Agenda and minutes
Venue: The George Hudson Board Room - 1st Floor West Offices (F045). View directions
Contact: Chris Elliott Email: firstname.lastname@example.org
The Chair started by informing the committee that Kevin McAleese had unfortunately passed away and sent the Board’s sincere condolences.
Declarations of Interest
At this point in the meeting, Board Members are 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. A list of general personal interests previously declared is attached.
Board Members were invited to declare any personal, prejudicial
or disclosable pecuniary interests, other than their standing
interests, that they had in relation to the business on the
agenda. None were declared.
To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 17 October 2018.
Resolved: That the minutes of the previous meeting of the Health and Wellbeing Board held on 17 October 2018 be approved and signed by the Chair as a correct record.
It is at this point in the meeting that members of the public who have registered their wish to speak can do so. The deadline for registering is 5.00 pm on Tuesday 12 March.
To register please contact the Democracy Officer for the meeting, on the details at the foot of this agenda.
Filming, Recording or Webcasting Meetings
Please note that, subject to available resources, this meeting will be filmed and webcast, or recorded, including 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: http://www.york.gov.uk/download/downloads/id/11406/protocol_for_webcasting_filming_and_recording_of_council_meetings_20160809.pdf
It was reported that there had been no registrations to speak under the Council’s Public Participation Scheme.
The following provides an update to the Health and Wellbeing Board (HWBB) on progress of the PBIP.
The Board received an update from the Chief Executive of City of York Council on the progress of the York Health and Care Place Based Improvement Partnership (PBIP) which she chaired.
The Chief Executive clarified the nature of the PBIP’s make up saying that it consisted of chief officers from City of York Council (CYC), NHS Vale of York Clinical Commissioning Group (CCG), Tees Esk and Wear Valleys NHS Foundation Trust (TEWV), York CVS, North Yorkshire Police and national partners. The Chief Executive highlighted that the purpose of the PBIP was to:
- Be the system wide strategic lead for York’s Health and Wellbeing
- To unlock issues and help remove any barriers in improvement
- Focus on activities relating to system wide transformation
The Chief Executive gave an overview of the report and of the last meeting of the PBIP.
Lisa Winward, Chief Constable for North Yorkshire Police, stated that PBIP had made progress and commented on the positive outcomes of PBIP members attending the Health and Wellbeing Board workshop to share and discuss joint strategies for the City.
Phil Mettam, Vale of York CCG, commented that particularly for organisations that have a wider footprint than the City of York, it is often difficult to focus on the City and that the PBIP was challenging organisations to think and organise themselves differently.
Sharon Stoltz (Director of Public Health) ,on behalf of the Health and Wellbeing Board Steering Group, commented that this progress was welcomed by the Steering Group and that an update on how this work would be taken forward would be presented at the next meeting.
Following a question from Cllr Craghill relating to the sale of Bootham Park, The Chief Executive stated that a joint communication had been given by CYC, the CCG and TEWV, thanking everyone for contributions to the business plan and highlighting that whilst the sale would proceed, CYC and its partners were ready and willing to work with the preferred bidder through the one public estate programme. The Chief Executive also stated that all partner organisations agreed that they were not in a position to bid for the land in a joint public sector venture.
Cllr Cannon stated her request that the minutes and agendas of the PBIP be accessible to the public as it was important that everybody had the information. The Chief Executive responded to this by stating that the PBIP didn’t have minutes and that members of the PBIP had agreed to have the conversations privately in their meetings in order to allow for open and honest discussion of the challenges they face. Cllr Cannon stated that she felt there had been a move within the authority towards less transparency and that this was not a healthy precedent to set.
Cllr Cannon asked for more information on staff resourcing in domiciliary care and in the absence of Mike Proctor, the Chair asked that a briefing be circulated outside of the meeting.
In response to further questions, Phil Mettam ... view the full minutes text for item 31.
This report provides the board with an update on the Care Quality Commission (CQC) progress report on the local system review of York, including a summary of their findings and York’s system response.
The Board received an update from the Assistant Director of Joint Commissioning on the Care Quality Commission progress report on the local system review of York.
The Officer highlighted some of the key issues reported by the CQC and the areas for future focus, which are in addition to the recommendations from the original CQC report. Two errors in the report were also highlighted:
- The report stated that the PBIP met ‘monthly’, when it should read ‘quarterly’
- Under paragraph 29, the lead on the Workforce work stream should be Mike Holmes, not Mike Proctor as is noted.
It was also noted that Live Well York officially launches tomorrow (14 March 2019).
Cllr Cannon expressed concerns that the Health and Wellbeing Strategy was being put to one side and that a new plan was being formulated. Officers clarified that this was not the intention at all and the next step was to work out how, as one system, the strategy was to be delivered and communicated.
