►
Description
AGENDA
1. Declarations of Interest
2. Minutes
3. Public Participation
4. Older Persons Accommodation Needs Survey
5. Substance Misuse Review Implementation Update
6. Mental Health Update- Developing a Community Approach to Mental Health and Wellbeing
7. Bootham Park Update
8. Work Plan
9. Urgent Business
For full agenda, attendance details and supporting documents visit:
https://democracy.york.gov.uk/ieListDocuments.aspx?CId=968&MId=11638
A
B
Believe
it
is
a
interest,
but
I
was
going
to
declare
it
anyway.
Just
for
transparency,
I
used
to
work
for
the
Lifeline
project
who
support
people
and
with
drug
abuse
there
they're
not
running
any
Commission
services.
In
your
moment,
I
just
thought:
I'd
mention
that
sayings
we
are
talking
about
and
substance
abuse
later
in
the
agenda.
Thank.
A
You
and
I
will
declare
an
interest
in
safar
regarding
to
item
six,
the
developing
of
a
community
approach
to
mental
health
and
well-being,
as
my
partner
was
one
of
the
national
advisors
working
on
the
framework.
That's
part
of
this
I
just
know
no
further
declarations.
The
minutes
of
the
last
meeting
of
pages
one
to
ten
on
the
agenda.
A
There
are
a
couple
of
errors
at
the
top
of
the
item.
Ins
ins
v
attendance
from
the
last
meeting.
I
was
away
for
that
meeting,
so
counselor
Kulik
actually
chaired
that
meeting
and
councillor
Rowley
was
in
attendance,
as
my
substitute
and
I
need
listing
as
having
given
apologies
for
that
meeting
as
well.
C
You,
chair
I'm,
on
page
five,
the
committee
resolving
to
support
the
Clinical
Commissioning
group
project.
I
am
I'm
not
really
comfortable
with
that,
because
I
don't
recall
actually
expressing
my
support
for
the
project.
I
think
broadly,
the
aims
of
the
project
you
know
as
put
out
were
good,
but
I
would
be
hesitant
to
say
that
I
supported
it
because
I
don't
think
it
was
executed,
particularly
well.
So
it's
just
that
I
don't
know
if
other
members
have
different
recollections
but
I
don't
feel
that
I
expressly
gave
my
support
for
the
project.
How.
C
A
A
Know
the
members
happy
with
that
description,
then,
okay,
so
if
we
can
have
that
altered
as
well,
then
please,
okay,
anything
else,
all
right.
Okay,
we
moved
to
public
participation.
Then
we
we
have
two
registered
speakers-
councillor
Pavlovic
who's
here
to
speak
about
the
substance
misuse
implementation
update
now
I
spoke
with
councillor
Povich
he's
going
to
join
us
at
the
table
for
the
actual
agenda
right
and
because
he
was
involved
in
the
scrutiny.
Task
group
and
I've
agreed
that
it
really
ought
to
take
part
in
the
conversation
as
well.
A
D
E
Why,
when
you
could
go
to
a
convenient
surgery,
are
you
forced
to
struggle
to
another
location,
especially
if
you
don't
drive?
Why
shouldn't
you
question
just
what
impact
on
appointment,
availability
for
existing
patients,
Junge
Ciel's
commercial
arrangements
are
having
and
I've
been
asked
such
questions
and
being
given
the
runaround
as
the
timeline
highlights.
Do
you,
as
a
committee,
think,
is
right?
The
patient
a
is
now
being
threatened,
we're
being
chucked
off
unity
else,
a
patient
register,
a
copy
of
the
letter
threatening
this.
The
chair
is
actually
seen.
I
appreciate
unity.
E
Health
of
only
recently
been
in
to
update
yourselves,
but
you'll
need
to
have
back
linear.
You
need
to
be
finding
out
what
critical
questioning
gets
this
response
from
unity,
health
and
as
for
the
Wenlock
terror
site,
those
of
you
are
men
planning.
Lastly,
dealing
with
the
Frederick
house
proposals
ought
to
realize
that
the
capacity
of
that
surgery
to
deal
with
GP
appointments
may
very
well
become
even
more
critical
in
a
year
at
OU.
I.
Look
forward
to
this
committee,
taking
this
case
up,
Thank
You,
chair.
A
E
A
A
Mean
I
find
it
extremely
extraordinary
that
a
practice
would
suggest
such
a
course
of
action
to
one
of
their
patients,
so
I
mean
I,
don't
know
how
members
feel
about
this,
perhaps
whether
you
feel
it's
appropriate
to
invite
unity
health
at
this
point
or
whether
we
write
them
as
a
committee
and
for
me
as
chair
to
us
for
a
response
to
that.
How
do
members
feel
that
they'd
like
to
progress
this
council
to
kill
them
I.
F
Mean
I
think
the
issue
is
whether
or
not
people
get
appointments
when
long
terrace
and
given
the
potential
development
that's
going
to
take
place
next
to
it.
You
know
this
is
gonna,
be
an
even
more
pressing
concern,
so
I
think
we
need
some
information.
I
was
just
looking
through
the
notes
from
anywhere
in
the
last
committee
and
I'm
trying
to
remember
what
I
can't
remember,
what
sort
of
appointment
sort
fulfillments
were
we're,
not
Terrace
I'm,
not
sure
if
it
was
details,
even
so,
maybe
that
we
need
some
information
on.
F
A
A
G
E
A
A
H
I
Hi
authors:
over
the
summer
we
carried
out
an
engagement
exercise
with
our
the
city's
older
residents
and
stakeholders
that
work
and
support
work
with
and
support
those
residents.
Philip
was
with
us
as
an
intern,
from
the
University
so
had,
but
this
summer
to
engage
with
people
and
was
out
and
about
and
spoke
to
a
lot
of
people.
We
were
very
conscious
before
we
started
this,
that
we
didn't
really
have
York
specific
data
to
support
the
development
of
accommodation
in
the
city.
I
We
were
basing
a
lot
of
our
demand
analysis
on
population
figures
and
then
national
benchmarks,
rather
than
what
people
in
the
city
were
actually
telling
us
that
was
part
of
the
part
of
the
driver
for
the
research.
We
also
wanted
to
know
it's
a
bit
more
bit
more
of
the
real
stuff.
What's
important
to
people,
what's
it
if
you
were
going
to
move,
where
would
you
want
to
be?
Is
it
important?
You
can
take
your
pets
with
you,
those
sorts
of
questions,
so
the
report
there's
a
report
with
the
annex
attached.
I
H
The
biggest
thing
for
me
that
came
out
of
it
was
how
receptive
people
were
to
the
idea
of
Technology
I.
Think
that's
in
it
that
I
think
nationally.
Everyone
is
extremely
behind
on,
but
when
I
put
the
question
in
I
was
thinking
could
be
majority
no
way
when
I
try
a
new
technology,
but
to
have
that
really
big,
it's
about
80%
being
willing
to
do
it.
H
That
was
really
really
good
to
see
the
people
receptive
to
at
least
trying
it
and
also
I,
think
it's
really
good
to
get
specifics
over
what
they
actually
want
to
have
so
and
the
small
safe,
manageable
is
kind
of.
There
is
definitely
people
are
way
more
open
than
I,
but
I
started
to
work.
I
thought
people
won't
want
to
leave
their
homes
and
a
lot
of
people
don't
and
I.
Think
I've
see
how
to
respect
that.
But
I
think
people
are
way
more
open
to
the
possibility
of
downsizing.
H
F
I
There
are,
there
are
national
benchmarks
that
say
for
every
thousand
residents
aged
75,
plus,
a
local
authority
should
be
expected
to
plan
for,
however,
many
care
home
beds.
However,
many
extra
care
units
and
a
number
of
independent
living
units-
and
previously
we
we'd,
used
those
figures
as
sort
of
a
measure
of
the
success
of
the
older
persons
accommodation
program,
and
that
was
just
prompt
to
say.
Well,
actually,
if
our
residents
are
saying
these
are
the
things
these
are
the
products
we
want.
I
If
we're
measuring
our
success
on
national
benchmarks
that
don't
necessarily
reflect
what
our
residents
want
should
we
have
a
look
at
whether
we
want
to
set
slightly
different
benchmarks
that
reflect
what
our
residents
want
and
then
measure
our
performance
against
them
really
bearing
in
mind.
Obviously,
but,
however
much
people
are
saying
that
they
don't
want
people
unlikely
to
say
we
want
residential
and
nursing
care
so
that
the
fact
that
that's
quite
a
low
figure
isn't
all
that
surprising.
I
C
Jeff
and
could
I
just
ask
a
follow-up
to
that
question
about
how
much
do
you
think
the
sort
of
demand
for
the
home
home
types
is
realistic
based
on
the
exbest
preferences?
You
know
how
much
do
we
think
we're
going
to
have
to
provide
those
sort
of
extra
care
placements
and
not
what
people
anticipate
that
they
would
rather
have
so
erm
yeah.
