Agenda and minutes

The Chair welcomed all attendees to the meeting.

Apologies for absence were received from Amanda Bloor, Zoe Campbell (substituted by Brian Crann), Stuart Carlton, Jonathan Dyson (substituted by Ben Illsley), Simon Myers, and Matt Sandford.

Resolved

a)    That the Minutes of the meeting held on 16 May 2025 are approved as a correct record.

There were none.

Members of the public may ask questions or make statements at this meeting if they have given notice and provided the text to Democratic Services (democraticservices.central@northyorks.gov.uk) no later than midday on Tuesday, 15 July 2025, three working days before the meeting takes place. Each speaker should limit themselves to three minutes on any item. 

If you are exercising your right to speak at this meeting, but do not wish to be recorded, please inform the Chair who will instruct those taking a recording to cease whilst you speak.

No public questions or statements were received.

Louise Wallace and Naomi Smith presented the report, emphasising that the North Yorkshire Joint Local Health and Wellbeing Strategy was designed to be actively overseen and reviewed by the Board.

Naomi gave a presentation outlining the Strategy’s overarching ambition, its three key priorities, and the context behind its development. She provided an overview of the delivery plan, noting that an update had previously been presented to the Board in March. The plan sets out actions for the coming year and is intended to assure the Board that progress is being made. While updates will be provided throughout the process, it was acknowledged that the full impact will only become clear upon completion.

Naomi described the cyclical approach to monitoring the Strategy. Each year, the Board will be presented with the intended actions for the year ahead. A mid-year update is proposed for 19 November, followed by an annual review the following July, which will reflect on the previous year’s actions and introduce the delivery plan for the upcoming year. She highlighted the Board’s commitment to hosting spotlight sessions throughout the year to explore specific topics in greater depth.

Naomi clarified that the purpose of the report was to agree the monitoring approach, approve the delivery plan for the coming year, and consider the draft impact measures. Members were invited to share their thoughts on potential spotlight session topics and asked to note the report. Additionally, Members were encouraged to consider nominating Champions to focus on particular areas of the Strategy and to reflect on how the voice of lived experience could be effectively incorporated into the Board’s work.

During the discussion, the following points were raised.

·         A question was raised about whether the full scope of the Strategy could realistically be delivered. Naomi responded that it is for colleagues and the Board to determine priorities and what is achievable. She emphasised that regular reporting will keep the Board informed of progress, and meetings provide a forum to raise any concerns if delivery is not on track.

·         It was noted that the Strategy aligns well with the NHS 10-Year Plan.

·         The importance of considering rural health across all themes was highlighted. Rather than focusing on rurality in a single spotlight session, it was suggested that rural considerations should be embedded throughout the Strategy’s implementation.

·         Concerns were raised about oral health, particularly access to urgent dental care. It was proposed that this issue be explored further through a dedicated spotlight session.

Resolved

a)    That the approach for monitoring and evaluating the progress of the North Yorkshire Joint Local Health and Wellbeing Strategy 2023–2030 outlined in this report is agreed, and the items are added to the Health and Wellbeing Board work programme.

b)    That the draft Strategy Delivery Plan for 2025-2026 and draft suite of impact measures are agreed (Appendix A).

c)    That suggestions for spotlight session topics are made.

d)    That the additional options outlined in section 6 are considered during the course of 2025/2026, aligned if appropriate to the forthcoming  ...  view the full minutes text for item 31.

Humber and North Yorkshire

Mark Bradley, Acting North Yorkshire Place Director – Humber & North Yorkshire Health & Care Partnership.

North Yorkshire Council

Richard Webb, Corporate Director of Health and Adult Services, NYC & Louise Wallace, Director of Public Health, NYC.

NHS 10-year plan

Mark Bradley, Acting North Yorkshire Place Director – Humber & North Yorkshire Health & Care Partnership.

Mark Bradley provided an update on the Humber and North Yorkshire ICB and The NHS 10 Year Plan before Richard Webb and Nic Harne provided updates on North Yorkshire Council. Below are the points that were raised under these updates.

