Health and Wellbeing Board

September 15th 2021

 

Report of the Joint Consultant in Public Health, Vale of York CCG / City of York Council

 

York Health and Care Alliance Update

Summary

1.           This report is to provide an update on the progress of the York Health and Care Alliance, including minutes of recent Alliance meetings for Board members to note.

        Background

2.           The York Health and Care Alliance was established in April 2021 as our city’s response to the changes and reorganisation of the NHS proposed in the government’s white paper ‘Integration and Innovation’.

 

3.           The Alliance Board was established as a sub-group of the Health and Wellbeing Board through consultation with the Health and Wellbeing Board and through Full Council in April 2021. Papers relating to the establishment the Alliance board, including a description of its purpose and its terms of reference, can be found in Council Executive papers from their meeting on 18th March 2021.

 

4.           As part of this arrangement, an update on the Alliance Board and minutes of meetings held since April are presented to the Health and Wellbeing Board in this paper.

 

 

 

 

Main/Key Issues to be Considered

Update on NHS reforms

5.           When the Health and Wellbeing Board last met, an update was given on the NHS refoms which covered:

·        The Health and Social Care Bill, which is still passing through parliament at the time of this report writing

·        The ICS Design Framework, a policy documents from NHS England laying out details of the governance and design of new Integrated Care Systems

6.           Since this point, two key documents have been released:

·        A model ICB constitution, setting out how one part of the ICS (the ICS NHS Body or ICB, which will run the NHS from day-to-day) is to be governed

·        The HR framework governing the transition from CCGs to an ICB and associated functions.

 

Alliance Board meetings

7.           The York Health and Social Care Alliance has met monthly since April 2021, with the membership, aims and purpose and terms of reference presented to the council Executive in March.

 

8.           One of the key aspects of the Alliance’s work since the last update has been to work through a ‘maturity matrix’ which all six ‘places’ within Humber Coast and Vale have been completing, in order to establish a baseline for how health and systems are working together locally, and where focus should lie to further improve and integrate services. Partners are asked to agree how far work has progressed on a scale from ‘emerging’ through ‘developing’, ‘maturing’ and ‘thriving’, covering the following areas:

1. Vision

2. Health and Care Needs Assessment

3. Clinically and Professionally Led

4. Community/Neighbourhood /Citizen Informed

5. Place Based Plans

6. Review and Evaluation

7. Enabler – Data

8. Enabler - Organisational Development

9. Enabler – Digital

10. Enabler – Workforce

11. Common Narrative

12. Culture

13. Trust

14. Leadership

15. CCG Transition

16. Governance – Purpose and outcomes

17. Financial Risk

18. Quality

 

Consultation

9.           The work of the Alliance involves key partners from each health and care provider organisation in the city and all of them have been heavily involved in its work. A number of engagement events have been held to share the plans and details on NHS reforms with partners in the city, and more will be possible when the detailed structures have been agreed.

Options      

10.        The HWBB will receive further reports on the progress of the NHS reforms and the York Health and Care Alliance.

 

Strategic/Operational Plans

 

11.        The Joint Health and Wellbeing Strategy is the overarching strategic vision for York, and the work of the York Health and Care Alliance supports the delivery of the desired outcomes.

        Implications

·         Financial – There are no financial implications as yet from this report. Any future decisions about finances take by the Alliance will be made through the governance of each partner organisation at this stage, while the Alliance is a partnership rather than a formally constituted body.

·           Human Resources (HR) – There are no human resources implications as a result of this paper, but significant HR implications of the NHS reforms in general should be noted.

·           Equalities – the Alliance aligns with the Health and Wellbeing Strategy in aiming to tackle and improve health inequalities

·           Legal - There are no legal resources implications as a result of this paper, but significant legal and contractual implications of the NHS reforms in general as noted above

·           Crime and Disorder  - none

·           Information Technology (IT) –none

·           Property - none

·           Other – none.

Risk Management

12.        Governance processes are in place between the partners to manage the strategic risks of these reforms

        Recommendations

13.        The Health and Wellbeing Board are asked to:

·        Note the update on the NHS reforms and work of the York Health and Care Alliance

·        Note and receive the minutes of the York Health and Care Alliance

 

Contact Details

Author:

Chief Officer Responsible for the report:

Peter Roderick

Joint Consultant in Public Health, Vale of York CCG and City of York Council

Peter.roderick@york.gov.uk

 

 

 

Sharon Stoltz

Director of Public Health

City of York Council

 

Report Approved

✓

Date

07.09.2021

 

 

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

x

 

 

 

 

For further information please contact the author of the report

 

Background Papers:

 

Health and Social Care Bill – available here

 

ICS design framework – available here

 

ICS Implementation Framework – available here

 

Annexes

 

Annex 1 – York Health and Care Alliance Minutes (June 2021)