One city for all, 2023 to 2027

We want York residents to live happy, healthy independent lives in communities that care, where the current trend of widening health inequalities is reversed, and people are supported to manage their health and wellbeing, with additional support available for those that need it.

We want every child to be safe, healthy, and happy in strong resilient families, living in diverse inclusive communities, with equal opportunities to ensure they achieve their full potential and the best possible outcomes.

Our starting point is that strong and supportive communities have better health outcomes, when we build on the strengths of our people, and give our citizens the best possible chance of staying healthy. Our city is full of community and public assets that can deliver hubs for partnership support and creativity. Our thriving voluntary and community sector has over 250 organisational members of York Centre for Voluntary Services (CVS) and the average distance to green space in York is around a third of a kilometre, versus a national average distance of a whole kilometre.

But we need more in place to support our residents. To ensure everyone feels valued, we need to make sure our adult and social care services are the very best they can be, focused on the areas that make the biggest difference and preparing children for adulthood.

Key statistics

Data sources: ONS - 2021 Census (TS021), ONS - 2021 Census (TS038), and ONS - 2021 Census (TS039)

• On average, men live to 80 years old compared to 79 years old nationally. Across York this ranges from 86 to 76 years old with strong relationship to 'deprivation' in communities.
• On average, women live to 84 years old compared to 83 years old nationally. Across York this ranges from 88 to 80 years old with strong relationship to 'deprivation' in communities.
• 62% of respondents to Talkabout give some form of unpaid help.
• 139 out of 307 local authorities where 1 is healthiest and 307 is least healthy (data source: ONS /healthindexscoresengland).
• 18.9% of 18 to 64 year olds predicted to have a mental health problem (data source: Projecting Adult Needs and Service Information System).
• 7.5% of 65+ years old predicted to have dementia (data source: Projecting Older People Population Information System).
• 150+ minutes per week moderate intensity (excl. gardening) 70% York, 63% national average. Likely to walk or cycle 3+ times a week 55% York, 45% national average (data source: Sport England – Active Lives).

What we will do

1. Working with York’s Health and Care Partnership, deliver the ambitions set out in the Joint Health and Wellbeing Strategy 2022-2032.
2. Set the conditions for people to live healthy independent lives:
   1. Increase council-wide action to reduce health inequalities and report on this through the Director of Public Health’s Annual Report.
   2. Co-design a Housing with Support Strategy setting out the care choices people have so older and disabled people could stay in their own homes as long as possible.
   3. Work with the York Health and Care Partnership to strengthen York’s integrated prevention and early intervention model, and further develop primary and secondary shared care models and emergency care, working closely with the voluntary and community sector.
   4. Take a council-wide approach to tackle domestic abuse and support victims and survivors.
   5. Deliver the Dementia Strategy Action Plan, updating and refreshing associated strategies to promote greater understanding about the impact on resident’s lives.
   6. Develop and deliver an all age commissioning model for different specialist facilities.
   7. Co-produce and publish our approach to supporting people with Learning difficulties, mental health, autism and delivery of adult social care.
3. Build community pride:
   1. Celebrate the city’s diversity, delivering an Anti-Racist Plan and embedding across policy and processes.
   2. Develop family friendly foot streets to bring playful exploration across the city centre.
   3. Introduce Neighbourhood Action Plans to target ward funding, community assets and other resources to where they are needed most.
   4. Work with North Yorkshire Police to target support to areas at risk of organised crime.
4. Start good health and wellbeing young:
   1. Understand the benefits and scalability of a Free School Meals Pilot with the purpose of public good to transform children’s lives.
   2. Introduce a Spaces and Places Programme for young people developed by them for them, including a Cultural Passport aimed at encouraging children to engage in culture.
   3. Continue our improvement journey to deliver good and outstanding children’s services with the voice of the child heard throughout all council operations.
   4. Embed corporate parenting so children in care and care leavers can thrive.
5. Target the right support at the right time:
   1. Listen to lived experience to deliver a Cost-of-Living Plan; and together with partners, develop and deliver a 10-year Anti-Poverty Strategy and Plan, including supporting young people and households reduce the cost of heating and energy bills.
   2. Review the fostering service, including the support to foster carers and kinship carers.
   3. Deliver local area coordination, health trainers and social prescribing that supports people be independent and in communities, working alongside partners for their own health and wellbeing.
   4. Develop a locality model of delivery, exploring the benefits of establishing “hubs” across communities.
   5. Deliver the City Community Mental Health Transformation Programme.
   6. Support more people on their journey of recovery from addiction, including through smoking cessation services and our recovery-based drug and alcohol model.

Key performance indicators

Council delivery:

• Number of Children in Care Number of Child Protection cases
• Numbers of SEND Cases or EHCPs
• % of people who use services who have control over their daily life - Disabled People
• % of people who use services who have control over their daily life - Older People
• Overall satisfaction of people who use services with their care and support

City outcomes:

• Children and Families in Poverty - Income Deprivation Affecting Children Index (IDACI)
• %pt gap between disadvantaged pupils and their peers achieving 9-4 in English and Maths at Key Stage 4
• Number of children in temporary accommodation (temporary accommodation to be further defined)
• Health Inequality in wards (difference to York average)
• % of reception year children recorded as being overweight (including obese)
• Slope index of inequality in life expectancy at birth - Female / Male - (Three year period)
• % of adults (aged 16+) that are physically active (150+ moderate intensity equivalent minutes per week,)

Also see

• Joint Health and Wellbeing Strategy 2023 to 2032 - strong and supportive communities have better health outcomes
• LNER York Community Stadium