Agenda, decisions and minutes

At this point in the meeting, the Executive Member is asked to declare:

·        any personal interests not included on the Register of Interests,

·        any prejudicial interests or

·        any disclosable pecuniary interests

 which they may have in respect of business on this agenda.

At this point in the meeting the Executive Member was asked to

declare if she had any personal interests not included on the Register of Interests or any prejudicial or disclosable pecuniary interests in the business on the agenda. She declared that she had none.

To approve and sign the minutes of the Decision Session held on 9 March 2015.

Resolved: That the minutes of the Decision Session-Cabinet Member for Health & Community Engagement held on 9 March 2015 be approved and then signed by the Executive Member as a correct record.

At this point in the meeting, members of the public who have registered their wish to speak at the meeting can do so. The deadline for registering is Friday 22 July 2016 at 5pm. 

Members of the public may register to speak on an item on the agenda or an issue within the Executive Member’s remit.

Filming, Recording or Webcasting Meetings

Please note this meeting will be filmed and webcast and that includes any registered public speakers, who have given their permission.  This broadcast can be viewed at http://www.york.gov.uk/webcasts.

Residents are welcome to photograph, film or record Councillors and Officers at all meetings open to the press and public. This includes the use of social media reporting, i.e. tweeting.  Anyone wishing to film, record or take photos at any public meeting should contact the Democracy Officer (whose contact details are at the foot of this agenda) in advance of the meeting.

The Council’s protocol on Webcasting, Filming & Recording of Meetings ensures that these practices are carried out in a manner both respectful to the conduct of the meeting and all those present.  It can be viewed at https://www.york.gov.uk/downloads/file/6453/protocol_for_webcasting_filming_and_recording_council_meetingspdf

It was reported that there had been no registrations to speak at the meeting under the Council’s Public Participation Scheme.

The Executive Member for Adult Social Care and Health is asked to approve the recommended option for the future delivery of the Council’s sensory provision, in order to achieve the outcomes identified through the recent review of sensory services.

Resolved: That Option 3 as detailed below be approved:

CYC would approach the market to deliver against agreed future sensory outcomes. Consortia approaches, with a lead provider, would be encouraged. (Although an alliance approach could also be considered).

The successful provider(s) would be encouraged to deliver various statutory ‘givens’ that have been identified within the Care Act within a budget envelope of £160k. The provider(s) would also be expected to demonstrate a substantial amount of added value - delivering additional activity and leveraging added resource.

Reason:   As this will ensure a joined up approach is taken across services and that services are firmly people focused.

Consideration was given to a report which asked the Executive Member to approve an option for the future delivery of the Council’s sensory provision, in order to achieve the outcomes identified through a recent review of the Council’s sensory services. An annex to the report included findings from focus groups and questionnaires distributed to users of CYC and voluntary sector sensory provision, and user-led voluntary organisations.

The following Options were considered by the Executive Member:

Option 1: Continuation/Strengthening of Existing Arrangements

To maintain the status quo by retaining and strengthening the current in-house operational arrangements i.e. by filling the vacant Dual Sensory Social Care Worker post. The current levels of voluntary sector provision being protected – and the continuation of funding to support the same organisations, at the same level as at present.

Option 2: In House Delivery Model

The council seeking delivery of sensory provision through an entirely in-house approach. The current contracts / Service Level Agreements ceasing in December 2016 and all sensory activity would thereafter be delivered by the Adult Social Care Sensory Impairment Team.

Option 3: Commissioning of Sensory Provision (Preferred Option)

The council approaching the market to deliver against agreed future sensory outcomes. Encouragement of Consortia approaches, with a lead provider. (Although an alliance approach could also be considered).

The successful provider(s) being encouraged to deliver various statutory ‘givens’ that have been identified within the Care Act within a budget envelope of £160k. The provider(s) being expected to demonstrate a substantial amount of added value – and the delivery of additional activity and leveraging added resource.

Officers recommended Option 3,- approaching the market due to the size of the current service. This option would also allow for- the  sensory provision delivered by voluntary services, which was at present fragmented, to be united. In addition, assessment for hearing and sight problems could be processed together. The Executive Member noted the implications of the sensory review and expressed support for the services being brought together as particularly as some residents could have both sight and hearing problems.

Resolved: That Option 3 as detailed above be approved.

Reason:   As this will ensure a joined up approach is taken across services and that services are firmly people focused.

This report describes a policy which details how City of York Council will manage non-contracted sexual health out of area activity (City of York residents attending sexual health services commissioned by other local authorities in England) and provide clarity on the conditions and payment terms for cross charging. This is based on the agreed Yorkshire and Humber approach endorsed by the Regional Association of Directors of Public Health Network.

Resolved: That the out of area cross charging policy based on the agreed approach endorsed by the Yorkshire and Humber Association of Directors of Public Health, be approved.

