Agenda item

This report provides an update to the Health and Wellbeing Board (HWBB) regarding the work of the York Health and Care Partnership (YHCP).

The report also asks the Health and Wellbeing Board to respond to a recommendation in relation to Section 10.

The report was presented by the Executive Director of Communications, Marketing and Media Relations, NHS Humber and North Yorkshire Health and Care Partnership. It sought to confirm the board was content both to lead and provide a Neighbourhood Health Plan, building on the National Neighbourhood Health Framework published in March 2026, which had indicated a shift to more integrated, community-based care and prevention, and Health and Wellbeing Boards becoming the statutory lead and system steward for delivery.

She noted that York had a particularly strong foundation for neighbourhood working, with integrated neighbourhood teams in place across geographies, early progress and nationally recognised frailty and complex care pathways and population health management. There was strong partnership working across the local authority and York was recognised as a leading Place within the ICB for neighbourhood development.

She outlined that key delivery priorities were scaling and embedding the neighbourhood model and further development of the statutory neighbourhood health plan, strengthening joint commissioning and pooled approaches and particularly progress on systemwide mental health offer including the 24/7 mental health hub model and commissioning road map in the coming year.

Outlining risks and challenges she cited the ongoing situation concerning the NHS and the ICB but also system capacity constraints particularly in relation to commissioning and contracting capacity and workforce pressures across partners.She also noted that the whole system experienced significant financial pressure.

Regarding commissioning and governance she noted that joint commissioning continued to progress, supported by the extension of the Section 75 into 26/27 and the joint commissioning plan to be developed in quarter 1. The Better Care Fund had been submitted and she was expecting finalisation of that imminently and the ICB was in the midst of organisational change and was now in the midst of implementing its new structure, having this week conducted interviews for senior roles within the commissioning uh and insight function and programs of care including um you'll remember we're moving to a model of the three I'll call them the the the place delivery um leads um and that the interviews for those roles have taken place this week. There was still a little way to go in terms of implementation of the structure but 60% of the roles had been populated.

The chair thanked the Executive Director of Communications, Marketing and Media Relations and reiterated that a decision from the board was required as to whether it was content to provide the proposed Neighbourhood Health Plan.

Members acknowledged they had little choice in this; since signing off the plan was effectively a responsibility of the board, but felt HWBB was the appropriate place for this. It was noted that several board members were also members of the York Place Board, in the interest of reducing duplication. Ultimately the members agreed support for the proposition, stating that it was important to involve people in neighbourhoods, and active system stewardship in implementation.

Members acknowledged the importance of having primary care around the table and involved in the Neighbourhood Health Plan. They also proposed that the draft of the plan be brought to the next meeting of the board to hold the plan to account.

Resolved:

i.                That the Board note the update from the YHCP.

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

ii.               That the Board is content to provide the Neighbourhood Health Plan.

Reason:     The Board is required to ensure this plan aligns with the Joint Strategic Needs Assessment (JSNA) and integrates with wider local public services.