Representatives’ Report/Feedback Name of Representative: Title … · 2018-08-24 · PM – HWBB in York – had a presentation about this, confirmed our commitment. DN – social

Representatives’ Report/Feedback

Name of Representative: Sian Balsom

Title of the meeting: NHS Vale of York CCG Governing Body meeting

Date of meeting: 02.11.17

Date of next meeting: 04.01.18

Purpose of the meeting (please give short summary):

Main areas of discussion:

Question from Anne Leonard – Defend our NHS Language workshop held several months ago. Point being made – to challenge the language used. Analogy:- don’t bring about reformation by teaching Latin but by translating the bible & prayers. Language as obfuscation & lies. Duty on CCG to be accountable to the people. Can only get that accountability if language used is clear. Keith Ramsay – role for everyone in NHS to use simple language. We will try. 5th October = held part II meeting – not in public interest to hold in public Actions from previous meeting STP Phil Mettam - Some of the clinical networks you’d expect to see are relatively passive in York. The issue of how clinical networks are led is one for clinicians. Will be making a new appointment which will have impact on this. Accountable officers report – CCG’s inadequate ratings for 16/17 due to finances – so CCG in special measures. NHS England working through conditions at national level for a number of CCG’s in special measures. CCG is in self-imposed turn around. Now working through what measures would be appropriate to address finances:

New model of acute commissioning. With SRCCG of YTK. Expecting

financial envelope to be agreed. Taking a long term view on what

hospital services are needed for our population. 2/3 of deficit historically

relates to acute care.

The other 1/3 attributable to complex care. For example Continuing

Health Care & care management. So brought in Denise Nightingale to

tackle these challenges.

Also looking at reducing CCG running costs by 10% within a year.

All CCGs in turnaround will be requested to have a turnaround director. Don’t know if we can influence who this can be, what scope of role is, or who they will report to. Despite this, we have a positive story. Plan of £16 million deficit compared with £23 million last year. 4% reductions in GP referrals to the hospital – credit to cut GP colleagues. CCG’s cost reductions programme, Q1 PP – not great, this year already saved more in 6 months than in whole of last year.

NHSE encourage CCGs to talk of right care – looking at reducing cost without reducing quality. Being told we are doing this locally, is as good if not better than, anywhere else in England. Hospitals now facing unprecedented financial difficulties. We must work together as a system to provide stability & good care for elderly & vulnerable population. RTT times: - especially for some specialities are creeping up at hospitals despite reduction in referrals. Overall CCG is stabilising. But predictions are this will be hardest winter ever for NHS. Council of reps feedback: -lots of different issues for general practise - How they escalate if experience pressure over winter. Urgent care, extended hours & strategic. Appointed Kevin Smith to new role of Director of Primary Care & strategic population Health. Excellent appointment. (SB note – he presented at first STP workshop I attended – great presenter, incredibly knowledgeable & well thought of across the region) Commended the work of this Fliss Wood – does a lot behind the scenes to support eg winter planning NHSE & NHS Improvement have a difficult job to do. Capped expenditure is about working for the system not for your organisation but as a regulator you have to maintain statutory duties. Eg waiting times, So CEP got a bit stuck but working with both regulators to look at how quality can be maintained whilst reducing cost. Right care approach consistent with this which highlights importance of developing clinical networks. EB – department of Health fund for social prescribing - £5 million. Who is leading at this from CCG? 100% sold on this model. What are we doing? PM – HWBB in York – had a presentation about this, confirmed our commitment. DN – social prescribing, personal health budgets, lots of opportunities to build confidence + enable people to get on with their lives. Would see this as bigger than primary care & voluntary sector. Want to see its growth with hospital, mental health. CYC are engaged. Would hope & expect these opportunities to come out as part of that. Unsure have the infrastructure to pull all these people together but will is there. PM – risk update

- Retreat inadequate ratings from CQC. Confirmed expecting rating to go up at

next inspection.

Louise Barker – IAPT. Made some real progress on waiting list – from 1000 down to 300. Done this through bringing in a new provider whilst revising the pathway. Still not reaching target on dementia coding. National team from NHSE have made recommendations which were taken to council of reps. Audit committee considering a different way of handling risks – better embedding it into organisations.

