Agenda and minutes

Introductions were carried out.

At this point in the meeting, 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 in the business on the agenda, other than the standing interests which had been circulated with the agenda papers.  No additional interests were declared.

To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 21 October 2015.

Resolved: That the minutes of the meeting of the Health and

Wellbeing Board held on 21 October 2015 be signed by the Chair as a correct record.

Consideration was given to the Board’s Action Grid.  It was noted that Action HWBB 006 had been included as an item later on the agenda and that all other actions were completed or on target.

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 by Tuesday 1 December 2015 at 5.00 pm.

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 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 one registration to speak at the meeting under the Council’s Public Participation Scheme.

Dr Mick Phythian expressed his concerns that Healthwatch had not received feedback to date from any local organisations regarding their report on discrimination against disabled people.  He drew attention to the concerns in the report regarding inadequate parking provision for Blue Badge holders in the City centre.  Dr Phythian stated that the Council’s own car parks were on the periphery of the city centre and although it had been stated that the developments in Kings Square would provide two bays this had not been the case.  Although Blue Badge holders were permitted to park on double-yellow lines for three hours (where there were no markings on the kerbside), this time was inadequate for many activities.  The Council has also more recently increased the number of double-yellow lined areas where no parking at all was permitted. There had also been an increase in businesses placing ‘A’ boards, or in one case tables and chairs, in the road and the Council did not appear to be taking action to address this issue.

Dr Phythian stated that he was pleased at the arrangements that had been put in place to make the St Nicholas Fair wooden huts more accessible, but unfortunately this improvement had been undermined by the fact that the road around St Sampson’s Square had been closed to accommodate additional huts. This had further reduced the available double-yellow line parking.  Dr Phythian also drew attention to the inaccessibility of York Crown Court and stressed the importance of ensuring that York was accessible.

The Chair thanked Dr Phythian for his comments and stated that she shared his concerns regarding the need to ensure appropriate follow up from Healthwatch reports.  It was hoped that these could be considered by a task and finish group.  The concerns that had been raised regarding disabled parking, including the arrangements for the St Nicholas Fair, would be discussed with the relevant Director.

Tim Madgwick echoed the concerns that had been raised regarding the inaccessibility of York Crown Court and its lack of disabled parking.  He also drew attention to the issue of disability hate crime and stated that this was significantly under reported.  Incidents of this type of abuse on buses was one of the issues.  Improved reporting arrangements had been put in place and the outcomes would be reported to the Board. 

Councillor Brooks stated that a scrutiny review had been carried out regarding disabled access to York’s heritage and cultural offer and that one of the issues that had been raised during the consultations had been concerns regarding transport.

This report asks the members of the Health and Wellbeing Board to note the latest available performance figures for the indicators agreed in December 2014.

Board Members considered a report that presented the latest available performance figures for the indicators agreed in December 2014.

Discussion took place around the following issues:

·        The development of more community options in respect of Adult Social Care.

·        Concerns regarding the low proportion of customers with care and support needs who say they feel safe.  Consideration was being given to extending the telecare offer but there was a need to address perceptions and give reassurance that York was a safe place in which to live.

·        Parties agreed to support the falls prevention work that was taking place.  This would be taken forward as a public health issue.

·        Work was taking place to improve take up of health checks for people with learning disabilities. Concerns were expressed that some people with learning disabilities had been charged to see their own health check outcomes. It was agreed that details would be forwarded to the York Clinical Commissioning Group to investigate.  There was also a need to ensure that appropriate links were in place with the work that was taking place through Applefields.   

·        It was noted that the current smoking cessation services in York had one of the lowest engagement rates in the country and the service was being re-commissioned as part of an integrated wellness service.

·        It was agreed that there were opportunities for organisations to work together in a more joined up way.  As well as sharing intelligence there were opportunities for organisations to signpost customers to sources of support.

·        Board Members were pleased to note that, for the first time in living memory, no vulnerable adult detained by the police under the Mental Health Act, had been taken into a police cell for the whole of last month.   

·        The need to better utilise the voluntary sector in York.  Charities, individuals, community and faith groups had much more to contribute in addressing some of the challenges that had been identified.

·        It was noted that, although there had been a fall in the number of hospital admissions as a result of self harm for 10-24 year olds, the Children’s Safeguarding Board had identified this issue as a priority.  The work that the YorOK Board was carrying out in respect of the happiness of young people in the city would be reported back to the Health and Wellbeing Board.

·        It was noted that a new NEETs strategy was being developed.  Whilst overall performance was good, there were significant challenges.  Over 30% of the NEET group had SEND. 

