SCHEDULE 1
AIMS AND OUTCOMES
In this Schedule 1, words shall have the meaning set out in the main body of this Agreement and as set out in this Schedule 1. In the event of a conflict, the definitions in this Schedule 1 shall take precedence over the definitions in the main body of this Agreement.
If any part of this Schedule 1 conflicts with Law, it shall be deemed deleted, but that shall not affect the validity and enforceability of the rest of this Agreement.
1. Without prejudice to the other provisions of this Agreement, the objectives of the Partners are as follows –
1.1 Prioritise the health and wellbeing of the population within place, addressing inequalities, equity and promoting preventative care and help people live longer healthier lives.
1.2 Enable communities across North Yorkshire to shape, participate in and take ownership of their local health and wellbeing services.
1.3 Support the delivery of the Joint Health and Wellbeing Strategy.
1.4 Improve the quality and efficiency of services by planning and undertaking activities together.
1.5 Develop and deploy effective collective approaches that join services and systems together to better support people to positively manage their health and wellbeing.
1.6 Work towards organisational and financial sustainability, recognising the challenges ahead in relation to budgets, workforce, rising costs, and rising demands, by taking decisions together that take account of interdependencies between health care services and the wider determinants of health.
1.7 Foster a culture of mutual respect, trust, and open communication that builds strong partnerships.
1.8 Embrace learning and continuous improvement to optimise care delivery and outcomes, encouraging local innovation.
SCHEDULE 2
GOVERNANCE ARRANGEMENTS
NORTH YORKSHIRE HEALTH COLLABORATIVE (NYHC) JOINT COMMITTEE
TERMS OF REFERENCE
(PURSUANT TO THE SECTION 75 AGREEMENT MADE BETWEEN NORTH YORKSHIRE COUNCIL AND NHS HUMBER AND NORTH YORKSHIRE INTEGRATED CARE BOARD)
If any part of these Terms of Reference ("TOR") conflict with Law, these shall be deemed deleted, but that shall not affect the validity and enforceability of the rest of these Schedules.
1. Background
The Humber and North Yorkshire ICB ('the ICB') and North Yorkshire Council ('Council') have developed aligned commissioning arrangements for the Section 75 ('s75') Services as defined in the Agreement.
This document shall set out the roles, responsibilities, and workings of the North Yorkshire Health Collaborative Joint Committee ('Joint Committee').
The s75 Joint Committee is a meeting between the ICB and the Council and is designed to ensure delivery of outcomes as set out in the section 75 agreement ('Agreement').
The s75 Joint Committee shall include Attendee Organisations. These Attendee Organisations are not subject to the s75 agreement but will be contributing through discussion to deliver transformed health and care services across North Yorkshire (including those geographical areas which are part of the West Yorkshire ICB and Lancashire and South Cumbria ICB).
1.1 Partners
Membership and Attendees of the NYHC Joint Committee is set out as follows:
Partners
· Humber and North Yorkshire ICB
· North Yorkshire Council
Attendee Organisations
· York and Scarborough Foundation Trust
· Harrogate and District Foundation Trust
· South Tees Foundation Trust
· Humber Foundation Trust
· Tees Esk and Wear Valleys Foundation Trust
· Community First Yorkshire
· North Yorkshire LMC
· West Yorkshire ICB
· Lancashire and South Cumbria ICB
· Independent Care Group
· GP Representative from Primary Care
· Nominated chair(s) of one or more Locality Care Partnerships
The meeting of those listed as Partners and Attendee Organisations above in one forum will be known as the North Yorkshire Health Collaborative Joint Committee.
These TOR shall commence on 10th July, 2025. They will be subject to an annual review by the NYHC Joint Committee to ensure they remain consistent with the evolving requirements, any changes to legislation, developments in best practice or requirements imposed by or on the Partners in relation to the s75 arrangements. Any changes to the TOR which do not have a material impact on the Partners can be approved by the Chair of Joint Committee in accordance with decision making protocols in section 5 below.