- - HCV local maternity system – Debbie Winder – Head of Quality Assurance &

Maternity (midwife by background)

Vision – to increase choice for women, personalised maternity care delivered by integrated high quality services. Work across the STP – 6 CCGs – VoY, SR, Hull, ER, NEL, NL. Events are quite Hull focussed –challenging for engaging pregnant women & new mums. Debbie has asked for improved technology to allow genuine co – production with women across vale of York. York deprivation score 12.28, Hull 41.24 so needs may be very different across the patch. Plans are to be implement vision from better births review 2016 by 2020/21 Work programmes – 7 – lift from slides. Each programme has aims and action plans. Perinatal MH has a big issue – but plans must be suitable. Working with York Mumbler & the MSLC. EB – we have pockets of deprivation where the level is the same as Hull. Smoking, obesity – the difference between our mums in the VoY is massive. Real challenges to provide services that cover all the needs. Concern – 1/3 of GP’s now don’t take maternity training. Lack of links back to GPs. Need recognition especially around mental health that your GP will be a constant link. LB – looking to bid for perinatal health across North Yorkshire. DW – 2 bids across the STP LB – our bid is quite substantial. Across NY & Y we have no perinatal community-based service. Would have hub & spoke needed. MC – total bid for NY & Y - £1.4m – not sure how much would fall to VoY. Needs to be sustainable. Discussion around capacity Tracy Preece – Finance report Planned deficit of £6.3m Forecasting a £19.4m deficit Still formally maintain against a capped expenditure plan. So reporting £16m with a gap of £3.4m to plan. Key risks around complex case management include CHC & Acute contract levels, mental health costs & winter. Financial position is stabilising with a little deterioration how plan. Working to develop more detailed proposals to close the gap. Contract meeting with ER & SR CCG & the trust on Monday. To look at what a different contract would look like from April 2018. Working with Hull CCG to understand change in their contracting with Hull and East Yorkshire hospital. Dr Paula Evans

- Can we draw together evidence where partners are not enabling system

change, to allow us to use this as examples or consider how we can work

together to drive change.

TP – we all have soft intelligence where eg behaviours were unhelpful. Logging these could provide hard evidence so this is a good idea. Performance report A&E 4hour wait – over last few days & weeks performance @ York has been really strong. Scarborough still challenging.

Winter- level of concern & interest in this winter unparalleled. Have not had a difficult winter got some years now. Financial challenges are unprecedented across whole & social care system now. York Hospital – what we might need is to delegate to Exec committee to put decision making process in place that allows joint working between providers and commissioners. Not clear what the financial commitment might be - £2.2m across system, with at least half sitting with providers. Broad estimate – VoY commitment may be ¼ – ¾ £m Sheenagh queried figure – and where the funding will come from. Winter plan suggested under £200k TP confirmed meeting on Wednesday to look at finances in detail & clarify where respond for it will sit. Need to also distinguish what is already in plan eg purchasing extra beds, versus new beds. GP winter planning done @ practice level. Nothing on dashboard that reflects primary care pressures. Primary care saturated. Determined to put patients first despite the pressures of winter. Especially complex & vulnerable individuals. Getting a better understanding since this work has been brought in – house after the PCU closed of the pressures on services supporting the individuals. Now working more closely with CYC and thee domiciliary care providers Eg council care package moves to health with exact same care agreed & costs increased immediately. Cancer 62 day waits – work going on with Cancer Alliance & York Against Cancer eg mobile unit. RTT- backlog emerging & growing. Capacity in hospital could be reduced due to winter. So recovery of the position is challenging & could jeopardise financial recovery. Dr Smith will be developing our primary care programme when he arrives. Quality & patient experience report. MRSA blood stream infection (BSI) – 7 cases between April & September. 3 cases previous 48 hours so attributable to community. Remaining 4 were post 48 hours so secondary care. One patient with very complex needs has been found to be MRSA BSI positive on 3 occasions which accounts for 3 episodes. Discussion around system cost of complex individuals & the cost of bespoke packages of care. No mechanism for dealing collectively with these individuals & making the business case for doing something differently. Michele Carrington confirmed TWEV are doing this. No mention of together pathways. Community infections preventions & control team contacted by CQC/safeguarding teams about 14 care homes. Care homes received an IPC audit & recommendations. 24 visits undertaken. 4 never events at YTN – all relating to wrong sites surgery. Follow up/actions for Healthwatch York (Anything Healthwatch York needs to respond to?):

Do you feel that this meeting was useful?