Obviously,
if
they
are
under
reporting,
we
need
to
still
take
account
of
that.
That's
yeah.
I
I
think
I
think
that's
fair,
I
think
I
would
also
a
rather
reservation
slightly
around
the
figures
is
we
recognise
there
really
is
a
lack
of
awareness
of
the
range
of
accommodation
types.
So,
if
you
don't
know
about,
are
you
likely
to
have
said
you
want
it
so
I
suspect,
following
the
production
of
a
directory
and
various
other?
If
you
run
this
exercise
again,
the
demand
figures
might
shift
slightly.
So
we
know
this
is
a
starting
point.
I
What
I
mean
you
Philip
kept
finding
that
people
were
saying
what
we
don't
know.
We
don't
know,
there's
not
enough
information.
We
wouldn't
know
where
to
ask
so
I
think
I
think
you're
right.
It's
about
you
know.
We
can't
totally
take
this
as
a
reflecting
demand,
but
I
think
it
does
show
that
the
importance
of
private
space
having
your
own
space
being
able
to
manage
your
home.
Those
sorts
of
things
are
I
suppose
were
consistent
comments.
C
Thanks
just
coming
back
home,
where
am
I
the
action
plan,
it
doesn't
have
any
sort
of
reference
to
that
type
of
accommodation
in
it
and
I'm
not
gonna,
be
able
to
find
the
page.
What
my
sorry,
oh
but
yes,
so
it
was
a
just
something
that
I
spotted
yet
page
15
for
actually
plan
wise
it.
You
know
it
sort
of
says
ten
percent
target
of
this
type
of
housing.
But
you
know
that's
the
sort
of
small,
safe,
manageable
single-story
property
book
throughout
the
actions.
There's
just
not
really
any
reference
to
you.
C
Sort
of
nursing
care
home
kind
of
placements.
So
is
that
something
that
needs
to
be
included
as
part
of
the
action
plan
just
because
we
know
no
field
greens
coming
back
to
executive,
and
you
know
the
markets,
obviously
not
providing
developers
that
want
to
get
involved
in
the
right
way,
because
officers
couldn't
appoint
somebody.
Sir
I,
don't
know
well
the
background
to
that,
but
just
with
knowing
that
you
know
we
have
lost
a
couple
of
care
homes
in
the
city.
I
Think
that
it's
I
think
it's
a
fair
point.
We
are
in
a
position
at
the
moment
where
there
are
a
number
of
care
homes
being
built
and
a
number
of
extra
care
schemes
being
built
and
about
to
open,
and
we
we
had
a
very
similar
conversation
yesterday
where
we
were
saying
well,
is
this
something
we
need
to
respond
to
now
or
do
we
have
to
look
at
how
the
market
reacts
once
we've
got
a
bigger
ExtraCare
stock?
I
Are
we
able
to
move
people
that
can
can
continue
to
live
independently
into
those
into
those
apartments
and
then
see
how
that
effects
the
care
market?
Obviously,
we've
got
burn
home
opening
soon.
There's
the
development
in
Fulford:
that's
due
to
open,
yeah,
to
burn
home
and
fall
for
the
due
to
open
next
year,
and
there
are
a
number
there's
are
a
number
up
at
planning
and
and
there
are
a
couple
of
pre-op
schemes.
I
A
Thank
you
just
before
I
move
to
counsel
the
court
just
to
add
to
that
Vicki
I
was
at
corporate
scrutiny.
I
think
that,
beginning
last
week,
I
think
it
wasn't
lost
track
of
when
it
was.
But
we
had
presentation
as
part
of
one
of
the
reports
about
rag
ratings
and
it
included
one
on
the
other
person's
accommodation
program
and
I
just
flagged
up.
I
Was
just
gonna
say:
yes,
happy
happy
to
provide
an
update
and
in
whatever
format,
people
want,
whether
it's
a
report
or
sort
of
just
an
update,
but
I
think
just
to
say
that,
obviously
they,
the
council's
major
projects
report
that
you
saw
that
had
it
marked
as
green.
This
sits
slightly
uncomfortably
in
that
because,
obviously,
it's
a
program
of
work
rather
than
an
individual
project.
I
So
collectively
the
program
is
moving
forward
at
a
pace,
we're
on
site,
building,
independent
living
accommodation
and
extra
care,
and
we've
got
care
homes
that
are
on
site
and
due
to
be
opening
next
year.
We're
working
with
a
number
of
partners
across
the
city.
Jr.
HT
are
starting
to
move
people
into
new
Lodge
next
week
and
then
we
will
get
places
to
allocate
into
the
extra
care
accommodation
there.
So
from
that
point
of
view,
the
program
is
is
moving
along
well
and
I.
I
Can
you
know
I
can
list
successes
and
we
can
look
at
how
that
effects,
supply
and
demand.
There
are
programs
within
the
there
are
projects
within
the
program
that
have
taken
a
couple
of
steps
back
before
they
start
to
move
forward,
and
you
know
happy
to
give
more
detail
on
them
as
well,
but
we
are
making
good
progress.
Thank,
You.
D
Thank
You
chair
again.
Thank
you.
This
is
a
fantastic
piece
of
work
and
for
the
work
that
you've
put
in
must
been
a
very
interesting
thing
to
do.
I
would
love
to
hear
more
if
it's
possible
about
this
aspiration
for
self
build
property
within
a
multi-generational
community
doesn't
even
feature
in
the
National
recommended
tables.
D
H
Reason
that
I've
asked
the
question
is
because
there's
the
cause
of
this
community
self
build
officer
in
the
housing
is
quite
new
in
post
and
we
kind
of
work
to
gauge
a
level
of
interest
and
when
I
started,
I
had
no
idea
what
it
meant.
But
when
I
went
out
talking
to
people,
it
was
something
that
did
garner
a
certain
level
of
interest.
I,
don't
think
it's
necessarily
I.
Think
the
phrase
of
the
question
I
think
what
you
would
like
to
live
and
I.
H
Don't
think
it's
necessarily
something
that
I
don't
think
you'd
even
get
93
people.
That
would
actually
go
and
do
it.
But
it
really
surprised
me
at
the
level
of
possible
interest,
but
there
is
I
think
it's
in
there's
two
groups
that
are
looking
at
self-build.
But
if
you
look
at
the
demographics
and
make
up
the
group,
it
is
a
really
big
age
mix.
H
So
and
if
you
there's
other
cooperatives
that
you
know
they
kind
of
work
on
a
cooperative
basis,
but
the
ones
that
have
more
generation
or
community
the
older
people
that
live
within
that
community
feel
really
well
supported.
Even
if
it's
just
like
a
check
of
a
tier
something
like
that,
so
it
does
have
like
a
positive
aspect.
I
actually
knew
that
I
do
kind
of
wish
I
kind
of
brought
more
of
it
into
in
the
follow-up
stuff.
But
it's
kind
of
a
participation
interest
in
everybody.
D
I
We're
certainly
working
with
the
council's
community
and
self-build
officer
he's
he
is
supporting
as
I
said,
there's
a
two
groups
both
led
by
young,
older
people
who
are
looking
for
a
site
to
develop
a
real
community
based
scheme,
but
they're
of
the
belief
that
they
they
have
capital.
They
are
able
to
build,
and
they
would
like
to
invite
other
generations
and
families
and
and
younger
people
to
come
in
and
help
build
that
community
so
as
Philips
saying
so
that
they
are
supported,
but
also
so
that
others
can
benefit
from
their
investment
in
property
as
well.
I
F
There
are
some
projects
they're,
just
probably
not
with
that
quite
exciting,
just
in
terms
of
the
ten
percent
provision
for
age,
friendly
accommodation
that
you
recommend
in,
and
we
should
try
and
secure
on
major
housing
sites.
I'm
just
wondering
if
you
think
ten
percent
is
going
to
be
ambitious
enough
because
I
think
elsewhere.
The
report
you
talked
about
by
twenty
forty
four
twenty
five
percent
of
your
population
will
be
over
65,
myself
included.
Hopefully
his
ten
percent
provision
for
Age
Friendly
accommodation
going
to
be
enough.
I.
I
Think
that's
that's
Putin
as
a
as
a
conservative
target
that
people
may
like
to
consider
how
we
could
include
that
in
policy
cuz,
obviously
anything
that
we
put
in
planning
policy
we're
putting
that
obligation
on
developers.
So
you
know,
obviously
members
could
choose
to
put
a
higher
target
on,
but
it
was
about
cuz.
Obviously
we
can
agree
about
20
percent
targets
in
terms
of
social,
affordable
properties
and
any
other
obligations
we
put
on
developers
could
be
seen
as
dissuading
development.
So
it's
about
it
was.
I
It
would
shape
that
or
just
just
the
fact
that
it's
that
prompt
for
people
to
think
about
it,
and
it
could
be
just
something
that
we
could
challenge
in
planning,
consultation
and
things.
