Agenda and minutes

At this point in the meeting, Members are asked to declare any disclosable pecuniary interests or other registerable interests they might have in respect of business on this agenda, if they have not already done so in advance on the Register of Interests.

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 18 January 2023.

Resolved: That the minutes of the last meeting of the Health and Wellbeing Board held on 18 January 2023 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 at 5.00pm on Monday 13 March 2023.

 To register to speak please visit www.york.gov.uk/AttendCouncilMeetings to fill out an online registration form. If you have any questions about the registration form or the meeting please contact the Democracy Officer for the meeting whose details can be found at the foot of the agenda.

Webcasting of Public Meetings

Please note that, subject to available resources, this public meeting will be webcast including any registered public speakers who have given their permission. The public meeting can be viewed 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 had been no registrations to speak under the Council’s Public Participation Scheme.

This report provides members of the Health and Wellbeing Board with an update on the Joint Strategic Needs Assessment (JSNA), including work undertaken in the last year by the York Population Health Hub and planned work for the coming year.

The Public Health Specialist Practitioner Advanced, City of York Council, outlined a report which provided an update on the Joint Strategic Needs Assessment (JSNA), including work undertaken in the last year by the York Population Health Hub and planned work for the coming year.

He provided an overview of the needs of the city before stating that the JSNA is themed across the four ‘life courses’ which were Start Well, Live Well, Mental Health and Age Well. He then noted that in 2022 there were five topic specific needs assessments undertaken which were: Special Education Needs and Disabilities Phase 2, Pharmaceutical Needs Assessment, Early Years, Sexual Health, and Drugs and Alcohol. He stated that these assessments formed a part of a larger work programme of the Population Health Hub with three key strands: enabling, analysing, and doing.

He explained that for 2023/2024, there were three needs assessments planned for completion which were: Gypsy Traveller, Women’s Health and Population Planning and concluded by stating that the JSNA website will also be updated during the 2023/2024 year.

The Director of Public Health, City of York Council, then asked Board Members to champion the JSNA more in their organisations to encourage its use before asking for ideas on how the profile of the JSNA could be raised.

The Board Members discussed the JSNA and stated how they use it within their organisations and collectively throughout York. They also suggested giving consideration to renaming the JSNA to something more user friendly.

Resolved:

     i.        That the contents of the report be noted, and that Board Members commented on how the JSNA, and work of the Population Health Hub could be further disseminated.

    ii.        That Board Members commented on the use of the JSNA within their brown organisations and suggested how this could be increased.

Reason: To keep the HWBB updated on the work of the Population Health Hub and the JSNA.

At the January 2023 meeting of the Health and Wellbeing Board, members of the board agreed a framework for an action plan and a Population Health Outcomes Monitor for the new Joint Health and Wellbeing Strategy 2022-2023. This report presents a populated action plan (Annex A) and an amended Population Health Outcomes Monitor (Annexes B & C) for approval.

The Consultant in Public Health, City of York Council, presented a report which detailed a populated action plan and an amended Population Health Outcomes Monitor for the new Joint Health and Wellbeing Strategy 2022-2023.

The Officer stated that the aim of these documents was to assure Members that the strategy was making a difference by showing the actions put in place and how they were tracked. He explained that there were 28 actions put forward in the action plan, which was focussed around the six big ambitions and ten big goals set out in the new ten year Joint Health and Wellbeing Strategy. He concluded by outlining the monitoring framework and explaining that it was also linked to the ten big goals and was designed to provide Board Members with a holistic view of whether the strategy was making a difference to the health and wellbeing of York’s population by using outcome data.

Board Members then discussed the report and raised some concerns with the action plan, namely on the need for recreational/green spaces and mental health issues, amongst others. They also commented on the need for clear communication with residents and suggested that the Board creates a coherent response on the impact of Covid-19 on a number of different health issues in the city.

The Consultant in Public Health then stated he would pick up the comments raised in the next report to the Board and signposted Members to the Wider Impacts of Covid-19 on Health monitoring tool, which allows for the exploration of the indirect effects of the pandemic.

Resolved:

     i.        That the documentation at Annexes A, B and C be approved.

Reason: To ensure that the Health and Wellbeing Board fulfils its statutory duty to deliver on their Joint Health and Wellbeing Strategy 2022-2032.

The production of a Joint Forward Plan between an ICB and local hospital trusts is a statutory duty. This presentation will summarise York’s contribution to the plan, which must take due regard to local Joint Health and Wellbeing Strategies.

The Director of York Place delivered a presentation which summarised York’s contribution to the Joint Forward Plan (JFP) and noted that the Plan was aligned to York’s Joint Health and Wellbeing Strategy.