Yes No


Name of Representative: John Brown

Title of the meeting: Voluntary Sector Forum

Date the meeting took place: 02/11/2017

Date of next meeting: 06/02/2018


Quarterly regular CVS meeting: central purpose was Information Dissemination with a view to encouraging collaboration and facilitation. Four contributions made up to the agenda.


1- 09.30-10.15am – informed discussions with two officers of the CQC who are reviewing ways of working in City of York as regards of social care in the broadcast sense.

2- 10.15-10.45am – Jasmine Howard. Account of priorities and challenges for the Ways to Wellbeing project. Illustrates cooperation with GP practice (Priory Med GP) as the referral agency. The emphasis is on social prescribing as a means of reducing isolation. Challenges arise from the nature of the people referred often low self-esteem, intractable or even minimal information, frequent mental health issues, failure to attend, difficulty keeping the GP aware of the potential. Interim evaluation by YSJ University, indicates 80% of those referred report increased positive feeling of wellbeing.

3- 10.45-11.15am – Owen Hayword and Angela Hatton from YNY Fire Service. Only 50% of fire service time is in responding to actual fire calls which are down by half since 1990’s. More emphasis now on Fire Safety and prevention as well as road safety and water safety. Increasing interest in working with disadvantaged youth including excluded pupils. Potential for use of premises including stations with gyms. Identification via every contact counts.

4- 11.15-11.45am – Jackie Evans. Experience counts, a CIC org aimed at getting unemployed 50+years olds back to work or volunteering or entering training- 5 week courses 1 morning a week.

Follow up/actions for Healthwatch York (Anything HWY needs to respond to?):

1. Volunteers would benefit from meeting CQC officers as regards of CQC priorities

2. Volunteers would benefit from meeting Fire service officers with regard to opportunities for collaborative working/promotions/MH issues with staff

3. HWY could promote potential in certain locations. JB will remain in contact. Postcode will be passed on to us.

Issues to record on the log:


Yes No


Name of Representative: Lesley Pratt

Title of the meeting: ED2

Date the meeting took place: 2 November 2017

Date of next meeting:

Purpose of the meeting (Please give short summary): Examine examples and grade information provided by York Hospital Foundation Trust around equity and diversity.


Equality delivery system is a product of NHSE equality & diversity Council designed to support the NHS deliver better outcomes and better working environments for staff, which are personal, fair and diverse.

This year’s goal was around Better Health Outcomes.

Services are commissioned, procured, designed and delivered to meet health needs of local communities.

Individual people’s health needs are assessed and met in appropriate and effective ways.

Transitions from one service to another, for people on care pathways, are made smoothly with everyone well – informed.

When people use NHS services their safety is prioritised and they are free from mistakes, mistreatment and abuse.

Screening, vaccination and other health promotion services reach benefit all local communities.

Before those attending began discussing the above points I gave a presentation of how Healthwatch York had got involved in the production of our guide for people with dementia and their families and friends in York. I took the opportunity to say that Healthwatch York were very keen to produce a 2nd edition but funds were an issue. Details of how those attending could help were given out and hopefully some response will be forthcoming.

Following this those attending were split into table top discussion to rate the topics outlined.

The ratings were purple, green, amber and red.

Purple being excellent and red poor.

After going through all the evidence provided the ratings were as follows.

1)Amber

2)Amber

3)Amber

4)Amber

5)Amber

To increase the number of people attending next year’s event I suggested that it should be discussed at a Healthwatch York Assembly.

Follow up/actions for Healthwatch York (Anything Healthwatch York needs to respond to?):



Yes No x


Name of Representative: Polly Griffith Title of the meeting: YorOK Date of meeting: 7 November 2017

Date of next meeting: 23 January 2018


To co-ordinate and synchronise the work of all the organisations in York (CYC, NHS, educational, police, voluntary, etc.) involved with the well-being of young people, ensuring funding used to maximum effectiveness

Main areas of discussion: All papers for this meeting are available on the YorOK Board Meeting website. Most of the reports were up-dates of on-going work. Natalie McPhillips reported for the CCG on “Narrowing Gaps in Health Outcomes”. There was a discussion about how many young children go to the hospital rather than a dentist for care and why that should be. HW's dental survey was mentioned with a suggestion that there might be clues coming from it. While there is no specific question about children's care, it might be possible to garner information if families respond.



