Agenda item

This report updates 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. It also updates on the progress of establishing a place-based partnership as a joint committee of the Humber and North Yorkshire Integrated Care Board (‘The York Health and Care Alliance’).

Members considered a report that updated them on the national reforms to the NHS, health and care, and developments locally to plan for the changes which were due to come into force in July 2022. It also updated them on the progress of establishing a place-based partnership as a joint committee of the Humber and North Yorkshire Integrated Care Board (The York Health and Care Alliance).

The Consultant in Public Health for City of York Council/Vale of York CCG and the Corporate Director of Adult Services and Integration provided an update to Members, stating that: 

·        The NHS White Paper, Integration and Innovation, was published in February 2021 followed by the Health and Care Bill, in July 2021. Subsequent legislation would come into force following the Health and Care Bill’s approval. This included Integrated Care Systems (ICSs) being established on a statutory footing and taking on the statutory and allocative duties of Clinical Commissioning Groups (CCGs) in July 2022.

·        From 1 July 2022, York would form part of the Humber and North Yorkshire Health and Care Partnership. Decisions would be made at local authority level, which York had not achieved in the past.

·        The York Health and Care Alliance was established in April 2021 and had been meeting in shadow form. The Alliance would also become a place-based partnership and the committee would receive a defined set of NHS functions.

·        The functions and role of the Health and Wellbeing Board would be broadened to support the place-based ICS partnership and Overview and Scrutiny Committees would also develop a strong role in scrutinising both the local place-based partnership and the Integrated Care Board, as a regional body, in a similar fashion to previous work with Clinical Commissioning Groups.

Officers responded to a variety of questions from Members and they noted the following:

·        Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) had representation on the York Health and Care Alliance, providing place based input from mental health partners.

·        At place level, each area would be encouraged to establish a place-based partnership. This partnership would meet as a ‘joint committee’ established between partner organisations, such as the Integrated Care Board (ICB), Local Authorities, statutory NHS partners or NHS England and NHS Improvement.

·        The ICB would be directly accountable for NHS spend and performance within the system.

·        The Integrated Care Partnership (ICP) was the part of the ICS tasked with setting strategic direction and including a wide range of partners.

·        The work of scrutiny and the Health and Wellbeing Board (HWBB) would help identify any gaps in provision.

·        This reform would see the NHS moving into a less competitive model and a more collaborative environment. Collaboration was a strength of the new model but it remained a complex structure, as it had the ICS and its sub committees; six Place Committees, five Provider Collaboratives, one Integrated Care Board and an Integrated Partnership.

·        Membership of the Integrated Care Partnership would also include the Chair of the Health and Wellbeing Board (HWBB).

·        A HWBB Strategy was being drafted, which would set the outcomes and priorities for York from two perspectives, services and the health of York’s population. The HWBB Strategy was due to be published in October 2022 and the full ICS Strategy was due to be published in 2023. 

·        New commissioning policies within the Humber and North Yorkshire ICB should be harmonized to reduce inequalities in assessing individual funding requests.

·        Healthwatch York, as a local authority commissioned service, would continue to input into the system and have representation on the ICP.

Officers agreed to provide Members with further information on non-executive memberships on the ICS and officers were thanked for their report.

Resolved: That the update on the Integrated Care System be noted.

Reason: To keep the Committee updated.