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City of York Council |
Committee Minutes |
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Meeting |
Health and Wellbeing Board |
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Date |
20 July 2022 |
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Present |
Councillors Runciman (Chair), Looker, Sharon Stoltz – Director of Public Health, City of York Council Lisa Winward – Chief Constable, North Yorkshire Police Alison Semmence – Chief Executive, York CVS Siân Balsom – Manager, Healthwatch York Zoe Campbell (Yorkshire & York – Tees, Esk & Wear Valleys NHS) Simon Morritt – Chief Executive, York Teaching Hospitals NHS Foundation Trust Stephanie Porter – Director for Primary Care, Humber & North Yorkshire Health and Care Partnership Jamaila Hussain – Corporate Director of Adult Social Care and Integration |
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In Attendance |
Peter Roderick – Joint Consultant in Public Health Tracy Wallis – Health and Wellbeing Partnerships Coordinator
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Apologies |
Councillors Waller and Craghill Dr Emma Broughton – Chair of the York Health and Care Collaborative & a PCN Clinical Director Shaun Jones – Deputy Locality Director, NHS England and Improvement Mike Padgham – Independent Care Group
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98. Declarations of Interest (16:37)
Board Members were invited to declare any personal, prejudicial
or disclosable pecuniary interests, other than their standing
interests, that they had in relation to the business on the
agenda. Cllr Looker dreclared an interest as a woman. No further interests were declared.
99. Public Participation (16:38)
It was reported that there were no registrations to speak under the Council’s Public Participation Scheme.
100. Draft Joint Health and Wellbeing Strategy (15:39)
This report presented a draft version for the Board’s comments of the York Joint Health and Wellbeing Board Strategy 2022-32. The Joint Consultant in Public Health gave an overview of the strategy, highlighting that it was a ten year strategy to fit in with the ten year economic and climate change strategies. It also followed the four principal themes to be addressed namely starting and growing well; living and working well; ageing well and dying well and mental health and wellbeing. He detailed the ambitions and goals of the strategy noting that the final version of the strategy would be presented to the Board at its September meeting.
The Chair thanked the Joint Consultant in Public Health for his update and asked each organisation on the Board to give their input into the strategy. The Director of Public Health was asked and explained how the City of York Council Public Health team supported the strategy.
[Zoe Campbell joined the meeting at 17:50]
Board Members made the following points in relation to the strategy:
· A request was made for the consultation documents and the final documents to be made available on Arial font 14 for ease of accessibility.
· There was a need to recognise poverty in the document as it was a huge detriment to health.
· That some inequalities were gender specific. The Joint Consultant in Public Health explained the feedback that came from public consultation and added that the Women’s Public Health Strategy had been published that day could be worked into the Joint Health and Wellbeing Strategy.
· A Member asked for constituent organisations to take the strategy through their governance arrangements, and he noted the importance that the strategy aligned with the six big ambitions of the Health and Care Alliance.
· It was highlighted that the strategies aligned with the CVS strategies and a request was made to expand on references to carers in the strategy.
· That regarding life expectancy, more information was needed in the strategy to demonstrate how the Board wanted people to live a longer healthier life expectancy.
· The importance of mental health was noted.
· It was noted that the infographics were useful.
· A Member asked whether the six big ambitions had the same weighting.
Resolved: That the Board’s comments and suggestions on the York Joint Health and Wellbeing Strategy 2022-2032, be noted.
Reason: To ensure that the Health and Wellbeing Board fulfils its statutory duty to produce a Joint Health and Wellbeing Strategy.
101. Presentation on the Day: Covid 19 Update: Recovery and Living with Covid (17:04)
The Director of Public Health gave a presentation on
the current situation in relation to Covid-19 including recovery
plans. This item was in presentation format to ensure that the
most up to date information was presented to the Health
and Wellbeing Board.
Key points raised during the presentation of the report included:
· The pandemic was not over and there wasn’t accurate information on testing as this relied on ONS model estimates.
· The latest data showed that there was a prevalence of 5% of the population and there was still some testing going on.
· York had the highest rates of COVID in Yorkshire and a high uptake of testing which may account for the high figures.
· When broken down the highest rate was in adults in their thirties and forties. The BA4 and BA5 variants were not affecting children as much.
