Agenda and minutes

At this point in the meeting, Members and co-opted members are asked to declare any disclosable pecuniary interest, or other registerable interest, they might have in respect of business on this agenda, if they have not already done so in advance on the Register of Interests. The disclosure must include the nature of the interest.

An interest must also be disclosed in the meeting when it becomes apparent to the member during the meeting.

[Please see attached sheet for further guidance for Members].

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 Wednesday, 22 November 2023.

Resolved: That the minutes of the Health and Wellbeing Board meeting on 22 November 2023 be approved as a correct record subject to the following amendment:

i. Amend the wording of, item 162 of the minutes, “and that service provision for autism was the same as it was before the pilot commenced”, to “and that service provision for autism was not the same as it was before the pilot commenced”.

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, 22 January 2024.

 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 were two registrations to speak under the Council’s Public Participation Scheme.

Hilary Conroy spoke on item 7 regarding the York Neurodivergency Project. Hilary expressed concern at the lack of consultation with the local neurodivergent community prior to signing off this project and questioned the appointment of the ADHD Foundation to lead the pilot; she believed there was a conflict of interest due to its’ Chair also being the Chief Executive Officer (CEO) of neurodivergence assessment and diagnosis organisation, Do-IT Solutions.

Abigail Darton spoke on item 7, representing York Travellers Trust. Abigail stated that she was investigating Gypsy and Traveller Experiences of Education in York in relation to mental health and neurodivergence. She suggested that people from Traveller communities were more likely to receive punitive responses due to negative stereotypes. She also raised the issue of communication from GP practices regarding ADHD and how more training was required for this purpose.

This paper is designed to summarise key issues and progress which has happened in between meetings of the Health and Wellbeing Board, giving Board members a concise update on a broad range of relevant topics which would otherwise entail separate papers.

The Board received a report from the Chair of the Health and Wellbeing Board which contained updates on a number of local, regional and national areas of work; an update from the co-chairs of the York Mental Health Partnership and recommendations from Healthwatch York Reports.

The Director of Public Health, City of York affirmed a commitment to follow up on Healthwatch recommendations and confirmed that he would be meeting with the Manager at Healthwatch York to look at formulating a process to do this.

He also advised that there had been several hundred cases of measles in the West Midlands, and that 1 in 5 children in the York area did not have an MMR vaccination. He encouraged anyone unvaccinated to see their GP.

The Chief Executive, Independent Care Group stated that the recent announcement of £500 million of Central government funding for social care could ease the pressure of budgetary cuts within the care system.

The York Place Director commented on the provision of dental services in York and the closure of the Blossom Street Practice; She confirmed that formal notification had not yet been given to the ICB by Blossom Street Practice, but that the ICB would support patients in securing an alternative provider. She advised the Board that the ICB had elsewhere reacquired dental contracts from BUPA, which would increase NHS dental capacity for York. She also stated that the ICB would meet with dental providers throughout the North East and Humber in mid-March to discuss urgent care pathways and support for people with additional needs.

The Managing Director, TEWV NHS Foundation Trust stated that there had been successful recruitment into the Mental Health Hub and that partnerships had been strengthened with joint working protocols.

Resolved: That the Health and Wellbeing Board noted the report.

Reason: So that the Board were kept up to date on: Board business, local updates, national updates, and actions on recommendations from recent Healthwatch reports.

This report provides an update to the Health and Wellbeing Board regarding the work of the York Health and Care Partnership, progress to date and next steps

The York Place Director and Deputy Place Nurse Director presented the report.

The York Place Director stated that since November the Frailty Hub had been running in partnership between volunteer groups and GPs and since November’s meeting of the York Health and Care Partnership (YHCP), funding had been secured for the hub.

The Director of Public Health noted that as a result of a recent LeDer report, the number of people with learning disabilities getting a health check was increasing, and he suggested further improvements to the physical health of these people might also be encouraged.