If
we,
if
we
include
it,
it
could
be
include
as
a
recommend
cluded
as
a
recommendation
rather
than
as
a
requirement.
So
it's
something
that
we
can
consider
and
bring
back.
H
F
H
I
thought
maybe
it
could
be
slightly
more
ambitious
but
I
just
I
think
even
if
safety
didn't
just
bench,
the
against
population,
you
went
25%,
which
would
be
probably
way
too
high,
but
I
do
think
you
have
to
kind
of
pull
back
and
as
nice
as
it
is
to
see
in
the
results,
people
were
looking
to
move
into
a
smaller
home.
The
top
figure
is
still
the
home
that
people
currently
live
in,
so
I
think
there
is
always
going
to
be
a
large
chunk.
H
The
population
that
won't
move
so
I,
don't
think
it
necessarily
needs
to
mirror
population
increase,
but
I
think
it
needs
to
be
taken
into
account
that
people
will
always
just
there
will
be
a
number
of
people
who
will
always
stay
in
their
own
home.
So
I
think
it
could
be
more
ambitious,
but
I
don't
think
if
you've
just
matched
dead,
yeah.
A
Questions
members,
I'm
gonna,
be
slightly
controversial
here
my
question
and
it's
in
no
way
meant
to
sound
patronizing
to
you,
Phillip
and
I'm
very
grateful
for
the
work.
I
think
you
do
a
lot
of
praise
for
the
work
and
effort
you've
put
into
this.
Obviously,
but
the
older
person's
accommodation
program
is
one
of
the
most
critical
programs
I
think
the
council's
doing
at
the
moment,
and
it
will
affect
a
lot
of
the
city's
residents
so
I.
Just
wonder.
I
It
was
a
it
was
a
counsel
piece
of
work.
It
was
on
the
council
website
as
one
of
our
council
consultation,
but
it
was.
It
was
done
in
partnership
with
a
number
of
stakeholders,
so
sessions
were
organized
by
jr.
HT,
for
example,
and
the
discussion
was
led
by
represented
from
jr.,
HT
and
Phillip,
but
the
works
at
within
our
program
in
the
council.
It
was
to
help
him
form
the
next
steps
for
our
for
our
program,
but
it
isn't
it
wasn't.
I
A
A
It's
not
a
figure
that
would
be
surprised
about,
because
we
obviously
we've
recognized
the
aging
population
the
way
the
way
that
represents,
but
the
number
of
response
is
406
technically,
is
less
than
a
1%
of
all
the
residents
in
the
city.
So
I
think
that's
something
we
have
to
be
mindful
of.
When
we,
you
know,
look
at
the
consultation
results.
There
is
less
than
one
percent
of
the
city's
older
residents
and
even
in
my
own
Ward,
looking
at
a
bit
deeper
strengths
or
represented
fewer
than
3%
of
the
406
people.
I
It's
a
filmmaking
interviews,
people
through
one-on-one
to
get
some
deeper
insight
to
get
some
qualitative
information
spent
some
time
sitting
innocent
Sampson
Center
chatting
to
people
about
their
preferences.
So
a
lot
of
the
quotes
haven't
come
from
the
surveys.
They
are
they're
more
in
depth
of
personal
insights.
Really,
yes,
it's
a
it's
a
mix
of
know!
We've!
That's
why
I'm
saying
we're
not
we're
not
saying
this
tells
you
what
the
people
of
the
city
want.
We're
saying:
here's
some
insight
into
people's
accommodation,
views,
okay,.
A
B
Continuing
on
from
that
point,
obviously
it
sounds
like
you've
done
really
great
work,
trying
to
engage
as
many
people
as
possible
and
five
four
hundred
and
six
people
there's
a
lot
of
people
to
get
responses
from.
But,
yes,
it
is
a
very
small
sample,
yeah
nearly
50,000
residents
over
the
age
of
65
in
the
city
and
only
406
responses,
and
actually
only
73%
of
them
are
even
over
60
and
it
looks
like
it
isn't:
a
very
representative
sample.
H
Say
more
generally,
it
was
extremely
difficult
to
get
people
to
fill
in
the
survey
at
all.
So
then
that
was
just
a
more
white
I
wasn't
expecting
to
be
huge,
but
there
are
quite
a
hard
to
reach
age
group
I.
Think
on
the
I
didn't
understand.
Why
there's
that
gender
gap
at
all
and
I'm
not
really
sure
how
that
happened.
I
I
think
the
other
thing
we
picked
up
after
we'd
finished.
The
survey
was
we
didn't
ask
people
about
their
current
circumstances
to
be
able,
you
know
other
than
demographic
information,
but
we
didn't
ask
people
about
where
they
live
now
or
whether
they
are
currently
a
homeowner
or
some
of
these
other
questions.
C
So
I
was
a
yeah
pleased
to
hear
that
you
are
taking
the
approach
of
sort
of
giving
that
advice
through
other
agencies,
because
it
appeared
that
they
were
already
doing
it
just
because
people
were
reluctant
to
do
that
so
well,
thank
you
for
that.
I
just
forgot
to
say
it
when
I
was
speaking
earlier.
Searching
yes,.
D
Thank
you
just
a
comment:
if,
if
you
will
obviously
this,
the
purpose
of
this
was
to
to
learn
more
about
the
preferences
of
those
who
live
in
the
city,
I,
just
wonder
whether,
in
terms
of
future
planning,
how
far
account
is
taken
of
those
who
do
not
retire
in
and
from
the
city,
but
retire
to
the
city,
because
York
has
become
increasingly
popular
as
a
retirement
destination.
Many
would
sell
up
in
the
southeast
in
order
to
come
and
retire
to
walk
for
all
that
it
has
to
offer
in
its
wonderful
quality
of
life
and
culture.
H
It's
definitely
something
that
was
raised
just
with
housing
demand
so
as
when
I
was
talking
to
a
UK,
was
they
kind
of
help
people
at
the
houses?
If
a
bungalow
comes
on
the
market,
it
can
be
gone
so
quickly,
and
it's
often
people
outside
of
your
I
do
think
it's
something
that
they
know.
What
really
could
be
done.
Allocations
wise,
but
I
think
there
is
a
big
risk
of
all.
I
D
A
J
Thank
you
say
yes,
so
the
the
background
as
I
say
to
this
report
is
that
there
was
a
previous
scrutiny
committee
review
into
substance,
misuse
services
from
that
review
that
was
carried
out.
There
were
five
recommendations
and
that
was
signed
off
by
council
executive,
and
so
this
really
is
the
first
report
back
to
you
in
terms
of
the
progress
that
we
have
made
against
those
five
recommendations
so
and
it's
still
a
work
in
progress.
We
have
and
finished
with
all
of
these
recommendations,
but
it's
just
to
as
I
say.
J
Let
you
know
where
we're
going
and
get
your
feedback,
and
obviously
any
ideas
for
where
we
need
to
go
with
those
recommendations
would
be
welcome,
so
I'll
go
through
those
recommendations.
In
turn,
this
is
in
appendix
2.
So
the
first
recommendation
that
came
out
of
that
report
was
to
reassess
the
reductions
that
had
been
made
and
against
the
substance
misuse
budget
with
immediate
effect,
and
also
to
look
ahead
to
the
budget
for
2019
20
and
so
there's
three
pieces
of
work.
Really
that
have
happened
around
that
issue
of
budget.
J
That
was
agreed
in
principle,
based
on
their
being
a
business
case
from
our
current
provider
of
services
as
to
how
that
hundred
thousand
would
be
used.
We
are
in
the
process
of
working
with
the
provider
changing
lives.
We
have
had
some
a
business
case
from
them,
so
we
are
in
the
process
of
now
looking
at
that
and
determining
what
that
money
will
be
used
for.
So
that
will
be
an
ongoing
piece
of
work
that
we
will
undertake
with
them.
J
I
guess,
then,
the
longer-term
piece
of
work
as
I
say
they're,
both
of
those
100,000
that
were
put
in
are
both
non-recurrent
amounts
of
money.
So
there
is
a
further
piece
of
work
for
us
to
do
in
public
health
to
to
look
at
what
the
longer-term
funding
is
for
substance
misuse
services
across
the
city,
but
that
also
needs
to
link
in
with
how
we
work
with
our
partners
as
well,
and
what
the
offer
is
across
all
levels
of
substance
misuse
for
our
residents,
and
that
is
a
piece
of
work
that
will
be
taking
forwards.
J
J
A
Just
obviously
I
think
members
of
our
picks
up
the
recommendations,
pages
72
onwards
in
the
agenda,
and
it
might
be
useful
if,
as
we're
going
along
members
are
happy
with
each
individual
recommendation
points,
because
part
of
our
overall
recommendation
would
be
to
you
know,
agree
on
on
the
way
this
has
been
progressed.
So,
if
there's
anything
that
members
have
an
issue
with
at
any
point,
if
you
want
to
to
raise
your
raise
your
hand,
likewise,
council,
council
Popovich.
