North Yorkshire Health and Wellbeing Board

 
Minutes of the meeting held via Microsoft Teams, on Friday 17th March 2023 at 10am

Board Members

Constituent Organisation

County Councillors

County Councillor Michael Harrison (Chair)

Executive Member for Health and Adult Services

Integrated Care Systems

Amanda Bloor

Chief Operating Officer and Deputy Chief Executive, Humber and North Yorkshire Integrated Care System

Ali Jan Haider

Director of Integrated Health and Care, Bradford District and Craven Health and Care Partnership – part of West Yorkshire Integrated Care System

Local Authority Officers

Louise Wallace

Director of Public Health, North Yorkshire County Council

Elected Member District Council Representative

Councillor Richard Foster

Leader, Craven District Council

Other Members

Ashley Green

Chief Executive, Healthwatch North Yorkshire

Shaun Jones

Interim Locality Director, NHS England (North East and Yorkshire)

Co-opted Members

Zoe Campbell

Managing Director (North Yorkshire, York and Selby) - Tees, Esk and Wear Valleys NHS Foundation Trust (Substitute for Brent Kilmurray)

Emma Nunez

Deputy Chief Executive, Harrogate and District NHS Foundation Trust (Substitute for Jonathan Coulter)

Sally Tyrer

Chair, Yorkshire Local Medical Committee (Primary Care Representative)

Mike Padgham

Chair, Independent Care Group (Care Providers Representative)

 

In Attendance (North Yorkshire County Council) unless stated:-

David Smith, Steve Loach and Chris Phillipson (Legal and Democratic Services)

Jane Le Sage (Assistant Director, Inclusion, Children and Young People’s Services), Shanna Carrell, Equalities Manager – Public Health, Alaina Kitching, Senior Strategy and Performance Officer

Lucy Tulloch, Mark Graham and Andrew Port (South Tees Hospital NHS Foundation Trust), Nancy O’Neill, MBE., Chief Operating Officer, Bradford District and Craven Health and Care Partnership, Anja Hazebroek, Executive Director of Communications, Marketing and Media Relations, Humber and North Yorkshire Integrated Care System and Esther Ashman, NHS West Yorkshire Integrated Care Board

                      

 

Copies of all documents considered are in the Minute Book

 

 

 

37.       Welcome by the Chair

 

The Chair welcomed Members of the Board and confirmed this is a public meeting.

 

38.       Minutes

 

            Resolved -

 

            That the Minutes of the meeting held on 18th January 2023 be approved as an accurate record.

 

39.       Apologies for absence

 

            Apologies for absence were submitted by:

 

·                County Councillor Janet Sanderson, Executive Member for Children and Young People’s Service

·                Janet Waggott, Chief Executive, Selby District Council and Assistant Chief Executive, North Yorkshire County Council (District Councils Chief Executive Representative)

·                Jonathan Coulter, Chief Executive, Harrogate and District NHS Foundation Trust

·                Richard Flinton, Chief Executive, North Yorkshire County Council

·                Brent Kilmurray, Chief Executive, Tees, Esk and Wear Valleys NHS Foundation Trust

·                Lisa Winward, Chief Constable, North Yorkshire Constabulary

·                Jill Quinn, Chief Executive, Dementia Forward

·                Richard Webb, Corporate Director, Health and Adult Services, North Yorkshire County Council

·                Stuart Carlton, Corporate Director, Children and Young People’s Services, North Yorkshire County Council

·                Wendy Balmain, Place Director for North Yorkshire - Humber and North Yorkshire Integrated Care System

 

40.       Declarations of Interest

 

            There were no declarations of interest.

 

41.       Public Questions of Statements

 

            There were no public questions or statements.

 

42.       Friarage Hospital – Surgical Hub

 

          Considered –

           

            A presentation by representatives of the South Tees Hospital NHS Foundation Trust in relation to the development of a Surgical Hub at the Friarage Hospital, Northallerton.     

The presentation highlighted the following:-

 

·                Replacing the hospital’s six existing operating theatres with a modern Surgical Hub

·                Would include six main operating theatres, two minor operating theatres and a surgical admission and day hub

·                The initiative was clinically led

·                The project would commence in Spring 2023 and aimed to be open by Winter 2024/25

·                This was an integral part of growing elective care at the Friarage and ensuring the viability of the hospital.

 

The following issues were highlighted in relation to the proposals:-

 

-           Members considered the developments to be exciting and would provide viability for the Friarage.

 

-           The expansion of services was a good news story and would take some pressure off other nearby hospitals.

 

-           The developments were a direct result of the consultation undertaken in 2019, with clinicians directly involved in the drafting of the project.

 

-           The hub would transform the Friarage and the available clinical offer in North Yorkshire.

 

-           The Chair paid tribute to the way in which the Trust had delivered what they set out to do, despite suspicion locally, and considered that this had assisted in restoring confidence in the hospital, going forward.

