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 supplementary information was submitted to the Board:

·  Agenda item 8 – Chair’s Update: CCG briefing note on Whinmoor Surgery

·  Agenda item 8 – Chair’s Update: CQC response to its consultation on proposed fee structure

·  Agenda item 9 – NHS Provider Updates (April 2016): updates from LTHT, LCH and LYPFT

·  Agenda item 10 – Care Quality Commission (CQC) – Inspection Outcomes: Presentation slides.

In addition, the following late item was submitted to the Board

·  Agenda item 15 – Delivering the Better Lives Strategy in Leeds: Proposed next steps – Draft response to the proposed closure of The Green.

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:

-  Councillor B Selby advised that a close family member was employed within the local NHS

-  In relation to the closure of Whinmoor Surgery, Councillor P Gruen advised that he was Ward Member for Cross Gates and Whinmoor. 

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

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillors G Hussain, S Lay and A Smart and Co-opted Member, Mr R Taylor (Healthwatch Leeds).  Notification had been received that Councillor J Pryor was to substitute for Councillor A Smart.

To confirm as a correct record, the minutes of the meeting held on 15 March 2016.

RESOLVED – That the minutes of the meeting held on 15 March 2016 be approved as a correct record.

To receive for information purposes the minutes of the Executive Board meeting held on 9 March 2016.

RESOLVED – That the minutes of the Executive Board meeting held on 9 March 2016 be noted.

Leeds City Council Health Breakthrough Project “Early Intervention to Reduce Health Inequalities”

The Board discussed the importance of ensuring effective links between LCC and local NHS providers.  The Board was advised that this was being undertaken through development of the NHS Sustainability and Transformation Plan and Leeds’ Joint Health and Well-being Strategy.

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 March Board meeting.

The following information was appended to the report:

-  Notes of the Bereavement – Policies and Practice Working Group meeting held on 1 February 2016.

The following were in attendance:

-  Mark Bradley (Chief Finance Officer & Executive Lead for Primary Care) – Leeds South and East Clinical Commissioning Group.

The key areas of discussion were:

·  An update on the recent Bereavement – Policies and Practice Working Group meeting.

·  Concern about the outcome of the consultation process undertaken by Care Quality Commission (CQC) in relation to inspection charges.  The Board requested confirmation regarding the cost of undertaking the consultation.

·  An update on the closure of Whinmoor Surgery and transfer of patients to neighbouring practices at Ashfield Medical Centre and Park Edge. The Board emphasised the importance of ensuring effective and early engagement with local communities regarding proposed closures.

·  The Board requested further information about GP provision across Leeds – particularly in terms of single-handed GP practices. 

·  In relation to the correspondence that had been issued regarding the closure, the Board recommended that all patients be notified, not just head of households.

·  The Chair urged that as part of its next steps, the Clinical Commissioning Group considers using the Whinmoor Surgery premises as a ‘branch surgery’ to help ensure good patient access to local primary care services.

RESOLVED –

(a)  That the Chair’s update be noted

(b)  That the requests for information be provided.

To consider a report from the Head of Scrutiny and Member Development presenting a draft Scrutiny Board response to the proposed closure of The Green.

The Head of Scrutiny and Member Development submitted a report which presented a draft Scrutiny Board response to the proposed closure of The Green.

The following were in attendance:

-  Councillor Lisa Mulherin, Executive Board Member (Health, Well-being and Adults)

-  Cath Roff, Director of Adult Social Services, Leeds City Council.

The key areas of discussion were:

·  The implications of implementing the living wage for independent sector care home providers.

·  The availability of alternative local provision of equivalent quality.

·  The development of different models of care, such as extra care housing.

·  The changing nature of occupancy levels.

·  Suggested amendments to the draft response, specifically the bullet point regarding ‘busting some of the myths’ and clarification around recommendation c).

·  Confirmation of the likely timescales of the Executive Board’s decision and therefore the Scrutiny Board’s formal response to the current proposals.

·  The timing and issuing of the draft response for consideration.

RESOLVED –

(a)  That the current draft response be redrafted to reflect the comments identified at the meeting.

(b)  That a special meeting be convened at the earliest opportunity to consider the Board’s redrafted response for approval.

To consider a report from the Head of Scrutiny and Member Development introducing brief update reports, setting out key organisational issues and developments from the main NHS providers in Leeds.

The Head of Scrutiny and Member Development submitted a report which introduced brief update reports, setting out key organisational issues and developments from the main NHS providers in Leeds.

The following were in attendance:

-  Professor Suzanne Hinchliffe (Deputy Chief Executive) – Leeds Teaching Hospitals NHS Trust

-  Bryan Machin (Executive Director of Finance and Resources) – Leeds Community Healthcare NHS Trust

-  Jill Copeland (Interim Chief Executive) – Leeds and York Partnership Foundation NHS Trust.

The key areas of discussion were:

Leeds Teaching Hospitals NHS Trust

·  An update on the previous CQC inspection process and the actions in place to address the recommendations – both in terms of the ‘must do’ and ‘should do’ actions.

·  Preparation for the forthcoming CQC inspection and the Trust’s self-assessment processes.

·  Achievement of ‘Cancer Waiting Time’ targets.

·  Preparations for the planned Junior Doctor Industrial Action and the plans to minimise the impact on patients.

·  Information sought about estate options. The Board was advised that discussions had taken place both internally and with partners about making better use of estates.  Further information about this was to be provided to the Board at a future meeting.

