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 and supplementary information was submitted to the Board:

·  Agenda item 9 – Care Quality Commission (CQC) – Inspection Outcomes – Schedule of Inspection Outcomes (Appendix A)

·  Agenda item 10 – Children’s Emotional and Mental Health: Autism Assessments Waiting Times – Written submission from Leeds Community Healthcare NHS Trust

·  Agenda item 13 – Co-commissioning of Primary Care – Update – Written submission from Leeds CCGs, and submission on development of primary care / extended hours in Leeds North and Leeds South and East CCGs

·  Agenda item 14 – Draft Consultation Response to the Care Quality Commission’s Proposed Future Vision and Strategic Plans.

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, however the following matters were brought to the attention of the Scrutiny Board for information:

-  Councillor G Hussain advised that two close family members were employees within the local NHS

-  Dr J Beal advised that his daughter was a Child Adolescent Mental Health Practitioner.  He also advised that he had been appointed Healthwatch Leeds representative on one of the newly established Primary Care Commissioning Committees (PCCCs)

-  Councillor C Macniven advised that she was Support Executive Member for Adult Social Care.

The above Board Members all remained present for the duration of the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillor A Hussain and Co-opted Member, Mr R Taylor (Healthwatch Leeds).  Notification had been received that Councillor C Dobson was to substitute for Councillor A Hussain.

To confirm as a correct record, the minutes of the meeting held on 16 February 2016.

RESOLVED – That the minutes of the meeting held on 16 February 2016 be approved as a correct record.

Minute No. 110 – Care Quality Commission (CQC) Inspection Outcomes

The Board was advised that input from directorates was to be included as part of future reporting.

Minute No. 112 – Waterloo Manor Independent Hospital

The Board received a brief update regarding the Board’s recent visit to Waterloo Manor Independent Hospital.  Members of the Board who attended the visit felt that good progress had been made in addressing some of the issues that had been identified. 

To receive for information purposes the minutes of the Executive Board meeting held on 10 February 2016.

RESOLVED – That the minutes of the Executive Board meeting held on 10 February 2016 be noted.

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 February Board meeting.

The Board was also provided with an update regarding a recent meeting of the Regional Health Scrutiny Network, where the following key issues were discussed:

·  Care Quality Commission (CQC), particularly concerns regarding timeliness of reporting;

·  NHS specialised services;

·  Delayed discharges across the region; and

·  Sustainability and transformation planning.

The Board was advised that across the network there was significant interest in undertaking a joint piece of scrutiny work around delayed discharges in the new municipal year.  Options for undertaking this work were being explored.

The Board also considered future partnership working with Healthwatch (Leeds).

RESOLVED – That the Chair’s update be noted.

To receive a report from the Head of Scrutiny and Member Development to provide members of the Scrutiny Board with details of recently reported Care Quality Commission inspection outcomes for health and social care providers across Leeds.

The Head of Scrutiny and Member Development submitted a report which provided the Board with details of recently reported Care Quality Commission inspection outcomes for health and social care providers across Leeds.

The Board considered that in general the level of improvement regarding inspection outcomes was positive.  There was still some concern, however, regarding homecare agencies that required improvement. 

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

To receive a report from the Head of Scrutiny and Member Development introducing further details of the recovery plan associated with autism assessments for children in Leeds.

The Head of Scrutiny and Member Development submitted a report which introduced further details of the recovery plan associated with autism assessments for children in Leeds.

The following were in attendance:

-  Sam Prince (Executive Director of Operations) – Leeds Community Healthcare NHS Trust

-  Nick Wood, General Manager (Children's Services) – Leeds Community Healthcare NHS Trust

-  Matt Ward (Chief Operating Officer) – Leeds South and East Clinical Commissioning Group

-  Jane Mischenko (Commissioning Lead: Children & Maternity Services) – Leeds Clinical Commissioning Groups.

The key areas of discussion were:

·  Clarification regarding assistance received from other providers.  The Board was advised about a one off occurrence to utilise provision at Huddersfield.  It was not anticipated that there was a need to utilise provision elsewhere in the future.

·  Confirmation that referrals were mainly from GPs and school clusters.

·  The reasons for delays to autism assessment waiting times, which included; national efficiencies, shortage of trained staff; and a commitment to addressing routine assessments.

·  The support provided by schools and CAMHS prior to assessment.

·  An update on research undertaken to help plan for the future.  The Board was advised that publication of the national prevalence survey may help address issues.

·  Issues associated with changes to the school cluster funding model.

·  A request for information about work being undertaken by academies to address issues. 

RESOLVED –

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

(b)  That the Board receives information about work being undertaken by academies to address issues.

To receive a report from the Head of Finance (Adult Social Care) outlining proposals for the delivery of identified budget savings for 2016/17.

The Head of Finance (Adult Social Care) submitted a report which outlined proposals for the delivery of identified budget savings for 2016/17.

The following information was appended to the report:

-  Adult Social Care – Budget Savings 2016/17.

The following were in attendance:

-  Councillor Lisa Mulherin (Executive Board Member for Health, Wellbeing and Adults)

-  Cath Roff (Director) – Adult Social Services, Leeds City Council

-  Shona McFarlane (Chief Officer for Access and Care Delivery) – Adult Social Services, Leeds City Council

-  Steve Hume (Chief Officer for Resources and Strategy) – Adult Social Services, Leeds City Council

-  Ann Hill (Head of Finance) – Adult Social Services, Leeds City Council

-  Kirsty Turner (Associate Director of Primary Care) – Leeds West CCG

-  Gina Davy (Deputy Director of Commissioning – Primary Care & Business Development) – Leeds North CCG

-  Matt Ward (Chief Operating Officer) – Leeds South and East CCG.