Title of the meeting: Health and Wellbeing Board





Annual report of the Independent Chair of City of York Safeguarding Children’s Board (CYSCB) – Simon Westwood

Statutory report, updating on progress against child safeguarding priorities and actions. Report is publicly available, and is presented here for information. Working on a young person’s version this year for the first time completed with the input of young people – will be done by December.

York is one of only 5 areas to get an outstanding Ofsted rating for CYSCB. Time of transition – will be setting up a new Board by April 2019. Will no longer sit with DoE but with DH.

Jon Stonehouse (JS) – this report and performance of the Board would not have been possible without a number of statutory agencies. The report brings this to life. Chapter 5 in particular demonstrates these partnerships. Our arrangements for capturing voice of children and young people in York are exemplary, and contribute in a major way to the strength of the report.

Developing an all age mental health strategy for York 2017-22 – Paul Howatson

We have been discussing this for some time, but it is important we take the time to get it right, to include the right messages. We need to strengthen the messages about carers and young carers. The video we watched before this meeting helped articulate this powerfully.

We got 21 responses to the survey plus 9 general comments through the Healthwatch York website (HWY hosted the consultation for the Partnership). Also received some responses direct to the statutory partners.

Common themes – vision needs to be more inspirational, strategy needs to be more ambitious, needs to reflect the ambitions around moving to a Trieste model, strong action plans outside the strategy, needs to be presented in a similar style to the HWBB strategy, with clear outcomes and indicators of progress. Stronger links with York as a city of sanctuary, access to services and waiting times, workforce, early intervention and prevention, safeguarding, and resilience, and community resilience. So still work to do to capture this in a way the city would recognise as their strategy. Aiming to bring a draft in January.

Links with the work being done to separate the MH & LD Partnership Board into a MH Partnership and a Learning Difficulties Partnership. Need to make sure the voice of service users is represented. To forge a true partnership of equals. Current draft captures some actions, but we need to split these into a strategy and action plan.

Martin Farran – better to take longer and get it right. But am in camp of following the HWBB strategy format and keeping it succinct. Need to be realistic about the resources available, and a focus on the action plan.

Phil Mettam – thanks to everyone involved in this work.

JS – welcome seeing the feedback in detail. Specifically related to children and young people, had some detailed feedback from York Hospital which is feeding into our plans. Lot of energy and impetus. Also Future in Mind transformation plan. Response to All Age Strategy, alongside CAMHS report, is helpful in helping further our plans.

Denise Craghill – looking at the papers all together, issues leap out. Waiting times for talking therapies for children and adults. Is it worth us picking out 1, 2 or 3 issues and being ambitious about tackling these?

Keith Ramsay – how will we make the strategy more ambitious whilst accepting our resource available to this? What feedback will we give to the respondents on this?

Lisa Windward – as part of the Pathways project, we have had some very constructive comments about what happens to pilots, collectively as a system, when we have proof of concept. Lots of fantastic work already happening and really important we capture it. Important to close the feedback loop. Also what is the governance approach.

Ruth Hill – just over 2 years since TEWV took on the services in York. Journey has been full of challenges and difficulties but there has been some transformation already. We do have a level of ambition throughout the system. We’ve also identified there is more to do.

Sian Balsom – our ambition needs to be framed alongside a vision for York in 2050, not just for the next 2-3 years. I think this is the ambition people want to see from us.

JS – picking up themes around schools – emotional health partnership in schools – school wellbeing service now exists in every school bar 1 in York. Increased resources in early help. Our head teachers have made this happen. So would be good to think about how we strengthen these links. Demonstrates we can, collectively, respond to a particular issue against a picture of challenging financial circumstances.

Progress against the mental health theme of the joint health and wellbeing strategy – Paul Howatson

Major developments – the creation of a Safe Haven at 30 Clarence Street (what was Sycamore House), mental health activities programme (co-ordinated by York Mind, but involving a wide range of voluntary sector partners), work on the North Yorkshire & York Crisis Care Concordat, improved access to early intervention psychosis,

implementing access to wellbeing service, aiming to bridge the gap between primary and secondary care.

