Issue - decisions

Resolved:  (i)      That the developments be noted, including the proposed structure and arrangements for the NHS and care within the region from the next financial year.

Reason:     As both a provider and commissioner of health and care services, and as a partner within the York health and care system, the council has a duty to participate in and influence the direction of the reforms to the NHS and care.

                   (ii)      That the draft constitution of the proposed NHS Humber and North Yorkshire ICB and Humber and North Yorkshire ICP, included in Annex A, be noted.

Reason:     The council will have direct and indirect involvement in the new structures, and Executive Members should be involved in shaping the York ‘place’ within health and care.

                   (iii)     That the Chief Operating Officer be recommended, along with the Leader of the Council and the Chair of the Health & Wellbeing Board, to write to the ICS, NHS England and other affected local authorities in the region to highlight York’s concerns; this letter to make clear that:

·        as per NHS guidance, the place boards (such as York) should be the statutory sub-committees or joint committees of the Integrated Care Board (ICB) to which delegation is passed, and any further delegation to other regional partnerships (such as York and North Yorkshire) must be agreed from Place and not from ICB;

·        each Place should be represented on the Integrated Care System (ICS) Board and ICS Partnership;

·        the recently announced pause be used as an opportunity to engage residents and groups with consultation.

Reason:     In view of the importance of the topic and issues raised in the report.