 

Resolved –

 

That the presentation be noted.

 

43.       Special Educational Needs and Disabilities (SEND) - Progress Update

 

Considered –

 

A report and presentation by Jane Le Sage, Assistant Director, Inclusion and Sally Newsome, Designated Clinical Officer, North Yorkshire and York, provided prior to the Meeting, highlighting the following:-

 

·                The SEND population across North Yorkshire remains below the national average. 4428 children currently have an Education Health Care Plan (EHCP) which is around the national average.

·                The primary needs for those with an EHCP are speech and language assistance, which correlates with the national position, and the assistance provided accords with the National Plan.

·                Joint Working – A clear joint Governance Statement has been co-produced which provides details of the agreement on joint commissioning and joint funding. Compliance Statements are shared with NHS England and the Department for Education.

·                SEND Health data dashboard

·                A great deal of the work on assessments and the EHCP process is undertaken jointly with the NHS.  Examples of recent joint work initiatives were outlined.

·                The joint working priorities for 2023/24 included the neurologist system, speech and language support and the transformation of CAMHS - Child and Adolescent Mental Health Services.

·                Looking forward, it is expected that an Inspection of the service is imminent.

 

The following issues were highlighted in relation to the report:-

 

·                Applications for EHCPs are submitted by both the relevant school and by parents and every effort is made to ensure there is a consistent approach to these.

·                Collaboration between the various SEND Teams and the ICB Teams was acknowledged, with strong and close working relationships fully embedded.

·                It was noted that the different ICBs were at different stages in terms of their strategic position on assisting with SEND, but the joint working was still in a strong place and enabled issues to be dealt with effectively.

 

The Chair noted that this would be Jane Le Sage’s last meeting before retirement and he thanked her for her hard work and wished her well in the future.  This was echoed by other Members.

 

Resolved –

 

That the update be noted.

 

44.       Integrated Health and Care Strategies

 

            Considered –

 

Draft Integrated Care Strategies from Humber and North Yorkshire Integrated Care System and West Yorkshire Integrated Care System.

 

Humber and North Yorkshire Integrated Health and Care Strategy

 

Amanda Bloor, Deputy Chief Executive/Chief Operating Officer and Anja Hazebroek, Executive Director of Communications, Marketing and Media Relations, Humber and North Yorkshire Integrated Care System, updated the Board on the progress being made on the Humber and North Yorkshire Integrated Health and Care Strategy, highlighting the following:-

 

·                It was fully recognised that North Yorkshire would interface into two ICBs but it would be ensured that a seamless approach was undertaken.

·                The draft Strategy document was still being progressed and would be subject to public and stakeholder engagement.

·                The Strategy was ambitious and aimed to deliver an improved experience for the whole area, with improved health for all.

·                The ongoing engagement was seen as really important, with extensive consultation being sought to ensure that a deep sense of what is required by local communities is obtained.

·                Engagement would continue following the publication of the Strategy to ensure that the harder to reach groups were consulted and their issues taken account of.

·                The next steps would be for the ICBs to prepare a Five Year Joint Forward Plan -the Delivery Plan for the Strategy, for the strategic areas within North Yorkshire. The delivery and administration would be led within those areas and would incorporate extended levels of joint working with strategic partners. The Joint Plan would provide a single approach to the priorities identified.

·                A finalised version of the Joint Forward Plan was expected by the end of June 2023.

 

Resolved –

 

a)         That the update be noted.

 

b)         That the final draft content of the Humber and North Yorkshire Integrated Health and Care Strategy be approved.

 

c)         That the next steps be noted.

West Yorkshire Integrated Health and Care Strategy

 

Esther Ashman, of the West Yorkshire Integrated Care Board, updated the Board on the progress being made on the West Yorkshire Integrated Health and Care Strategy, highlighting the following:-

 

·                The Strategy was in a similar position to that of the Humber and North Yorkshire Integrated Health and Care Strategy.

·                An initial draft of the Strategy had been signed off by the Partnership Board.

·                A similar process to that outlined for Humber and North Yorkshire was being undertaken, with a view to making an impact on health and wellbeing in the area.

·                Local needs would be prioritised with a focus on poverty, cost of living and access to services.

·                The next steps would see the development and delivery of the Joint Forward Plan and the implementation of the Health and Care Strategy, through the various stakeholders and extensive engagement with all.

·                Working documents were expected to be in place by the beginning of April but engagement would be delayed due to an election period prior to the local elections in May.

 

The following issues were highlighted in relation to the Strategies and Joint Forward Plans:-

 

-           Craven was a key area for the Health and Care Strategies and was very much linked into both areas.  The engagement and development processes would help to deliver for the Craven area through integration and engagement, with joint planning and working between the two Care Boards.  Councillor Foster noted that he would no longer be a representative of Craven District Council, on the Board, from vesting day, but would continue to monitor the liaison and engagement between the Craven area and the Integrated Care Boards to ensure this remained effective.  The commitment to the Craven area from the ICBs was emphasised.