· Hospital admissions due to COVID were increasing with 76 patients in general beds and 3 in ICU that day at York Hospital. For Scarborough and York hospitals combined this was 134 and 5 respectively. The Ambulance Service had indicated that the demand level was high.
· York had seen lower COVID deaths than other areas and the majority of those deaths had been in hospital.
· In Autumn all adults over 50 as well as those in the risk groups would be invited for COVID and flu vaccines.
· The need to be aware of the symptoms of COVID were noted and those eligible to get their vaccines were encouraged to do so. Mask wearing and ventilation were also encouraged.
In response to questions regarding the update, it was confirmed that:
· Askham Bar would was offering the booster vaccine
· Regarding the arrangements for informing blind people of their vaccines, reasonable adjustments would be recorded on patients’ records. The Director for Primary Care, Humber and North Yorkshire Health and Care Partnership undertook to look into this.
· Vaccines would be prioritised in the usual way and this would include care staff.
· The Public Heath developing plan for COVID would be presented to the Council’s Corporate Management Team (CMT) for approval and Public Health would be working with Nimbus and the pharmacies on the plan.
Resolved: That the content of the presentation be noted.
Reason: To ensure that Board members remain updated on the current situation regarding Covid-19 in York.
102. Better Care Fund Update (17:24)
Board Members considered a report that provided them with an update on the Better Care Fund (BCF), the 2021/2022 year end sign off and an update on the progress on the reablement and intermediate care pathway redesign. The Corporate Director of Adult Services and Integration and interim Director of Children Services advised that there was a further year of the BCF. She noted that review of care services had been completed and had found that transfers of care and delayed admissions were failing. Work was underway with colleagues on addressing this and care services in hospital, using a collaborative approach.
The Corporate Director of Adult Services and Integration and interim Director of Children Services advised that some performance metrics had changed and some metrics highlighted pressure on the social care budget. She added that 3% of avoidable admissions was a large number of people. She added that the BCF was doing a national demand analysis and she noted the risk regarding the memorandum of understanding.
With regard to the focus of the York Health and Care Alliance, the Director of Public Health suggested that this should be avoidable admissions and length of stay from the pathway to prevention onwards to leaving hospital. This was supported by the Chief Executive, York Teaching Hospitals NHS Foundation Trust.
Resolved: That the Health and Wellbeing Board:
· Receive the York Better Care Fund update for information.
· Agree the attached 21/22 year end return.
· Agree delegated authority for future returns to be signed off by the Corporate Director of Adults and Integration, appropriate ICS lead in partnership with the HWBB Chair Cllr Runciman.
Reason: In order for the Board to meet its obligations as the accountable body for the Better Care Fund.
103. York Place Update (17:39)
Board Members considered a report that provided an update on the achievements of the York Health and Care Alliance, the move to the York Place Health and Care Partnership Board, progress to date and next steps. The Corporate Director of Adult Services and Integration and interim Director of Children Service advised that this was a regular update to the Board and that the Alliance had met two weeks previously. She advised that the council Chief Operating Officer had been appointed as the Chair of the York Place Health and Care Partnership Board. She advised the changes and next steps to commissioning arrangements under the Health and Care Act (H&C) that came into law during April 2022, adding that Healthwatch York would be joining the York Place Health and Care Partnership Board.
The Corporate Director of Adult Services and Integration and interim Director of Children Service was asked about the risks of the York Place Health and Care Partnership Board and she explained that this was in relation to working with all elected members. She detailed the Members who sat on the Board.
Resolved: That the Health and Wellbeing Board:
i) Noted the content of the report and progress made,
ii) Noted the work of the previous York Alliance as the York Place Health and Care Partnership Board moved forward
iii) Agreed that a further report would be presented to the Board highlighting specific work streams, as well as an updated prospectus in line with the Health and Wellbeing Strategy.
Reason: In order for the Board to kept up to date on the work of the York Place Health and Care Partnership Board.
104. Joint Report from Healthwatch North Yorkshire & Healthwatch York: Accessible Information (17:53)
The Board considered a joint report from Healthwatch North Yorkshire and Healthwatch York providing feedback from people, especially those whose information needs were not currently being met. The Manager, Healthwatch York detailed the report highlighting that access to information was not just about disabled people. She noted the nine recommendations contained in the report. Board Members agreed to share the report with their respective organisations.