F
F
J
So
and
when
we
went
out
to
recommission
this
service,
there
was
always
from
the
very
start
of
that
contract,
an
element
of
knowing
that
there
were
going
to
be
budget
cuts
made
throughout
the
life
course
of
the
contract.
So
the
first
year
of
operating
the
contract.
It
was
very
much
about
working
with
the
provider
to
look
at
where
we
could
make
efficiencies
and
savings.
So
I
think
where
we've
got
to
with
that
piece
of
work
is
that
there
were
some
immediate
savings
that
were
they
recognized.
J
Actually
they
could
work
in
a
slightly
different
way
and
they
could
make
some
efficiencies
within
that.
However,
where
we
find
ourselves
or
where
we
found
ourselves
probably
last
year,
is
that
actually
they
were
saying
if
we
are
going
to
continue
with
budget
cuts,
we're
now
getting
to
a
point
where
we
may
be
not
able
to
it's
not
about
making
efficiencies,
we're
actually
having
to
reduce
the
level
of
service
that
we
can
offer
so
the
200?
That's
that's.
J
Going
back
in
potentially
gets
us
as
I
say
to
that
status
quo,
where
we
can
continue
offering
the
service
that
we
wanted
to
be
able
to
offer
and
we've
had
some
efficiencies.
And
thus
you
know
we've
been
able
to
make
those
savings.
200
gets
us
to
a
status
quo
position
where
people
aren't
seeing
that
reduced
level
of
offer
from
the
service,
but
obviously,
as
I
said,
that's
only
for
a
one-year
period,
and
so
we
need
to
think
of
what
the
longer-term
solution
for
this
is.
F
J
You're
you're
maybe
know
that
and
nationally
public
health
budgets
across
the
country
have
been
reduced.
So
we
have
had
to
look
across
all
of
the
services
within
public
health
to
look
at
where
we
can
make
savings.
So
that
is
something
that
we've
we've
been,
not
something
that
we've
decided
we
want
to
do,
but
something
we
have
been
in
a
position
that
we
have
had
to
do.
That.
K
K
As
a
result,
you've
lost
a
number
of
very
experienced
staff
and
the
fact
that
the
funding
is
is
non-recurrent
has
meant
that
you
can't
provider
hasn't
been
able
to
rehire
those
hasn't
been
able
to
reinitiate
a
new
service
because
they
would
be
creating
an
expectation
amongst
that
client
that
there
will
be
a
service
that
will
be
being
continued
to
be
delivered
that
potentially
may
not
be
being
delivered.
So
until
there
is
some
security
of
of
funding
for
that
Commission
service,
they
can't
make
any
long-term
plans.
They
can't
be
innovative.
K
In
fact,
they
can't
go
back
to
the
stage
where
they
were
before
the
cuts
were
made
and
III.
Don't
think
I'm
saying
anything
out
of
out
of
turn
in
that
respect.
So,
yes,
the
money
was
welcome.
I'm,
not
disputing
I'm,
not
disputing
that.
It's
how
that
money
is
then
being
allocated.
Is
it
being
allocated
to
frontline
services?
K
Is
it
being
used
to
just
show
up
what
they
what
they
originally
what
they
originally
had,
and
that's
why
I've
got
some
significant
concerns
that
until
public
health
actually
make
an-
and
it
is
an
executive
decision-
is
another
ministry
decision
how
that
money
is
ultimately
allocated
the
lit
an
organization
delivering
this
type
of
work
having
to
live
hand-to-mouth
without
any
security
of
service
delivery
is
not
in
the
best
interests
of
either
that
organization.
The
administration
a
most
particularly
the
client
group.
A
Thank
you
for
that,
and
just
follow
on
from
that
really
at
the
bottom
of
page
64.
One
of
the
concerns
that
members
expressed
on
the
task
group
whether
there
will
ensure
whether
the
contracted
outcomes
would
be
deliverable
by
the
Commission
partners
on
a
reduced
budget.
So
is
there
anything
to
demonstrate
as
suggested
that
might
be
the
case
here
that
further
costs
might
be
appear
elsewhere
in
the
system?
L
L
In
the
amount
of
time,
somebody
will
have
to
wait
to
see
a
therapist
or
will
have
to
wait
until
they
see
the
doctor,
so
there
has
been
some
immediate
impacts,
but
in
terms
of
the
cost
one
of
the
services
that
will
bear
out
in
time,
but
from
what
we
did
on
the
impact
assessment,
it
was
fairly
clear
that
the
evidence
suggests
and
the
research
suggests
there
will
be
a
financial
impact
outside
of
that
service
provision.
Okay,.
A
F
You
know
against
the
background
where
we've
had
primary
mental
hear
healthcare
just
stopped
almost
overnight,
whereas
all
practitioners,
except
the
continuation
and
continuty
of
services,
is
the
crucial
thing
here
so
I'm,
just
very
uncomfortable
with
the
situation
that
we
are
finding
ourselves
in
in
York,
where
we
know
that
alcohol
abuse
is
speed.
Number
one
public
health
problem
that
we
face.
J
Yeah-
and
you
know,
I
think
councilor
Pavlovic
kind
of
made.
That
point
really
well
that
when
you're
in
that
situation,
where
you
don't
have
recurrent
funding,
it
is
difficult
for
services
to
plan
ahead
and
particularly
to
innovate
as
well.
So
I'm,
you
know
I'm
not
going
to
disagree.
It
is.
It
is
a
really
difficult
situation
and
that
we're
finding
ourselves
in
I
don't
know
if
you
want
to
ride
anything
leave.
G
A
F
D
K
K
And
if
you
relook
at
this
in
six
months
time
and
say,
oh
well,
there
is
no
recurrent
funding.
There
is
still
a
137
thousand
pound
Court,
that's
taking
place
during
this
coming
year.
During
the
2021
financial
year,
you
go
back
to
the
situation
that
we've
just
been
in
in
the
in
the
1920
financial
year
of
saying.
Well,
yes,
we'll
give
you
some
additional
shot
funding
to
get
you
over
the
over
the
blip,
but
you
end
up
with
the
same
scenario
again
same
scenario
again
and
so
I
I.
K
It's
obviously
not
for
me
to
just
to
say
what
you
should
or
shouldn't
do,
but
I
think
leaving
this
for
six
months
is
potentially
going
to
store
up
a
whole
heap
of
of
problems
for
you
for
this
committee.
Further
down
the
line,
but
mainly
for
the
administration
I
would
I
would
want
this
committee
to
actually
have
a
steer
have
a
view
on
what
your
perspective
is.
That
can
then
focus
the
officers
and
senior
officers
and
the
administration,
the
executive
members
position.
Moving
forward
for
February
when
the
budget
has
to
be
set
and
and
agreed,
okay.
J
E
J
F
Thanks
Jeff
I
think
you
know
also
links
to
12.2.
Doesn't
it
about
any
future
proposals
changed
its
funding
available,
but
so
that
is
what's
going
to
be
setting
the
budget
in
February,
so
the
recommendation
is
that
it
comes
to
this
committee
to
say
this
is
what
the
proposal
is,
and
these
are
the
risks
associated
with
it.
That's
what
two
says
is
no,
so
that
needs
to
be
done
before
the
budget,
so
that
needs
to
be
back
here.
What
December
I.
G
Mean
just
to
clarify
for
members
just
a
procedurally
wise,
so
when
they
were
executive
accepted
the
recommendations,
it
became
policy
from
the
executive
that
this
is
their
responsibility.
Public
health
are
just
principally
charged
with
making
it
happen,
so
essentially
you're
saying
to
the
executive
that
the
recommendation,
if
you
are
deciding
that
it's
not
being
met,
you're,
making
it
clear
that
you're
not
signing
off
until
it
is-
and
you
may
want
to
share
the
comments
from
this
meeting
to
them
regarding
urgency
or
or
what
happened
just
for
clarification.
K
Well,
that's
that's
incredibly
helpful,
but
but
in
respect
of
that
and
taking
councilor
kill
veins
point,
we've
had
a
year
of
a
truncated
service.
I
would
like
to
see
the
risk
assessment
and
the
evaluation
of
what
has
happened.
What
has
there
been
an
impact
on
waiting
lists?
Has
there
been
an
impact
on
numbers
of
people
in
treatment,
numbers
of
people
dropping
out
of
treatment,
numbers
of
people,
completing
treatment.
K
During
the
past
12
12
months,
we
have
some
figures
on
substance
misuse
which
got
a
quarterly
performance
monitoring
we're
talking
about.
These
were
specific
cuts
as
they
related
to
an
alcohol
service.
But
you
know
I
do
take
the
point
that
you
may
want
to
look
at
it
in
round
and
see
how
it
also
relates
to
drug
misuse.
F
Certainly,
on
the
recommending
point
to
I
mean
clearly
what
the
report
is
called
for
is
that
we
are
given
those
risk
and
impact
assessments
to
health
scrutiny
and
I.
