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 14: Briefing from Leeds CCGs.

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 matter was brought to the attention of the Scrutiny Board for information:

-  Councillor M Dobson advised that he was Manager of a Neighbourhood Network

Councillor M Dobson 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 J Chapman and B Selby and Co-opted Member, Dr J Beal. 

Notification had been received that Councillor C Dobson was to substitute for Councillor B Selby.

To confirm as a correct record, the minutes of the meeting held on 7 September 2016.

RESOLVED – That the minutes of the meeting held on 7 September 2016 be approved as a correct record.

To receive for information purposes the draft minutes of the Health and Wellbeing Board meeting held on 6 September 2016.

RESOLVED – That the minutes of the Health and Wellbeing Board meeting held on 6 September 2016, be noted.

To receive for information purposes the draft minutes of the Executive Board meeting held on 21 September 2016.

RESOLVED – That the minutes of the Executive Board meeting held on 21 September 2016 be approved as a correct record.

Minute No. 60 – Better Lives Programme: Phase Three: Next Steps and Progress Report

The Board was advised that four call-ins had been submitted in relation to delivery of the Better Lives Strategy.  A Call-in meeting had been arranged to take place on Tuesday, 11 October 2016 at 10.00am, to consider the issues that had been raised.

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 recent scrutiny activity that was not specifically included elsewhere on the agenda.

The following were in attendance:

-  Professor Suzanne Hinchcliffe, Deputy Chief Executive (Leeds Teaching Hospital Trust)

-  Craig Brigg, Director of Quality (Leeds Teaching Hospital Trust).

The key updates were:

·  Leeds and York Partnership NHS Foundation Trust (LYPFT) – It was reported that Dr Sara Munro had been appointed Chief Executive of LYPFT.  The Chair advised that he was due to meet with Dr Munro in November to discuss the work of the Scrutiny Board.

·  Windmill Health Centre – The Board was advised that progress was ongoing in relation to Windmill Health Centre.

·  Leeds Teaching Hospital Trust (LTHT) – The Board was advised that LTHT had recently been awarded a ‘good’ judgement.  Board Members acknowledged the considerable progress that had been made. 

Other key areas of discussion were;

Ø  Some improvements had been identified in relation to medical support staffing;

Ø  It was reported that there had been five ‘never events’.  Procedures had been established to address these issues;

Ø  An update on I.T hardware issues in relation to pathology and the impact on reporting, testing and monitoring. The Board was advised that an emergency planning response had been implemented and that the service was now back up and running;

Ø  An update on a long running inquest which had resulted in some changes to clinical intervention.

Ø  The importance of maintaining an overview of key issues through regular reports and updates to the Board.

RESOLVED – That the Chair’s update be noted.

(Councillor A Hussain joined the meeting at 1.40pm during the consideration of this item.)

To consider a report from the Head of Scrutiny introducing the most recent 2016/17 Financial Monitoring report presented to Executive Board at its meeting on 21 September 2016.

The Head of Scrutiny submitted a report which introduced the most recent 2016/17 Financial Monitoring report presented to Executive Board on 21 September 2016.

The key areas of discussion were:

·  Ongoing work in relation to Passenger Transport Services, which indicated higher than budgeted costs.  It was requested that a breakdown of the costs be provided to the Board.

·  An update on the main financial challenges facing the directorate, particularly community care.  The Board was advised that there was regular monitoring of this area. 

RESOLVED –

(a)  That the Board notes the 2016/17 Financial Health Monitoring report presented to the Executive Board on 21 September 2016

(b)  That the Board receives a breakdown of costs in relation to Passenger Transport Services.

To consider a report from the Head of Scrutiny presenting a summary of the outcomes from recently published Care Quality Commission inspection reports.

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:

-  Mark Phillott, Head of Commissioning, Adult Social Care.

The Board received an update on the measures in place to address health and social care providers that had been rated ‘inadequate’. In relation to Adult Social Care providers; 127 had been rated ‘good’, 84 ‘required improvement’, and 6 were ‘inadequate’.  It was noted that 59 providers were currently awaiting inspection. 