In response to a question from the Chair, the York Place Director confirmed that elected members could be involved with the Frailty hub and Discharge Hub and that while the frailty hub was not hospital based, the discharge hub was.

In response to questions from members about recruitment across Place and volunteer sector, the Chief Executive, York CVS acknowledged challenges but confirmed that York CVS was receiving more applications for vacancies than it had previously; the issue was with retention of staff. The board discussed the complex nature of recruitment in the voluntary sector.

Resolved: That the Board note the report of the YHCP.

Reason: So that the Board were kept up to date on the work of the YHCP, progress to date and next steps.

The Children and Young People's Plan represents the overarching strategic plan for all partners working in the city. It sets our shared ambition and priorities for children and young people in the city.

The Head of Innovation and Children’s Champion, and Corporate Director of Children and Education presented the report and in response to questions from members confirmed that:

·        The council’s commitment to the plan was due to be agreed at the Executive meeting of 20 February 2024.

·        Once the plan was launched, publicity would be shared throughout the strategic partner network.

·        A Task and Finish Group had been set up with the inclusion of key partners from voluntary and community services.

·        The plan was positioned under the Safeguarding Partnership, and it was subject to a biennial audit of which included the voluntary sector.

The York Place Director advised that data was more useful when made available on a York Place level, as data reported between NHS Trusts was not suitable for improvement purposes.

The Corporate Director of Children and Education requested that partners get in contact within the next 4 weeks with suggestions of data to be collected to contribute to the plan.

The Director of Public Health stated that although it was difficult to get national data for children and healthy lifestyles, the board could obtain information on this through amendments to the School Health and Wellbeing Survey.

This report provides the members of the Health and Wellbeing board with an update on the implementation of the SEND Strategy and SEND Operational Plan following the Local Area SEND Inspection revisit in November 2023.

The Assistant Director, Education and Skills and the Corporate Director, Children and Education presented the report.

The Assistant Director, Education and Skills stated that significant improvement had been noted in several areas of weakness identified by Ofsted and the Care Quality Commission (CQC) in 2019 and felt that partnership working in this area had been good.

She stated that the Local Area Inclusion Plan on SEND strategy required significant engagement work in the coming 12 months, and welcomed input from the neurodiverse community and York Travellers Trust as discussed during Public Participation.

The Assistant Director, Education and Skills confirmed that SEN support within schools would identify a need for EHCPs, and that schools would ensure provision was put in place well in advance of the request for statutory assessment being finalised.

The Corporate Director, Children and Education noted that City of York Council had invested in creating a designated social care officer role to address needs raised by this report.

The Board discussed the success of Early Talk for York and the Corporate Director, Children and Education stated that it would be extended to More Talk for York for further support for Speech and Language.

In regard to issues raised during Public Participation, the Corporate Director, Children and Education stated that the ADHD Foundation was a  well-respected national organisation and charity working with the neurodiverse community. He welcomed meeting with both speakers to further understand their concerns.

The Corporate Director, Children and Education also discussed the NHS “Waiting Well” service – requesting partners ensure they were doing absolutely everything they could to offer provision to young people awaiting treatment or assessment, as not doing this could lead to long term damage.

Resolved: That the Health and Wellbeing Board noted and commented on the contents and implications of the report.

Reason: To provide the Health and Wellbeing Board with an understanding of the work taking place to implement the SEND Strategy and the SEND Operational Plan.

This report provides the Health and Wellbeing Board with an update on the implementation and delivery of one of the ten big goals within the Local Joint Health and Wellbeing Strategy 2022-2023. It also includes information on performance monitoring.

The Director of Public Health presented the report and in response to questions from members advised that making bus stops and other public spaces free of advertising for foods high in fat, salt and sugar would be a useful policy for improving healthy eating.

The Director of Public Health confirmed that the childrens’ data could be broken down by gender for a future board meeting, for discussion around “Make Space for Girls”.

Resolved: That the Health and Wellbeing Board noted and commented on

the updates provided within this report and its associated annexes.

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