Think
saying
this
would
form
part
of
any
member
briefing
update
and
were
deemed
necessary
would
form
part
scrutiny,
work
plan
I,
don't
think
that's
acceptable,
really,
I
think
what
we
are
saying
is
that
we
won't
see
what
the
risk
assessment
is
to
any
public
health
services
that
Amanda
Lee
still
prescribed
where
the
foraging
is
is
I'm
a
fondness
attached
with
them
to
them.
C
K
Well,
along
the
lines
of
along
the
lines
of
what
I've
outlined,
I
mean
it's,
it's
very
difficult
to
it's
very
difficult
to
assess
how
the
cuts
are
potential
impact
on
one
service,
as
then
impacted
on
another
service.
I,
don't
know
it,
maybe
maybe
isn't,
but
you
know,
have
there
been
an
increase
in
alcohol-related
violence?
Has
it
been
an
increase
in
hospital
rail
alcohol-related
hospital
admissions?
Has
there
been
an
increase
in
the
impact
on
primary
care?
J
Is
Li
kind
of
said
already
sometimes,
when
there
are
changes
to
service
who
don't
notice
the
or
the
impact
doesn't
become
noticeable
immediately,
so
there
may
be
impacts,
and
but
they
may
not
show
up
for
a
year
or
more
often
in
public
health,
where
we
know
we're
looking
at
what
the
evidence-based
says
and
we're
trying
to
apply
that
to
our
local
population
and
try
to
make
sort
of
assumptions
around
what
we
think
the
impact
might
be.
So
it's
not
an
exact
science
all
the
time,
and
but
it's
you
know,
certainly
something
that
we
can.
J
A
G
One
highlighting
is
for
the
six
months:
that's
just
a
cycle
of
going
back
to
recommendations,
so
that
does
not
negate
for
this
committee
to
communicate
with
the
executive
or
with
officers
in
the
interim
which
may
resolve
or
retire
the
foundation,
but
technically
it
will
be
in
six
months
when
you
say
yes,
three
months
ago,
we
thought
that
it
was
retired,
and
today
we
are
signing
it
off.
That's
what
I
mean
by
deferring
it
by
six
months.
It's
an
extension.
G
J
So
yes,
a
recommendation.
Three
was
to
relook
at
the
needs
assessment
that
had
previously
been
done
around
substance
misuse
and
to
really
update
that
make
it
more
accessible
and
part
of
the
reason
for
doing
that
would,
as
they
enable
us
to
be
able
to
make
some
decisions
or
recommendations
around.
What
is
the
level
of
service
that
we
need
that
will
meet
the
needs
of
our
population.
So
we
have
a
joint
strategic
needs
assessment
group
that
takes
forward
this
work
for
us.
J
So
that
is
something
that
they
are
working
on
and
scoping
out
at
the
moment,
and
that
is
a
multi-agency
partnership
group.
So
we
will
be
able
to
bring
in
other
partners
to
contribute
to
that
piece
of
work
because,
as
I
say,
it
is
about
looking
at
the
system
as
a
whole,
not
just
about
what
public
health
Commission's
around
substance
misuse.
K
Thank
You
chair
on
page
64
in
Appendix
1,
halfway
halfway
down
it
says,
Annie's
assessment
has
been
produced
and
published
as
part
of
the
health
and
well-being
boards
Jasna
process.
Whilst
this
gives
a
general
understanding
of
the
global
burden
of
cibele
qahal
misuse,
it
was
difficult
to
negotiate.
The
report
is
long
and
complicated
and
I
suppose
that
that
comes
to
the
the
sort
of
crux
of
how
we
approach
things.
K
Do
we
know
what
we're
actually
looking
at
and
how
that
is
structured
when
we,
yes
and
I
appreciate,
we
do
bring
other
departments
in,
but
when
we're
looking
at,
what
our
approach
is,
you
know
is
this
a
housing
problem?
Is
this
a
substance
abuse
problem
I
see
some
mental
health
problem?
It's
about
saying
you
know
the
joint
strategic
needs,
the
clues
in
the
joint
and
strategic
bit
of
that,
and
it's
about
saying,
no
Department
or
no
bit
of
the
council
is
a
silo.
K
We
should
be
working
together
to
develop
a
joint,
innovative
approach
to
addressing
what
are
often
very
complex
issues
for
individuals
and
and
and
part
of
doing,
that
is
saying.
Well,
how
can
we
all
meet
an
overarching
need,
and-
and
if
that
involves
departments,
members
of
the
executive
deciding
how
they're
going
to
pull
the
budget,
then
I
think
that
that's
something
that
we
need
to
equally
understand
how
we're
going
to
be
able
to
approach
this
in
as
a
whole,
because
if
we
can't
do
that
here
is
an
authority.
K
How
can
we
expect
buy-in
from
the
CCG?
How
can
we
expect
buy-in
from
the
criminal
justice
services?
You
know?
It's
it's
about
saying:
if,
if
we're
going
to
do
something
around
meeting,
what
is
I
think
wholly
acknowledged
as
being
a
really
significant
issue
for
this
city,
not
just
now
that
moving
into
the
future,
it's
it's
about
saying:
where
do
where
do
all
the
bits
of
the
jigsaw
fit
together?
Not
just
this
is
a
public-health
bit
off
the
jigsaw.
B
K
J
G
G
Just
for
members
information
that
strategic,
don't
need
to
teach
I'm
steering
group
is
made
up
of
Public
Health,
led
by
one
of
your
officers,
but
it
also
sits.
Teeth
are
represented
there,
the
York
Hospital
are
represented
there,
business
intelligence
are
represented
in
there
and
I
think
I'm,
not
quite
so
sure,
but
I
think
there's
a
couple
of
other
NHS
providers
too
I
know
there
was
a
couple
of
apologies
and
I
think
the
CCG
definitely
I
think
I
represented
there
with
respect
to
their
data
I'm
officer.
F
J
It's
not
really
about
the
money.
It's
about.
It's
about
scoping
out
what
the
the
scope
of
that
needs
assessment
will
be
and
which
partners
we
need
to
to
sit
around
the
table
and
be
involved
in
that.
So,
as
you
just
mentioned,
housing
currently
on
a
member
of
the
Jason
a
group.
But
if
we're
going
to
do
this
piece
of
work,
it's
more
likely,
we
will
need
to
bring
them
into
that.
So
it's
about
identifying,
what's
kind
of
in
scope
and
who
needs
to
be
sat
around
the
table
and
contributing
that
I.
J
A
D
J
And
so
good
question
we
I
don't
think
we've
set
the
time
scale
yet
as
I
say,
they're
scoping
out
and
obviously
when
they
know
what
the
full
scope
of
that
will
be.
They
can
put
time
scales
to
it,
but
obviously,
as
you've
pointed
out
already,
where
we're
on
a
run
a
time
scale
here,
because
we
know
that
you
know:
we've
got
non-recurrent
funding
for
a
set
period
of
time
and
we'll
be
back
in
the
same
position
where
we're
funding
more
drops.
J
Okay,
so
in
point
four
and
five,
almost
kind
of
they
they
both
are
related
and
linked
together.
So
there
was
a
recommendation
that
the
Director
of
Public
Health
should
set
up
a
group
to
look
specifically
at
the
issue
of
multiple
complex
needs
and
how
a
range
of
partners
could
work
together
to
meet
the
needs
of
vulnerable
residents
and
then
recommendation
five
was
if
you're
going
to
take
that
approach
to
looking
at
multiple
complex
needs.
J
So
it's
fair
to
say
that
this
is
another
one
of
those
areas
where
it's
quite
early
days,
and
that
is
a
relatively
new
group
that
has
started
meeting
and
there's
quite
a
lot
to
unpack
in
terms
of
what
the,
what
we're
currently
doing
around
the
needs
of
people
with
multiple
complex
needs.
So
there's
a
bit
of
understanding
what
we've
already
got
in
place
and
that's
still
ongoing
and
then
to
move
towards.
If
this
is
already
what's
happening,
what,
where
are
the
gaps?
J
And
what
do
we
need
to
do,
or
how
do
we
work
better
together
at
partners
to
meet
these
needs
so
that
we're
not
kind
of
operating
in
silos
as
organizations
each
coming
in
and
and
offering
a
slightly
different
or
offering
a
service
to
an
individual?
And
what
you're
finding
is
that
you've
got
individuals
in
lots
of
different
services,
so
the
plan,
the
longer-term
aim,
would
be
to
look
to
have
a
more
joined-up
approach
for
those
clients.
But
that
again
is
a
longer-term
piece
of
work
and
how
we
influence
some
of
the
commissioning
decisions.
J
G
Chair
members
may
want
to
recall
the
meeting
in
June
or
July.
Sorry
where
healthwatch
came
and
Kathryn
who
was
part
of
the
this
particular
multiple
complex
needs.
