a) Humber and North Yorkshire – Amanda Bloor, Chief Operating Officer
b) West Yorkshire – Director of Integrated Health and Care, Bradford District and Craven Health and Care Partnership
Minutes:
Considered –
Oral updates from the two Integrated Care Systems within North Yorkshire.
Humber and North Yorkshire Integrated Care Board
Mr Turner presented his update to the Board in three parts.
Planning
- The 23/24 period resulted in a balanced budget and small surplus, moreover, that the Humber and North Yorkshire ICP was one of only two partnerships to deliver on its efficiency programme.
- The 24/25 planning round had been submitted in May.
- The 24/25 period would be financially difficult but had met with relevant partners. There would be a focus on efficiencies and value for money; and consideration into increasing productivity with available resources such as implementing digital tools and surveys, and reducing waste.
Transformation of priorities
- They had identified a number of efficiencies across the ICS.
- Had introduced Senior Role Officer’s for every service.
- Improved representation by bringing in a Lead in Local Authorities.
Place Framework
- The Framework would be delivered through the ICB and follow commitments to excellence, prevention, and sustainability.
- The upcoming months would determine how it is embedded in North Yorkshire.
Louise Wallace added that it was important the work be contextualised within population change. She also spoke on the importance of upstream prevention and connection between the HWB and NHS. Jonathan Coulter added that he agreed there were no quick fixes and long term thinking was needed.
Bradford District and Craven Health and Care Partnership
Nancy O’Neill presented her update to the Board. She advised that the 23/24 period had achieved a balanced budget, however, that the 24/25 period would hold challenges. She expanded that half of the current deficit was within the Bradford area and much of this originated from hospitals. Further, a new electronic patient record had temporarily lowered productivity while the system was learnt. Regarding the Closing the Gap Programme, she spoke on targeted interventions and greater engagement with North Yorkshire Colleagues. Finally, listening exercises had been carried out on a geographic basis were met with good engagement and revealed a number of specific needs.
- The 23/24 period had achieved a balanced budget
- The 24/25 period held challenges whereby half the deficit was within the Bradford. Further that most of this originated from hospitals, which were also going through the integration of a new electronic patient record
- The Closing the Gap Programme was carrying out targeted interventions and was engaging with North Yorkshire colleagues.
- A number of geographically based listening exercises were met with positive engagement and produced responses on the specific needs of an area.
The Chair referred to a recent Council budget meeting where he recounted the cross-party concern for the funding of the hospice sector. He was concerned whether the full reimbursement of commissioned costs of services would not be received and further asked if the costs could be lost in the transformation. Nancy responded that funding among the 11 hospices was not equitable but that work was being done to address this. Moreover, that changes in charity funding had increased the difficulty in funds. She stated it would be a 4 year process to rebalance the inequities.
Mr Turner advised he was aware that the issue had been raised by the hospices with the H&NY Chief Executive Stephen Eames.
The Chair said he would keep them appraised of the Council’s position.
Richard Webb also presented to the board.
- He updated on conversations with Council Chief Executives in response to the HNY savings and transformation programme.
- He had spoken to Lancashire and South Cumbria ICB colleagues on their Place arrangements.
- There was ongoing work on the Local Plan which Community Development Colleagues were taking forward.
Mr Coulter added that there had been a local AP inspection which would cover areas of improvement. He suggested the HWB would want sight of the report when published.