Agenda and minutes

Venue: Civic Hall, Leeds, LS1 1UR. View directions

Contact: Steven Courtney (0113) 24 74707  Email: steven.courtney@leeds.gov.uk

Items
No. Item

15.

Chair's Opening Remarks

Minutes:

The Board paid tribute to campaigning Yorkshire doctor Kate Granger who sadly passed away recently.

 

The Board also welcomed Councillor M Dobson to his first Board meeting of the 2016/17 municipal year.

 

16.

Late Items

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

 

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

Minutes:

The following late and supplementary information was submitted to the Board:

 

-  Agenda item 9 – Supplementary information in relation to budget monitoring; Latest Executive Board report

-  Agenda item 10 – Supplementary information in relation to the Better Lives Strategy in Leeds (Progress Update) – draft response; Board’s draft response and comments from the Director

-  Agenda item 12 – Supplementary information in relation to responses to the Scrutiny Board recommendations; Response from HealthWatch Leeds

-  Agenda item 15 – Late item in relation to Care Quality Commission (CQC) Inspection Outcomes.

 

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

 

17.

Declaration of Disclosable Pecuniary Interests

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.

Minutes:

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 M Dobson advised that he was Manager of a Neighbourhood Network.

-  Councillor B Selby advised that one family member was employed within the local NHS and another family member was employed by the University of Leeds.

-  Dr Beal advised that he held the post of Honorary Senior Lecturer in Dental Public Health with the University of Leeds

 

All Board Members remained present for the duration of the meeting.

 

18.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

An apology for absence was submitted by Councillor J Chapman.

 

19.

Minutes - 28 June 2016 pdf icon PDF 87 KB

To confirm as a correct record, the minutes of the meeting held on 28 June 2016.

Minutes:

RESOLVED – That the minutes of the meeting held on 28 June 2016 be approved as a correct record.

 

20.

Minutes of Executive Board - 22 June 2016 pdf icon PDF 152 KB

To receive for information purposes the minutes of the Executive Board meeting held on 22 June 2016.

Minutes:

RESOLVED – That the minutes of the Executive Board meeting held on 22 June 2016, be noted.

 

21.

Matters arising from the Minutes of Executive Board - 22 June 2016

Minutes:

Minute no. 7 – Review of the Long Term Community Support Service – next steps and Progress Report

 

The Board sought clarification regarding arrangements to cease the directly provided Long Term Community Support Service (LTCSS) and the development of alternative models of support. 

 

The Board was advised by the Director of Adult Social Services that a dedicated transfer team had responsibility for identifying suitable alternative provision.  The Director also advised the Board that residents were only transferred to provision that had been rated ‘good’ or above by the Care Quality Commission (CQC). 

 

22.

Chair's Update pdf icon PDF 94 KB

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

Minutes:

The Chair provided a verbal update on recent scrutiny activity that was not specifically included elsewhere on the agenda.

 

The key updates were:

 

·  Alzheimer’s Society’s latest publication - ‘A Guide for Local Councillors’ around transforming the lives of people with dementia.  Subject to capacity, actions to be considered through the Scrutiny Board during the year.

·  Men’s Health – meeting held with Professor Alan White, author of the report on The State of Men’s Health in Leeds, to discuss the potential role and scope of the Scrutiny Board’s work.

o  Full report to be considered in October to identify some specific matters to examine in more detail.  Suggestions based on discussions to date included men’s suicide and healthchecks for men.

·  Kidney Patient Transport – a series of issues had been raised.  Currently waiting for a further response form Yorkshire Ambulance Service (YAS), commissioners and LTHT before any decision on the next steps.  Likely to involve a working group of the Scrutiny Board to consider:

o  The current and previous transport arrangements

o  The patient concerns raised (i.e. patient safety issues)

o  The responses from service commissioners and providers

o  Making recommendations to relevant NHS organisations (YAS, LTHT, Commissioners) based on the information received.

 

RESOLVED –

 

(a)  That the Chair’s update be noted.

(b)  That the proposed further actions associated with Kidney Patient Transport discussed at the meeting be endorsed and supported by the Scrutiny Board.

 

23.

Budget Monitoring pdf icon PDF 71 KB

To receive a report from the Head of Scrutiny introducing the Financial Health Monitoring 2016/17 report presented to the Executive Board.

 

Additional documents:

Minutes:

The Head of Scrutiny submitted a report which introduced the Financial Health Monitoring 2016/17 report presented to the Executive Board on 22 June 2016.

 

The following were in attendance:

 

-  Councillor Rebecca Charlwood (Executive Member for Health Wellbeing and Adults)

-  Cath Roth (Director of Adult Social Services)

-  Dr Ian Cameron (Director of Public Health)

-  Anne Hill (Head of Finance) – Adult Social Care.

 

The key areas of discussion were:

 

·  Confirmation that the level of budget dependent on NHS partners was £3.9m.  The Board was advised that due to budget pressures there was uncertainty about securing all of the funding.  Alternative measures had been established, particularly focussing on a review of non-care spend.

·  Development of homecare arrangements through joint working with housing colleagues.  The Board was provided with an update on the Ordinary Lives Project which supported home based solutions.

·  A suggestion that future reporting included further information around some of the key headings in the report. 

·  Clarification sought regarding reported underspend for public health budget.  The Board was advised that public health had received a loan of £1.3m for 2016/17 from Council reserves and any underspend was to be offset against this amount.

