Agenda and minutes

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.

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 16 March 2022.

The Chair advised that the appointment of Vice Chair would be addressed when membership was approved at Annual Council on 26 May 2022.

The Director of Public Health asked for an action log to be included in the minutes. The Democracy Officer agreed to check this with the Monitoring Officer. A Member requested clarification on the statutory duties around dementia.

Resolved: That the minutes of the last meeting of the Health and Wellbeing Board held on 16 March 2022 be approved as an accurate record.

At this point in the meeting members of the public who have registered to speak can do so. Members of the public may speak on agenda items or on matters within the remit of the committee. Please note that our registration deadlines have changed to 2 working days before the meeting. The deadline for registering at this meeting is 5:00pm on Monday 16 May 2022.

To register to speak please visit

www.york.gov.uk/AttendCouncilMeetingsto fill out an online registration form. If you have any questions about the registration form or the meeting, please contact the relevant Democracy Officer, on the details at the foot of the agenda.

Webcasting of Remote Public Meetings

Please note that, subject to available resources, this remote public meeting will be webcast including any registered public speakers who have given their permission. The public meeting can be viewed live and on demand at www.york.gov.uk/webcasts.

During coronavirus, we've made some changes to how we're running council meetings. See our coronavirus updates (www.york.gov.uk/COVIDDemocracy) for more information on meetings and decisions.

It was reported that there was one member of the public registered to speak under the Council’s Public Participation Scheme. Flick Williams spoke on agenda item 5 [Draft Dementia Strategy], noting concern that York was to apply for Age Friendly City status. She explained that older people and disabled people had many interests in common and the exclusion of blue badge holders in the city centre was a significant contributor to older people accessing the city centre. She noted the resulting loss in trade from this and listed other barriers to access the city centre. She did not believe that the city could call itself age friendly.

This report presents the Health and Wellbeing Board with an update on the work the Ageing Well Partnership has undertaken since last reporting to the board in May 2021.

Board Members considered a report from the Chair of the Health and Wellbeing Board’s Ageing Well Partnership. He detailed the progress of projects noting that York would apply for Age Friendly Status in December 2022. He gave examples in relation to this.

[The Director of Prevention and Commissioning joined the meeting at 4.48pm]

In response to questions from Members, the Chair of the Health and Wellbeing Board’s Ageing Well Partnership explained:

·        That he had not received any comments regarding the obstacles (i.e. curbs) as a result of people having to use roads as a result of pavement cafes. He noted that the council was looking at having dropped curbs and the yet to be appointed Access Officer would be looking at this.

·        How the Age Friendly Citizen Group had been created.

·        That regarding passing on information to people in their thirties and forties, there was an intergenerational coordinator for this.

·        An article on ‘Take a seat’ could be included the Our City publication.

·        That a copies of the take a seat map could be provided to Members.

Resolved: That Board Members indicate their ongoing support for the direction of travel for the Ageing Well Partnership including the three identified priorities around progressing the Age Friendly York project; developing a dementia strategy; and undertaking further work around loneliness and social isolation.

Reason:     To give the Health and Wellbeing Board oversight of the work of the Ageing Well.

This paper aims to brief members of the Health and Wellbeing Board on the progress being made towards the publication of a Dementia Strategy for the City this summer. This is timely given we are midway through Dementia Awareness Week.

Board Members considered a report that detailed the draft Dementia Strategy for York. The Corporate Director, Adults and Integration and Head of Transformation were in attendance to present the report. The Corporate Director, Adults and Integration outlined the paper noting that she was the Dementia lead for the Council. She detailed the proposed delivery timeline noting that the strategy was in its final draft. Referring to the draft strategy at Annex A she the support needed for unpaid carers. Director for Primary Care, NHS Vale of York Clinical Commissioning Group reported that statutory bodies had been working on a range of activities and were committeed to to making an additional dementia nurse a priority. Chair of the York Health and Care Collaborative & a PCN Clinical Director highlighted the prevalence of dementia and hoped that the deliverables were set with realistic expectations.

The Director of Public Health was pleased to see the prevention plan in the strategy and expressed that she would like to see a detailed prevention plan. The Corporate Director, Adults and Integration explained that prevention would be the biggest part of the strategy and she undertook to bring actions back to the Board. The Corporate Director, Adults and Integration was asked and clarified that regarding timelines, the strategy was linking in with the Humber Integrated Care Board and dovetail with this.

