Agenda item

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 across multiple locations, supporting the wider transformation of adult social care services in North Yorkshire.

·         An update was provided on the Get Britain Working programme. The focus is on addressing health determinants and supporting individuals with long-term health conditions to return to work. While physical and mental health treatment could be an area of support, current restrictions prevent direct spending on this. Unlike the West Yorkshire model, which allows for investment in health interventions, the North Yorkshire approach centres on broader health determinant measures. This could include support for carers and veterans, as well as others. It was noted that the programme could bring an additional £4–6 million into North Yorkshire.

·         An update was provided on North Yorkshire Council’s Local Plan and Town Investment Plans. The Local Plan consultation has concluded and feedback is being reviewed, while Town Investment Plans are live, with work underway in around 30 settlements. Concerns were raised about ensuring health infrastructure needs are not overlooked due to outdated planning documents. North Yorkshire currently lacks a five-year housing supply, meaning speculative applications may have a stronger chance of approval, though unsustainable developments can still be refused. Health partners can support this process in two key ways: by acting as consultees to flag concerns about unsustainable proposals, and by engaging in infrastructure planning to ensure health services keep pace with housing growth. It was highlighted that Section 106 contributions are only often enough to fund half a project.

Resolved

a)    That the updates are noted.