Health and Wellbeing Board

19 January 2022

Report of the Director of Public Health for the City of York

Renewal of the Joint Health and Wellbeing Strategy 2017-2022

Summary

1. This report sets out a proposal to renew the Health and Wellbeing Board’s Joint Health and Wellbeing Strategy 2017-2022.

Background

2. The current joint health and wellbeing strategy for 2017-22 follows a life course approach and identifies four principal themes to be addressed namely starting and growing well; living and working well; ageing well and mental health and wellbeing. Within each of these themes there are a number of discrete priorities and delivery against these continues.

3. Progress has been reported back via Health and Wellbeing Board annual reports, the most recent of these in 2018/19.

4. Additionally the Health and Wellbeing Board undertook a mid-term review of its strategy and in early 2020 approved a supplementary document identifying the focus for the remaining time of the strategy.

Renewing the Strategy

5. The Joint Strategic Needs Assessment (JSNA) provides us with data and information on the health and care needs of our residents and will be key to shaping the board’s next Joint Health and Wellbeing Strategy.A refresh of the JSNA is currently underway, and regular topic-specific needs assessments are added to the document as it evolves over time. The JSNA is not the sole source of information needed to produce a new strategy; there should be opportunity for input from board members; other health and social care partners; the voluntary sector and other interested parties. The valuable reports that Healthwatch York produce and the recommendations within them should also be included as part of this evidence base.

6. Additionally the new strategy will need to be framed within the context of new legislation around NHS Reforms, the dissolution of Clinical Commissioning Groups and the creation of Integrated Care Systems; including integrated care boards (at the wider regional level) and localised place based partnerships, in York this is currently the York Health and Care Alliance (YHCA).

7. The impact of the pandemic on the health and wellbeing of York’s residents will also need to be reflected in any new strategy along with plans for recovery in what is an already pressurised health and social care system.

8. The YHCA are creating a prospectus setting out their vision and direction for health and healthcare in the city within the new arrangements for integrated care; City of York Council are creating a 10 year plan for the city, and Integrated Care Boards will be creating plans that cover the wider Humber, Coast and Vale geographic area and these must take into consideration the Joint Health and Wellbeing Strategies of all the HWBBs in their area.

9. Thus a new Joint Health and Wellbeing Strategy for York must reflect the multifaceted system that the Health and Wellbeing Board will be part of, including positioning the Board appropriately in its unique contribution and leadership role for this system.

10. It is proposed that the new strategy has a lifespan of 10 years with its high-level principle being to reduce gaps in life expectancy and healthy life expectancy in populations across the city. Actions and priorities will be identified using the evidence in the JSNA and other data sources. However, 10 years is a long timeframe and delivery plans for the new strategy should be ‘living documents’ that are reviewed on at least an annual basis so that the HWBB can be assured of progress.

11. It is proposed that work starts on the new strategy immediately with a view to bringing a draft strategy to the Health and Wellbeing Board’s meeting in July 2022 and thereafter undertaking an 8 or 12 week formal consultation process.

Consultation and Engagement

12. As a high-level document setting out the strategic vision for health and wellbeing in the city, the new Health and Wellbeing Strategy can capitalize on existing consultation and engagement work being undertaken on deeper and more specific projects in the city, for example work being undertaken by the Multiple Complex Needs network around cultural values, work undertaken to co-produce the community mental health transformation programme, and the YHCA prospectus. Engagement opportunities for partners and the public within the writing process for the new Health and Wellbeing Strategy will then be an additive rather than a duplicative process.

13. Co-production is a principle that has been endorsed by the HWBB and will form a key part of the delivery, implementation and evaluation of the strategy

14. A formal consultation will take place once the draft strategy has been agreed by the Health and Wellbeing Board.

Options

15. Health and Wellbeing Board are asked to approve the proposal to develop a new Joint Health and Wellbeing Strategy for the city.

Implications

16. It is important that the priorities in relation to both the current and any new joint health and wellbeing strategy are delivered. Members need to be assured that appropriate mechanisms are in place for delivery. The Terms of Reference for the Health and Wellbeing Board and its governance arrangements will be reviewed together with its relationship to the new ICS partnership arrangements.

Recommendations

17. The Health and Wellbeing Board are asked to support the proposal to renew the Joint Health and Wellbeing Strategy.

Reason: To ensure that the Health and Wellbeing Board fulfils its statutory duty to produce a Joint Health and Wellbeing Strategy

Contact Details

Author:	Chief Officer Responsible for the report:
Tracy Wallis Health and Wellbeing Partnerships Co-ordinator Tel: 01904 551714	Sharon Stoltz Director of Public Health for the City of York
	Report Approved	✔	Date	07.01.2022

Specialist Implications Officer(s) None
Wards Affected:					All	ü
For further information please contact the author of the report

Glossary:

HWBB: Health and Wellbeing Board

JSNA: Joint Strategic Needs Assessment

NHS: National Health Service

YHCA: York Health and Care Alliance

Definitions:

Healthy Life Expectancy: the average number of years that an individual is expected to live in a state of self-assessed good or very good health, based on current mortality rates and prevalence of good or very good health

Life Expectancy: the average number of years that an individual is expected to live based on current mortality rates