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Agenda and minutes

Venue: The Snow Room - Ground Floor, West Offices (G035). View directions

Contact: Michelle Bennett  Email: michelle.bennett@york.gov

Items
No. Item

56.

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.

Minutes:

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.

57.

Minutes pdf icon PDF 131 KB

To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 11 September 2019.

Minutes:

Resolved: That the minutes of the previous meeting of the

Health and Wellbeing Board held on 11 September 2019 be approved and signed as a correct record.

 

58.

Public Participation

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 5.00pm, Tuesday 3 December.

 

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

 

 

Minutes:

It was reported that there had been one registration to speak at the meeting under the Council’s Public Participation Scheme.

 

Ms Sarah Marrison, Regional Support Officer (North) of Farm Garden, spoke on the Growing Care Farming Project explaining that care farms provide services for individuals with a defined need or diagnosis - most frequently for adults and children with learning disabilities, for people with mental ill-health, dementia, children and adults with ASD, those with a drug or alcohol addiction history, children excluded from school and ex-service personnel with PTSD.  Care farming is the therapeutic use of farming practices where service users regularly attend the care farm as part of a structured health or social care, rehabilitation or specialist educational programme.  Positive outcomes reported from service user feedback had been a feeling of belonging and being part of a team, reducing anxiety and increasing concentration.  Ongoing training for new care farmers with voluntary safety assurance was also part of the network. 

 

Board members were interested to hear about an initiative in York at Beetle Bank Open Farm which currently had 3 or 4 people accessing this service and a number of interested prospective care farmers.  There were opportunities for signposting people to this service.  Service users could continue for as long as they wish to.

 

It was agreed that the lead officer of the Health and Wellbeing Board (HWBB) would circulate Ms Sarah Marrison’s contact information to board members so that she could provide them with further information.

59.

Physical Activity and Sport Strategy for York pdf icon PDF 182 KB

Members of the Health and Wellbeing Board (HWB) will receive a report which provides an update on the work to develop a physical activity and sport strategy for York.  The report also contains a request of endorsement from the board.

George Cull and Damien Smith from the leadership team at North Yorkshire Sport will both be in attendance to present the report.

Additional documents:

Minutes:

Members of the Health and Wellbeing Board (HWBB) received a report which provided an update on the work to develop a physical activity and sport strategy for York.  The report also contained a request of endorsement from the board.

George Cull and Damien Smith from the leadership team at North Yorkshire Sport were both in attendance to present the report.  They also provided a presentation (which can be found at item 4 of this agenda).

They apologised for the two typos on the report: (i) page 24 Annex 1 ‘in equalities’ should read ‘inequalities’ and (ii) page 28 last bullet point ‘casual’ instead of ‘causal’. 

The Physical Activity and Sports Strategy for York had arisen due to the Health and Wellbeing Annual Report for 2018/19 which had outlined Public Health’s ambition to develop a physical activity strategy.  This resulted in a partnership arrangement with City of York Council (CYC) and North Yorkshire Sport (NYS), who were commissioned to lead the development of a Physical Activity and Sport Strategy for the city.

They outlined the aims of their strategy which included: a strong focus on physical activity as well as supporting core sporting markets; using physical activity and sport to support wider outcomes; connecting and linking with existing strategies within the city and nationally; support existing asset based approaches with communities and galvanising partners to work more effectively with each other, as well as identifying new work areas.

The following information was provided in response to questions from the HWBB members:

·        The strategy aims to run from 2020 – 2030 but was intended to be ongoing for as long as funding was available.

·        The current participation in physical activity figures provided in their presentation had indicated that those from lower socio economic and those with physical disability were doing less exercise. To address this, they spoke about supporting individuals to build confidence and undertaking awareness raising so that people were informed of low cost or free activities that they could access.

·        In response to a board member’s concern that some of the activities listed such as Man v Football league were focused on physical activity which may set people up for disappointment in that physical activity alone would not help someone achieve a healthy weight, they explained that participants were provided with nutritional support and behaviour-change tools and that participants had been successful in achieving weight loss.

·        On campaigns such as “This Girl Can” it was noted that many women would not describe themselves as a girl. This was something that was not in their remit to change as their role was to amplify existing campaigns. 