Lisa Winward – whole raft of work going on – Inspector Bill Scott is in the room and is our dedicated mental health lead. Progress has been made – e.g. health based place of safety. We all come into contact with people in crisis, but how do we then truly problem solve with individuals to support them effectively instead of them experiencing crises over and over again.

Ruth – there is progress, but there is a way to go. I am not satisfied with waiting times. We need to intervene earlier, mental health has a big impact on GPs and we could reduce this through early intervention. Invitation to all members of the Board to visit Huntington House.

Denise Craghill – waiting times for IAPT – 16 to 18 month waiting list for IAPT at the moment.

Ruth – work ongoing around workforce. Also put additional resource into clearing the waiting lists.

Sarah – the time to change model is about having conversations and making this work as part of the day job. About being able to say “How are you doing?”

Healthwatch York report on CAMHS

SB – assume everyone has read this. Welcome additional recommendation and commend JS on being the first person to request more recommendations from us. We write two types of reports, ones that we ask people if they want us to do, and ones that people bring to us. This was very much the latter, and I want to thank both York Carers Centre and especially York Inspirational Kids for their work with us on this topic. Our reports are a snapshot, and whilst we are collectively on a transformation journey it’s important to hear where people are now.

JS - Additional recommendation about joint commissioning – recommendations are far wider than sit with just CAMHS or the CCG. They are very broad ranging about how we address the whole system. Looking at a multi-agency response to early intervention and prevention. The report is very helpful as it supports a lot of the work that is already ongoing. The additional recommendation is about us going further as a system, moving into a joint commissioning phase to make sure we collectively use our resources in the best way.

RH – we do have challenges with workforce, with resources. This is not a comfortable read, especially for our staff. We have some of the lowest staff sickness rates but it’s important they do not feel reports like this reflect the quality of their work. Friends and family ratings are high for our service.

Joint Commissioning Update – Pippa Corner

3 areas – development of joint commissioning plan, better care fund, CQC local system review of York.

Approved joint commissioning strategy last January. Plan to integrate health and social care commissioning by 2020.

Better Care Fund did not meet NHS England expectations on two key areas – requirements on minimum financial spend on carers and reablement, also the target for delayed transfers of care (DTOC). There were errors in the data which resulted in a target of zero delays attributable to the NHS. CYC and CCG took part in an escalation panel teleconference 19 October followed by further contact to clarify York’s position. A revised target of 3.5% has been proposed – this will be challenging to achieve.

CQC were on site last week, and we’ve had initial feedback. Expect draft report probably first week December, with local summit 18 December. Summit will be hosted and chaired by SCIE (Social Care Institute for Excellence). Will then need to develop an action plan. Want to hold a workshop in January to build this plan together.

Update from the HWBB Steering Group – Martin Farran

Plans to undertake some further deep dives – e.g. Homeless Health Assessment.

New JSNA website went live today. Same web address as before.

Tackling the myths of York – lots about stag and hen dos in the local press, but actually we have lots of hen do’s here who come to York because it is perceived to be relatively safe.

Home Care Report – HWY

Presented the report. Significant overlap with work the council do themselves. With hindsight would have been a good opportunity to work in partnership. Would like to consider how we might do this with the council in future.

Martin Farran – there is a big issue around workforce and market stimulation. Retention is a bigger problem than recruitment. Will commit to looking at how we join this up in future. Not complacent about this, but our services do perform pretty well compared with other areas. There are geographic variations – much easier to source care and support in the city than the villages. Challenges around, e.g. times of visits. Have to be realistic that we can’t see everyone at 8.10am every day. Greater flexibility supports us to deliver more.

Keren Wilson (ICG) - very pleased to see over 80% of people happy with their care. Important to manage expectations. If you have multiple visits every day you probably can’t have the same staff member every time. Also traffic in York is a challenge. On some days almost impossible to get across the city.

Discussion on how we manage the HWBB work

Satvinder has made some recommendations following our workshops about how we might manage the work in future.



Yes No



Title of the meeting: Health and Wellbeing Board Steering Group





Draft pharmaceutical needs assessment

Currently out for consultation. Can be accessed through current consultation page of council website https://www.york.gov.uk/consultations . Comments welcomed over next few weeks.



