Agenda and minutes

To identify items which have been admitted to the agenda by the Chair for consideration.

(The special circumstances shall be specified in the minutes.)

The following late information was submitted to the Board:

·  Agenda item 10 – Care Quality Commission Inspection Outcomes – Appendix 1 (Minute no. 80 refers)

The above information was not available at the time of agenda despatch, but was subsequently made available on the Council’s website.

To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-16 of the Members’ Code of Conduct.

There were no disclosable pecuniary interests declared to the meeting.

To receive any apologies for absence and notification of substitutes.

An apology for absence was submitted by Co-opted Member, Mr Richard Taylor (Healthwatch Leeds).

To confirm as a correct record, the minutes of the meeting held on 24 November 2015.

RESOLVED – That the minutes of the meeting held 24 November 2015 be approved as a correct record.

Minute no. 59 – Matters arising from the minutes

The Chair advised that the issue of proposed changes to and/or mergers of local GP practices continued to be monitored by the Board. 

Minute no. 61 – Chair’s Update – Healthwatch Leeds

Members were advised that due to the timing of proposed activity there was unlikely to be any joint visits involving Healthwatch Leeds in the 2015/16 municipal year.

Minute no. 61 – Chair’s Update – Richmond Medical Practice

The Board was advised that the allocation process had been completed and letters sent out to patients to confirm this, including an option to register elsewhere if necessary.  There was concern that the phone number at Richmond Medical Practice was still active and that it was not entirely clear that the practice had shut permanently.  The Board was awaiting a response from NHS England regarding this.

Minute no. 62 – Care Quality Commission Inspection Outcomes 

The Board was in the process of drafting its response to the consultation document.  Clarification was being sought whether an increase in fees resulted in additional services being provided.

Minute No. 63 – Charging for Non-Residential Adult Social Care Services 

The Board received a brief update regarding charging for non-residential Adult Social Care Services.

To receive for information purposes the minutes of the Executive Board meeting held on 18 November 2015.

RESOLVED – That the minutes of the Executive Board meeting held on 18 November 2015, be noted.

Minute No. 93 – The Future for Social and Emotional Mental Health (SEMH) Education Provision in Leeds

The Board sought clarification whether the proposal to further develop SEMH education provision in Leeds was due to the closure of provision at Elmete Wood. 

RESOLVED – That the Director of Children’s Services provides clarification to the Board whether the proposal to further develop SEMH education provision in Leeds was due to the closure of provision at Elmete Wood.

To receive an update from the Chair on scrutiny activity, not specifically included on this agenda, since the previous Board meeting.

The Chair provided a verbal update on scrutiny activity since the November Board meeting.

The following updates were provided from the West Yorkshire JHOSC meeting on 21 December 2015:

·  Report on Urgent and Emergency Care Vanguard (West Yorkshire wide) – The West Yorkshire JHOSC continued to monitor progress and had requested a more detailed outline of timescales and milestones.

·  West Yorkshire Association of Acute Trusts (WYAAT) – Work undertaken across West Yorkshire’s Acute Trust – The West Yorkshire JHOSC continued to maintain an overview of progress.

·  Yorkshire Ambulance Service (YAS) – It was advised that the YAS was launching some engagement work around its future strategy in the next 2/3 months.  The West Yorkshire JHOSC was likely to be involved.

·  Cancer Wait Times – Potential role for West Yorkshire JHOSC in terms of patient experience and outcomes.  There was a need to understand performance issues around delayed referrals and any capacity issues at Leeds Teaching Hospital Trust (LTHT).

·  Tobacco – This was a previous request for scrutiny.  There was no appetite to consider this on a West Yorkshire basis.  The matter was being referred to Strategy and Resources Scrutiny Board to potentially examine wider issues around ethical investment.

RESOLVED – That the Chair’s update be noted.

To consider a report from the Head of Scrutiny and Member Development introducing the Safeguarding Adults Board Annual Report 2014/15 and Business Plan 2015/16 presented to the Executive Board on 18 November 2015.

The Head of Scrutiny and Member Development submitted a report which introduced the Safeguarding Adults Board Annual Report 2014/15 and Business Plan 2015/16 presented to the Executive Board on 18 November 2015.