RESOLVED – That the Board notes the inspection outcomes for health and social care providers across Leeds.

To consider a report from the Head of Scrutiny introducing an update on the provision of Children’s Epilepsy Surgery Services in England.

The Head of Scrutiny submitted a report which provided an opportunity to update the Board on NHS England’s review and public consultation on the future provision of Children’s Epilepsy Surgery Services in England.

RESOLVED –

(a)  That the update on the provision of Children’s Epilepsy Surgery Services in England, be noted.

(b)  That NHS England representatives be invited to attend the Board meeting on 25 October 2016 to discuss the significant delay in decision making regarding Children’s Epilepsy Surgery Services in England. 

To consider a report from the Head of Scrutiny introducing a report from the NHS commissioners and provider of the Renal Patient Transport Service in and around Leeds.

The Head of Scrutiny submitted a report which presented information in relation to the Renal Patient Transport Service in Leeds.

The following were in attendance:

-  Chris Dexter, Managing Director of Patient Transport Services – Yorkshire Ambulance NHS Trust

-  Debra Taylor Tate, Collaborative Lead for Urgent Care – Leeds CCGs

-  Karen Pollard, Calderdale CCG

-  Matt Storey, Service Manager, Leeds Teaching Hospitals NHS Trust

-  Tim Hiles, General Manager, Leeds Teaching Hospitals NHS Trust

-  Linda Pickering, Kidney Patients Association.

The key areas of discussion were:

·  An acknowledgement of the need for greater engagement with patients to discuss issues.

·  Issues associated with the ‘marked ready’ website.

·  Concern about performance issues, particularly in relation to Seacroft Hospital.  The Board was advised about specific transport challenges and the importance of joined up working with partners. 

·  The need to review the Renal Charter.

RESOLVED –

(a)  That the update in relation to the Renal Patient Transport Service in Leeds, be noted.

(b)  That the Board receives a further report in March 2017, providing an update on actions in place to address the above issues.

To consider a report from the Head of Scrutiny introducing NHS England’s recently published health planning guidance for 2017/18 and 2018/19.

The Head of Scrutiny submitted a report which introduced NHS England’s recently published health planning guidance for 2017/18 and 2018/19.

The following were in attendance:

-  Sarah Lovell, Acting Director of Commissioning (Leeds South & East CCG)

The key areas of discussion were:

·  The need for wider engagement with Elected Members and the public regarding development of Sustainability and Transformation Plans (STPs).  The Board sought assurance about the communication strategies that were in place.

·  Clarification sought regarding planned work with schools in relation to children’s mental health.  The Board was advised about investment in this area, particularly in terms of access to services.

·  Challenges around GP workforce and an update on the strategies in place to encourage training doctors to pursue a career in primary care.

·  The role of CCGs in planning and investing in services, particularly its commitment to working with all providers, especially the independent sector. 

RESOLVED –

(a)  That NHS England’s recently published health planning guidance for 2017/18 and 2018/19, be noted.

(b)  That a workshop be established to discuss ways to publicise development of Sustainability and Transformation Plans.

To consider a report from the Head of Scrutiny introducing a summary of themes relating to the Scrutiny Inquiry around Primary Care, and proposed next steps.

The Head of Scrutiny submitted a report which provided a summary of themes in relation to the Scrutiny Inquiry around Primary Care, and proposed next steps.

RESOLVED – That the summary of themes in relation to the Scrutiny Inquiry around Primary Care, be noted.

To consider the Scrutiny Board’s work schedule for the 2016/17 municipal year.

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.

Tuesday, 25 October 2016 at 1:30pm (pre-meeting for all Board Members at 1:00pm).

Call-in Meeting on Tuesday, 11 October 2016 at 10.00am (pre-meeting for all Board Members at 9.30am)

(The meeting concluded at 4.10pm)