Agenda and minutes

Venue: The George Hudson Board Room - 1st Floor West Offices (F045). View directions

Contact: Judith Betts  Democracy Officer

Items
No. Item

24.

Introductions

Minutes:

Introductions were carried out.

25.

Declarations of Interest pdf icon PDF 121 KB

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 declarations attached to the agenda papers, that they might have had in the business on the agenda.

 

Julie Hotchkiss, Acting Director of Public Health, declared a personal interest as Founding Director of Deep Green Care Community CIC.

 

Sian Balsom, Manager Healthwatch York, requested that the Standing Declarations of Interest be amended to record that she was now Chair rather than Vice-Chair of Scarborough and Ryedale Carers’ Resource.

 

26.

Minutes pdf icon PDF 76 KB

To approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on 22 October 2014.

Minutes:

Resolved:  That the minutes of the Health and Wellbeing Board held on 22 October 2014 be signed and approved as a correct record subject to minute 21 paragraph 2 being amended to read “disabled people”.

 

It was noted that, following the meeting, the dates for the consultation on the Pharmaceutical Needs Assessment had been amended.  The consultation period was now  25 November 2014 to 26 January 2015 (minute 22 refers).

 

The Deputy Chief Constable of North Yorkshire Police gave an update on minute 15.  He reported on the success of the bids that had been submitted and thanked members of the board for their support.   An update report would be presented to the Board in a year’s time.

27.

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 Tuesday 2 December 2014 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: http://www.york.gov.uk/downloads/download/3130/protocol_for_webcasting_filming_and_recording_of_council_meetings

 

Minutes:

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

 

Dawn Moores spoke about the aspect of the Strategic Plan which related to the commissioning of more counselling services and additional services to support 16-25 year olds. She queried how this related to the decision made by Cabinet regarding the services currently based at Castlegate.  Ms Moores expressed her concerns regarding the impact that the original proposals regarding Castlegate would have, including the loss of highly experienced staff. 

 

The Director of Children’s Services, Education and Skills explained that, following the decision taken by Cabinet (Calling In) on 25 November 2014, the YorOK Board had established a Steering Group to look at further options.

 

28.

Update on the events and findings from Housing Week (3-9 November)

Board Members will receive an update on the events and findings from Housing Week (3-9 November) which had as its theme this year “Health and Housing”.

 

Minutes:

Board Members received a verbal update on the events and findings from Housing Week (3-9 November), which had as its theme this year “Health and Housing”, and on current initiatives in respect of housing. 

 

·        A summit and workshops had taken place.  As budgets were currently under review, the event had also been used as an opportunity to look at ways of redesigning services. 

·        A number of community events had taken place, including activities around diet and fitness.  The Council was seeking to address issues in respect of isolation and would be installing superfast broadband in sheltered schemes and exploring potential opportunities arising from this.

·        A number of new council houses were being built.  In order to encourage people to downsize where appropriate, the new buildings had a high space standard.

·        Details were given of the Making Every Adult Matter (MEAM) scheme, particularly relating to adults with mental health issues.  Funding had been secured through ARC.

·        The resettlement centre at Howe Hill was proving to be very successful.

·        Details were given of the work that had been carried out by the Joseph Rowntree Foundation on loneliness and community engagement. 

·        DCLG funding had been secured to enable more intervention work to take place.  Details were given of how the funding had been used and the outcomes.  The scheme was being extended and a bid had been submitted.  Board Members expressed their support for the bid.

 

Board Members asked about the arrangements that were in place to enable vulnerable adults to be given assistance in completing forms which would enable them to access finance and support.  Officers explained the arrangements that were in place, including assistance from support workers.  City of York Council also employed the services of the Salvation Army to offer life skills support and assistance.

 

Board Members commented on the work that was taking place in respect of accommodation pathways and eliminating inappropriate discharges.

 

Members acknowledged the significance of housing in terms of people’s health and wellbeing and agreed on the importance of taking an integrated approach.

 

Resolved:  That the verbal update report on housing be noted.

 

Reason:     To ensure that Board Members are kept informed of housing issues because of the impact that this has on health and wellbeing.

 

29.

