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, 25 September 2024.

The chair stated that she was happy to approve and sign the minutes of the last meeting of the Health and Wellbeing Board held on Wednesday, 25 September 2024, subject to the following amendment:

The board noted that page 9 the September minutes should state “Grant making Trusts are closing their doors” and not “the National Trust”.

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, 18 November 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.

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

Jonathon Bateson spoke regarding matters under the general remit of the board. He stressed the importance of good mental health services in York, particularly at this time of year, stating that he felt there was not currently enough provision in this area. He noted the particular importance of such services for men.

Officers present spoke with the speaker after his contribution and took contact details with the intention of following up on the issues raised.

Cllr Warters provided written representation regarding matters under the general remit of the board – expressing concern around the effectiveness of hospital and GP Services and capacity within the system for an increasing population.

The Chair responded to Cllr Warter’s submission, noting that some aspects he raised - including access to GPs - had been discussed by the board at recent meetings. She noted that the Health and Care Partnership had a substantial ongoing piece of work underway concerning Integration and Joint Commissioning, and an item had recently been brought to the Health, Housing and Adult Social Care Scrutiny Committee regarding urgent care services.

The Chair advised that she had provided Cllr Warters with a written response and where relevant she would refer issues to the scrutiny committee.

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 chair presented the report, which covered various topics including an update on progression of the tender process for Pharmacy Provision in Clifton; noting that all three applications had been declined, so the board had submitted an enhanced supplementary statement noting the ongoing gap in Pharmacy provision in Clifton to support the appeal process for any of the applicants wishing to apply.

The Director of Place commented that she and the Director of Public Health had also made representations to the ICB regarding the need for local pharmacy provision in Clifton.

This report provides an update to the Health and Wellbeing Board regarding the engagement approach (public and patient) delivered by Humber and North Yorkshire NHS Integrated Care Board (ICB).

The report also provides an interim summary of the ‘We Need to Talk’ engagement programme that ran across Humber and North Yorkshire from 14 October 2024 to 11 November 2024.

The report was introduced by the Director of Place and presented by the Executive Director of Communications, Marketing and Media relations, NHS Humber and North Yorkshire Integrated Care Board.

The Director of Place noted that following discussion at the previous Board meeting, she had advised that there was a strong case for change in the NHS, and proactive steps towards this were already being taken; the Executive Director of Communications, Marketing and Media relations was the perfect representative to advise how the ICB is doing this and to present early findings.

The Executive Director of Communications, Marketing and Media relations went through the PowerPoint presentation entitled “We Need to Talk: What’s the next Chapter of Our NHS?” which can be found in Annex 1 of this item.

She pulled out several details from the report, strengthening the voice of underrepresented groups. Launching and building a more diverse three tier public membership approach called “Community Voices”.

Linked to this, she advised of an NHS pilot project called “Working Voices”, delivered across the whole area, which supported employers to improve the health and well-being of their their workers. She advised that this also created a community of practice for employers to share with each other what's working what's not. So far this initiative had met with success in Hull and the plan was to broaden this out across York and the wider area.

She discussed the “Insight Bank” to understand who was doing what, which had recently launched and involved some board members, giving insight and intelligence across the system to avoid duplicating activities and to build a repository that everybody can access.

[The Director of Public Health left the meeting at 6:00pm]

The board suggested acknowledging areas where change was needed was admirable, but this was only meaningful if met with a response. They asked what the ICB intended to about the things they have heard people are most concerned about?

The Executive Director of Communications, Marketing and Media relations acknowledged that this was also the message coming from central government, and that reform and acting on this meant difficult decisions or “trade offs”. Consequently they were having a lot of conversations to ensure the right balance was set, while also supplying care for everyone and dispelling myths around where money was being spent.

The board noted the inclusion of Gallows Community Centre in these figures, which was located in Barrowcliff (Scarborough – North Yorkshire) and not the City of York. It was suggested that the figures should be revisited to exclude this inconsistency from York figures going forward.

On the slide about “What’s most important to people in York” the board noted the scale went up to 1400 and if there has only been approximately 200 responses from York, it meant only 10% of the responses across the six places were actually from York. It was suggested the Board work to drive up participation in this survey next time.

Three different levels of membership had been identified, which would allow  ...  view the full minutes text for item 20.

This paper 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 2022-2032. It also includes information on performance monitoring.

The Director of Public Health introduced the report, highlighting the report’s findings that loneliness has a significant impact on people.

