Health and Wellbeing Board

16 July 2025

                                                 

Report of the York Health and Care Partnership (including Annual Report)

 

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).

2.   On this occasion this report also includes a copy of the YHCP’s annual report.

3.   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

4.   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.

5.   The YHCP has an Executive Committee which is the forum through which senior Partnership leaders collaborate to oversee the delivery of the Partnership priorities. The Partnership draws 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. Since June 2025, the Executive Committee also operates as a committee of the ICB and City of York Council, governed by a section 75 agreement between the two organisations.

 

Update on the work of the YHCP

6.   The Executive Committee meets monthly, and a summary of the meetings held in May and June 2025 is set out below.

May 2025 Executive Committee Meeting

7.   The May meeting of the Executive Committee focused on the following items and a copy of the minutes from the meeting are at Annex A:

Ø York Mental Health Partnership Sub-Group Report: This report provided an update on the work of the York Mental Health Partnership, including a reminder of the vision of the Partnership as follows:

The Mental Health Partnership’s vision for York is of a Whole Life, Whole Person, Whole System approach and a city where citizens can:

 

·        All feel valued by our community, connected to it, and can help shape it.

·        Are enabled to help ourselves and others, build on our strengths, and can access support with confidence.

·        Are proud to have a Mental Health Service that is built around our lives, listens to us, is flexible and responds to all our needs.

·        To work towards achieving this high-level vision, the YMHP meets every two months to consider the workstreams.

Connecting our City Project

 

Hub at Clarence Street: as reported to the YHCP in May 2025 the hub is now open three days of the week for ad hoc drop ins and for appointments on the other days. A variety of other groups and support are also able to utilise the space. We have received significant positive feedback about the hub and the support being provided.

 

The hub has also supported several visits, for example the Chair of NHS England and the Director for Mental Health from DHSC. The Hub Manager, Co-Production Officer and the Project Team have also delivered presentations at various meetings and conferences including the ADASS Care We Want event, the Yorkshire and Humber Clinical Assembly, and The NHS England Associate sites event.

 

As of February 2025, the team at the hub were supporting 101 people. Due to the lack of a shared recording system and staff shortages, the team have had to slow down referrals into the hub.

 

Some key challenges still remain, particularly around the lack of a joint recording system which is impacting on the wellbeing of team. The hub has also not yet developed or tested pathways into wider specialist offers in the system.

 

24/7 Neighbourhood Mental Health Centre: Progress has continued at pace for the mobilisation of the 24/7 neighbourhood mental health centre at Acomb Garth. The aim is to open in June/July 2025 although is dependent on several factors. A hub manager has been appointed and is in post; additional project support is in place and a joint recruitment plan has been finalised and agreed by the implementation group.

 

Third Hub Development: confirmation of funding for a third hub in the city has been received which will allow the rollout of the hub model citywide. This will fund the voluntary sector roles and recruitment will begin in the summer.Further staffing within the hub will rely upon the realigning of existing resources. The third hub will be located in the Tang Hall/Burnholme area and community engagement work has begun in this area.

 

A Community Mental Health Transformation Whole System Workshop was held on 1 May 2025 and had excellent multi partnership attendance; commitment to a shared vision, scope and timescale for transformation; and the identification of interdependencies and opportunities for collaboration. Challenges had also been recognised in terms of workforce development, communication, funding, redesigning of the system, resource, and the wider context such as increasing service costs, current changes to the NHS and the development of neighbourhood health services.

 

Children and Young People’s Mental Health Group: A Children and Young People’s Mental Health Group has been established to enable us to fulfil the Partnership’s aim to be all-age. Several meetings have been held to discuss its development, develop terms of reference for the group and map the current provision in the city.

The Group has recently RAG rated the 50 recommendations put forward by the Nothing About Us Without Us Group to help us to understand where strengths and weaknesses are. The group is in its infancy and still needs further development. It is currently chaired by the co-chairs of the York Mental Health Partnership, but this will only remain the case until approximately September this year as they offer their time on a voluntary basis. The Children and Young People’s Mental Health Group will need to appoint two further independent co-chairs or co-chairs from within the health and social care system over the coming months. The group is currently meeting once a month.

 

Further Progress: The following further progress updates have been provided as work has progressed since the York Mental Health Partnership reported to YHCP in May. This is as follows:

 

24/7 Hub: Several key staff are now in post, including the manager, service manager and carer support roles. The majority of daytime roles are due to start over the coming month. Due to delays with recruitment and building works, the aim is to open in August 2025 on a phased basis. The team will be based within Acomb Garth and doing community outreach from the end of June 2025. Building works are scheduled to be complete mid-August and work is underway to finalise the name and branding for the hub and ensure communications within the local community. A national evaluation workshop took place in June, and we are developing a local evaluation framework to ensure we can demonstrate the impact of the hub offer.