Yes No

https://www.york.gov.uk/consultations


Name of Representative: Di Button

Title of the meeting: Ageing Well Forum

Date of meeting: Thursday 16th November

Date of next meeting: TBC due February


Purpose – Partnership of voluntary organisation representing older people & those with long term conditions. Main Points:

Two representatives from Diabetes UK York attended the meeting. They were

pleased to report some progress in attracting younger people to their

meetings, which have different speakers and are open to anyone; a

membership list is not held. Publicity and information is via talks, leaflets and

the website, as well as a hospital stall. The organisation is not funded except

through its own fundraising.

MS society is working with others to try and develop a community transport

system which is sustainable and cooperative, but there re systematic and

regulatory obstacles to progress. It is hope to identify funds for a scoping

project to bring in expertise and look at options for the best solution.

Review of Ageing Well Forum. Members were asked to consider what has

worked well and what is needed for the future. There was a wide ranging

discussion which identified the benefits of sharing information and influencing

policy across boundaries, but the absence of statutory agency involvement

was seen as a major drawback, if this Forum is also to replace or function as a

‘partnership board’ (which does not exist locally for older people.) Alternatively,

it could remain just for the voluntary sector, but its terms of reference would be

different to those of a PB clarity is needed. There was concern that people of

all ages with long term conditions should be well integrated in the forums’

thinking, and not just older people, as they have no other forum.

The final part of the agenda was compressed following additional discussion

above but Healthwatch gave a brief update and CQC Review was mentioned,

to give a timeline and a brief summery. The voluntary sector was keen by

CQC as strong in wellbeing and support for hospital discharge, through

planning in hospitals for discharge was not good, partly due to lack of a 7 day

community service and no joint assessments. Report expected by March,

feedback late December to HWBB.

Better Care Fund is now funding Ways to Wellbeing.

Issues for Healthwatch: Transport issues requires some responsibility to be taken to CYC which is which is moving away from providing supported transport, while Age UK volunteers are being expected to replace paid workers and assume levels of responsibility than is reasonable, eg for behaviours which challenge. Useful? Yes, though clarity needed about purpose of forum.



Title of the meeting: York, Scarborough & Bridlington Travel& Transport Group


Date of next meeting: 16 February 2018

Main areas of discussion

Details of taxi firms used and if there are Freephone services available across the Trust.

Updating info on the website

Concern raised again over the signage problems at Scarborough Hospital.

Look at creating a strategy over charging points for electric cars across the Trust.

Concern raised again at the lack of consultation over the redesign of road junctions around Scarborough Hospital.

Looking at the possibility of using park & ride space for visitors to use.

Car parking again was an issue raised by both patients, visitors and staff.

The use of car sharing has improved and the pool car scheme is now understood by staff as in the past it had caused confusion over who could use it.

Parking at Malton Hospital is causing concern as more services are being offered which results in more patients attending.

Charges for blue badge holders was discussed and it was thought perhaps the first hour could be free but talks are at the early stages and no action will be taken before those users have been consulted. Healthwatch will be involved.

A new endoscopy project will be going ahead at the north end of York Hospital. This will increase the number of rooms from 3 to 7. Whilst work is going on this will cause problems with the traffic flow. Work is expected to go on for 68 weeks. Outpatients for physiotherapy will be treated in Archways site and Park House.

The shortage of community drivers in the Ryedale area means the mini buses will classify medical visits as essential and will provide rides to hospital over other journeys.


We have been asked to flag up any issues we log concerning the car parks to be fed back to this Board


Name of Representative: Helen Patching

Title of the meeting: People Helping People Conference




Discussion of Impact volunteering. “Impact Volunteering is a strategy that engages citizen volunteers to identify and solve public problems alongside municipal government. It is a participatory process in which citizens and city officials develop a shared vision, set short- and long-term goals for their community, and then work together to achieve those goals. As partners, they communicate throughout the process and reflect on their work— discussing and evaluating what they have done and holding themselves accountable for results.”