Cllr Craghill highlighted that in order for the strategy to be internalised and understood by a wider range of stakeholders, it needs more focus on what is happening at the moment, including the provision of quality care services to those who need it in a timely fashion.
Officers stated that it is not a strategy about day-to-day business of services, it is about improving the health outcomes for the people of York.
Resolved: That the Health and Wellbeing Board:
i) Receive the published report of the CQC progress review of York’s Local System
Reason: The Board is accountable for improving the outcomes set out in the report
ii) Receive the shortened version of the York Improvement Plan, showing only the remaining actions, as set out in Annex 2.
Reason: In order to formally recognise the progress which has been made and to streamline future work on the plan.
The Chair requested that a further report be brought to the next meeting to ensure the following two recommendations are completed:
iii) Consider how the single vision and strategy should be communicated more widely to ensure whole system buy in.
Reason: To strengthen the approach to Improvement
iv) Define the roles and responsibilities of HWBB and PBIP for driving the pace of improvement and delivering the action plan.
Reason: To provide clarity and ensure progress is made between HWBB meetings.
This report on the Better Care Fund provides an update on the progress against national targets, national reporting to NHS England, NHS England planning and guidance, information on a recent co-production event and progress with the Whole System Demand and Capacity Model.
The Board received an update on the Better Care Fund from the Assistant Director of Joint Commissioning.
The officer gave a brief overview of the report, highlighting the key issues that the system was facing and informed the Board that York will be receiving funding from the Regional Support Fund in order to begin a pilot with regard to Trusted Assessments, which is an area in which York is non-compliant.
In response to questions from the Board, the officer stated that the revised policy framework and planning guidelines for the Better Care Fund will be available by the end of the financial year, which will include the targets for performance in areas such as Delayed Transfers of Care.
Under further questioning, the Officer also clarified that people who are ‘self-funding’ their care are not currently being reported within the statistics for Admissions to Residential Nursing Care and that the estimate percentage of ‘self-funded’ care places is around 65%.
Resolved: That the Health and Wellbeing Board note this report.
Reason: To keep the Health and Wellbeing Board up to date in relation to the Better Care Fund.
This report outlines the current position against a set of indicators in respect of the living and working well theme within the joint health and wellbeing strategy 2017-2022.
The Board received a performance report on the Living and Working Well theme of the Health and Wellbeing Strategy from the Director of Public Health.
The Director for Public Health highlighted two particular areas of concern including the uptake of Health Checks and Cervical Cancer Screenings especially for women between the ages of 25-29.
Phil Mettam also highlighted the impact of the reduction in funding for Alcohol and Substance Misuse services, noting Primary Care’s disappointment with the decision. Cllr Craghill agreed with the importance of this issue and noted that perhaps this should now be considered a strategic priority of the Health and Wellbeing Board to help combat the cuts to Public Health grants in this area.
The Director of Public Health noted that there wasn’t a single area of Public Health work that hadn’t been affected by the cuts to Public Health grants and that this has forced difficult decisions regarding budgets, that we are now seeing the consequences of.
It was also noted that Healthwatch York are currently working with Changing Lives on the Multiple Complex Needs Network to try and look at issues around supporting people better and working differently.
Cllr Cannon further noted the widening gap of health inequalities and the importance of noting inequalities with issues such as this.
Phil Mettam suggested that the Scrutiny process should engage with Primary Care in a meaningful way regarding Substance and Alcohol Misuse, due to its importance and to ensure that The Council and all partners deal with this issue in genuine partnership and consultation.
Resolved: That the Health and Wellbeing Board are asked to note the content of this performance report.
Reason: To ensure understanding of the progress made against the Living and Working Well theme within the joint Health and Wellbeing Strategy 2017-2022.
This report updates the Health and Wellbeing Board (HWBB) with progress on the development of a Healthy Weight Strategy for adults and children in the City of York, and invites any comments from the board about the strategy.
The Board received an update report on the development of a Healthy Weight Strategy for the City of York from the Director of Public Health. Officers introduced some key aspects of the draft strategy and spoke about priorities before inviting the Board to comment.
Members of the Board noted that this is a highly complex area where a multitude of issues can affect an individual’s ability to maintain a healthy weight. It was also noted that in some areas of the City, the availability of fresh food can also be an issue.
Members of the Board also discussed Food Banks and the opportunity to deliver a number of additional services to people within that environment.
The Chair thanked the officers for their work and stated that the consultation should take place after ‘purdah’ (the pre-election period). Officers responded by also asking for written comments from Members of the Board by the end of March.
Resolved: That the Health and Wellbeing Board:
i) Receive the update on the work being carried out to understand the obesity levels of adults and children in York
ii) Approve the Draft Healthy Weight Strategy for Consultation
iii) Agree to receive the final version of the Healthy Weight Strategy when it is finalised
Reason: To keep the HWBB informed of issues relating to obesity in York and provide assurance that action is being taken to address any areas where concern is raised.
