Agenda and minutes

At this point in the meeting, Members are asked to declare any disclosable pecuniary interests or other registerable interests they might have in respect of business on this agenda, if they have not already done so in advance on the Register of Interests.

Members were asked to declare at this point in the meeting any disclosable pecuniary interests or other registerable interests they might have in respect of the business on the agenda, if they had not already done so in advance on the Register of Interests. None were declared.

To approve and sign the minutes of the meeting held on 22 November 2022.

Resolved: That the minutes of the previous meeting held on 22 November 2022 be approved as a correct record and be signed by the Chair.

At this point in the meeting members of the public who have registered to speak can do so. Members of the public may speak on agenda items or on matters within the remit of the Committee.

Please note that our registration deadlines are set as 2 working days before the meeting, in order to facilitate the management of public participation at our meetings.  The deadline for registering at this meeting is 5:00pm on Monday 12 December 2022.

To register to speak please visit www.york.gov.uk/AttendCouncilMeetings to fill in an online registration form.  If you have any questions about the registration form or the meeting, please contact Democratic Services.  Contact details can be found at the foot of this agenda.

Webcasting of Public Meetings

Please note that, subject to available resources, this meeting will be webcast including any registered public speakers who have given their permission. The meeting can be viewed live and on demand at http://www.york.gov.uk/webcasts.

During coronavirus, we made some changes to how we ran council meetings, including facilitating remote participation by public speakers. See our updates (http://www.york.gov.uk/COVIDDemocracy) for more information on meetings and decisions.

It was reported that there had been no registrations to speak at the meeting under the Council’s Public Participation Scheme.

The Health and Care Act 2022 put Integrated Care Systems (ICSs) on a statutory footing, empowering partners to work closer together to better join up health and care services, improve population health, reduce health inequalities, enhance productivity, and value for money, and help support broader social and economic development.

This update will provide assurance of the governance being implemented to enable a different way of working that ensures that the cultural change required to adopt a population health approach can flourish.  It will include the role of scrutiny and the links with the Integrated Care Board.  There will also be information provided on the specific topics of elective care post pandemic, the management of waiting lists and access to GP practices. [Report to follow]

Members considered a presentation that highlighted how the Health and Care Act 2022 put Integrated Care Systems (ICSs) on a statutory footing that empowered partners to work closer together to better join up health and care services, improve population health, reduce health inequalities, enhance productivity and value for money, and help support broader social and economic development.

The presentation provided assurance of the governance being implemented to enable a different way of working that ensured that the cultural change required to adopt a population health approach could flourish.  It also included the role of scrutiny and the links with the Integrated Care Board (ICB).  Further information was provided on the specific topics of elective care recovery, waiting lists, urgent care, the demand and pressures on services, access to primary care, technology, and collaborative working.  Members noted that:

·        York NHS Foundation Trust was now within Tier 1 Elective Recovery status, and were receiving national support to improve the elective recovery position.

·     In General Practice, the Operational Pressures Escalation Level 1 - 4 (OPEL) Framework, the system for tracking and reporting pressure within practices, was highlighting consistently more practices at level 3 and 4. The impact of more same day and urgent demand in General Practice was the rescheduling and delay to routine care and as a result, waiting times for routine appointments in GP practices became longer. Recent issues such as, the rise in Group Strep A and continued and sustained staff absences made it the highest reported level of pressure since January 2021.

·     York Health and Care Partnership were working with Nimbuscare on a ‘waiting well’ programme.

·        The level of urgent care forced practices to clinically assess every appointment request to safely delay non-urgent routine appointments and prioritise urgent (on the day) access.

·        General Practice Access Data (GPAD) showed that Vale of York practices delivered 182,220 appointments of which 117,393 were face to face in October 2022, which was thought to be an under estimate of overall activity delivered as some of the telephone triage and consultation work was not being captured in activity systems as yet.

·        A bespoke service had been developed to support York’s Asylum Seekers.

·        Practices worked collaboratively to prepare a winter plan and respond to unplanned pressures. This had resulted in both additional capacity and the creation of community hubs which in particular supported Acquired Respiratory Infections and should help lower demand from these issues presenting at the hospital.

·        The OPEL 2.5 model allowed Nimbuscare to support and provide staff to GP practices that were under extreme pressure and at risk of rising to OPEL 3 or 4.

During a detailed discussion and in answer to a number of questions raised, it was confirmed that:

·        System change allowed for local transformation and the NHS Humber and North Yorkshire Integrated Care Board would be addressing inequalities within its six Place Boards, and funding had been ringfenced to develop this.

·        The York Health and Care Partnership Board was Chaired by the Chief Operating Officer of City of York  ...  view the full minutes text for item 28.

Members are asked to consider the Committee’s work plan for the 2022/23 municipal year.

Members considered the 2022/23 draft work plan for the Committee.

Resolved: That the work plan be noted.

Reason: To keep the Committee’s work plan updated.