3. Roles and Responsibilities of the Joint Committee
The role of the Joint Committee is:
• Supporting the delivery of the Joint Health and Wellbeing Strategy (JHWBS) for North Yorkshire and contribution to delivery of the Integrated Care Strategy for HNY ICB locally in response to the Joint Strategic Needs Assessments (JSNAs) – aligning national and local agendas to establish priorities for the local population.
• Making joint recommendations and plans regarding budgets and functions included in the Section 75 agreement.
• Acting as the enabling environment for joint and aligned system leadership for North Yorkshire – ensuring the development of shared priorities and peer accountability for the delivery of objectives.
• Ensuring capability, skills, capacity and supporting infrastructure are developed to deliver objectives.
The priorities and objectives of NYHC Joint Committee are included in Schedule 3.
The NYHC Joint Committee will provide a quarterly update on progress against its priorities and objectives to the HNY ICB Executive and to North Yorkshire Council Executive and to other Attendee Organisations as required.
4. Chair, Membership and Attendance
Chair and Vice Chair
The Partners of the NYHC Joint Committee will appoint one Member as a Chair which shall be reviewed annually. The Chair is a voting Member of the NYHC Joint Committee.
The Partners of the NYHC Joint Committee will appoint one Member as Vice Chair which shall be reviewed annually and be concurrent with the role of the Chair of the NYHC Joint Committee. The Vice Chair is a voting Member of the NYHC Joint Committee.
The role of Chair and Vice Chair shall not be fulfilled by Members drawn from the same Partner organisation at the same time. Should the Chair be unable to attend, then the role of the Chair shall be fulfilled by the Vice Chair, and they shall be referred to as the Chair for the purposes of that attendance.
The Chair shall be responsible for approving the agenda and ensuring that discussions progress the objectives as set out in these TOR. A forward plan will be developed to support the setting of the agenda.
The Partners have agreed that the Chair of the NYHC Joint Committee shall initially be the North Yorkshire Council Chief Executive which shall be reviewed annually.
The Partners have agreed that the HNY Place Director for North Yorkshire shall initially be the Vice Chair of the NYHC Joint Committee meetings which shall be reviewed annually.
Membership
Each Partner will aim to have at least two persons each to be in attendance as a Member at each meeting of the Joint Committee. These persons shall not be in attendance in the capacity of either the Chair or the Vice Chair.
The resignation of a Member from their role with a Partner shall require resignation from the Joint Committee. The resigning Member shall be replaced by a Member from the same Partner, with equal appropriate delegated authority as the resigning Member. This Member shall be appointed prior to the next meeting. Where this is not practicable, a nominated deputy shall attend meetings until a replacement Member is appointed.
Each Partner will be required to have a nominated deputy from their Partner organisation where they are unable to attend. This deputy will have the same rights and responsibilities as the Member.
Representatives of Attendee Organisations are not voting members of the s75 Joint Committee will be attendees of the Joint Committee only. They do not make decisions but will be able to contribute to the forming of recommendations through discussion by Joint Committee.
The membership and attendees of the Joint Committee shall comprise of:
HNY ICB S.75 Voting Members
· Place Director
· Place Finance Director
· Deputy Place Director
NYC S.75 Voting Members
· Chief Executive
· Corporate Director Health and Adult Services (Statutory Director of Adult Social Services)
· Director of Public Health
Attendees (non-voting)
· Chief Executive Harrogate and District NHSFT
· Chief Executive Humber NHSFT
· Chief Executive Tees, Esk and Wear Valleys NHSFT
· Chief Executive University Hospitals Tees
· Chief Executive York and Scarborough NHSFT
· Named representative Bradford and Craven Health and Care Partnership (representing West Yorkshire ICB, Airedale NHSFT and Bradford and District Care Trust NHSFT)
· Name representative Lancashire and South Cumbria ICB (to be confirmed but suggest we include for now)
· GP Representative of Primary Care
· Nominated chair(s) of one or more Locality Care Partnerships
· Chief Executive Community First Yorkshire
· Chief Executive Independent Care Group
In attendance (for specific items on the Joint Committee agenda)
ICB
· Senior managers as required determined by the agenda.