The following were in attendance:

-  Richard Jones, Chair of Leeds Safeguarding Adults Board

-  Cath Roff, Director of Adult Social Services

-  Shona McFarlane, Chief Officer (Access and Care Delivery), Adult Social Care.

The key areas of discussion were:

·  Lessons learnt from failures to account for unexpected deaths at Southern Health NHS Foundation Trust.

·  Measuring success through development of shared learning with health agencies and community organisations.

·  Further information required about safeguarding investigations, particularly in terms of demographics and settings.

·  Concern that the report had not included any specific reference to equality, diversity, cohesion and integration.

·  A request that future reporting included a progress update with timescales.

·  Significant concern that BME communities were not currently represented on the Leeds Safeguarding Adults Board and recommendations for this to be addressed in the short and longer-term.

·  Development of more sophisticated approaches to identify autism at an early age.

·  Confirmation of joint working with Leeds Safeguarding Children’s Board.  The current focus was on transition to adulthood and using resources more effectively.

RESOLVED –

(a)  That the contents of the report, together with the appended Safeguarding Adults Board Annual Report 2014/15 and Business Plan 2015/16, be noted.

(b)  That the ‘progress version’ of the report highlighted at the meeting be made available to members of the Scrutiny Board. 

(c)  That the Chair of Leeds Safeguarding Adults Board and those officers supporting the work of the Board, consider:

  i.  mechanisms to ensure the appropriate representation of BME communities within the membership of the Board, in the longer-term; and,

  ii.  the co-option of appropriate representatives as an immediate, interim measure. 

To consider a report from the Head of Scrutiny and Member Development introducing the initial budget proposals for 2016/17.

The Head of Scrutiny and Member Development submitted a report which introduced the initial budget proposals for 2016/17.

The following were in attendance:

-  Cath Roff, Director of Adult Social Services

-  Doug Meeson, Chief Officer (Finance Services)

-  Ann Hill, Head of Finance, Adult Social Care

-  Dr Ian Cameron, Director of Public Health.

The key areas of discussion were:

·  Confirmation that there had been a bigger reduction in the provisional local government finance statement than had been anticipated.

·  Concern that the local government finance settlement for Leeds compared unfavourably to other local authorities and a request that the Board be provided with a comparator analysis.

·  Confirmation of a new power for local authorities with social care responsibilities to increase council tax by up to and including 2% per year. The Board sought clarification regarding how long this applied. 

·  Confirmation that from 2017/18, the Government was making funding available to local government, worth £1.5 billion by 2019/20, to be included in the Better Care Fund.

·  An update on savings in local authority public health spending and reductions to the public health grant to local authorities.  The Board was advised that the Council’s Director of Public Health was currently developing a revised 2 year plan.  It was suggested that an update on progress with the plan be reported back to the Board in due course.

·  A suggestion that the Board writes a letter to Leeds MPs to seek their views on the local government finance settlement.

RESOLVED –

(a)  That the Board notes the Executive Board’s initial budget proposals.

(b)  That the Board supports proposals to apply the additional 2% social care precept increase to Council Tax in 2016/17.

(c)  That the Director of Public Health reports details of the proposed 2-year budget strategy to a future meeting. 

To consider a report from the Head of Scrutiny and Member Development presenting a summary of Care Quality Commission (CQC) inspection outcomes relation to Health and Social Care organisations within the Leeds boundary.

The Head of Scrutiny and Member Development submitted a report which presented a summary of Care Quality Commission (CQC) inspection outcomes in relation to Health and Social Care organisations within the Leeds boundary.

A summary of the recent CQC inspection reports was submitted to the Board as late information.

The following were in attendance:

-  Sarah Drossfield, Inspection Manager, Hospitals Directorate, Care Quality Commission (North Region).

The key areas of discussion were:

·  The overall structure of the CQC and its directorates.

·  Improvements needed in terms of notifying patients and families about enforcement action that was required.

·  The difference in approach of CQC compared to Ofsted when providing notification about inspections.

·  Perceived differences in the robustness of inspections relating to Primary Medical Services and the potential disparity between inspection outcomes and local intelligence.

·  Significant concerns identified in relation to staffing and auditing. 

·  A request that the Board be provided with a report back regarding recent progress at Waterloo Manor Independent Hospital. 

·  The recent inspection outcome in relation to Richmond House and the associated action plan.