Director of Public Health Report 2013-14 pdf icon PDF 84 KB

The Director of Public Health (DPH) Report is a statutory document that all Health and Wellbeing Boards must produce. The York DPH Report was published in October 2014 and summarises the current state of public health in York.

 

Additional documents:

Minutes:

Members considered the Director of Public Health Report 2013-14.  The report summarised the current state of public health in York. 

 

A presentation was given on the report and is attached to the online agenda papers for this meeting.  Although outcomes in York were considerably better than the national average in many respects, there were some quite severe inequalities within the city.  Consideration was given to the recommendations and the progress that was being made in addressing these.

 

Referring to a recent media report regarding an incident that had taken place in another part of the country, the Deputy Chief Constable of North Yorkshire gave details of the arrangements that were in place if a child with mental health issues was taken into custody.  Agreements were in place to ensure that they could be accommodated in an appropriate setting. 

 

Board Members requested that the interim findings of the assessments in respect of alcohol be made available to them at the earliest opportunity to ensure that action to address the findings could be taken as soon as possible.  Board Members agreed on the need to work together to address issues in respect of alcohol.

 

Resolved:  That the contents of the report be noted.

 

Reason:     To ensure that the board is informed of current public health issues for York.

30.

Response to Healthwatch Recommendations pdf icon PDF 91 KB

This report is a response from the Health and Wellbeing Board to the three Healthwatch reports presented to the previous meeting on 22 October 2014, with comments on the recommendations from these reports.

 

Additional documents:

Minutes:

Board Members considered a report which responded to the three Healthwatch reports presented to the Health and Wellbeing Board at their meeting on 22 October 2014.  The report included comments on the recommendations from the following reports:

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

·        “Access to Health and Social Care Services for Deaf People”

·        “Discrimination against Disabled People in York”

 

Consideration was given to Annex A of the report which detailed the Healthwatch recommendations and the suggested leads on each recommendation. The following points were made:

 

·        Recommendations re loneliness – Director of Adult Social Care would be City of York Council lead

·        In respect of recommendation 6 – accessibility of the A&E department, it was noted that although there were plans to refurbish and create more space, this would not happen immediately and hence there was a need to manage expectations.

·        Recommendation re interpreting provision – Board Members commented on the difficulties in accessing interpreters, particularly at short notice and out of hours.  It was therefore important that patients recognised that they had a responsibility to request this provision to ensure that appropriate arrangements could be put in place. 

·        Recommendations re hate crime – Deputy Chief Constable, North Yorkshire Police would be the lead officer.  He stated that consideration was being given to a system by which hate crime could be reported on a 24 hour basis.

·        The Director of Children’s Services, Education and Skills gave details as to how the YorOK Board was seeking to address the Healthwatch recommendations, including those relating to loneliness.  Details were given of intergenerational projects as well as the work that was taking place to tackle bullying.  Healthwatch had been invited to attend the next YorOK Board meeting to discuss the issues further.

·        The Chief Clinical Officer Vale of York Commissioning Group confirmed his support of the recommendations assigned to his organisation.

·        Discussion took place as to the benefits of shared training and the ways in which staff from different organisations could share knowledge and work together more effectively.  It was agreed that this would be an item for a future meeting.

 

The Manager of Healthwatch York expressed her appreciation of the approach that the Board was taking in response to the Healthwatch recommendations.

 

Resolved:  (i)      That Healthwatch be requested to note the

response of the Health and Wellbeing Board to the recommendations in the reports.

 

(ii)      That an update report be presented to the Health and Wellbeing Board in approximately six months time.

 

Reason:     To follow up on the recommendations of the Healthwatch reports.

31.

YorOK Board Annual Report pdf icon PDF 113 KB

The YorOK Board is formally accountable to the Health and Wellbeing Board. The YorOK Board has produced its first annual report following a review of its activity, impact and effectiveness to date. This summary report provides headline feedback; the full report is available from the Children’s Trust Unit.

 

Additional documents:

Minutes:

Board Members considered the YorOK Children’s Trust Board Summary Report.  The report provided a review of its activity, impact and effectiveness to date. 

 

The Cabinet Member Education, Children and Young People had been invited to attend the meeting and went through the key issues and challenges, as outlined in paragraph 2 of the report.