Speakers included Oswaldo Mestre, Director, Cities of Service, Buffalo, USA, Darin Halifax, Senior Policy Advisor, Cities of Service Plymouth, Alice Wilcox, Head of Volunteering, Team London and Kate Faulkes, Head of Stronger Communities, Cities of Service, Barnsley. Different schemes, but with the aim of moving away from a social delivery model to enabling people to help each other. Speakers gave examples of Impact volunteering that have taken place:

- 23,000 healthy meals are delivered in Plymouth to 177 of the most deprived families, volunteers are involved in growing the produce and supporting the families to cook it.

- 4,000 bags of litter collected.

- 250 volunteers to help boost reading proficiency among children ages six to seven in more than 50 local schools

Many people do not acknowledge volunteering they already do.

There is lots of data available but not shared, eg the ‘grass roots work done by church groups etc. Difficult to feed this into long term plans/ strategies for the city.

Lack of support and training, and how to access what is there, eg can voluntary groups access training on offer at large organisations.

Challenge around making it less fragmented - a more united approach.

How do for the small and medium voluntary organisations support volunteers?

Never forget people have different motivations for and expectations of volunteering. There is no ‘one size fits all’.

https://citiesofservice.org/

https://citiesofservice.org/



Title of the meeting: Local Healthwatch Conference



Purpose of the meeting (Please give short summary): Obtain feedback about the local system review


Approx 40 attended the conference mostly CQC staff. The day involved round table discussion where local Healthwatch representatives were asked for their comments.

The CQC have been asked to undertake a programme of targeted system reviews in local authority areas.

Each review will answer the question “How well do people move through the health & social care system, with a particular focus on interface, and what improvements could be made.”

A slide show followed setting out the CQC plans.

The review process will be a 14 weeks.

Pre – preparation

Preparation

Site visit

Report writing

Quality assurance & communication.

Reports of reviews have been published for Halton, Bracknell First and Stoke on Trent.

Site visits have been carried out in Hartlepool, Manchester, Trafford, York and East Sussex.

Reviews are underway in Oxford, Plymouth, Birmingham and Coventry.

Discussion followed on the following questions “What are your reflections on early findings?” and “How do you think systems could work better with voluntary and community sector organisations?”

Feedback from the room:

Some areas reported co – production was poor.

Hartlepool had reported no problem with staff for care assistants.

How well to Health & Wellbeing Board work.

Good examples of voluntary and community sector should be shared.

Who is responsible to ensure the HWB is effective.

Examples of good practice on my table included the set up of the wheelchair forum in York.

Other local Healthwatch representatives reported their CCGs did not involve the public and that were not good at listening.

Feedback from the room:-

Surprise that some people don’t know who in charge.

Voluntary sector should be used & supported more.

Co – production should be encouraged

Some Local Healthwatch deal with several CCGs so getting them all on board and listening is important.

The next topic for discussion was CQC and Local Healthwatch working together locally.

Most of the local Healthwatch representatives agreed quarterly meetings were a good idea. Ideally it should be with one person.

The group thought Healthwatch England could be more reactive to local feedback and that it should be two way.

It was thought that CQC staff did not always know who was doing what and some acknowledgement from them would be welcome when reports or issues were reported.

It was suggested that CQC could submit a comment for inclusion in the local Healthwatch annual reports.

Questions around the possibility of CQC & local healthwatch conducting joint visits were discussed. It was thought this might conflict Healthwatch work within the community.

It was also suggested that the CQC should promote Healthwatch more – perhaps on their website.

The next topic for discussion was Understanding & Improving.

After a slide presentation we went to round table discussions.

It was apparent that some local Healthwatch do enter & view as a matter of course.

It was suggested that volunteers would benefit from having contact with CQC inspectors.

A check list of what CQC require was thought to be helpful.

Some Healthwatch have a good working relationship with their CQC inspector where others had very little contact.

The final topic of the day was use of resources consultation.

We were presented with a slide show where changes to the CQC site were offered for comment.

Questions around the table confirmed confusion over way the ratings were shown. As it was difficult for those attending to understand how they were arrived at it was thought the public would find it even harder. To add another category was thought to be unnecessary.

The presenter of this section did not appear to agree with this but it was the view of the majority of those attending.

The day was very helpful in sharing views with other local Healthwatch but I was not convinced the CQC would take on board our suggestions.