RESOLVED –

(a)  That the contents of the report and appendices be noted

(b)  That the request for information and progress relating to Waterloo Manor Independent Hospital be provided to a future meeting.

(c)  That the action plan in relation to Richmond House be made available to members of the Scrutiny Board.

To consider a report from the Head of Scrutiny and Member Development introducing a range of information regarding the involvement of the Third Sector in the provision of Health and Social Care Services across Leeds.

The Head of Scrutiny and Member Development submitted a report which introduced a range of information regarding the involvement of the Third Sector in the provision of Health and Social Care Services across Leeds.

The following information was appended to the report:

-  Joint report of the Director of Public Health, Director of Adult Social Services and the Accountable Officers of the three Leeds Clinical Commissioning Groups to Scrutiny Board (Adult Social Services, Public Health, NHS) – Commissioning of the third sector in the health, wellbeing and social care sector (22 December 2015)

-  Appendix A – Summary of health, wellbeing and social care services commissioned from the third sector

-  Appendix B – Input from Leeds Community Healthcare NHS Trust into Scrutiny into Scrutiny Board work schedule.

The following were in attendance:

-  Cath Roff, Director of Adult Social Services

-  Mick Ward, Head of Commissioning, Adult Social Services

-  Emma Carter, Commissioning Manager, Adult Social Services

-  Dr Ian Cameron, Director of Public Health

-  Lucy Jackson, Consultant in Public Health

-  Nigel Gray, Chief Officer, Leeds North Clinical Commissioning Group

-  Rachel Cooper, Chief Executive Officer, Leeds Older People’s Forum

-  Hannah Howe, Director, Volition.

The key areas of discussion were:

·  The vibrancy of the Third Sector in Leeds, particularly compared to other areas.  

·  An update on the Patient Empowerment  Project (PEP) which provided GPs with a link to refer patients to a social or community organisation to support their needs.

·  A request for further information regarding the impact of cuts on the third sector and whether some organisations had been disproportionately affected.

·  Development of a more holistic approach to patient care and examples of locally based arrangements, particularly in relation to mental health.

·  The need to publicise work undertaken by the third sector in communities.

·  Acknowledgement of positive work undertaken by neighbourhood networks in addressing social isolation and supporting older people.

·  A suggestion that the Board invited other relevant third sector organisations to contribute to the Board’s discussion.

RESOLVED – That the contents of the report and appendices be noted

To consider a report from the Head of Scrutiny and Member Development introducing an update from Leeds’ Clinical Commissioning Groups regarding proposed co-commissioning arrangements for Primary Care from April 2016.

The Head of Scrutiny and Member Development submitted a report which introduced an update from Leeds’ Clinical Commissioning Groups (CCGs) regarding proposed co-commissioning arrangements for Primary Care from April 2016.

The following were in attendance:

-  Nigel Gray, Chief Officer, Leeds North Clinical Commissioning Group

-  Andy Harris, Clinical Chief Officer, Leeds South and East Clinical Commissioning Group

-  Kirsty Turner, Associate Director of Primary Care, Leeds West Clinical Commissioning Group.

The key areas of discussion were:

·  The role of CCGs in Leeds, particularly in terms of its response to a diverse range of health needs and engagement with local GP practices.

·  An update on patient engagement work and patient leader training.

·  The role of lay members on the CCG Board.

·  The financial responsibilities of CCGs and making best use of available resources.

·  The role of the Scrutiny Board in holding to account the work of CCGs.

·  A suggestion that Community Committees and Health and Wellbeing Champions be involved in the work of CCGs’ proposed Primary Care Committees.

RESOLVED –

(a)  That the contents of the report and appendices be noted.

(b)  That each of the Leeds’ Clinical Commissioning Groups considers in more detail the potential role of the Council’s Health and Wellbeing Champions in the future work of the proposed Primary Care Committees.

To consider a report from the Head of Scrutiny and Member Development introducing the Scrutiny Board’s outline work schedule for the remainder of the current municipal year (2015/16).

The Head of Scrutiny and Member Development submitted a report which invited Members to consider the Board’s work schedule for the 2015/16 municipal year.

RESOLVED – That subject to any on-going scheduling decisions, the Board’s work schedule be approved.

Tuesday, 26 January 2016 at 1:30pm (with a pre-meeting for all members of the Scrutiny Board at 1:00pm).

Wednesday, 27 January 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 5.15pm)