The Head of Communities and the Local Area Coordinator presented the report, beginning with a video entitled “Glynn’s story” which articulated how the local authority and organisations such as Move Mates could progress people forwards, through social interaction, exercise and increasing service users’ confidence.

The case study explained how long-standing, trusted relationships could be built through a Local Area Coordinator facilitating introductions to Housing Managers, Childrens and Adults Social Care and social prescribers. The Head of Communities explained that 50% of ward funding went into community projects to address this, including 140 trained Community health champions. He also discussed partnerships with York Cares, York CVS and The Cares Family national model which created intergenerational social clubs at the Spurriergate Centre and Community Furniture Store.

He discussed other cases in which the Local Area Coordinator supported service users to improve their situation; he explained that the Move Mates charity had recently been awarded the king's award for voluntary service and had created 112 active pairings in the past year between a move Mate walking buddy volunteer and somebody struggling with loneliness, isolation, physical health or mental health challenges.

He noted that the report addressed gaps in provision and discussed an event held at Guildhall to identify loneliness as well as issues of transport – specifically accessing York city centre.

The chair thanked the speakers, noting that this service was invaluable, and that the case study presented in “Glynn’s Story” showed that a service user could go on to support others.

The board noted that Annex 5 of the report stated that 25.7% (year on year since 2019) of adults felt lonely, asking by what metric loneliness was being measured, and also how the presenters viewed their relationship with ward councillors.  

The Head of Communities answered that figures regarding loneliness indicator were captured annually but the last information received went back to 2019 so there was an issue concerning the methodology around how we're that metric was being captured. He added that how Local Area Coordinators measured service users’ loneliness affected the type of relationships they had with them, due to the dynamic involving strengthening a circle of support. He said that the relationship between local councillors and Local Area Coordinators was seen as integral to the relationship being fostered at Place based level.

The Director of Public Health added that the metric around loneliness originally derived from an Active Lives survey carried out in 2019, and the Office of National Statistics had intended to ask the same question every year to build a loneliness index and then they didn’t ask that question. As a consequence the ongoing data was erroneous and officers had pushed back to Public Health England to ask whether further information would be available. Further information had been added to the index, but this only covered those who received social care or were themselves carers. He conceded the  ...  view the full minutes text for item 21.

The purpose of the report is to provide members of the Health and Wellbeing Board with an update on the health protection assurance arrangements in York and health protection activities over the past year.

The report was introduced by the Director of Public Health and presented by The Specialist Public Health Practitioner.

The Director of Public Health summarised that this annual report provided assurance that York has a response to such threats as Mpox, measles, whooping cough, and a new influenza variant; he advised that the report detailed York’s sexual health services, due to a recent rise in STIs; he advised that the report detailed the reduction to one central air quality plan for York as only one street now exceeded the World Health Organisation recommended amount of pollution; finally he advised that the report covered an uptake in vaccination in York’s migrant asylum seeker communities.

The Specialist Public Health Practitioner focused on the discussion of immunisation and health screening; she advised that statistics for men’s bowel cancer screening were improving, as were statistics for women’s breast cancer screening. She stated that cervical screening figures were less impressive, largely due to the younger age cohort not attending, and as a consequence there had been quite a lot of work around that. She noted that the Abdominal Aorta Aneurysm data looked dreadful in the report, due to significant capacity issues in that programme, but it was in fact getting better. She summarised that generally things were going well with screening and unfortunately some (not always accurate) data let things down.

Regarding immunisation she noted that those particularly susceptible to winter viruses were becoming unwell quickly. She stated that the school aged uptake was well ahead of where we were last year and the authority was making good progress, particularly in secondary schools. She stated that they had also made progress with MMR catchups, including among home schoolers where there had previously been consent issues. With over 65s flu injections the authority was nearly where they were this time last year when they had started a month earlier. MMR2 is lower than target of 95% but this is possibly due to data cleansing issue - uptake went up by 12% last year without the extra vaccination.

The Director of Public Health added that there had been high levels of Covid in September of this year but this had gone down again in the past week. Flu levels were starting to rise and anticipated to peak in January.

The board asked about oral health in children raised in the report – if there is a 5 year old or 10 year old with oral health concerns, what is the impact regarding this individual going forwards?

The Director of Public Health answered that poor oral health is programmed in at an early age and can be hugely linked to poor cardiac health in later life due to a bacteria that exists in the mouth and can exacerbate symptoms. He stated that this was wrapped up with poverty and disadvantage. Supervised toothbrushing from health visitors or social care can encourage better habits from an early age in vulnerable individuals.

The Chief Executive, York CVS noted recent work from the  ...  view the full minutes text for item 22.