She stated that the purpose of the JFP was to describe how the health and care system would arrange and/or provide NHS services to meet their population's needs. The Director first explained how the Place and Sector collaboratives would deliver the vision for integration and health inequalities over the next year through its six priorities before noting that it also focuses on addressing the needs of specific people, such as children and young people, and victims of domestic abuse. She concluded by explaining how the JFP was enabling the conditions to achieve the vision and meet the requirements of the Integrated Care Boards through its six focuses.

Board Members then discussed the presentation and raised a number of issues, including on the need for early intervention and prevention work, the existing partnership work on domestic violence and on the mental health of children and young people, amongst others.

Board members were keen to look at the opportunities available for York to be properly represented at the wide range of Humber and North Yorkshire meetings and the importance of York having a strong voice at these.

They also requested some further clarity on the relationship between the Health and Wellbeing Board and the Place Board and it was suggested that a workshop was held after the local elections to explore this further.

Resolved:

     i.        That the presentation be noted.

Reason: To keep the Board updated on the Joint Forward Plan.

This report provides an update following presentation of the Healthwatch York snapshot report on Children’s Mental Health at the November meeting of the Health and Wellbeing Board.

The Manager of Healthwatch York presented the report which provided an update following the presentation of the Healthwatch York snapshot report on Children’s Mental Health at the November meeting of the Health and Wellbeing Board.

She stated that the communication methods had improved with parents providing positive comments regarding letters being sent out whilst children were awaiting assessments and that the signposting had also improved. She also commented on the new activities and work that had commenced, including on the second Wellbeing in Mind Team before stating that the projected timeline and the accessible information report were not yet available.

Board Members then discussed the report. They commented on several issues, including on the difficulty of diagnoses and the gap in resources, the move towards a social model of intervention and the move towards prevention work.

The Director of Operations and Transformation for Tees, Esk and Wear Valleys NHS Foundation Trust then commented on the report and explained that their business priorities next year would be focused on working and supporting the development and implementation of the iThrive model. He also noted that there was an improvement on waiting times for assessments with people waiting 150 days on average as opposed to 315.

Resolved:

     i.        That the updated report be received by the Board.

Reason: To keep the Board informed on progress in improving support for children’s mental wellbeing in the city.

This presentation will be providing the Health and Wellbeing Board with an update on the Better Care Fund.

The Corporate Director of Adult Social Care and Integration, City of York Council, was unable to attend the meeting and so it was;

Resolved:

     i.        That the update on the Better Care Fund be deferred until the next scheduled meeting.

Reason: To allow the Corporate Director of Adult Social Care and Integration to present the item.

This is a verbal progress update on the Appointment of Independent Co-Chairs of the York Mental Health Partnership.

The Director of Public Health, City of York Council, provided a verbal update on the progress on the appointment of a new Independent Chair to the Mental Health Partnership.

She stated the role was advertised again and the post was offered to two people who would act as co-chairs for the Partnership. She informed the Board that the co-chairs would be Professor Lynne Gabriel and Dr Stephen Wright.

Resolved:

     i.        That the update be noted by the Board.

Reason: To keep the Board updated on the appointment of an Independent Co-Chairs to the Mental Health Partnership

This report is for information only. The Health and Wellbeing Board is asked to consider a report on the work of the York Health and Care Collaborative which is attached at Annex A.

The Joint Chair of York Health & Care Collaborative (YHCC) outlined a report which provided an update on the work of the YHCC over the last year.

She explained that the YHCC and its work was closely aligned with the ten big goals, as outlined in the York Health and Wellbeing Strategy, and that the Collaborative has been analysing its metrics and delivering some improvements. She also noted some current challenges in healthcare before outlining some of the work the Collaborative has completed, including the execution of deprivation workshops, amongst others.

Resolved:

     i.        That the report of the Chair of the York Health and Care Collaborative be noted.

Reason: There is a shared objective of improving the health and wellbeing of the population. The York Health and Care Collaborative is unique in bringing together; providers and commissioners of health and social care services (from the NHS and City of York Council), colleagues from City of York Public Health together with the voluntary sector as a means of working on joint priorities to achieve this objective. The York Health and Care Collaborative agreed to provide regular updates on its work and progress.

This report is for information only and it aims to complete reporting of the work undertaken to help shape the dementia strategy through local engagement.

The Manager of Healthwatch York presented the report which aimed to complete reporting of the work undertaken to help shape the dementia strategy through local engagement. She also noted that the dementia action plan was being drafted and therefore would be brought to the Board once completed.

The Director of Public Health, City of York Council, also explained that the action plan was still being developed and had not yet been signed off by the Dementia Strategy Working Group, but that it would be shared with the Board once completed.

Resolved:

     i.        That Healthwatch York’s report, Dementia Support: Listening to People Living with Dementia in York be received.

Reason: To keep up to date with the work of Healthwatch York and acknowledge the voices heard during the development of the Dementia Strategy.