It
was
agreed
that
she
would
come
in
December
to
give
an
update
on
it,
I
think
so
that
will
kind
of
flow
into
our
work
plan.
In
this
particular
item
members,
we
just
want
to
reflect
at
that
time
whether
what
is
described
in
December
reflects.
What's
in
the
recommendation.
C
And
can
I
just
ask
the
difference
between
adopting
a
joint,
commissioning
approach
and
joined
up
commissioning
because
joint
commissioning
sounds
a
bit
more
formal
I,
don't
know
if
there
is
a
difference
or
if
I've,
just
kind
of
read
it
as
one,
but
is
the
multiple
complex
needs
group?
Do
you
know,
do
they
have
any
kind
of
senior
commissioning
level
actors
within
it?
That
can
do
that
at
the
moment,
or
is
it
more
just
the
scoping?
What
the
offer
is.
L
Basically,
there's
a
long-term
plan
to
do
both
and
so
initially
looking
out
what
are
the
needs
of
this
population?
Who
are
they?
How
much
do
we
already
provide?
Are
we
providing
that
in
the
right
way
to
meet
the
needs
of
the
people
that
were
meeting
with
that's
part
of
what
this
group
is
starting
to
scope
out?
The
aim
of
that,
then,
would
be
to
look
at.
Have
we
done
the
right
type
of
purchasing?
Have
we
bought
the
right
things?
Does
that
meet
the
need?
L
K
K
As
the
name
suggests,
some
of
our
most
complex
individuals
that
have
really
high
care
needs
I'm
a
gem
today
kind
of
guy-
and
my
worry
is
that
when
we're
talking
about
this
is
our
long-term
aspiration.
This
is
a
long-term
plan.
I,
don't
know
that
we
have
that.
We've
got
the
time
for
something
that's
gonna
take
a
year
or
two
years,
I,
don't
know,
I,
don't
know
what
long-term
means
in
the
context
of
of
the
earlier
comments.
K
What
I
worry
about
is
that
you
know
we
talk
and
we
talk
and
we
talk
and
in
the
interim
people
die
people
get
sicker
and
sicker,
and
you
know
that
there
are
implications
not
just
for
individuals
and
for
individuals,
families
for
society
as
a
whole.
I
would
you
know
the
aims
and,
and
the
goals
are
absolutely
laudable
and
and-
and
you
know
and
I
think
we
are
moving
in
the
right
direction.
I
just
I
just
do
feel
a
little
bit,
and
this
is
Matt
may
be
massively
unfair.
K
F
D
A
L
Changing
lights,
our
national
organization-
yes,
they're
not
based
in
York,
but
from
what
we've
seen
oh
I've,
seen
as
a
contract
manager.
If
there
is
I,
can't
see
any
surplus
within
that,
and
certainly
in
the
first
two
years
of
the
pilot
project
of
implementing
the
new
model,
we
went
through
it
with
a
fine-tooth
comb
to
find
savings
that
wouldn't
include
reducing
service
or
reducing
staff.
And
so,
if
they
have
found
some,
somebody
else
must
have
helped
them.
It
must
have
been
a
divine
intervention
because
I
couldn't
find
him.
Okay,.
M
L
If
they
have
made
them,
I
don't
know
where
from
because
we
literally
went
through
all
of
their
purchasing
where
they
were
buying
their
pencils
from
to
see
if
we
could
get
cheaper
ones
and
reducing
the
building's,
we
were
using
getting
rate
reductions.
All
of
those
things
we
literally
went
through
the
whole
butcher
areas
and
we
couldn't
find
any
further
ones,
which
is
where
we
ended
up
in
this
position
of
having
to
go
and
look
at.
The
only
logical
thing
to
do
now
is
reduce
the
numbers
of
staff.
Okay,.
A
A
Right,
let's
in
general,
will
continue
council
of
war.
P
gives
their
apologies
for
the
rest
of
the
meeting
next
item
is
the
mental
health
updates
developing
a
community
approach
to
mental
health
and
well-being
pages.
Seventy
five
to
ninety
four
and
the
agenda
and
Michael
Melvin
who's.
The
assistant
director
for
organizing
social
care
and
Chris
weeks
is
the
commissioning
manager
even
gentlemen.
M
So,
thank
you
very
much
chair,
so
this
this
reports
is
to
give
an
early
site
of
the
developing.
The
approach
to
mental
health
in
the
city
partners
in
the
mental
health
partnership
are
really
really
keen
to
engage
with
the
committee
and
see
elected
members
as
particularly
important,
around
place-based
approach
and
I
think
that's
the
reason
why
we've
come
relatively
early
early
in
the
development
of
this.
M
So,
in
summary,
the
the
plan
is
it's
not
about
necessarily
new
services.
What
it's
about
is
about
pulling
together
the
things
that
we
have
in
place
to
help
people
live
well,
who
have
mental
health
issues
to
be
connected
and
feel
supported
and
to
use
everything
which
is
in
a
particular
place.
So
that's
people,
organizations.
M
Services,
buildings,
whatever
the
kind
of
the
assets
are
to
wrap
around
issues
around
mental
health,
I,
think
that
comes
from
a
recognition
which
a
lot
of
members
will
have
seen
when
issues
around
mental
health
services
surface
where
that's
sometimes
things
in
the
current
system
aren't
quite
right.
Things
do
happen
in
silos.
People
often
look
for
help
have
to
wear
to
the
queue
to
be
assessed.
There's
things
around
our
legibility
criteria,
and
then
people
have
to
move
through
services,
and
that
can
be
deeply
unsatisfactory
for
people
and
sometimes
people.
M
And
this
is
called
out
through
a
commitment
through
the
mental
health.
Partnership
has
warned
that
toc-toc
poor
priorities
and
in
the
city
is
around
a
long-term
commitment
to
this
person-centered
strengthened
place-based
approach,
approach
to
mental
health,
we're
part
of
this
international
learning
agreement.
We
really
want
to
be
a
beacon
of
international
best
practice
and
before
the
meant,
the
new
community
mental
health
framework
came
out.
We
were
already
very
much
engaged
nationally
around.
What
would
think
that
agenda
should
be.
We
have
really
positive
engagement
with
NHS
England.
You've
took
a
number
of
those
ideas
into.
M
So
it
came
out
of
the
big
conference
that
we
had
early
in
the
year,
which
had
a
really
wide
range
of
different
stakeholders,
including
lots
of
people
who
had
lived
experience
and
lots
of
people
with
a
great
wealth
of
experience
in
the
community
of
trying
to
work
on
on
these
issues,
and
really
the
work
or
in
forward
is
built
on
the
ask
of
the
people
who
were
attending
that
conference
and
the
commitment
to
continue
to
involve
everybody
who
this
touches.
Who
wants
to
be
involved
going
forward?
M
The
next
steps
there's
been
a
decision
that
this
is
a
long
term
project,
but
you
need
to
get
traction
somewhere
and
you
need
to
get
traction
quickly.
Otherwise
it
just
that
forever
will
stay
a
long
term
project
little
long-term
ambition.
That's
not
really
very
much
used
to
anyone.
Actually,
you
need
to
get
something
going.
You
need
to
get
it
started,
which
is
the
reason
why
you
haven't
said:
let's
do
the
whole
city
at
once.
M
Let's
have
a
focus
on
a
particular
area
which
has
some
really
useful
things
in
it,
so
the
north
of
the
city,
which
has
things
at
leas
wick,
which
has
the
hot,
which
has
Clarence
Street,
which
extends
up
to
the
the
new
mental
health
hospital
and
really
think
that
if
we
have
all
these,
you
know
really
useful
things
in
our
city.
Why
can't
we
bring
them
to
better
together
better
so
that
we
don't
have
that
siloed
approach?
So
it
really
feels
like
it's.
It's
it's
the
right
thing
to
do.
M
Or
where
they
walk
in,
so
it's
really
really
ambitious,
I
think
you're
very
much
at
the
start
of
it,
that's
being
quite
high
level,
so
answer
that
I
can.
But
that's
why
I've
got
Chris
here
as
well,
who,
who
is
really
kind
of
stuck
in
the
guts
of
it
and
some
of
the
details
of
it.
So
there's
a
couple
of
recommendations
there
as
well
and
those
are
to
note
the
report
on
the
work
underway
and
really
exciting
you
to
get
engaged.
D
Given
us,
the
North
has
been
chosen
because
there
are
some
good
assets
there
and
you've
listed
some
of
those
I'm
not
complaining
as
a
ward
councillor
for
Huntington
new
is
we
and
yes,
we
have
some
fantastic
assets,
but
I
am
concerned
about
the
potential
for
sort
of
equality
issues
across
the
city,
because
not
every
place
is
equally
asset,
rich
and
I.
Wonder
whether
you've
reflected
reflected
on
that
I
would
be
very
interested
to
hear.
