Minutes of the meeting of the York Health and Care Alliance Board held on Friday 29th April 2022
Present
Cllr Keith Aspden (Chair) Leader City of York Council
Dr Rebecca Field GP, York Medical Group
Ian Floyd Chief Operating Officer, City of York Council
Professor Mike Holmes Chair, Nimbuscare York
Jamaila Hussain Director of Prevention, Commissioning and Education, City Emma Johnson St Leonards Hospice
Brent Kilmurray Chief Executive, TEWV
Peter Roderick Consultant in Public Health, City of York Council /
Vale of York CCG
In Attendance
Abby Combes Head of Legal and Governance, Vale of York CCG
Janie Berry Legal and Governance, Vale of York CCG
David Hambleton DH Leadership Alliance, NECS Associate
Frances Harrison Legal, City of York Councilof York Council
Tracy Wallis Health and Wellbeing Partnerships Co-ordinator, City of
York Council
Gary Young Lead Officer for Primary Care/Urgent Care Lead,
Vale of York CCG
Apologies
Professor Charlie Jeffery Vice Chancellor and President, University of York
Phil Mettam Accountable Officer, Vale of York CCG
Simon Morritt Chief Executive, York and Scarborough Hospital NHS Foundation Trust.
Alison Semmence Chief Executive, York CVS
Sharon Stoltz Director of Public Health, City of York Council
AGENDA
The agenda was discussed in the following order.
1. Welcome and apologies for absence
The Chair welcomed everyone to the meeting and noted the apologies.
Professor Holmes declared a conflict of interest in Item 6 as a potential bidder for the urgent care contract. Dr Field also declared a conflict of interest as a shareholder in Nimbuscare.
The minutes of the meeting held on 28th March 2022 were approved by the board. All actions that arose from the meeting were confirmed to have been completed.
Matters Arising:
· Update on Place Lead & Chair
It’s the decision of statutory organisations on how the place boards will operate. The board were informed of the recent decision to merge the two roles into one. It was agreed that Ian Floyd, Chief Operating Officer of the City of York Council would fill this position going forward.
· NHS Place Director
The group discussed how the appointment of the NHS Place Director by the Integrated Care System (ICS) had been delayed due to HR issues, but these were expected to be resolved soon. The Integrated Care Partnership (ICP) will have two places on the Integrated Care Board (ICB). This will be the Vice Chair of the ICP and a local authority representative. A further local authority position was being considered. People will also have the opportunity to present and attend the meeting when appropriate.
David Hambleton, representative, NECS Associate, informed the group of the survey given to members of the York Health and Care Alliance Board and reviewed some of the learnings. Due to the low responses of the survey, Tracy Wallis agreed to re-circulate it to the board.
Action: Tracy Wallis to re-circulate the survey to the board.
Once the NHS Director has been appointed, they will be in a position to monitor progress and ensure all members contribute appropriately. Due to the complex nature of the board, further communications were suggested in order to engage wider partners and provide assurances. After the Health and Social Care Act was passed, it would be helpful to provide some background to stakeholders and the public around why this and other boards were established.
Action: The Communications Teams to progress some comms to provide background on the board and the Health and Social Care Act.
3. Presentation: Prospectus Planning
Peter Roderick, Consultant in Public Health for the City of York Council/Vale of York CCG, provided an update on the development of the prospectus. The workshop asked attendees to describe the ambition for the future health of the city. A small working group is being established to collate the findings of the workshop for them to be presented to this board for comment. The board agreed to ensure the prospectus doesn’t duplicate the Health and Wellbeing Strategy.
Action: For the draft prospectus to be presented at the June meeting.
The board noted the update and asked for further detail around how the prospectus relates to the Health and Wellbeing Strategy and the Integrated Care System’s Plan.
4. CORE20PLUS5
Peter Roderick informed the group of the CORE20PLUS5 approach which covers key aspects and different lenses on health inequalities, giving a steer and direction from the top while also recognising local systems will understand their populations far better than the centre. The approach and dashboard provide a way in for leaders and non-experts in public health to have oversight of what communities have a right to expect as the NHS seeks to move forward on health inequalities.
