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Health and Wellbeing Board |
22 November 2023 |
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Report of the Chair of the York Health and Wellbeing Board
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Chair’s report and updates – November 2023
Summary
1. This paper is designed to summarise key issues and progress which has happened in between meetings of the Health and Wellbeing Board (HWBB), giving Board members a concise update on a broad range of relevant topics which would otherwise entail separate papers.
2. It will consider:
· Board business
· Local updates for the board
· National updates for the board
· Actions on recommendations from recent Healthwatch reports.
Board Business
1. Following discussions at recent Health and Wellbeing Board meetings, the new Health and Wellbeing Board Terms of Reference have been drafted in conjunction with colleagues and are included within this meeting’s agenda pack.
2. A separate report detailing progress against several of the actions in the Local Joint Health and Wellbeing Strategy action plan is included as a separate paper in the agenda pack.
Key local updates for the board
School Survey
3. Following the roll out of York’s Health and Wellbeing School Survey in 2021, a further survey will be carried out this year, starting this month and running until the end of December. The survey covers a range of health-related topics, focusing on social context, health outcomes, health behaviours and risk behaviours relevant to young people’s health and well-being. The survey is available to pupils in years 4 and 6 in primary schools, years 8 and 10 in secondary schools, and year 12 in sixth forms. The results from the survey will be available to schools once the survey has closed and the data has been analysed and reported. Public Health will support schools with action planning and will use the resulting data to inform any required interventions.
Baby Friendly Initiative
4. In February 2023, funding was obtained through the ICB Inequalities Fund to implement the UNICEF Baby Friendly Initiative (BFI) across Health Visiting and Children Centres. BFI is an evidence based, staged accreditation programme that will support CYC to improve breastfeeding and infant feeding by setting standards for sustainable improvement, providing training for professionals to give consistent information and personalised support to families; and gaining feedback from families about their experiences of care. This programme of work also helps families in building close parent-infant relationships and supports with good mental health for both parent and baby. We now join the 91% of other health visiting services that are working towards BFI accreditation across the UK.
Winter Planning
5. The roll out of both the flu and COVID vaccination programme is on track across all ‘at-risk’ cohorts. GP Practices have visited all Care Homes and offered vaccinations to both residents and staff, however the take up rate amongst staff remains extremely low. Further investigation into this releveled that there continues to be vaccination fatigue, mistrust of the covid vaccination and what it contains and if it makes them feel unwell staff have to take unpaid sick leave. A targeted communications campaign was planned with CYC communications team, but this seems to have had little impact to date.
6. The School Aged Immunisation Service (SAIS) commissioned by NHSE appointed a new provider in August 2023, despite the worry that there may be a delayed provision this has not been the case and Vaccination UK are on track with 100% of schools offered the vaccination and by 15 December all schools and community clinics will have been completed.
Update from the Co-chairs of the York Mental Health Partnership (YMHP)
7. The York Mental Health Partnership co-chairs, Dr Stephen Wright and Professor Lynne Gabriel, were recruited in spring 2023, to provide leadership roles for the YMHP following the departure of the then Chair, Tim Madgwick. The following paragraphs are an update from them:
8. “Following a challenging transformation period across early spring into autumn 2023, and the working through of agreed key protocols and policies, the YMHP is now poised to drive forward on positive mental health transformation processes in York. It is important to note that YMHP and its co-chairs have overseen an extremely turbulent transition process, including trialling of the Community Mental Health Hub prototype.
9. Due to partnership issues, workstreams associated with the Connecting Our City NHS mental health transformation programme had to be halted. This was due to delays in partner agreement and sign-up to ongoing Hub transformation work, as well as staff absences. The workstreams are now being gradually reinstated, in order to progress the Connecting Our City programme and the Hub upscaling. Teams and colleagues involved in the Hub prototype and the planned upscaling of the Hub model are committed to ensuring appropriate protocols and models for Hub delivery.
10. Moving forward, it is important that the YMHP responds to the Healthwatch report on accessing mental health services in York. At the December YMHP meeting, we expect to set in motion a task and finish group to respond to the Healthwatch report.
11. In the meantime, a York Joint Delivery Board, supporting the ongoing development of the York Hub model is in place and will support the ongoing progression of the Hub development and core Connecting Our City vision for ‘one-stop’ mental health portals.”
Update from the Chair of the Ageing Well Partnership
12. The Ageing Well Partnershipscheduled 6 meetings over the last 12 months. The following reports were presented to the partnership:
· York State of Ageing – this was to provide a local perspective of the National State of Ageing report 2022
· Self-monitoring
· Health Protection update - including details of flu, Covid-19, pneumococcal vaccinations, and screening programmes relevant to older people.
13. The Health & Wellbeing Board approved the WHO Age Friendly Communities tool as the method to identify and deliver against the ageing well agenda through a co-produced approach.
14. Baseline Assessments have now been completed across the age friendly domains: Your Journey; Your Destination; Your Information; Your Time; Your Service and Your Home.
15. This was presented to the Health & Wellbeing Board on 16th November 2022 with the consideration of approval to apply for WHO Age Friendly Communities status. However, due to the level of concern around blue badge holders being excluded from the city centre, 9 community groups proposed that the application was put on hold. This recommendation was approved by the Board. Once the blue badge ban is lifted then the community groups will be approached to agree whether it would be appropriate to apply for status before re-submitting request for approval from the board.
16. In addition to the Baseline Assessments an evolving action plan has been drawn up with any actions presented to the Age Friendly York group for scrutiny before submitting to the Ageing Well Partnership for sign off.
17. Some of the achievements over the last year are included in this supplementary document.
Update from the York Health and Care Collaborative
18. An update from the York Health and Care Collaborative is at Annex A to this report.
Update on the Better Care Fund
19. An update on the Better Care Fund is at Annex B to this report
Key National Updates
20. On Wednesday 4 October, the Prime Minister announced proposals to raise the age of sale for tobacco by one year every year and tightening restrictions on the sale of vapes to children and young people. This was then followed with an announcement for additional funding for Local Authorities to increase support for Stop Smoking services and the launch of a consultation on the proposed measures. The consultation is currently open and will close on 6 December. On Tuesday 7 November, the legislation was included in the Kings Speech – which will allow the legislation to become law in the next session of parliament.
21. As a local authority, through our Tobacco Alliance, we are preparing a response to the official consultation. This mainly focuses on regulations relating to vaping, but it does also seek views on raising the age of sale for cigarettes. The consultation response will draw on the views of various departments across the authority, including Public Health, Public Protection and Public Realm. The consultation questions can be viewed here: https://www.gov.uk/government/consultations/creating-a-smokefree-generation-and-tackling-youth-vaping/creating-a-smokefree-generation-and-tackling-youth-vaping-your-views
Recommendations from a recent Healthwatch report
22. In September 2023 HWBB received one York Healthwatch report:
· “I want to know, I want a diagnosis, I want help” - Pilot Pathway for Autism and ADHD: Independent evaluation August 2023
23. The recommendations from this report are at Annex C to this paper, and the Chair will be asking relevant board members for an update on progress at today’s meeting.
Specialist Implications Officers Not applicable
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For further information please contact the author of the report
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Annexes
Annex A – Update from the York Health and Care Collaborative
Annex B – Update on the Better Care Fund
Annex C – Recommendations from Healthwatch York Report: “I want to know, I want a diagnosis, I want help” - Pilot Pathway for Autism and ADHD: Independent evaluation August 2023