·        In relation to the funding strategy, referral model and making the existing system work better, they explained that they were not yet at that stage of detail.

·        They considered that funding was available to access provided that there was a clear picture of services and assets available and that they could demonstrate where there was a need for services.

Board members were pleased  ...  view the full minutes text for item 59.

60.

Refresh of the Joint Health and Wellbeing Strategy and Review of the Health and Wellbeing Board Sub-Structure pdf icon PDF 136 KB

Members of the Health and Wellbeing Board (HWB) will receive a report  which presents the outcomes from a recent priority setting workshop; including discussions about how these priorities might be delivered through the Health and Wellbeing Board’s sub-structure.

 

 

Additional documents:

Minutes:

Members of the Health and Wellbeing Board (HWBB) received a report which presented the outcomes from a recent priority setting workshop; including discussions about how these priorities might be delivered through the Health and Wellbeing Board’s sub-structure.

 

Fiona Phillips, Assistant Director, Public Health was in attendance to present the report and to respond to questions.

 

Recommendation A

In relation to recommendation A of the officer’s report that the board consider confirming the priority on ‘Starting and Growing Well’ which would be confirmed by the Corporate Director for Children, Education and Communities once the feedback from the forthcoming peer review had been received.  During discussion on this aspect it was suggested that the YorOK Board, which reports to this committee, would be the most appropriate group to progress this priority. 

·        Board members agreed that the YorOK Board should be tasked to lead on this outcome as they are currently developing the Children and Young People's Plan which would be ready for March 2020, they have a multi-agency approach and the ‘voice of children and young people’ is captured throughout the Plan.  It should be noted that the YorOK Board previously had a statutory duty to produce a  Children and Young People's Plan, however, this is no longer a statutory requirement. 

·        The YorOK Board would consider what the priority for the starting and growing well theme should be.  This would be considered and amended or endorsed at the HWBB.  This would then be would be confirmed by the Corporate Director for Children, Education.                                                                                                                                                                                                                                                                                                                                                                  

 

Recommendation D

In relation to the recommendation of option D, to ask the Human Rights Board to take the lead on delivering against the living and working well priority.  The chair expressed some ambivalence regarding whether this was the right group to lead on delivering against this priority.  The board agreed that they would be asked to take the lead, however, this may require further consideration.

Other suggestions for consideration in relation to this item included:

·     To invite Steven Eames to a future meeting for a discussion on NHS integrated systems and its priorities or potentially set the HWBB priorities and values.

·     Primary Care Home Steering Group to ensure that it is an integral part of the Primary Care Network.

 

Resolved:

 

That the Health and Wellbeing Board approved the following options:

(i)           Option A: that for the remainder of the timeframe covered by the current Joint Health and Wellbeing Strategy the board would focus on the four priorities set out in paragraph 5 of the officer report with confirmation for the priority around starting and growing well to be confirmed by the Corporate Director of Children, Education and Communities once The YorOK Board had considered what the priority for the starting and growing well theme should be and once the HWBB had amended or endorsed the YorOK Board’s proposals.

(ii)         Option D: Disband the HWBB Steering Group but keep the rest of the existing groups as a delivery mechanism for the board’s priorities and additionally ask the Human  ...  view the full minutes text for item 60.

61.

Better Care Fund Update pdf icon PDF 129 KB

Members of the Health and Wellbeing Board will receive an information report which sets out the following:

·        An update on the 2019-2020 Better Care Fund Plan for York

·        Some recent highlights.

·        Progress against national targets that the Better Care Fund (BCF) is designed to positively influence.

Additional documents:

Minutes:

Members of the HWBB received an information report which provided further information on the 2019-2020 Better Care Fund (BCF) Plan for York and progress against national targets that the BCF is designed to positively influence.

 

Pippa Corner, Assistant Director, Joint Commissioning, City of York Council/NHS Vale of York Clinical Commissioning Group and Ruth Abbott, the Housing Standards Adaptations Manager (CYC) were in attendance to present the report and answer questions from the board.  