 

Clarence Street Hub: We have recently re-recruited to a number of roles. A successful networking event took place on 6th June that was really well attended. The hub has recently established a peer support gardening group and an emotional regulation group. A library pop up at explore library introducing hub staff ran in May and was very successful.

 

System wide workshop: An action plan has been developed following this and is being monitored by the Joint Delivery Board. A recent meeting of an Executive Steering Group was also helpful in progressing conversations about future sustainability of the model.

 

Recording Systems: The lack of a single shared recording system continues to be a significant challenge both for the Clarence Street hub in terms of wellbeing of staff and ability to increase capacity safely, but also for the opening of the 24/7 centre and ongoing reporting and evaluation. Consideration of the need for an alternative interim solution is being considered as a matter of urgency by the Joint Delivery Board.

 

 

Ø York Health and Care Partnership Executive Committee Terms of Reference: These have now been approved and are attached at Annex B.

June 2025 Executive Committee Meeting

8.   The June meeting of the Executive Committee focused on the following items:

Ø York Health and Care Partnership Executive Committee Annual Report 2024/25 and Forward Plan: during 2024/2025 there has been significant development of the York Health and Care Partnership. Substantial progress has been made against the plans set out this time next last year. Partnership working has been strengthened with the establishment of a joint committee between Humber and North Yorkshire Integrated Care Board and City of York Council. The annual report at Annex C looks back at progress against 2024/25 plans and looks to the future with a forward plan of priorities for 2025/26.

Ø YHCP Joint Commissioning Forum Sub-Group Report: Recent topics discussed at the Joint Commissioning Forum include:

March: Joint commissioning plan progress update; Section 75 agreement and joint committee; co-commissioning opportunities for Integrated Neighbourhood Teams and VCSE commissioning and compact.

April: Joint committee and Section 75 legal and governance; health inequalities and prevention quarterly monitoring; budget setting and NHS planning for 2025/26 and social care funding for 2025/26.

June: prevention community equipment; children’s commissioning and integration approach and working with the VCSE sector

ØCommunity Joint Delivery Board the purpose of the York Integrated Community Model Joint Delivery Board (JDB) is to provide oversight of the design and delivery of York’s Integrated Community Model. The JDB are tasked with co-design and implementation of a model for community health services that moves away from multiple services towards a larger scale, system-wide approach. The JDB will monitor and steer the direction of travel of this integrated community model.

The overarching aim is to reduce health inequalities by providing efficient, holistic, co-ordinated care for adults that have reduced access to support, ensuring better health and social care outcomes as a result.

Work of the York Population Health Hub

9.      The Population Health Hub continues to advance a range of projects that use data and insight to reduce health inequalities, support system integration, and inform evidence-based planning.

ØJune marked Pride Month, and there has been continued progress in the recording of LGBTQ+ identities in primary care. As of 6th June 2025, 741 patients in York Place are recorded as self-identifying as Transgender. While this reflects improvement, the true figure is likely higher, emphasising the ongoing need for inclusive healthcare environments and accurate coding practices. Local population health data highlights significant inequalities affecting Transgender and Non-binary (TNBI) individuals, including disproportionately high levels of diagnosed mental health conditions, severe mental illness, eating disorders, and anxiety. In response, the Hub is supporting Healthwatch York’s TNBI healthcare review by contributing analytical expertise and population-level data.

ØIn addition, the Hub is progressing two requests for population projections, one from City of York Council and one from the Integrated Care Board. These projections are critical for anticipating future health and care needs, shaping long-term plans, aligning preventive strategies with emerging demand, and improving the integration of services. The Hub is working to ensure consistency across both models to maximise their usefulness for system partners.

ØThe Hub continues to support the development of Integrated Neighbourhood Teams by producing neighbourhood-level population health intelligence. This includes demographic and health outcome data, enabling the system to understand variation, identify priorities, and plan services that reflect the specific needs of the community.

ØA further area of focus involves supporting general practice to identify patients who have received multiple MED3 fit notes and exploring their associated health conditions. This analysis will inform the identification of individuals who may benefit from coaching or targeted support to return to work. The project contributes to the York and North Yorkshire Combined Authority’s Inactivity Trailblazer, part of the national Get Britain Working programme. By identifying and engaging individuals with long-term health conditions, the initiative aims to reduce economic inactivity and support inclusive pathways back into employment.

 

Contact Details

Authors:

 

Compiled by Tracy Wallis, Health and Wellbeing Partnerships Co-ordinator, City of York Council

 

Chief Officer Responsible for the report:

Michael Ash-McMahon, Interim Place Director, York Health and Care Partnership

 

 

Report Approved Yes

 

Date: 02.07.2025

 

ALL
 

Wards Affected

 

 

 

 

 

For further information please contact the author(s) of the report

Annex A: Minutes from the May Meeting of the York Health and Care Partnership

Annex B: York Health and Care Partnership Executive Committee Terms of Reference

Annex C: Annual Report and Forward Plan