Leeds Community Healthcare NHS Trust

·  An update on the implications of the reduced level of public health budget.

·  Progress against the previous CQC inspection and the actions in place to address the recommendations.

·  Details about work being undertaken to ensure staff had a greater say in service delivery.

·  Recent progress to reduce waiting times for children to be assessed for autism.

Leeds and York Partnership Foundation NHS Trust

·  Priorities for 2016/17 and proposals for re-launching the Trust’s revised strategy.

·  The Trust’s current and projected future financial position.

·  A request to be provided with information about follow up actions arising from the recent unannounced CQC inspection.

·  The Urgent Care Vanguard, particularly in relation to mental health services and sharing best practice.

RESOLVED – That the update reports be noted and the additional information requested be provided.

(The meeting was adjourned for a short break at 3.40pm and reconvened at 3.50pm.)

To consider a report from the Head of Scrutiny and Member development setting out a summary of the key issues in preparation for a verbal update on  the work of the Leeds Safeguarding Adults Board.

The Head of Scrutiny and Member Development submitted a report setting out a summary of the key issues in preparation for a verbal update on Leeds Safeguarding Adults Board.

The following were in attendance:

-  Cath Roff, Director of Adult Social Services, Leeds City Council.

The Scrutiny Board had previously recommended that the Chair of Leeds Safeguarding Adults Board and those officers supporting the work of the Board consider mechanisms to ensure the appropriate representation of BME communities within the membership of the Safeguarding Board, in the longer-term; and the co-option of appropriate representatives as an immediate, interim measure. 

The Scrutiny Board was advised that the Safeguarding Board’s Communities and Engagement sub-group had agreed to seek appropriate nominations to serve on the Safeguarding Board through the Third Sector BME hub.  In seeking nominations, there was a conscious effort to ensure any nominees had a recognised constituency to represent and report back to. 

RESOLVED –

(a)  That the verbal update on Leeds Safeguarding Adults Board, be noted.

(b)  That an update on the Leeds Safeguarding Adults Board’s Business Plan be provided in 6 months.

To consider a report from the Head of Scrutiny and Member Development that presents 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 details of recently reported Care Quality Commission (CQC) inspection outcomes for health and social care providers across Leeds.

The following were in attendance:

-  Lorna Knowles (Inspection Manager (Adult Social Care Directorate)) – Care Quality Commission

-  Rod Hamilton (Inspection Manager (West Yorkshire) – Primary Medical Services and Integrated Care) – Care Quality Commission.

The key areas of discussion were:

·  A general overview provided by representatives from CQC regarding the inspection of Adult Social Care and Primary Medical Services in Leeds.

·  Concern that a dental breach had been reported at a practice that was previously reported to be ‘not compliant’.  The Board was advised about follow up actions in place following below standard inspection outcomes.

·  The importance of ensuring a consistent approach to judgements.  The Board was advised that judgements were made as part of a team approach.

·   The Board was also advised of the CQC internal processes for ensuring a robust and consistent approach, particularly when reporting ‘Outstanding’ or ‘Inadequate’ services.

·  Confirmation following inspections about the process for providing feedback and reporting key findings to providers.

·  The comparative outcomes of inspections in Leeds against national and sub-regional outcomes.

·  Confirmation that the characteristics of ‘good care’ were detailed on the CQC website to help providers self-assess service quality.

·  Timeliness of the publication of inspection reports generally and CQC internal processes.

·   The importance of ensuring that appropriate action was taken to address safeguarding concerns.

RESOLVED – That the Board notes the inspection outcomes for health and social care providers across Leeds, and the information discussed at the meeting.

To consider a report from the Director of Public Health introducing an update on the Children and Young People's Oral Health Promotion Plan 2015-19.

The Director of Public Health submitted a report which presented an update on the Children and Young People’s Oral Health Promotion Plan 2015-19.

The following information was appended to the report:

-  Draft Leeds Children and Young People Oral Health Promotion Plan 2015-2019

-  Leeds Children and Young People Oral Health Promotion Implementation Plan 2015-2017.

The following were in attendance:

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

-  Sharon Yellin (Consultant in Public Health Medicine) – Office of the Director of Public Health, Leeds City Council

-  Janice Burberry (Health Improvement Manager) – Office of the Director of Public Health, Leeds City Council.

The key areas of discussion were:

·  General support for the majority of actions detailed in the implementation plan.

·  Concern about the cost of delivering the proposed toothbrushing scheme involving the application of fluoride varnish to reduce tooth decay in children and young people. 

The Board discussed development of an alternative approach involving water fluoridation for all age groups and the merits of undertaking further scrutiny of the matter.  The Director of Public Health advised that given the geography of water supplies across Leeds (and West Yorkshire in general), it may be more meaningful to consider the issue of water fluoridation on a sub-regional basis.

RESOLVED –

(a)  That the Board notes the contents of the Implementation Plan and the progress to take forward actions.

(b)  That an alternative approach involving water fluoridation for all age groups be referred to the West Yorkshire Joint Health Overview and Scrutiny Committee for further consideration.

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 Chair advised that an additional Board meeting in May had been arranged to receive final reports on Integrated Health and Social Care teams; cancer wait times; involvement of the third sector; and bereavement –  policies and practice.

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

Wednesday, 18 May 2016 at 9:30am (NB no pre-meeting)

Wednesday, 18 May 2016 at 9.30am (no pre-meeting)

(The meeting concluded at 5.00pm)