M
So
one
of
the
things
which
we've
learned
through
adult
social
care
in
terms
of
an
adopted,
a
strength
based
model
in
Social
Work
when
we
looked
into
what's
likely
to
be
successful,
is
try
something
and
tried
to
get
something
to
work
in
a
place
where
it
might
be
a
little
bit
easier
to
work
is
helpful,
and
then
you
can
grow
that.
So
when
we
did
talking
points
which
some
members
will
have
been
involved
in,
we
did
pick
some
easy
sites
or
easier
sites
to
start
with
and
we're.
M
M
The
biggest
challenges
which
York
faces
is
that
it's
not
particularly
you
know
the
gap
between
the
those
who
have
the
most
assets
and
wealth
and
the
outcomes
there
get
and
the
outcomes
which
people
are
less
affluent
should
have
less
assets.
That's
really
big
in
York,
so
absolutely
understand
what
you're
saying.
D
M
So
I
guess
it'd
be
evaluate,
so
that's
was
the
the
the
answer.
Is
it
through
through
a
corporate
produced
approach,
so
the
people
who
were
involved
in
it
describing
what
it
is
that
they
want
out
of
it?
So
we
really
understand
really
clearly
what
makes
a
difference
to
people
and
then,
like
anything
else,
with
the
the
the
whole
thing
about
measurement,
we
have
to
measure
what
matters
to
people,
not
necessarily
what
the
you
know.
M
The
target
says:
I
think
there
is
a
change
in
culture,
not
just
in
adult
social
care
but
within
direct
to
the
council,
and
do
quite
a
lot
of
work
with
TSS
queer
Valley
in
terms
of
their
transformation
program.
Now
here's
a
commitment
to
building
a
set
of
measures
which
you're
about
trying
to
measure
what
matters
and
what
matters
is
what
people
tell
us.
What
matters
it's
I
don't
know
if
you've
got
anything
more
to
say
in
terms
of
the
detail:
that's
come
out
of
any
of
the
groups
so
far.
N
C
Just
to
follow
on
really
from
that.
Do
you
have
a
clear
idea
of
how
well
it
will
translate
into
areas
that
don't
have
it,
because
we
were
having
a
pre-meeting
discussion
about
pilots
that
then
set
things
up
that
you
know
don't
continue,
as
we've
seen
with
the
recent
things
that
have
been
in
the
news
about
the
primary
care:
mental
health
team.
So
if
it's
an
area
that
doesn't
have
these
assets
and
these
facilities,
will
there
be
any
sort
of
backing
for
the
groups
that
need
to
set
them
up
or
to
get
them
in
place
elsewhere?
C
C
How
do
we
find
the
areas
that
have
the
biggest
needs,
because
yeah
in
a
quality
way?
I
think
our
circle
looks
completely
right
to
say
that
the
areas
where
this
has
been
set
up
mine
up
the
areas
that
need
it
most
and
I
understand
the
reasoning
behind
doing
it
somewhere,
where
it's
more
likely
to
sort
of
get
interaction
a
bit
faster.
C
And
then
you
can
share
learning
with
other
places
and
get
it
up
and
running,
for
will
there
be
anything
to
sort
of
sit
behind
that
just
because
I've
worked
in
the
voluntary
sector
and
I
know
that
you
know
social
prescribing
is
a
brilliant
thing,
but
when
people
are
being
directed
and
signposted
to
all
the
services,
they
are
really
struggling
at
the
minute
as
well
to
fulfill
that
need.
So
I
don't
want
to
see
it
just
pushing
the
problem
elsewhere
without
the
funding
following
people
and
being
commissioned
right.
The
way
through.
M
M
Next,
we
expand
out
of
that
and
the
you're
absolutely
right
that
the
strategies
which
we
have
around
commissioning
around
early
intervention
and
community
development
around
things
like
volunteering
strategy
all
need
to
be
turned
around
to
to
inequality,
because
if
we,
if
we
don't
do
that,
we
simply
just
perpetuate
that
the
stay
at
the
status
quo.
So
that's
really.
It's
really
helpful
contribution
and
I
think
we
always
need
people
who
are
in
the
room.
A
N
N
B
Does
that
mean
funding
has
been
set
aside
long
term?
This
isn't
just
something
you're
trying
for
a
few
months
or
a
year
and
then
looking
for
further
funding
to
continue
it
and
what
about
funding
if
it
is
going
successfully
where,
where
is
the
funding
going
to
come
from
to
roll
it
out
to
other
parts
of
the
city?.
M
So
the
the
investment
is
in
people's
time
to
bring
that
together
in
a
different
model,
so
T's
s,
queer
Valley
has
its
own
as
a
series
of
services
and
they
have
a
transformation
program
and
what
they
have
committed
is
that
their
transformation
program
is
this
transformation
program
so
over
time,
there's
a
commitment
to
investment
more
in
more
in
mental
health,
but
I
think
we
have
to
be
clear
from
the
outset
that
this
is
about
making
more
of
what
we've
got.
We're
not
saying
there's
a
all
new
transferred
money.
M
So,
in
the
same
way
in
which
you
know,
I
can
talk
talk
for
my
own
experience
of
working
with
social
workers
work
with
further
older
people.
You
actually
get
people
out
from
a
desk
into
community
venues.
Stop
them
doing
big
assessments,
get
them
having
conversations
and
link
them
better
into
community
groups.
It's
a
it!
M
It
requires
a
vision,
belief!
Well,
it
requires
some
resources
in
terms
of
people's
time
and
adding
some
capacity
to
Chris's
time
from
elsewhere,
because
he's
got
so
another
number
of
programs
on
as
well
and
bringing
that
resource
of
the
city
together.
It's
not
necessarily
about
a
new
investment
in
service.
C
Just
to
follow
on
from
that,
do
you
think
there
is
additional
capacity
within
the
system
and
mental
health
providers
to
actually
deal
with
an
additional
influx
if
people
do
start
using
the
system
more
along
the
principles
of
you
know:
sort
of
first
point
of
entry
and
making
it
a
bit
easier
to
access.
Do
you
think
that
the
services
will
be
able
to
cook
if
more
people
do
I.
M
C
And
following
on
from
that,
the
page
89
the
design
principles
when
it
says
available
seven
days
a
week
of
ours,
is
that
crisis
care
only
or
is
that
just
sort
of
in
terms
of
easy
to
access?
You
know
single
point
of
access.
You
can
go
to
if
you're,
not
in
crisis
or
visit
yeah.
Just
for
those
in
that
situation.
M
So
I
think
that
most
people,
if
you're
so
there's
a
difference,
isn't
there
between
a
crisis
service
which
people
may
need
to
access
very
short
notice
in
the
early
hours
of
the
morning,
most
many
people.
You
know
people
generally
don't
want
to
book
appointments
at
those
times,
but
people
do
want.
The
flexibility
of
you
know
early
evening.
Appointments
appointments
not
just
between
the
9:00
to
5:00,
particularly
if
what
we're
trying
to
do
with
supports
people
with
pairs
of
caring
rules
support
people
into
employment.
M
A
G
So
yeah
this
was
just
in
update
on
where
we
are
with
impart
site,
as
is
described
in
the
report.
This
committee
played
quite
a
significant
role
in
the
last
couple
of
years
around
the
blue
thumb-up
hospital
issue,
and
it's
just
really
trying
to
bring
a
pickup
to
up-to-date
and
what's
happened
since
then,
so
the
site
belongs
to
the
NHS
property
services
and
they
put
it
on
the
open
market.
G
In
the
meantime,
the
council
and
the
hospital
have
been
engaging
with
NHS
processes
to
try
and
make
sure
that
there
is
a
health
element
to
the
site
as
well
as
other
features
on
the
site
which
the
council
have
been
consulting
residents
on
and
been
very
clear.
That
residents
want
to
make
sure
that
whatever
happens
on,
there
is
a
benefit
to
the
community
and
should
reflect
such
things
as
the
homes
for
key
workers,
kind
of
reflects
and
supports,
what's
happening
with
the
hospital
as
a
neighbor
and
other
features.
G
Nhs
properties
are
still
putting
on
the
market.
There
was
some
discussion
around
a
buyer,
but
that
didn't
come
to
fruition
and,
as
I
said,
the
council
name
and
hospital
commissioned
a
site
development
plan
which
has
been
really
detailed
around
engaging
residents
and
trying
to
frame
what
potentially
could
be
on
that
particular
site.
A
B
So
these
this
outline
includes
homes
for
key
workers.
Great.
It
says
that
they
want
to
attract
key
workers
to
York,
especially
if
they're
working
at
hospital.
But
then
it
also
says
it
will
be
micro,
flat
dwellings
for
key
workers.
What
is
a
micro
flat
and
that
doesn't
sound
suitable
for
key
workers
with
families
or
who
want
a
reason
want
of
personal
space,
and
why
would
that
attract
key
workers
to
York.
