Minutes:
Christian Turner presented his update to the Board, as summarised below:-
-
Out of 11.2 million GP appointments across the
integrated care system (ICS), 2.8 million were within North Yorkshire, a 9%
increase from the previous year.
-
Long waits had started to come down.
-
There were improvements in users of urgent and
emergency care being seen within four hours however this was still below the
national target of 76%.
-
Stephen Eames had convened an emergency care
summit in June. Chief Executives, Place Directors, and key leads from across
the ICS met to discuss how to improve performance and avoid more users being
transferred to emergency care. The plan that emerged from the summit was being
developed, to be ready for Winter.
-
There was a backlog in cancer treatments which
was now coming down. In North Yorkshire over 1200 people had completed their
cancer path, a total of 7 fewer than the previous year.
-
There was significant investment coming into
health inequalities which in North Yorkshire was being managed by Locality Care
Partnerships. The model that had been deployed had been effective in
understanding issues at the local level.
-
Within North Yorkshire 2000 people with
disabilities had their annual mental health check last year, an improvement on
the previous year.
-
In community services there had been a growth of
virtual wards which had become an important part of the overall system as they
have enabled people to leave hospital sooner than they otherwise would have.
The Chair asked for information regarding dentistry and the issues around deprived areas losing access due to the transfer of contracts. Christian advised that it was an issue across the ICS but there was work being done to find ways to become more flexible with the funding that was available and contracts in place. Sally Tyrer, Chair of the Primary Care Collaborative for North Yorkshire and York, added that the partners involved had shown an understanding of the issues. The ICS had shown innovative ideas in dealing with the issues, such as tackling health inequalities through offering ‘golden hellos’ to dentists.
Ashley Green added that it was positive the new government
would look at dental contracts, and was optimistic
towards the impact new training hubs could have across the ICS. In addition, he
mentioned that the four biggest queries from the public were regarding dentistry,
mental health, GP access, and waiting times.
Richard Webb provided his update, as summarised below:-
1.
The Change in government
-
The big issues were housing, house building,
growth, and further devolution to mayoral authorities.
-
That there may be a royal commission on social
care.
-
Anti-smoking legislation had been revived.
-
The Adult Social Care Work Force Strategy had
been published.
2.
System Issues
-
Colleagues in the Harrogate and District
Foundation Trust had renewed the integrated service for another year which
would now focus more on intermediate care, as well as front door and back door
prevention of admission to long-term beds.
-
There was a meting
between the ICB and the Council which looked at mental health.
3.
Operational / Public Health and Social Care
-
There were issues regarding substance misuse
whereby many areas were not meeting their treatment targets.
-
There was a Cabinet Office visit which looked at
developing new practices.
-
Social Care had seen a hike in activity of hospital
discharges, leading to more home care packages.
-
There were improvements in some priority waiting
lists.
-
A decision from the North Yorkshire Council
Executive had been made to close the Ashton and Malton Care Home as the current
state of the premise did not warrant continued investment into maintenance.
They were committed to an extra care scheme in the area and had looked at the
potential to replace and refurbish remaining key care homes.