Action: Board to nominate staff members to participate in the Insight to Action programme
The board noted the ongoing work of the Population Health Hub and their CORE20PLUS5 approach.
5. Higher & Further Education: Integrated Care System – York Place Group Proposal
Professor Charlie Jeffery, Vice Chancellor and President at the University of York, was unable to attend the meeting to present his report. The board agreed for this to be deferred to the next meeting on the 23rd May 2022.
6. Discussion Paper: How Place can take a role in Urgent Care
Professor Mike Holmes, Chair of Nimbuscare York highlighted the conflict of interest on this agenda item as Nimbus may bid for this contract. The group discussed how we should mange conflicts of interests going forward as having the providers perspective would be helpful. The legal representative present at the meeting agreed to look into this.
Gary Young, Lead Officer for Primary Care/Urgent Care Lead for the NHS Vale of York CCG, provided an overview of the report included in the agenda pack. The group discussed how contracts that are usually rolled over have the chance to be commissioned together to help better join up the system and coordinate resources. A case study of this was noted from South Tees, who subcontracted their call handling and overnight visiting services to partner agencies like the Ambulance and GP services.
Jamaila Hussain, Director of Prevention, Commissioning and Education for the City of York Council, agreed that urgent care works better when it’s commissioned by place and is delivered locally. The national specification was being altered to ensure it meets the local needs. Services are also being mapped to enable us to integrate services better in the future.
A review of urgent care had been in development over the past two years and had progressed well with many learnings gathered. A discussion took place on how best to approach the commissioning of urgent care services in future. Once we have agreed what is needed and a local model developed, funding can be discussed. The chair suggested that a recommendation paper be distilled from the urgent care paper.
Action: Gary Young agreed to establish a group to progress this.
7. Verbal Update: Future Role of Acute Provider Collaborative including relationship with Place
Simon Morritt, Chief Executive of York and Scarborough Hospital NHS Foundation Trust was unable to attend the meeting. The item was added to the forward plan for the possibility of discussion at the May meeting.
8. Verbal Update: Future Role of the Alliance Leadership Team
David Hambleton informed the group that the high-level support provided by NECS/Hill Dickinson colleagues will come to an end when the new Integrated Care System has been established. After the support ends, it will be the responsibility of the board to hold each other to account.
The Alliance Leadership Team (ALT) is well placed to continue to develop positive behaviours and culture and provide the board with feedback around how the system is working. ALT needs convening regularly and facilitating. Further conversation to take place outside the meeting re the current external support arrangements.
The group discussed how progress needs to be maintained while the Place Director is being appointed. The group agreed to have this as an item at the next meeting for further discussion with some of the ALT in attendance. The Terms of Reference will need to be reviewed for the ALT.
Action: To add the Alliance Leadership Team onto the Forward Plan and invite them to attend the next meeting.
Action: For the Terms of Reference to be reviewed for the Alliance Leadership Team.
The board noted the update.
9. Verbal Update: Progress: Governance and Section 75
Abby Combes, Head of Legal and Governance for the Vale of York CCG, informed the group that the Section 75 Agreements between the CCG and the council were being amalgamated into one for them to be more easily transferred over into the new Integrated Care System. The group discussed combining the priorities of this board and the Integrated Care Board (ICB) in order to ensure strategies and plans align in the future. The ICB had already committed to take on the existing arrangements and contracts of the CCG. Once the Annual Council Meeting has taken place, a Joint Section 75 Committee will be pulled together to progress this.
The board noted the update.
10. Forward Plan
The forward plan will be updated to reflect the discussions held at the meeting.
11. Confirmation on next steps and summing up
The board confirmed their next steps and the Chair summed up the meeting.
12. Any other Business
The board noted their thanks to Cllr Aspden for his role as chair.
The board had no other business to discuss.
The Chair closed the meeting.
Date of next meeting: Monday 23rd May 2022 - 13:00pm-15:00pm