Council
· Senior managers as required determined by the agenda.
Non-Voting Members
· Senior managers as required determined by the agenda.
Programme co-ordination/Secretariat (in attendance)
ICB
· Deputy Director Business Change and Planning
· Business Support Officer
Council
· Head of Health Improvement
· Democratic Services Officer
Attendance
The Partners will ensure that, except for urgent or unavoidable reasons, their respective Members (or their Nominated Deputies) attend and fully participate in the meetings of the Joint Committee.
The Joint Committee may have regard to the impact of its work on the wider Humber and North Yorkshire Health and Care Partnership parties and other potential partners.
The NYHC Joint Committee may consider inviting stakeholders for views in specific items of business to be considered at the Committee meetings but they shall not participate in any recommendations made.
5. Meeting Frequency, Quoracy and Decisions
Frequency
The Joint Committee will aim to meet no less than four times per year. Additional meetings may take place as required.
To be deemed in attendance, Members must be in attendance in person or virtually, and only votes cast in that forum by those deemed in attendance shall be counted towards the quorum.
Quorum
The Joint Committee will be quorate for making recommendations when at least each of the voting Partners are equally represented by Members, or their Nominated Deputies in numbers by a minimum of two people per voting Partner. No decision may be taken at any Joint Committee meeting unless it is quorate.
For recommendations Nominated Deputies in attendance count towards the quorum.
No person can act in more than one capacity when determining the quorum.
If any Member of the Joint Committee has been disqualified from participating in an item on the agenda, by reason of a declaration or finding of any conflict of interest (see below), then that individual shall no longer count towards the quorum.
Attendees of the Joint Committee may be disqualified from participating in an item on the agenda, in the event of a declaration or finding of any conflict of interest.
If the quorum has not been reached, then the meeting may proceed if those attending agree, but no recommendations may be made
Recommendations and Voting
The Joint Committee must comply with the framework for making recommendations as set out in Schedule 2. For the avoidance of doubt, the Joint Committee shall make recommendations only to the relevant Partner for which ultimate decision making remains.
The NYHC Joint Committee will seek to make recommendations on a consensus basis. In cases where consensus cannot be reached, the Chair may call a vote.
Voting: A vote will be taken, with each Member or their Nominated Deputy having one vote. The recommendation will be based on the majority vote. If a majority is not achieved, the recommendation doesn’t pass.
Any recommendations made will be recorded in the minutes of the meeting.
If a recommendation is needed which cannot wait for the next scheduled meeting, the Chair may conduct business on a ‘virtual’ basis by telephone, email or other electronic communication.
Where the presence of Attendee Organisations would cause conflicts of interest that cannot be reasonably managed within the NYHC Joint Committee, such an Attendee Organisation would be excluded from the specific items on the agenda or that meeting.
6. Behaviours and Conduct
Partners commit to behave consistently as leaders and colleagues in ways which model and promote our shared values and have aligned these to the Nolan Principles which define the standards of conduct expected by a person or people in public office.
Equality and diversity
Members must demonstrably consider the equality and diversity implications of decisions they make.
7. Accountability and Reporting
The NYHC Joint Committee is accountable to each of the Partners’ respective Cabinet/Executive and NHS Boards. An annual report will be prepared and shared with the respective Cabinet/Executive and NHS Boards of each of the Partners (and any other statutory bodies or other committees as notified by that Partner).
The minutes of the meetings shall be formally recorded by the secretariat and the Chair /Vice Chair will ensure these are shared to be included in each of the Partners’ respective Cabinet/Executive and Board meetings and shall draw attention to any issues that require disclosure or require action.
8. Secretariat and Administration
The Joint Committee shall be supported with a secretariat function provided by Partners which will include ensuring that:
· The agenda and papers are prepared by the secretariat and distributed no less than 5 Working Days ahead of each meeting, having been agreed by the Chair in consultation with the Vice Chair. By exception, and only with the agreement of the Chair or Vice Chair, acting reasonably, amendments to papers may be tabled before the meeting.