The key areas of discussion were:

·  An acknowledgement of the significant challenges faced by Adult Social Services.

·  Inequalities and equality assessments in delivering services.

·  Development of preventative work and the important role of neighbourhood networks.

·  The significant role of all partners in working together across the city on budgetary issues.

·  An update that the CCG was in the process of agreeing contracts with its providers.  The outcome of this informed future funding decisions.

·  The financial consequences of court judgements for local authorities, i.e. Cheshire West judgement.

·  A commitment to sustaining services through development of preventative care, particularly in relation to lifestyle and wellbeing choices.

·  The types of provision for individuals with learning difficulties.

·  Further engagement needed regarding the impact of financial cuts on services.

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

To receive a report from the Director of Public Health outlining proposals for the delivery of identified budget savings for 2016/17.

The Director of Public Health submitted a report which outlined proposals for the delivery of identified budget savings for 2016/17.

The following information was appended to the report:

-  Public Health – Budget Savings 2016/17

-  Equality, Diversity, Cohesion and Integration Impact Assessment – Public Health Contracts Strategy with third sector providers for 2016-17.

The following were in attendance:

-  Councillor Lisa Mulherin (Executive Board Member for Health, Wellbeing and Adults)

-  Dr Ian Cameron (Director of Public Health) – Public Health, Leeds City Council

-  Kirsty Turner (Associate Director of Primary Care) – Leeds West CCG

-  Gina Davy (Deputy Director of Commissioning – Primary Care & Business Development) – Leeds North CCG

-  Matt Ward (Chief Operating Officer) – Leeds South and East CCG.

The key areas of discussion were:

·  Concern about the impact of funding reductions on narrowing the gap.  The Board discussed the role of the Health and Wellbeing Board and work with partners.

·  The role of the CCG in supporting the delivery of preventative care and how the cuts to Public Health funding did not support the preventative focus of the NHS Five Year Forward View. 

·  The ‘opportunity costs’ associated with resources that had been used on planning activities or services that could no longer be undertaken or provided.

·  The need to better articulate the impact of financial cuts.

·  The significant role for all partners across the city to work together on budgetary issues.

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

To receive a report from the Head of Scrutiny and Member Development introducing a further report from Leeds’ Clinical Commissioning Groups outlining more detailed plans for commissioning arrangements of primary care service in Leeds from April 2016.

The Head of Scrutiny and Member Development submitted a report which presented information from Leeds’ Clinical Commissioning Groups outlining more detailed plans for commissioning arrangements of primary care service in Leeds from April 2016.

The following were in attendance:

-  Kirsty Turner (Associate Director of Primary Care) – Leeds West CCG

-  Gina Davy (Deputy Director of Commissioning – Primary Care & Business Development) – Leeds North CCG

-  Matt Ward (Chief Operating Officer) – Leeds South and East CCG

-  Deborah McCartney (Senior Locality Manager) – Leeds South and East CCG.

The key areas of discussion were:

·  Confirmation that from 1 April 2016, £105m would be delegated to Clinical Commissioning Groups (CCGs) for commissioning of primary care services.

·  The accountability of Primary Care Commissioning Committees (PCCC).  The Board was advised that each PCCC was accountable to the relevant CCG governing body.  All meetings of the PCCCs would be open to the public to attend. 

·  The composition of the PCCCs.  The Board expressed concern that Community Committee Health Champions had not been invited to serve on the PCCCs and that there was a lack of local community input to the discussions.  The Board also expressed concern that representatives of Healthwatch (Leeds) and the Health and Wellbeing Board had no voting rights on the PCCCs.

·  The importance of effective engagement with patient reference groups.

·  Development of broad engagement with stakeholders regarding local schemes and initiatives.

·  Development of GP services, particularly in terms of a sustainable approach to workforce planning.

·  Concern regarding the below average level of positive responses in the recent National GP Survey, specifically in relation to the ease of getting through to someone at GP surgery on the phone.

·  Further information and analysis required regarding missed appointments, particularly at weekends.

RESOLVED –

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

(b)  That further information be provided regarding missed appointments

(c)  That further discussions take place with the CCGs regarding the composition of PCCCs.

To receive a report from the Head of Scrutiny and Member Development introducing the Board’s draft response to the Care Quality Commission's proposed future vision and strategic plans.

Report to follow.

The Head of Scrutiny and Member Development submitted a report which presented the Board’s draft response to the Care Quality Commission's proposed future vision and strategic plans.

RESOLVED – That subject to any further comments provided outside of the meeting, the Board’s response be approved.

To receive a report from the Head of Scrutiny and Member Development presenting 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.

The following updates were noted:

·  April Board meeting to include an update from NHS Hospital Trusts and a draft report on the cancer wait times.

·  Proposed additional meeting in May to sign off outstanding reports, including primary care, third sector and follow up actions arising from bereavements working group.

·  Potential focus by the Board in 2016/17 on the impact of public health cuts.

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

Tuesday, 19 April 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

Tuesday, 19 April 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 3.30pm)