Yes No

x

Jargon Buster

BCF Better Care Fund – a topslice of the NHS budget given to CCGs to support projects that integrate health and social care. BCF schemes should reduce emergency admissions in hospitals

BAME Black, Asian and Minority Ethnic

BSL British Sign Language

CAB Citizen’s Advice Bureau

CAY Citizens Advice York

C&YP Children and Young People

CAMHS Children Adolescent Mental Health Service

CCG Clinical Commissioning Group

CEP Capped Expenditure Programme

CIC Community Interest Company

CQC

The Care Quality Commission – the independent regulator of all health and social care services in England. For more information, see their website at http://www.cqc.org.uk

CSU Commissioning Support Unit – formed following the Health and Social Care Act. These organisations provide business support services to Clinical Commissioning Groups. The areas they help with include finance, communication and engagement, and buying health services.

CYC City of York Council

CYSCB City of York Safeguarding Children’s Board

CVS Council for Voluntary Service

DCLG Department for Communities and Local Government

DH Department of Health

DTOC Delayed Transfer of Care

ED Emergency Department

ERCCG East Riding Clinical Commissioning Group

HASCPSC Health and Adult Social Care Policy and Scrutiny Committee (formerly Health Overview & Scrutiny Committee)

HCV Humber, Coast and Vale

HWB / HWBB

Health & Wellbeing Board. This is a group of people from different organisations including City of York Council, York Hospital, Vale of York Clinical Commissioning Group, Leeds & York Partnership Trust, the police, the voluntary sector, and Healthwatch York. They work together to make improvements to the health and wellbeing of York residents. For more information see - http://www.york.gov.uk/info/200170/health_and_wellbeing/341/york_health_and_wellbeing/3 They are responsible for delivering the Health & Wellbeing Strategy for

http://www.cqc.org.uk/

http://www.york.gov.uk/info/200170/health_and_wellbeing/341/york_health_and_wellbeing/3

http://www.york.gov.uk/info/200170/health_and_wellbeing/341/york_health_and_wellbeing/3

York, available from the above web link.

HWERY Healthwatch East Riding of Yorkshire

HWE Healthwatch England. This is the independent consumer champion for health and social care in England. Healthwatch England is the national voice for Local HealthWatch groups.

HWNY HealthWatch North Yorkshire

HWY HealthWatch York

HYMS Hull York Medical School

IAPT Improving Access to Psychological Therapies is a programme to increase the availability of talking therapies, and also the name used for psychological therapy services.

IPC Infection Prevention Control

JSNA Joint Strategic Needs Assessment – a report bringing together information on current and future health and wellbeing needs in York. This is used to help make decisions regarding future strategies and plans. It is updated regularly.

ICG Independent Care Group

LHW Local HealthWatch

LTP Local Transformation Plan

MSK Musculoskeletal - includes over 200 health conditions affecting joints, bones, muscles and soft tissue.

NHS National Health Service

NHSE National Health Service England

NHSI National Health Service Improvement (formerly Monitor)

NOS National Osteoporosis Society

NY&Y North Yorkshire and York

OCAY Older Citizens Advocacy York

PALS Patient Advice and Liaison Service

PATCH Person alleged to have caused harm.

PB / PHB Personal Budget / Personal Health Budget

PH Public Health

PLACE Patient Led Assessment of the Care Environment

PPE Patient and public engagement

PPI Patient and public involvement

RATS Rapid Assessment and Treatment Service

RCGP Royal College of General Practitioners

RPS Royal Pharmaceutical Society

RTT Referral to Treatment

SAB Safeguarding Adults Board

SPA Single Point of Access

SRCCG Scarborough and Ryedale Clinical Commissioning Group

STPs Sustainability and Transformation Plans

TEWV Tees, Esk and Wear Valleys NHS Foundation Trust - the provider of mental health and learning difficulty services in York from October 2015

TLA Three letter acronym – there are far too many of these in health and social care!

VCS / VCSE

Voluntary & community sector / Voluntary, Community and Social Enterprise Sector

VoY CCG NHS Vale of York Clinical Commissioning Group (see CCG)

YOPA York Older Peoples Assembly

York CVS York Centre for Voluntary Service

YTH York Teaching Hospital – the main hospital in York

Documents

Representatives’ Report/Feedback Name of Representative: Title … · 2018-08-24 · PM – HWBB in York – had a presentation about this, confirmed our commitment. DN – social