[Simon Morritt left the meeting at 18:01]
A Board Member asked how the Board could start raising the matter of vacant posts, for example the Engagement Officer post. In response to comments made by Members the Chair asked and the Manager, Healthwatch York agreed to bring an update report back to a future meeting detailing the responses received.
[Lisa Winward left the meeting at 18:07]
Resolved: That the Board:
i. Received the joint report, Accessible Information
ii. Be reminded to respond directly to Healthwatch York within 28 days regarding the recommendations made to their organisation.
Reason: To keep up to date with the work of Healthwatch York
105. Healthwatch York Annual Report (18:07)
Board Members received an information report on the activities of Healthwatch York in 2021/22. Board Members commended the work of Healthwatch York and thanked them for their work. The Manager, Healthwatch York thanked Members for their recognition.
[Lisa Winward rejoined the meeting at 18:11]
Resolved: That the Health and Wellbeing Board receive Healthwatch York’s Annual Report.
Reason: To keep up to date with the work of Healthwatch York.
106. Update on the Development of a Dementia Strategy (18:11)
Board Members considered a report briefing them on the work in progress towards the publication of a Dementia Strategy for York place this summer. Members were requested to consider the appended draft and approve the plan for its publication. The Corporate Director of Adult Services and Integration and interim Director of Children Services outlined the strategy noting that carers saved the system £100million a year and that York was a dementia friendly city.
In response to questions from Board Members, the Corporate Director of Adult Services and Integration and interim Director of Children Services clarified that:
· The action plan would support access to primary care services.
· The Dementia Strategy would be approved by the Council Executive.
· Why there was no column in the action plan for resource.
Resolved: That approval be given to the draft Dementia Strategy.
Reason: Having a York Dementia Strategy will clearly establish the common goals for health, social care, and community organisations in the City to deliver quality support to people with dementia and their carers. Once we have an agreed Strategy, we can progress with a delivery plan to achieve the goals outlined and improve the experience for the thousands of people living with dementia in our City.
107. Progress Report: Citywide System Mental Health Transformation (18:26)
This report provided an update on the Connecting our City mental health transformation project, and in particular the design and prototyping of a mental health hub model for York. The Independent Chair of the Mental Health Partnership gave a presentation on the project. This detailed the City of York priorities and development of a Mental Health Hub (including principles, role and timescales). He explained that the community health transformation fund had users at heart and he explained what would happen when a person presented at the Hub. He added that the goal was to have the first hub running by the end of the year and that it would need to see the release of clinicians to work on this in Autumn. He advised that there would be communications to disseminate to organisations on the opening of the Hub.
Resolved: That the Health and Wellbeing Board:
· Note the content of the report
· Support the request for staff to be released to participate within the hub prototyping process
· Ensure appropriate representation within the hub planning and leadership groups to ensure operationalisation of the hub design
· Notify the Mental Health Partnership of any key meetings/forums where an update on this project would be helpful
Reason: In order to keep the Board updated on the work Mental Health Partnership and progress of the Hub.
108. Report of the Chair of the York Health and Care Collaborative (18:52)
The Health and Wellbeing Board considered a report on the work of the York Health and Care Collaborative which was attached at Annex A. The Director of Public Health explained the progress in priorities and positive development of building on the success of the COVID recovery hub. She asked Board Members to consider York Health and Care Collaborative request to the Board to identify where it thinks the gaps are in supporting deprived communities in York, to aid the group in future discussions about how YHCC can assist closing these gaps by working together.
The Chair thanked the report authors for their report and she requested that the minutes of the York Health and Care Collaborative be circulated to Board Members. The Director for Primary Care, NHS Vale of York Clinical Commissioning Group agreed to undertake this with the Health and Wellbeing Coordinator.
Resolved: That the report be noted.
Reason: There is a shared objective of improving the health and wellbeing of the population. The York Health and Care Collaborative is unique in bringing together; providers and commissioners of health and social care services (from the NHS and City of York Council), colleagues from City of York Public Health together with the voluntary sector as a means of working on joint priorities to achieve this objective. The York Health and Care Collaborative agreed to provide regular updates on its work and progress.
Cllr Runciman, Chair
[The meeting started at 4.30 pm and finished at 6.56 pm].