This report asks the Health and Wellbeing Board to formally ratify the All Age Learning Disabilities Strategy.
The Board received an update on the All Age Learning Disabilities Strategy and welcomed guests from People First and Claire Dobson, Co-Chair of the Learning Disability Partnership, who introduced the item.
Ms Dobson explained that she and her colleagues had been involved in the creation of the All Age Learning Disability Strategy and had thoroughly enjoyed it. Ms Dobson noted that she now wants to ensure that the Strategy is seen through and that actions are taken forward.
Officers also gave a brief overview of the strategy and how the partnership had consulted on and created it. Board Members noted their thanks to Claire and all the guests from People First for attending.
The Director of Public Health noted in relation to the Strategy’s priority area 4, that there were a number of screening programmes already in place however they didn’t involve Learning Disabilities. It was suggested that The Director of Public Health would take this as an action and ensure that the right people came to talk to the Learning Disabilities Partnership in order to bring these areas of work together. Board Members went on to state that performance with regard to Health Checks had improved but there was still further work to do.
It was suggested by Members that perhaps the All Age Learning Disabilities Strategy could be incorporated into the Joint Health and Wellbeing Strategy. The Board also agreed that this strategy needed to be circulated widely to all health providers and partners. The Chair noted that perhaps this could be taken up with Healthwatch York.
Resolved: That the Health and Wellbeing Board:
i) Ratify the All Age Learning Disabilities Strategy
ii) Agree to receive annual updates from the All Age Disabilities Strategy Group
Reason: To give a formal mandate for the All Age Learning Disabilities Strategy and allow work to progress in achieving the actions within the Strategy.
This report asks the Health and Wellbeing Board (HWBB) to endorse the recommendation of the Ageing Well Partnership to apply to become a member of the UK Network of Age Friendly Communities.
The Board received a report from the Ageing Well Partnership. The report requested that the board endorse the recommendation that York apply to become a member of the UK Network of Age Friendly Communities.
The officer introduced the item and noted that the framework provided by Age Friendly Communities and Cities Status was very positive and provided a focus on how to work collaboratively to challenge some of the physical and mental challenges and subsequent recommendations from the Older People’s Survey. It was also noted that by joining the network, resources and information relating to best practice would become available.
Officers highlighted that it was free of charge to join the network and working towards the framework would help join up some of the programmes of work already taking place in York.
Members of the Board noted that it was important to ensure that the Age Friendly Community framework dovetailed with York’s Ageing Well priority and it was noted that the Ageing Well Partnership would ensure this is the case.
Resolved: That the Health and Wellbeing Board endorse the recommendation to become a member of the UK Network of Age Friendly Communities
Reason: To progress delivery of the ageing well theme in the joint Health and Wellbeing Strategy 2017-2022 and the recommendations in the older people’s survey.
This report provides the board with an update on the work that has been undertaken by the Health and Wellbeing Board (HWBB) Steering Group.
The Board received an update from the Health and Wellbeing Board Steering Group from the Director of Public Health.
The officer highlighted that the Steering Group are proposing to review and lightly refresh the Health and Wellbeing Strategy and to consider the way in which the key messages within it are communicated. The point was made that the intention would not be to change any of the priority areas.
The Director of Public Health updated the board on paragraphs 16-19 by stating that Primary Care Support England have not approved the new pharmacy at Kimberlow Hill. The reason for this is that the Board’s Pharmaceutical Needs Assessment had not identified the need for this Pharmacy.
Resolved: That the Board confirm the Steering Group’s proposal and timetable to lightly refresh the joint health and wellbeing strategy;
Ratify the decision that the recommendations in the JSNA needs assessment about people who self fund their own care in York be progressed through the Ageing Well Partnership.
Reason: To update the Board in relation to the work of the HWBB Steering Group
This report is intended to assure the Health and Wellbeing Board (HWBB) that preparations are being made in anticipation of the United Kingdom (UK) leaving the European Union (EU).
The Board received a report from the Head of Corporate Strategy and City Partnerships intending to assure the Board that preparations are being made in anticipation of the United Kingdom (UK) leaving the European Union (EU).
The Director of Public Health explained that the Council has pulled together a number of key partners around the City to plan for the UK’s exit from the EU and that robust planning processes are in place.
The following key issues were highlighted for the Board’s attention:
i) Availability and subsequent cost of medicines
ii) Import delays of devices used in hospitals
iii) Workforce concerns in Independent Care Sector
Phil Mettam, Vale of York CCG, assured the Board that plans are in place however there was still work to do, particularly on point (iii).
Resolved: That the Health and Wellbeing Board note the discussions and activities are under way to prepare for EU Exit and to mitigate against the challenges of a ‘no deal’ scenario.
Reason: To ensure the Board is kept up to date on preparations and assurances are given with regard to the level of planning taking place.
The Chair thanked all the Board Members for their support during her term as Chair.