· No matters shall be considered which are not included in the agenda for the meeting, unless this is agreed by the Chair and the Vice Chair and the reasons for the urgency are minuted.
· The draft minutes of each meeting will be circulated promptly to all Members as soon as reasonably practical and no later than 10 Working Days after the meeting. The Chair will be responsible for approving the draft minutes before circulation.
· Attendance of those invited to each meeting is monitored by the secretariat. Limited attendance in a 12-month period will be highlighted to the Chair.
· Meetings are facilitated to ensure the smooth-running of business, including virtual and/or in-person arrangements.
· Good quality minutes shall be taken and agreed with the Chair and a record of matters arising, action points and issues to be carried forward shall be maintained by the secretariat.
· Owners and timescales for action points are identified within the meeting to enable actions to be taken forward between meetings and progress against those actions monitored.
· The secretariat is responsible for ensuring that the annual programme of business is regularly updated according to the NYHC Joint Committee’s objectives and associated risks.
9. Virtual Meetings / Recording of Meetings
Before starting a recording, the Chair is legally required to inform anyone in attendance of the meeting if the meeting is being recorded and that the purpose of the recording is as an administrative tool to support the provision of clear and accurate minutes.
The recording is only retained for the period of drafting the minutes and then subsequently deleted from all systems.
No person other than the secretariat admitted to a meeting of the NYHC Joint Committee will be permitted to record the proceedings in any form.
10. Conflicts, Potential Conflicts and Declarations of Interest
In advance of any meeting of the NYHC Joint Committee, consideration will be given as to whether conflicts of interest are likely to arise in relation to any agenda item and how they should be managed.
Where any Member, or Attendee of the NYHC Joint Committee believes that they have any actual or perceived conflicts of interest in relation to one or more agenda items, they must declare this at the beginning of the meeting wherever possible, and always in advance of the agenda item being discussed. If the existence of an interest becomes apparent during a meeting, then this must be declared at the point at which it arises.
It will be responsibility of the Chair to decide how to manage the conflict and the appropriate course of action.
Any interests which are declared at a meeting must be recorded within the minutes of the meeting. Individuals must ensure that they comply with the Partners' conflict of interest policies or any professional codes of conduct with regard to the recording of declarations.
11. Freedom of Information Act 2000
The Joint Committee meeting is not a public meeting, but the minutes and papers of this Committee may be subject to sharing in accordance with the Freedom of Information Act 2000, except where exemptions from publication apply.
12. Review
The Joint Committee will review its effectiveness at least annually.
These TORs will be reviewed at least annually and more frequently if required.
Any significant proposed amendments to the TOR will be submitted to the each of the Partners’ respective Executive and Board for approval.
SCHEDULE 3
STRATEGIC Priorities for North Yorkshire Health Collaborative
In convening the key leaders and organisations across local government and the NHS, the NYHC needs to be able to focus on a small number of priorities where, together, partners can make a difference by acting as one. These are three-fold:
|
1. Core work programme |
· Prevention and well-being · Health inequalities and increasing healthy years lived · Single, strong community health service · Intermediate Care, reablement and rehabilitation, including community equipment · Better quality and more affordable model for people with long-term mental and physical health issues · Unpaid carers · Involving individuals and communities in decisions about their health, care and services · Existing combined activity |
|
2. System performance and improvement |
Ongoing assessment of the “state of the nation” across key sectors to collectively understand risks, issues and how we can improve performance. Aiming to ensure services are responsive and sustainable and agree on what we can do when we are off-track. · Including issues such as access to services, waiting times, service and financial sustainability, external assurance and inspections · This area of work should also bring together the North Yorkshire contribution to the ICB’s Design for the Future blueprint and savings/transformation programme. |
|
3. Healthy places |
Focusing on bringing together health and social care and economic and spatial planning, as well as a more shared strategic approach to digital transformation. Including: · Housing growth implications for health and social care · Local Plan/infrastructure · Health on the high street · Health-related economic growth and national/regional investment · Shared strategic approach to digital transformation and infrastructure |