenever possible, whilst respecting people's wishes. An important part of this model is the Extra Discharge Support Service provided by three voluntary sector organisations to help with patient flow from the hospital.

The YHCP discussed the importance of securing future funding that is sustainable for this work, and partners are working to find solutions for a sustainable model.

LeDer Report

The YHCP received an update on the LeDer report. Integrated care systems are responsible for ensuring that LeDeR reviews are completed based on the health and social care received by people with a learning disability and autistic people (aged four years and over) who have died, using the standardised review process. This enables the integrated care systems to identify good practice and what has worked well, as well as where improvements in the provision of care could be made. Local actions are taken to address the issues identified in reviews. Recurrent themes and significant issues are identified and addressed at a more systematic level, regionally and nationally.

In York Place the Quality Assurance and Improvement Team have been working on with care providers has proven a success and the ICB are going to roll the training out across the 6 places.

Improving discharge for inpatients from York Hospital

Partnership planning for hospital discharge is important to ensure timely discharge for patients to improve outcomes and ensure individuals receive appropriate care in the community. Work has been ongoing in partnership to improve this process for patients from York Hospital, including a stocktake with all services in October 2023 ahead of the winter period. Key challenges and opportunities to improve outcomes for patients were discussed, including immediate operational actions to improve discharge, whilst planning for a longer term, sustainable model.

The current pressures the system is facing and to improve experience for patients means it is important to move quickly, therefore the discharge model is being reviewed in real time and services can amend the approach as required to meet patient need. We are confident that this new structure will enable the system to have more oversight and crucially, provide a mechanism for decision making at the appropriate level to facilitate timely discharge for patients.

The aim is to improve discharge for patients and alleviate pressures across the wider system. We will be monitoring progress and improvements by way of key performance metrics to enable an accurate measure of success.

In December the YHCP did not hold an Executive Committee meeting. A future development session is being planned where the Place Plan for 2024/25 will be discussed.

Work of the YHCP

Workforce

As referenced in the November 2023 HWB report, as part of the YHCP's 'Drive Social and Economic Development' priority a joint workforce priorities meeting is being held regularly between partners. At the December meeting a series of priorities were agreed, there are:

i. Workforce events: full programme of partnership recruitment events is now being planned for 2024.

ii. Employee of the City: work is ongoing to understand how T&Cs can be harmonised and to support retention in nursing, social care nursing, adult social care and the VCSE.

iii. Students: work is ongoing between the ICB and Higher Education providers and care providers to devise list of courses/placement providers and develop consistent documentation to support with career routes into health and care.

iv. Workforce data to quantify risks to deliver of Place Responsibilities: work is underway to look at local and national data collected on recruitment and international recruitment.

v. Key worker accommodation: options are being explored to prioritise affordable housing for key workers and benefits to mitigate the affordability of working in York.

Directory of Services to support people over winter

As referenced in the HWB report in November 2023, the YHCP have produced a whole system winter resilience plan summarising the work underway across the partnership to keep people well and supported throughout the year and our winter preparedness plans. Each organisation contributed to the plan, and the plan is the first time York has a system wide view of winter preparedness plans across the whole pathway. The plan aligns with the YHCP's priorities to deliver integrated community, urgent and emergency care, and prevention services.

To make this partnership plan accessible to professionals and the public, a full directory of winter services has been produced available here. The directories for professionals and the public can also be found in Annex B.

The directories include the support services available, aimed at supporting the public and professionals during the winter months, with a specific focus on community and frailty elements.

In the professionals document, health and care professionals can efficiently guide individuals towards the assistance they require, fostering a resilient and healthy community during the challenging winter season. This resource highlights the support available to York residents to navigate winter with confidence and ensuring that help is readily available when needed the most.

Update on the Mental Health Partnership

The York Mental Health Partnership (YMPH) is currently a sub-group of the York Health and Wellbeing Board. Discussions are ongoing to realign the YMHP to sit under the York Health and Care Partnership Executive Committee meetings to align with the delivery of Place Priorities. More detail around this can be found in the update from the co-chairs of the YMHP contained within the HWBB Chair’s Report for the January HWBB meeting.

This decision will be brought to the February YHCP Executive Committee and update will be provided to the Health and Wellbeing Board at the March 2024 meeting.

4. 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 has updated 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 health impact of the Cost-of-Living crisis on York's communities during 2023. We encourage partners to share this pack widely to inform service delivery and interventions for those who may be at risk of the cost of living crisis.

Core20PLUS5

The Hub is also in the process of updating York's Core20PLUS5 data packs for children and adults and the final packs will be included in a future report for circulation across organisations. The current data can be found on the Hub's website, and feedback from partners is welcomed.

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 Ian Floyd, Chief Operating Officer CYC and York Place Lead

	Report Approved	ü	Date	5 January 2024



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	ü

For further information please contact the author of the report

Annexes

All annexes to the report must be listed here.

Annex A - YHCP minutes November 2023

Annex B - Directory of services for professionals; Directory of services for the public