Which services is this consultation about?
This consultation relates to the 0-19 Healthy Child Service, which encompasses Health Visiting (0-5) and School Nursing (5-19) services, currently delivered by Harrogate and District Foundation NHS Trust.
What is the benefit of entering into a partnership arrangement to deliver the 0-19 Healthy Child Service?
North Yorkshire County Council and Harrogate and District NHS Foundation Trust are committed to delivering high quality public health services and ensuring that those services are provided in conjunction with wider NHS services. This level of integration ensures that services are easy to access and well-co-ordinated for the people who use them. The Council and Trust teams currently involved in managing and delivering the services, work very closely together to design, plan and monitor them. The proposed Partnership Agreement (referred to as “Section 75 Partnership Agreement”) would provide us with a mechanism to formalise arrangements to support improved flexibility and greater efficiency, better integration and, in turn, improve outcomes for children, young people and families. It also puts in place a mechanism for the greater integration of services with those provided by the Trust for children. The NHS and Local Authorities Partnership Arrangements Regulations 2000 require that partners entering into any partnership agreements [under Section 75 (s75) of the NHS Act 2006] must consult with anyone affected by these arrangements prior to putting this arrangement in place.
What difference will the Partnership Agreement make to people who use services?
The agreement will better enable both partners to continue to work together and with other service providers to improve the planning and delivery of services, resulting in better outcomes for children, young people and their families. The arrangements will enable a more joined up approach and facilitate integration with wider NHS services. A public consultation on the terms of the s75 agreement will take place from 5 February 2021 and conclude on 7 March 2021.
How will you consult with stakeholders and when?
The consultation will start on 5 February 2021 and conclude on 7 March 2021. Every effort will be made to ensure stakeholders, including people who use the services and members of the public who have an interest in this proposal, have the opportunity to find out about the proposal and give feedback. The consultation is for 30 days and we hope this will give stakeholders opportunity to comment through a range of methods.
How will this partnership agreement improve services for people who use them?
It is proposed the length of partnership agreement will be 10 years allowing us to take a more flexible, local and tailored approach to delivering services and be more responsive to the needs of service users. It will allow flexible change and continuous review and help transform the service with the resources we have available.
Will this consultation or proposed agreement affect service delivery models?
North Yorkshire County Council and Harrogate and District NHS Foundation Trust are already working together to improve how services for children, young people and families are provided and we will continue to engage with stakeholders to inform this work.
What experience has Harrogate and District NHS Foundation Trust got in providing the services?
North Yorkshire County Council currently has contractual arrangements with Harrogate and District NHS Foundation Trust to deliver the 0-19 Healthy Child Service. Both organisations have a strong partnership culture and commitment to working collaboratively with other providers to get the best experience possible for people who use their services. The proposed Partnership Agreement will further enhance this commitment by facilitating services to work together as a single system. Harrogate and District NHS Foundation Trust is a highly experienced provider of these services.
How will any formal agreement be monitored?
North Yorkshire County Council and Harrogate District NHS Foundation Trust already have in place quarterly meetings that provide the opportunity to review how the services are performing and identify opportunities to work more effectively across the system. One of the benefits of developing this Partnership Agreement is the flexibility this presents in terms of acting on further opportunities for improved delivery, efficiency and outcomes for children, young people and families. The arrangements would also include a joint decision making process to ensure the services are being delivered in a truly integrated way.
Who will be accountable/responsible for the services delivered through the Partnership Agreement?
Harrogate and District NHS Foundation Trust is currently (and will remain, if the proposal is supported) responsible for the day to day clinical delivery and clinical governance arrangements in respect of the 0-19 Healthy Child Service. The partnership arrangements will mean that both partners will jointly make decisions in terms of service delivery. However, North Yorkshire County Council will retain overall accountability for Public Health outcomes (some nationally mandated) relating to the service.
Will there be any changes for staff working in the services to be delivered through the Partnership Agreement?
The partnership agreement will require a different approach to service delivery. A public consultation on the service model took place between 26th October 2020 and 4th January 2021. As the integration progresses, there may be changes in the way in which staff work; these will be the subject of discussions between the Trust and the staff, and if they involve changes in the way in which services are delivered to service users these will be the subject of further consultation
What are the next steps?
Consultation responses and feedback will be collated and reviewed by North Yorkshire County Council and Harrogate and District NHS Foundation Trust. At the end of the consultation period both organisations will review the feedback and produce and publish a summary report showing the themes and issues raised on both organisations websites.