·  Concern about the impact of public health cuts on local communities, particularly in terms of equality, diversity and cohesion and integration.

·  Greater scrutiny involvement needed regarding the impact of not undertaking public health initiatives in future.

·  Clarification sought regarding the transfer of services to the third sector and TUPE arrangements in place.

 

RESOLVED –

 

(a)  That the Board notes the Financial Health Monitoring 2016/17 report presented to the Executive Board on 22 June 2016

(b)  That the Board be provided with clarification regarding the transfer of some services to the third sector and details about TUPE arrangements in place.

 

24.

Care Quality Commission (CQC) - Inspection Outcomes pdf icon PDF 96 KB

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

Additional documents:

Minutes:

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

 

The following were in attendance:

 

-  Councillor Rebecca Charlwood (Executive Member for Health Wellbeing and Adults)

-  Cath Roff (Director of Adult Social Services)

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

 

The key areas of discussion were:

 

·  Concern that ‘requires improvement’ was a broad judgement that required more detailed explanation.

·  Greater focus needed on key themes and emerging issues.

·  The relationship between the CQC and the Council’s Contracts Assurance Team.

·  Any relationship between the size of care facilities and inspection outcomes.

 

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

 

(Councillor A Hussain joined the meeting at 2.25pm during the consideration of this item.)

 

25.

Better Lives Strategy in Leeds (progress update) - draft response pdf icon PDF 446 KB

To receive a report from the Head of Scrutiny introducing a draft response following more detailed consideration of the Better Lives Strategy in Leeds (progress update) presented to the Board meeting in June 2016.

 

 

Additional documents:

Minutes:

The Head of Scrutiny submitted a report which introduced a draft response following more detailed consideration of the Better Lives Strategy in Leeds (progress update) which had been presented to the Board meeting in June 2016.

 

The following were in attendance:

 

-  Steven Courtney (Principal Scrutiny Adviser), Scrutiny Support

-  Cath Roth (Director of Adult Social Services)

 

The key areas of discussion were:

 

·  A suggestion to include further information in the Board’s response regarding the measures in place to address proposed closures. 

·  Clarification sought about future provision, specifically in relation to Siegen Manor Care Home.  The Board was advised that there had been specific discussions regarding the development of extra care provision in the Morley area of the City.

·  The Board’s role in monitoring future progress, particularly in relation to extra care and staffing arrangements.

·  An emphasis on the re-use or disposal of surplus buildings.

·  Concern about the limited timescale available for the Board to give detailed consideration to the directorate’s additional / further briefing paper provided at the meeting. 

 

RESOLVED –

 

(a)  That the Board notes the draft response to the Better Lives Strategy in Leeds (Progress Update) presented at the meeting.

(b)  That subject to the minor amendments discussed for inclusion, the Board’s draft response be agreed for submission to the Director of Adult Social Services. 

 

26.

Leeds Academic Health Partnership pdf icon PDF 100 KB

To receive a report from the Head of Scrutiny presenting the report on Executive Board report on Leeds Academic Health Partnership for consideration by the Scrutiny Board.

 

 

Additional documents:

Minutes:

The Head of Scrutiny submitted a report which presented the Executive Board report on Leeds Academic Health Partnership for consideration by the Scrutiny Board.

 

The following were in attendance:

 

-  Councillor Rebecca Charlwood (Executive Member for Health Wellbeing and Adults)

-  Paul Bollom (Chief Officer Health Partnerships) – Adult Social Care

-  Colin Mawhinney (Head of Innovation) – Leeds Health Partnerships

 

The Board received a presentation regarding development of a Leeds Academic Health Partnership.

 

The key areas of discussion were:

 

·  An acknowledgment of the complexities regarding existing structures.

·  Proposals for a workforce academy, development of training pathways and opportunities.

·  More information needed about proposed public engagement activities and work with schools.

·  Governance arrangements for the work and decision-making of the partnership.

·  The need to ensure that membership of the group was reflective of local communities.

·  The important role of the third sector.

·  The need to identify clear measures to assess the benefits of work being undertaken.

 

RESOLVED – That the Board notes the details presented in the Executive Board report.

 

(Councillor B Flynn left the meeting at 3.40pm during the consideration of this item.)

 

27.

Responses to Scrutiny Board recommendations pdf icon PDF 71 KB

To receive a report from the Head of Scrutiny introducing responses to the Scrutiny Board recommendations following its inquiry reports relating to Cancer Waiting Times in Leeds and Bereavements.

 

 

Additional documents:

Minutes:

The Head of Scrutiny submitted a report which introduced responses to the Scrutiny Board recommendations following its inquiry reports in relation to Cancer Waiting Times in Leeds and Bereavements.

 

RESOLVED – That the Board notes the responses provided and the associated actions, approach and proposed timescales.

 

28.

Work Schedule pdf icon PDF 104 KB

To receive a report from the Head of Scrutiny presenting the Scrutiny Board’s work schedule for the current municipal year (2016/17).

Minutes:

The Head of Scrutiny submitted a report which invited Members to consider the Board’s work schedule for the 2016/17 municipal year.

 

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

 

29.

Date and Time of Next Meeting

Tuesday, 4 October 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

Minutes:

Tuesday, 4 October 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

 

(The meeting concluded at 4.05pm)