Health and Wellbeing Board	7^th May 2025
Report of the York Health and Care Partnership

Summary

1. This report provides an update to the Health and Wellbeing Board (HWBB) regarding the work of the York Health and Care Partnership (YHCP), progress to date and next steps.

2. The report is for information and discussion and does not ask the Health and Wellbeing Board to respond to recommendations or make any decisions.

Background

3. Partners across York Place continue to work closely together to integrate services for our population. The YHCP shares the vision of the York Joint Local Health and Wellbeing Strategy that in 2032, York will be healthier, and that health will be fairer.

4. The YHCP has an Executive Committee which is the forum through which senior Partnership leaders collaborate to oversee the delivery of the Partnership priorities. Since 2022, the YHCP has been an Executive Committee of the ICB, drawing on membership across Integrated Care Board (ICB) senior officers, City of York Council senior officers, York and Scarborough NHS Teaching Hospital, Tees, Esk and Wear Valley NHS Mental Health Trust, primary care, York Centre for Voluntary Services, Healthwatch York, the university and education sectors, and City of York Council elected members.

Update on the work of the YHCP

5. The Executive Committee meets monthly, and a summary of the meetings held in March and April 2025 is set out below.

March 2025 Executive Committee Meeting

6. The March meeting of the Executive Committee focused on the following items:

Ø Joint Commissioning Forum/Plan and Section 75 Agreement: This report provided an update on the work of the Joint Commissioning Forum (JCF) including the Terms of Reference for the JCF; a list of services for inclusion in a Section 75 Agreement between the Integrated Care Board (ICB) and City of York Council (CYC); and a case study of the shared Head of/Assistant Director of Commissioning between the ICB and CYC.

The JCF is one of three sub-committees established under the YHCP; its current focus is the development of a commissioning plan between the ICB and the Council. The plan will cover services funded through prevention/health inequalities budgets; community equipment services; integration and alignment of some services to avoid duplication; York Integrated Community Model; an integrated approach to working with the voluntary and community sector; strengthening the alignment of pooled funds; children’s commissioning and integration approach; continuing health care and the establishment of a path to a commissioned, integrated and de-medicalised 24/7 community mental health offer in York.

Ø York Health and Care Partnership Executive Committee Terms of Reference: These had now been updated to incorporate comments made by YHCP members at their December and February development sessions. The final version will be embedded within the Partnership Agreement. This will be presented to the HWBB at a future meeting.

Ø Humber and North Yorkshire Children’s Plan Framework – A plan for radically improving children’s wellbeing, health and care: this item highlighted the development of the draft children’s plan for the ICB. The Integrated Care Partnership’s Start Well Board had been established in response to the many concerns relation to children and young people, including preventable deaths; waiting times for speech and language therapy and other services resulting in poverty and inequality impact on the 0-19 age range; mental health issues for care leavers and Special Education Needs and Disability requirements.

April 2025 Executive Committee Meeting

7. The April meeting of the Executive Committee focused on the following items:

Ø York Health and Care Collaborative Update (YHCC): The purpose of the YHCC is to work with local providers, elected members and community representatives to improve population outcomes and reduce inequalities for the people and communities of York, through locality-based and integrated solutions.

The YHCC has met in its current form since September 2024, and it holds monthly meetings which focus on a range of health and care topics, are well attended and have good engagement.

Ø System Update: nationally 2024-25 operational plans submitted by 42 Integrated Care Systems were being evaluated on the basis of commitment, evidence of pace and credibility of delivery against 7 priorities, four of which could be grouped into waiting times: reduce the time people wait for elective care; improve A & E waiting times and ambulance response times; improve access to GPs and urgent dental care and improve mental health and learning disability care. The remaining three priorities were live within budget allocated reducing waste and improving productivity; maintain a collective focus on overall quality and safety of services and address inequalities and shift towards prevention.

Ø Urgent and Emergency Care: the committee received an update on ongoing work to reduce waiting times in A & E; improving ambulance response times and ambulance handover times.

Work of the York Population Health Hub

8. Since the last meeting, the York Population Health Hub has continued to deliver and support key initiatives that promote equity, prevention, and innovation in population health.

9. The Inclusion Health Register pilot, which ran from February to March 2025, has now concluded. This initiative aimed to improve visibility of underrepresented groups—such as veterans, LGBTQ+ individuals, care leavers, and people experiencing homelessness—within York’s GP records.

10. Over the pilot period, there was a 32% overall increase in patients coded to Inclusion Health groups, rising from 8,287 to 10,954 in York. Substantial increases were seen in the recording of Transgender and Non-binary individuals, Care Leavers, and Gypsy, Roma, and Travellers.

11. The pilot operated within budget and demonstrated the value of incentivised SNOMED coding to address known gaps in primary care data. The findings offer a foundation for wider implementation and highlight opportunities to strengthen targeted service planning for the Core20PLUS5 population.

12. Additionally, the PHH has been collaborating with colleagues from City of York council and Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) to support the development of the Mental Health Hubs. This work includes joint exploration of mental health data to inform the design of services that meet local needs more effectively.

13. The BP Kiosks for Hypertension Detection pilot ended on 1st April. The York Health Economics Consortium is now evaluating the outcomes of the scheme. Early discussions are underway between the ICB and the kiosk provider to explore a cost-neutral extension of the pilot. The aspiration is to relocate the three kiosks to new community-based settings to improve reach and early detection in underserved areas.

14. Through these efforts, the Population Health Hub continues to apply a data-led, collaborative approach to reducing health inequalities and improving outcomes across York.

Contact Details

Authors: Compiled by Tracy Wallis, Health and Wellbeing Partnerships Co-ordinator, City of York Council	Chief Officer Responsible for the report: Natalie Caphane, Assistant Director of System Planning, York Health and Care Partnership √ Report Approved Date:
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