Reason:   This approach reduces the risk of any legal challenge to City of York Council and applies a consistent and fair approach across the region whilst not exposing any one local authority.

Consideration was given to a report which detailed how the Council would manage non-contracted sexual health out of area activity (York residents attending sexual health services commissioned by other local authorities in England) and provide clarity on the conditions and payment terms for cross charging.

The Executive Member was informed that under the Health and Adult Social Care Act, it was a requirement for free sexual health care to be made available to all, whether a resident in the city or not e.g. students. The tariff for charging for care was currently not specified in legislation. In York, £30k had been set aside for cross charging in 2016/17.

It was reported that the budget could not be capped, and that all authorities in Yorkshire and the Humber were agreed on the proposed cross charging policy.

Resolved: That the out of area cross charging policy based on the agreed approach endorsed by the Yorkshire and Humber Association of Directors of Public Health, be approved.

Reason:   This approach reduces the risk of any legal challenge to City of York Council and applies a consistent and fair approach across the region whilst not exposing any one local authority.

This report outlines the development of a targeted approach to Nicotine Replacement Therapy (NRT) provision within the City of York Council stop smoking service.  

Resolved: That Option 2 be supported and agreed as detailed below:

The provision of Nicotine Replacement Therapy (NRT) free of charge for 12 weeks to pregnant women receiving stop smoking support services and for 2 weeks to those in receipt of stop smoking services who meet the criteria.

Reason: This will help to protect the unborn child from the effects of passive smoking by providing free Nicotine Replacement Therapy (NRT) to pregnant women for 12 weeks thus increasing their chances of successfully quitting smoking for the duration of their pregnancy. NRT will also be made available free of charge for 2 weeks for those residents accessing the Council’s stop smoking service who are financially disadvantaged. This is to provide interim support with the expectation that they then fund NRT themselves after this period.

Consideration was given to a report which outlined the development of a targeted approach to Nicotine Replacement Therapy (NRT) provision within the City of York Council stop smoking service. The report asked the Executive Member to consider two options.

Option 1: The provision of NRT to pregnant women only.

Option 2: The provision of NRT to pregnant women and with the provision of a small ‘hardship’ fund.

The Executive Member was informed that from 1 April 2016 those accessing the stop smoking service would be unable to access NRT free of charge as part of a universal offer. Option 2 however would allow for a transition period of a fortnight before pregnant women had to purchase their own NRT. The NRT would then be accessed from their closest community pharmacy.

Advice on smoking cessation could be accessed from a General Practitioner, Practice Nurse, Pharmacist or a national helpline.

Resolved: That Option 2 be supported and agreed as detailed below:

The provision of Nicotine Replacement Therapy (NRT) free of charge for 12 weeks to pregnant women receiving stop smoking support services and for 2 weeks to those in receipt of stop smoking services who meet the criteria.

Reason: This will help to protect the unborn child from the effects of passive smoking by providing free Nicotine Replacement Therapy (NRT) to pregnant women for 12 weeks thus increasing their chances of successfully quitting smoking for the duration of their pregnancy. NRT will also be made available free of charge for 2 weeks for those residents accessing the Council’s stop smoking service who are financially disadvantaged. This is to provide interim support with the expectation that they then fund NRT themselves after this period.

The purpose of this report is to describe the proposals for the development of an Integrated Wellness Service (Yor-Wellbeing Service).

Resolved: That;

·        The proposals for the development of the Yor-Wellbeing Service be noted.

·        The new approach to tackling unhealthy behaviours in York residents which is based on the life-course and with a focus on wellbeing be supported.

Reason: To enable the Yor-Wellbeing Service to be developed with a focus on promoting healthier, independent and more active lives using a personalised approach structured around Local Area Teams.

Consideration was given to a report which described the proposals for the development of an Integrated Wellness Service (Yor-Wellbeing Service).

The Executive Member noted that the aim of the Service was to provide a ‘one stop shop’, which would bring together sport and physical activity initiatives, the stop smoking services and healthchecks. Officers confirmed that by bringing the sport and active leisure staffing structure into the public health directorate, it would help to promote a personalised approach showing how people could have physically active lives. Officers informed the Executive Member that the Service would also look to harness the voluntary sector work, to increase community capacity.

Officers also confirmed that links were being developed with the City and Environmental Services Directorate in regards to how the city’s infrastructure could be beneficial for the wellbeing of the city’s residents.

Resolved: That;

(i)   The proposals for the development of the Yor-Wellbeing Service be noted.

(ii)  The new approach to tackling unhealthy behaviours in York residents which is based on the life-course and with a focus on wellbeing be supported.

Reason: To enable the Yor-Wellbeing Service to be developed with a focus on promoting healthier, independent and more active lives using a personalised approach structured around Local Area Teams.