 

Board Members’ attention was also drawn to paragraph 3 of the report, which draw attention to opportunities for strengthening partnership working and progressing shared and cross cutting priorities.

 

Board Members asked about the number of identified “Troubled Families” that had been referred by A&E or GPs.  The Director of Children’s Services Education and Skills stated that the criteria set by the Government for the first phase of this initiative had not been based on a referrals system.  A multi-agency approach had been taken but health had not been one of the criteria. The next phase of this initiative would have a much stronger emphasis on health and there would be greater opportunities to work more actively with health partners.

 

Resolved:  (i)      That the report be noted.

 

                   (ii)      That the issues for the coming year be noted.

 

                   (iii)     That the opportunities for strengthening

partnership working and progressing shared and cross cutting priorities be noted.

 

Reason:     To keep the Board appraised of progress to date.

32.

Better Care Fund Update pdf icon PDF 158 KB

This report updates the position on York’s submission of the initial plan for the Better Care Fund (BCF).

 

Minutes:

Board Members considered a report that provided an update on the position in respect of York’s submission of the initial plan for the Better Care Fund.

 

The Chief Clinical Officer NHS Vale of York Clinical Commissioning Group stated that it was disappointing that the plan had been “approved with conditions”.  The plan and the proposed schemes were deliverable and there was confidence that the conditions would be removed at the next submission. 

 

Clarification was sought as to whether the bid was available to the public.  Board Members were informed that details of the schemes were available on the website and that an easy-read version of the new submission, when approved, would be made available. 

 

Resolved:  (i)      That the report be noted.

 

                   (ii)      That the Board receive regular updates on the

                   Better Care Fund.

 

Reason:     To ensure that the Board is kept informed of progress on the Better Care Fund programme.

33.

Joint Strategic Needs Assessment (JSNA) Update pdf icon PDF 61 KB

This report provides the Board with an update on progress made on the JSNA since they last met in October 2014.

Minutes:

Board Members considered a report which provided an update on progress made on the Joint Strategic Needs Assessment (JSNA). 

 

The Board was asked to agree the approach for managing the emerging recommendations from the JSNA process, as set out in paragraphs 5, 6 and 7 of the report.

 

Board Members’ attention was drawn to the frail/elderly deep dive work which was nearing completion.

 

Resolved:  (i)      That the update on progress made on the Joint

                             Strategic Needs Assessment be noted.

 

                   (ii)      That the sub boards be allocated the

management of any recommendations emerging from the JSNA work.

 

Reason:              To update the Board on progress made with the

                             JSNA.

34.

Health and Wellbeing Strategy pdf icon PDF 95 KB

This report asks Board Members to consider revisions to the Health and Wellbeing Strategy and to agree to accept the updated version.

Additional documents:

Minutes:

Board Members considered a report which asked them to consider revisions to the Health and Wellbeing Strategy and to agree the updated version.  The strategy had been updated to reflect the comments made at the meeting on 22 October 2014.  The agreed key criteria for performance indicators were noted.

 

Board Members suggested that it was also important that information on child sexual exploitation was reported to the Board.  It was agreed that the Independent Chair of the Children’s Safeguarding Board should be asked to address this matter in their Annual Report.

 

Resolved:  (i)      That the revisions to the Health and Wellbeing

                             Strategy be approved and the updated version of  the Strategy be accepted.

 

(ii)      That information on child sexual exploitation be presented to the Board as part of the Annual Report of the Chair of the Children’s Safeguarding Board.

 

Reason:     To lead the improvement of health and wellbeing outcomes for people in York.

 

 

 

35.

Forward Plan pdf icon PDF 25 KB

Board Members are asked to consider the Board’s Forward Plan for 2014-15.

Minutes:

Board Members were asked to consider the Board’s Forward Plan for 2014-15 and were invited to put forward items for inclusion on the plan.

 

It was suggested that an item on capacity issues in the private sector (for example in domiciliary care) be included on an agenda for a meeting early in 2015. 

 

The Chair drew Board Members’ attention to a proposal to amend the Board’s Terms of Reference to include posts rather than named postholders in the Board’s composition.  Board Members supported this proposal.

 

Resolved:  That the Board’s Forward Plan be approved.

 

Reason:     To ensure that there is planned programme of work in place.

 

 

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