 

-           The issue of bids for capital funding was discussed and it was asked how the ICBs moved forward when bids were unsuccessful.  In terms of the North Yorkshire Board it was stated that the capital programme and strategic Board matters were separated.  Should a strategic issue be linked to a capital bid that was unsuccessful, every effort would be made to secure funding from alternative sources.  In such cases, the scheme would not be progressed until the appropriate funding was in place.

 

Resolved –

 

a)         That the final approved version of the West Yorkshire Integrated Care Strategy be noted.

 

b)         That the alignment, where appropriate to the Humber and North Yorkshire Integrated Care Strategy, be noted.

 

c)         That the plans to develop a delivery vehicle for the Strategy, through the Joint Forward Plan, be noted.

 

45.       North Yorkshire Joint Health and Wellbeing Strategy

 

  Considered –

 

An update by Louise Wallace, the Director of Public Health, on the progress of the development of a new Joint Health and Wellbeing Strategy (JHWBS) for North Yorkshire.  She highlighted the following:-

-           The Joint Health and Wellbeing Strategy was still in development but a draft was expected to be completed by early May.  This will then be presented to the Health and Wellbeing Board and then the twelve week consultation will commence.  The draft Strategy takes into account the refreshed countywide Joint Strategic Needs Assessment.

 

-           The consultation on the Strategy will be for a twelve week period, allowing sufficient time to thoroughly consider all the issues.  It would provide an opportunity to speak to groups whose views are not always provided or respond readily.  Work would be undertaken with the ICBs and Healthwatch, using a variety of mechanisms, to ensure all appropriate groups were involved with the consultation.  Details of the key stakeholders taking part in the consultation process were detailed in an appendix to the report.  Work would also be undertaken with the Community Sector and Members of the Health and Wellbeing Board would be asked to support events where an opportunity for consultation would be provided.

 

-           The Strategy will need to take into account recent events, particularly the impact of the pandemic on health and wider inequalities; explore what matters to people now; and identify both shorter-term and longer-term priorities for improving health and reducing health inequalities.

 

-           The principles for the Strategy are:-

 

· People · Place · Population · Prevention · Partnership · Performance

 

Members of the Board welcomed the collaborative working on the Strategy and the attempt to reach out to the groups that were not as willing to engage in consultation events.  It was also stated that it was refreshing to see that there would be no re-asking of previous questions in the consultation process, as that was much more likely to generate a favourable response.

 

Resolved –

 

That the report be noted, and:

 

a)         feedback on the draft Strategy and consultation proposals be shared;

 

b)         the Joint Health and Wellbeing Strategy Editorial Group be commissioned to prepare the draft, with any revisions agreed, for public consultation;

 

c)         the Joint Health and Wellbeing Strategy Editorial Group be commissioned to take the draft forward for public consultation during spring/summer 2023; and

 

d)         a report of the consultation and final draft Strategy be submitted for approval at their meeting of 20th September 2023.

 

46.       Council Plan

 

Considered –

 

A presentation by Alaina Kitching, Senior Strategy and Performance Officer, on the Council Plan, 2023 – 2027, which had recently been approved by full Council.

 

The following highlights were detailed in the presentation:-

 

·                The vision, ambitions and the four pillars of locality working

·                The Health and Wellbeing focus within the Plan, including priorities

·                The process for developing the Plan

·                Cross-cutting themes

·                Engagement and approval

 

A discussion of the presentation highlighted the following issues:-

 

·                The need to ensure that the Council Plan aligns with the other plans currently being developed, allowing any potential gaps in service provision to be eliminated.

·                It was suggested that such plans should be supplemented with photographs of the communities that they are serving, rather than rural landscapes that are very prominent in these publications.

·                The Plan was welcomed and considered to be understandable and relatable. The “people box” provided details of support for families and would assist with early support for young people.

·                The Area Constituency Committees provided a platform for area concerns to be raised and fed into the Scrutiny of Health Committee.

 

Resolved –

 

That the presentation be noted.

 

47.       Work Programme

 

Considered –

 

A rolling Work Programme, presented by Steve Loach, Principal Democratic Services Officer.

 

He stressed that the Work Programme was fluid, as circumstances changed. It was open to any Member to input into it.  Therefore, should any Member feel that something should be added, they could advise of this now or contact Patrick Duffy between meetings.

 

NOTED.

 

48.       Next Meeting

 

            The Chair confirmed that the next meeting will be on Wednesday 24th May 2023 at

1.00 p.m.

 

49.       Any other business which, in the opinion of the Chair, should be considered as a matter of urgency

 

  Councillor Richard Foster 

 

  The Chair noted that this would be Councillor Foster’s final meeting of the Health and Wellbeing Board, as representation of the District Councils would no longer be required following the establishment of a unitary authority.  He thanked Councillor Foster for his service to the Board.

 

The meeting concluded at noon.

 

SL