 

Board members were interested to receive information on the recent highlights of the BCF performance and delivery group and were pleased to note that representatives of the Primary Care Networks in York had joined this network. 

 

Board members also noted the case studies and positive feedback from service users who had benefitted from these grants which had helped people consider their requirements at an earlier stage rather than when in ‘crisis’, enabling service users to feel safe and secure within their homes.

 

Resolved: That the HWBB noted this report.

 

Reason:     So that the HWBB are updated on the 2019-2020 Better Care Fund Plan for York and progress against national targets that the fund is designed to positively influence.

62.

Healthwatch York Report - Understanding People's Experiences of the Sight Support Service provided by the Eye Clinic Liaison Officers (ECLO) at York Teaching Hospital NHS Foundation Trust. pdf icon PDF 173 KB

Members of the Health and Wellbeing Board will receive a new report from Healthwatch York about understanding people’s experiences of the sight support service attached at Annex A to this report.

 

Additional documents:

Minutes:

Members of the HWBB received a report from Healthwatch York about understanding people’s experiences of the sight support service.  Sian Bâlsom, Healthwatch York Manager, was in attendance to present the report and to respond to questions.  The personal stories at Annex A of the report had highlighted how vital these services were.  It should be noted that there are challenges around how this service area maintains its funding nationally. 

Resolved: That the HWBB:

 

(i)       Considered the report and the recommendations set out at pgs. 94 and 95 of the agenda, within their own organisations;

(ii)      That those organisations with a specific recommendation, set out at pgs.94 and 95 of the agenda, respond to Healthwatch York, within 20 working days from the date of the board meeting, acknowledging the receipt of the report, and detailing any actions they intend to take;

(iii)     Refer the report to the Joint Commissioning Group for consideration of any implications for joint commissioning.

Reason:     To keep members of the Board up to date regarding the

work of Healthwatch York.

 

 

63.

Right Care, Right Place Programme pdf icon PDF 128 KB

Members of the Health and Wellbeing Board will receive a report detailing the Trust’s Right Care, Right Place Programme (RCRP).  The programme is the Trust’s response to the NHS Long Term Plan and aims to deliver a more integrated and seamless approach to care.  Each locality will look to co-produce their own proposals to implement the principles with local stakeholders.  Within the City of York, this work is focused mainly around the ‘Connecting Our City’ project through the Mental Health Partnership Board.

 

 

 

Additional documents:

Minutes:

Members of the HWBB received a report detailing the Trust’s Right Care, Right Place Programme (RCRP).  The programme is the Trust’s response to the NHS Long Term Plan and aims to deliver a more integrated and seamless approach to care.  Each locality would look to co-produce their own proposals to implement the principles with local stakeholders.  Within the City of York, this work has focused mainly around the ‘Connecting Our City’ project through the Mental Health Partnership Board.

David Kerr, Right Care, Right Place Programme Manager, from North Yorkshire and York Tees, Esk & Wear Valleys NHS Foundation Trust, was in attendance to present the report and to respond to questions. 

 

The following information was provided in response to questions from committee members:

 

·        The Programme is at the early engagement stage of the of the process.

·        Primarily focused on adults, however in York it has an all ages approach. 

·        The process is to map assets and then to connect them together to create resilience so that people receive the care that they need at the right time, empowering service users and avoiding dependency on mental health care services.

·        The ‘Connecting our City’ programme is heavily influenced by Trieste Mental Health service model used in Trieste, Italy.

 

Board members comments on the report included the following:

·        Board members were pleased to note that health  services that influence mental health such as: stop smoking, physical activity and sexual health services had been referenced in this Programme. 

·        A board members considered that there would be mutual benefits with working with the Multiple Conflict Needs Network.

·        Chief Constable at North Yorkshire Police considered that this service would be of great benefit to the street triage service in directing people to access the most appropriate services.

 

Resolved: That the Health and Wellbeing Board:

(i)   Support the principles and values of the Right Care, Right Place Programme;

(ii) Support the Programme’s ongoing development and implementation through the Mental Health Partnership.

Reason:     To ensure all partners represented at the Health and

Wellbeing Board have the opportunity to contribute to the Right Care, Right Place Programme.

 

 

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