·         The NHS Plan is built on three major shifts: from hospital to community; from analogue to digital; and from treatment to prevention. The link between national and local ambitions was emphasised. It was noted that having the right system architecture in place will be critical to achieving these goals. Comments on the negative impacts of The Plan were also raised.

·         Regarding from hospital to community, one theme is neighbourhood health services and how these will integrate into the system. This approach moves beyond a traditional NHS medical model, adopting a whole-system perspective that includes local authorities, the voluntary sector, and collaboration with patients. Significant changes in NHS contracting were noted, including the development of both single and multiple neighbourhood contracts. Additionally, specific updates were shared regarding the infrastructure supporting the opening of neighbourhood health centres.

·         Shifting NHS spending will be key to delivering The Plan, with a focus on reallocating resources from acute services towards community and primary care.

·         Maximising the contribution of the voluntary sector and other partners in the wider system was highlighted as an important area for development.

·         Digital transformation remains a critical priority. Patients must understand the systems and partners needed to continue progress towards a single patient record.

·         An update was provided on the Joint Committee. The Committee has agreed the Section 75 agreement and one focus of it is community integration and neighbourhood health. The development and launch of a single Community Health Service is key, with work on the neighbourhood health model continuing over the coming months.

·         NYC has had their CQC inspection and a report is expected in Autumn.

·         It was noted that the Government has announced a national Neighbourhood Health Implementation Programme. The programme does not come with dedicated funding and must be resourced locally. It is competitive, with a particular focus on addressing health inequalities – efforts are being made to ensure that the bid reflects the diversity of communities across North Yorkshire. A working group has been established to act as the engine room for the Health Collaborative, tasked with developing a bid that represents the interests of local partners.

·         It was reported that North Yorkshire is likely to lose funding through the new allocations. There are expected gains for North Yorkshire in terms of social care funding, but reductions in funding for children's services. Full details are not yet available and are anticipated later in the year. It was suggested that others review the funding formula and reflect on the potential impact this may have on their organisations.

·         Progress is being made on the proposals for Care and Support Hubs in Harrogate and Scarborough. It is anticipated that planning applications will be submitted towards the end of the year. These hubs will provide intermediate and advanced dementia care  ...  view the full minutes text for item 32.

Mark Bradley introduced the report which outlined the Humber and North Yorkshire ICB Joint Capital Resource Use Plan for the upcoming year. It was briefly described how this funding would be distributed across various projects and initiatives. The ICB is legally obligated to provide a copy of the Plan to the Board.

Resolved

a)    That the NHS Joint Capital Resource Use Plan for 2025/26 is noted.

Louise Wallace introduced the report and explained that it was seeking approval from the Board to delegate the approval of the Better Care Fund quarterly monitoring return for 2025/26 to the Corporate Director for Health and Adult Services, Richard Webb. It was reported that the quarterly monitoring return has previously come to the Board for approval but can in fact be signed off on a delegated authority basis. This will allow the utilisation of the full length of the submission timeline, which should provide more accurate forecasting.

It was suggested that the recommendation at paragraph 9.1 of the report be amended to read – a) approve the delegation of the Better Care Fund quarterly monitoring return for 2025/26 to the Corporate Director for Health and Adult Services, Richard Webb, in consultation with the relevant Place Director.

Resolved

a)    That the Board approves the delegation of the Better Care Fund quarterly monitoring return for 2025/26 to the Corporate Director for Health and Adult Services, Richard Webb, in consultation with the relevant Place Director.

The Chair introduced this item and highlighted that Oral Health had been raised as a potential topic for a spotlight session. The Chair also highlighted that the November meeting is due to take place in person at Harrogate Civic Centre and will be used to discuss the role and purpose of the Board.

Any other items which the Chair agrees should be considered as a matter of urgency because of special circumstances

There were none.

Friday, 19 September 2025 at 10.30 via Microsoft Teams.

Friday, 19 September 2025 10.30am via Teams.