G
Micro
flat
must
be
some
kind
of
technical
description
of
a
type
of
accommodation
which
I
think
perhaps
may
be
micro
and
smaller
than
normal
threat,
and
how
that
would
reflect
how
that
would
attract
key
workers,
potentially
those
who
are
single
I'm,
just
speculating
there
I'm,
not
defending
the
directly
the
offered
options,
but
I
think
it
is
a
kind
of
kaleidoscope
of
options
that
could
be
there.
It's
not
necessarily
saying
that.
That's
what's
going
to
be
there.
F
No
thank
you,
chip,
unexpected
opportunity
to
speak.
I
think
you
know
we,
whatever
we
say
about
site
development
report
from
a
health
and
social
care
perspective,
is
utterly
irrelevant,
because
we
don't
own
the
site
and
we
will
have
absolutely
no
say
on
what
agreements
made
between
the
NHS
and
the
developer.
If,
indeed
any
agreements
are
made
and
as
a
council,
we
will
find
ourselves
in
the
usual
position
of
retrospectively
after
the
sale
trying
to
introduce
planning
conditions
to
try
and
do
something
for
the
good
of
the
city.
D
Am
very
aware
that
this
committee
has
touched
on
the
booth
and
Hospital
site
for
a
long
time
now,
certainly
as
long
as
I've
been
on
the
council,
we
were
involved
in
the
the
whole
investigation
into
the
circumstances
surrounding
the
sudden
closure
of
the
site,
which
was
most
unsatisfactory
and
insofar
as
we
have
any
weights,
I
am
sure.
As
a
committee,
we
would
want
to
put
that
full
weight
behind
the
kind
of
outline
that
we
have
before
us
and
would
encourage
the
executive
to
do
everything
it
can
within
its
boughs
to
secure
something
along
these
lines.
D
A
You
I
would
add
my
agreement
insofar
that
to
what
you've
both
said,
actually
in
terms
of
we
die
on
the
site
and
really
were
what's
being
suggested,
is
a
wish
list
for
the
city,
but
I
think
it.
We
would
definitely
like
to
put
a
strong
argument
forward
that
there
should
be
a
health
and
social
care
aspect
to
it.
Although
we
can't,
as
as
councilor
been
rightly
says,
we
can't
enforce
that
in
any
way
whether
the
site
would
be
affordable
to
a
local
authority.
A
You
have
not
entirely
convinced,
but
that
I'm
sure
would
be
something
that
the
executive
will
will
will
all
will
have
considered.
I
think
that's
about
as
much
time
as
I
can
say
at
the
moment
it
is.
It
is
a
wish
list,
certainly
what
some
of
the
items
that
are
listed
in
paragraph
16
on
page
99,
that
there
are
all
the
kind
of
things
we
would
really
like
to
see
on
the
site.
I'm
sure
you
know
I
would
support
any
developer.
That
would
like
to
bring
these
kind
of
schemes
forward
for
the
City
Council
Emily.
One.
B
A
It
might,
it
might
be
proximity
to
the
hospital
I'm
guessing.
That's
that's
always
a
challenge
parking
in
and
around
the
hospital.
I.
Don't
know
the
lungs
there
for
it's
a
premium
and
I
think
some
of
that
car
parking.
That
is
the
stuff
that
the
are
spells
going
to
be
lost
with
some
of
the
expansion.
The
no
building
work,
that's
needed
to
to
ensure
that
the
hospital's
fifth
fifth
for
purpose,
councillor,
quick
yeah.
D
It
might
be
helpful
to
say
that
unless
I
have
misread
or
misunderstood,
the
proposals
and
the
plan
that
I've
seen
what
what
is
suggested
here
is
a
repurposing
of
the
existing
Clarence
Street
car
park,
which
is
in
the
possession
of
the
city
of
your
council
and
converting
that
to
multi-story
to
better
serve
not
only
these
facilities
and
the
hospital
and
viral,
but
the
city
center
as
well.
I.
F
I've
got
more
to
say
that
on
this
tonight
then
I
thought
I
just
want
to
record
my
point
of
view
from
a
public
health
point
of
view.
Building
car
parks
is
not
going
to
benefit
Public
Health
in
any
way
shape
or
form.
When
we
said
it
shouldn't
be
looking
at
the
time
and
courage
in
car
use
in
the
city.
In
that
way,.
B
B
Else
might
have
made
a
note
in
the
minutes
of
what
they
were,
and
one
of
them
must
do
his
emergency,
dentistry,
I.
Think
and
one
of
them
to
do
was
it
was
to
do
with
the
report
that
was
mentioned
at
the
last
meeting
that
was
being
drafted
and
we
weren't
sure
or
exactly
when
a
drafters
gonna
be
ready
for
us,
but
we
thought
it
was
gonna
come
to
this
meeting
and
it
doesn't
seem
to
have
been
yes.
G
G
The
second
thing
was
the
review
of
the
safeguarding
I.
Don't
take
guarding
policy,
which
is
the
item
that
you're
talking
about
how
to
move
that
to
November,
because
the
office
of
the
responsible
officer
Kyra
was
not
going
to
be
around
for
some
significant
time
before
this
meeting,
so
it
wasn't
able
to
come
to
this
agenda.
If
you
recall
at
the
end
of
the
last
meeting,
we
only
had
one
item
for
this
meeting,
so
it
was
so
they
was
concerned
that
they
wouldn't
have
any
other
item
other
than
the
implementation
update.
G
J
So
we
have
been
working
with
their
multi-agency
partnership
to
look
at
that,
and
we
do
now
have
a
draft
strategy
in
terms
of
what
our
approach
needs
to
be
around
oral
health.
So
we
were
looking
for
the
right
time
to
to
bring
that
to
you
to
report
back
on
on
the
progress
that
we've
made
so
November
meeting
week.
We
can
do
that
if
that
fits
with
your
schedule,.
G
A
Member
I
was
going
to
suggest
the
older
persons
accommodation
program
update
for
December.
If
members
are
happy
with
that
for
because
the
officers
only
heard
this
evening
about
our
request
and
I
think
November's
to
soon
release
the
develop
meeting
is
only
three
weeks
away,
so
I
think
to
be
fair.
You
know
in
terms
of
compiling
the
caning
of
information
we
want
to
see
in
that
we
need
to
give
a
little
bit
longer,
so
members
are
happy
for
December
for
that
older
persons,
accommodation
update
you,
okay
with
that
yeah
okay,
so
that
would
be
there.
A
The
emergency
dentistry
report
in
November
added,
along
with
the
primary
that's
already
on
there
anyway.
Isn't
it
the
CCG
attendance,
so
it's
so
fairly
fairly
substantial
November
meeting,
you
know
I
think
and
then
so
December
isn't
a
little
bit
on
the
light
side,
something
me
or
the
personal
accommodation,
one
wonderful,
sick
nights
with
that.
C
G
A
good
point:
I
speak
regularly
with
Tracie
Wallace,
who
looks
after
the
health
and
well-being
board,
and
we
always
trying
to
find
out
what's
the
best
ways
that
the
two
committees
can
well
the
board
and
the
two
entities
can
kind
of
communicate
and
how
we
can
share
what's
happening
in
our
respective
structure,
so
we're
not
duplicating
work
primarily.
So
any
any
kind
of
innovations
would
be
helpful,
as
I
said
in
the
rule
will
implement
it.
A
A
It's
not
a
public
meeting,
but
it's
to
discuss
exactly
what
you
kind
of
said,
suggesting
that's
we'll,
try
and
get
a
better
tie
in.
Would
you
would
you
want
we're
just
waiting
on
a
day
to
be
fixed?
I
would
like
to
be
probably
late,
November
early
December
for
the
next
one
of
those,
and
that's
also
the
kind
of
meeting
I
can
raise
items
such
as
the
substance
abuse,
UC
review
so
topic
with
the
executive
member
as
well.
G
A
A
D
Fully
endorsed
that,
whilst
at
the
same
time
just
a
note
of
caution,
we
had
the
situation
at
the
very
beginning
of
this
meeting,
where
we
had
an
individual
case
and
I
think
we
had
to
be
careful
not
to
get
involved
in
individual
stories
and
individual
cases,
but
in
terms
of
representative
groups
and
where
there
are
common
themes
and
concerns.
And
absolutely
we
just
need
to
be
careful.
I
think
that
we
we
don't
invite
as
it
were
in
individual.
G
One
hopeful
thing
is
that
the
chairs
and
vice-chair
of
the
scrutiny
committees
are
meeting
regularly
now
every
six
months,
or
so
it
might
be
worth
kind
of
having
a
discussion
on
this
about
how
to
communicate
to
community
groups
and
individuals
about
engaging
scrutiny
and
also
communicating
what
expectations
there
are,
so
that
you
need
to
come
and
talk
about
themes,
talk
about
issues
rather
than
individuals,
I,
think
members.
If
groups
and
individuals
are
aware
of
what
they
can
cannot
say
in
scrutiny
and
hopefully
they'll
be
able
to
draw
out
of
it.