Resolved:

                     i.        That the next two months be used to ensure there is

a final draft strategy which sets clear and achievable ambitions for the City to provide good support to its residents living with Dementia and their carers.

                    ii.        That the strategy to brought back to the Board for consideration at its meeting in September.

Reason:     To ensure there is a final draft strategy which sets clear and achievable ambitions for the City to provide good support to its residents living with Dementia and their carers.

Members

This report updates board members on the national reforms to the NHS, health and care, and developments locally to plan for the changes which are due to come into force in July 2022.

Board Members considered a report that provided an update on the Integrated Care System (ICS). The Consultant in Public Health City of York Council/Vale of York CCG outlined the report detailing the developments from the March 2022 update. The Humber and North Yorkshire Integrated Care Board Constitution would be published on 20 May 2022 and the schedule of delegated functions on the 27 May 2022. The minutes of the Board meetings held on 28 February and 29 March 2022 were included at Annexes A and B.

In response to Member questions the Director of Public Health and Consultant in Public Health City of York Council/Vale of York CCG confirmed that:

·        Regarding reassurance in governance arrangements discussions regarding governance arranges were ongoing and there would be a strong steer from the ICS Board on governance and a proposal would be taken to the next York Health and Care Alliance Board meeting.

·        Healthwatch had a place on the Humber and North Yorkshire Integrated Care Partnership.

[At this point in the meeting the Chief Executive, York Teaching

Hospitals NHS Foundation Trust declared a retrospective declaration of interest as the designate provider of the Humber Integrated Care Board].

Resolved:

                     i.        That the developments, including the proposed structure and arrangements for the NHS and care within our region from next financial year be noted.

                    ii.        That the minutes of recent York Health and Care Alliance meetings be noted.

Reason:     To ensure members remain informed of developments

in the establishment of the Integrated Care System.

The Joint Consultant in Public Health will give a presentation on the current situation in relation to Covid-19 including recovery plans. This item will be in presentation format to ensure that the most up to date information can be presented to the Health and

Wellbeing Board.

The Joint Consultant in Public Health gave a presentation on

the current situation in relation to Covid-19 including recovery

plans. This item was in presentation format to ensure that the

most up to date information could be presented to the Health

and Wellbeing Board.

Key points raised during the presentation of the report included:

·        Covid testing had ended at the end of March 2022 and the

·        ONS testing survey used for the data.

·        The previous week York had the lowest proportion of infection in Yorkshire with a prevalence of 2.09%.

·        There had been a peak in hospitalisations on 1 April 2022 which had decreased slowly and steadily.

·        As of 17 May there was 38 patients with Covid in general beds and one in ITU.

·        Regarding the long term impact of Covid, the Situational Awareness Explorer Post-Acute Covid-19 model currently predicted that in York, in the two month period 1 May 2022 TO 30 June 2022, there would be 975 new cases of post-acute Covid, of which 185 will require services.

·        COVID was still circulating, as well as high levels of other circulating viruses and concerns around lower uptake of e.g. childhood and teenage immunisations. Standard infection, prevention and control measures still need to be emphasised.

The wider and ongoing impacts of Covid on health and care were noted as follows: 

·        High demands for health and social care, for example 166,966 appointments fulfilled in primary care in March 2022

·        York and Scarborough Teaching Hospitals Trust at OPEL 4 (York) and OPEL 3 (Scarborough)

·        As of April 17,851 on an elective waiting list in York, 7,615 waiting longer than 18 weeks, 1,199 waiting longer than a year and 60 waiting longer than 2 years

The Chief Executive, York Teaching Hospitals NHS Foundation Trust noted that OPEL scores were consistent, and patient numbers for Covid were coming down (they were largely hospital for different conditions) with the challenge being on the recovery of elected activity. The Chair of the York Health and Care Collaborative & a PCN Clinical Director gave an update on primary care noting the biggest impacts were staff infection rates contributing to OPEL 4 and trying to catch up on preventative work. She asked for patience with the NHS.

The Corporate Director, Adults and Integration and Head of Transformation noted that social care partners were working well and were looking at developing an OPEL system. She added that there had been workforce issues. She reported that that patients with dementia were like to stay in hospital 14-28 days longer than those without. The Joint Consultant in Public Health noted that following the Board Teams workshop the previous week future drafts of the detail strategy would be brought to future meetings

Resolved: That the content of the presentation be noted.

Reason:     To ensure that Board members remain updated on the

current situation regarding Covid-19 in York.