·        Board Members expressed concern at the Government cuts to public health funding which had been announced and the implications of the reduction in resources.  Board Members stressed the importance of early intervention and preventative work and requested that their concerns be forwarded to the Department of Health.¹  Board Members noted that a scrutiny task group was looking at the issue of public health grants and how these were being spent and it was hoped that its findings would be reported to the Board.  Board Members  ...  view the full minutes text for item 32.

This report provides the Board with an update on York’s Joint Strategic Needs Assessment.

Board Members considered a report which presented an update on York’s Joint Strategic Needs Assessment.

Board Members’ attention was drawn to paragraph 8 of the report, which detailed proposed changes to the future direction of the Joint Strategic Needs Assessment which would be better targeted at priorities.

Consideration was given to the establishing of a new Joint Health and Wellbeing Strategy and Joint Strategic Needs Assessment Steering Group.  Terms of Reference for the group were included at Annex A of the report.  Board Members were pleased to note that Mr George Wood had offered to serve as a Lay Member on the group.

Clarification was sought as to whether meetings of the group would be public.  Board Members were informed that this was not the intention, as the group would be operating as a working group.  The Group would, however, provide reports to the Health and Wellbeing Board which would ensure accountability. 

Board Members noted that it was the intention to invite specialists to attend particular meetings of the group to contribute to specific topics.  It was suggested that this could include representatives from Higher York or housing providers.

It was suggested that one of the issues for consideration should be the recruitment of carers in the private sector.

Resolved:  (i)      That the update be noted.

                   (ii)      That the establishment of a new Joint Health and

Wellbeing Strategy and Joint Strategic Needs Assessment Steering Group be approved.

                   (iii)     That the new Steering Group be tasked with

producing a project initiation document setting out all elements of the work that needs to be undertaken to be signed off by the Health and Wellbeing Board.

Reason:              To update the Board on progress made with the Joint Needs Assessment.

This report and its associated annexes set out progress made to date on implementing the recommendations arising from the following Healthwatch York reports:

Ø   Loneliness – A Modern Epidemic and the Search for a Cure

Ø   Discrimination Against Disabled People in York

Ø   Access to Health and Social Care Services for Deaf People

Board Members considered a report which set out progress made to date on implementing the recommendations arising from the following Healthwatch York reports:

·        Loneliness – A Modern Epidemic and the Search for a Cure

·        Discrimination Against Disabled People in York

·        Access to Health and Social Care Services for Deaf People

Board Members were updated on the progress that had been made in addressing some of the issues that had been raised, including a number of actions taken by the hospital. 

It was agreed that there was a need for the recommendations to be fed into the JSNA.  It was also important that appropriate structures were in place to enable the Steering Group to ensure that these had been appropriately addressed. Board Members stressed the importance of ensuring that there was honesty from organisations in determining whether the recommendations could be implemented and that the Health and Wellbeing Board ensured that those issues within its remit were actioned.

Resolved: (i)       That the progress made against implementing

the recommendations contained in the three Healthwatch York reports be noted.

                   (ii)      That recommendations arising from these reports

be taken into account when considering the health and wellbeing priorities for the city as part of the renewal of the Joint Health and Wellbeing Strategy.

(iii)     That a Task and Finish Group be established to discuss the recommendations in future Healthwatch York reports.

Reason:              To follow up on the recommendations of the

                             Healthwatch reports.

The purpose of this report is to provide the Health and Wellbeing Board with an update on the development of the new Healthy Child Service.

Board Members considered a report which provided an update on the development of the new Healthy Child Service.  It was noted that a more detailed report was due to be presented to the YorOK Board in January.  

Details were given of the work that the project group and steering group were carrying out to progress the move to the new service.  Board Members sought clarification as to whether the work was on target to meet the agreed timescales.  They were informed that the staff would transfer on 1 April 2016 but that there would still be further work required after that date to ensure that staff were integrated.

Resolved:  That the contents of the report be noted.

Reason:     To keep the Health and Wellbeing Board appraised of the progress being made on plans for the establishment of an integrated 0-19 Healthy Child Service.

To consider the Board’s Forward Plan.

Board Members were asked to consider the Board’s Forward Plan.

Referring to the item on suicide prevention that was due to be considered at the next meeting, Tim Madgwick stated that, subject to it being acknowledged that the cases were still subject to consideration by the coroner, it would be possible to provide data for 2015.  Board Members requested that the Suicide Prevention Officer also be invited to attend the meeting.

Resolved:  That, subject to the addition detailed above, the Forward Plan be approved.

Reason:     To ensure that the Board has a planned programme of work in place.