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

63.

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 6 – Draft minutes of the meeting held on 11 October 2016

-  Agenda item 13 – Leeds Community Healthcare report on Autism waiting times

-  Agenda item 14 – Children’s Epilepsy Surgery Services – updated timeline.

 

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

 

64.

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 a family member was employed within the local NHS.

-  Dr J Beal advised that a family member was employed by Child Adolescent Mental Health Services (CAMHS).

-  Councillor J Chapman advised that a family member had accessed services for autism.

 

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

 

65.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

Apologies for absence were submitted by Councillors A Hussain and S Varley.  Notification had been received that Councillor K Renshaw was to substitute for Councillor A Hussain.

 

66.

Minutes - 4 October 2016 and 11 October 2016

To confirm as a correct record, the minutes of the meetings held on 4 October 2016 and 11 October 2016, respectively.

 

Minutes:

The Board was informed that the minutes of the meeting held on 4 October 2016 were in the process of being finalised and were to be presented to the November Board meeting for approval. 

 

RESOLVED – That the minutes of the Call-in meeting held on 11 October 2016 be approved as a correct record.

 

67.

Matters arising from the minutes

Minutes:

Minute No. 61 – Outcome of Call-in

 

The Board noted correspondence submitted by Dean Harper, Unison, regarding a concern that although Executive Board had accepted the recommendations of the Scrutiny Board, this had not been reflected in the Executive Board minutes. 

 

The Board also noted that similar concerns had been raised by those campaigning against the closure of The Green. 

 

RESOLVED – That the Chair of Scrutiny Board (Adult Social Services, Public Health, NHS) seeks clarification regarding the outcome of the Call-in meeting held on 11 October 2016.

 

68.

Chair's Update (October) 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 and points of discussion which had not been specifically included elsewhere on the agenda.

 

Meeting with Julian Hartley

 

Ø  Leeds General Infirmary (LGI) / Trust estate strategy; innovation hub with Leeds Universities and Leeds City Council (LCC);

Ø  Children’s epilepsy – to be considered under agenda item 14 ‘Children’s Epilepsy Surgery Services – Update’;

Ø  Leeds Teaching Hospital Trust (LTHT) had been invited to be part of West Yorkshire acceleration zone – this was in relation to 4 hour accident and emergency target of 95%.

 

Meeting with Richard Jones

 

Ø  General catch up and progress against 3 year strategy;

Ø  Arrangements for attendance at November Scrutiny Board.

 

Meeting with Dr Ian Cameron

 

Ø  Budget on target and trying to maximise underspend;

Ø  Trying to synchronise dates for new contracts via Delegated Decision Notice (DDN).

 

RESOLVED – That the Chair’s update be noted.

 

69.

Budget Monitoring pdf icon PDF 66 KB

To consider a report from the Head of Governance Services introducing the most recent 2016/17 Financial Monitoring report presented to Executive Board at its meeting on 19 October 2016.

 

Additional documents:

Minutes:

The Head of Governance Services submitted a report which introduced the most recent 2016/17 Financial Monitoring report presented to the Executive Board on 19 October 2016.

 

The following were in attendance:

 

-  Dr Ian Cameron, Director of Public Health

-  Mick Ward, Chief Officer (Commissioning), Adult Social Care

-  John Crowther, Head of Finance, Adult Social Care.

 

The key areas of discussion were:

 

·  Concern about the impact of budget cuts on mental wellbeing and sexual health services.

·  A suggestion that the Board be provided with more detailed information regarding the budget headings identified in the appendix to the report.

·  Clarification provided regarding development of a community based approach.   

 

RESOLVED –

 

(a)  That the Board notes the Financial Monitoring 2016/17 report presented to Executive Board on 19 October 2016

(b)  That more detailed information be provided regarding the budget headings identified in the appendix to the report.

(c)  That a working group be setup to consider departmental budgets (revenue and capital) and budget pressures.

 

70.

The Director of Public Health Annual Report 2016 pdf icon PDF 52 KB

To consider a report from the Head of Governance Services introducing the Director of Public Health’s Annual Report presented to Executive Board at its meeting on 19 October 2016.

 

Additional documents:

Minutes:

The Head of Governance Services submitted a report which introduced the Director of Public Health’s Annual Report presented to Executive Board on 19 October 2016.

 

The following were in attendance:

 

-  Dr Ian Cameron (Director of Public Health)

 

The key areas of discussion were:

 

·  The need for further analysis regarding some of the information and data contained in the report, particularly in relation to children’s tooth decay.

·  The role of CCGs and their involvement in the planning process.  The Board was advised that a positive response had been received regarding the allocation of named leads.

·  Concern about the impact of cuts on environmental protection and an update on the work of the Health Protection Board.

·  Development of the Best Start Programme in relation low birth-weight and levels of breastfeeding.

 

RESOLVED – That the Director of Public Health Annual Report 2016, be noted.

 

71.

Sustainability and Transformation Plan - briefing and update pdf icon PDF 52 KB

To consider a report from the Head of Governance Services introducing a briefing on the requirement of local NHS commissioning organisations to develop place-based local Sustainability and Transformation Plans.

 

Minutes:

The Head of Governance Services submitted a report which introduced a briefing on the requirement of local NHS commissioning organisations to develop place-based local Sustainability and Transformation Plans.

 

The following were in attendance:

 

-  Dr Ian Cameron, Director of Public Health

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

 

The key areas of discussion were:

 

·  The West Yorkshire Sustainability and Transformation Plan (STP) was the only locally recognised STP footprint on which plans would be submitted and assured by NHS England.

·  Within the West Yorkshire STP, there was a sub-set of six local plans (Leeds, Bradford, Calderdale, Kirklees, Wakefield and Harrogate).  The Leeds Plan being the delivery vehicle for the local Joint Health and Wellbeing Strategy.

·  Confirmation that a meeting of West Yorkshire Joint Health Overview and Scrutiny Committee was being convened to consider development of the West Yorkshire STP.  The Board was advised that the intention was to publish the West Yorkshire STP, w/c 31 October 2016.

·  The need for broader engagement with the public regarding development of the West Yorkshire STP.

·  The importance of ensuring a co-ordinated approach with health partners, particularly in terms of governance and decision-making.

·  Concern about future development of the West Yorkshire STP following its publication.

·  A suggestion that the Board writes to Rob Webster emphasising the importance of publishing the West Yorkshire STP, w/c 31 October 2016 and that public engagement / consultation starts at that point.  The Board also considered establishing a working group to discuss issues at a local level.

·  The Board also considered highlighting, to the Council’s Executive Board, its general concerns regarding the development of the West Yorkshire STP and the significant involvement of Senior Council Officers, without parallel involvement of Elected Members and/or the public.

 

RESOLVED –

 

(a)  That the Board notes the briefing on the requirement of local NHS commissioning organisations to develop place-based local Sustainability and Transformation Plans.

(b)  That the Board writes to Rob Webster emphasising the importance of publishing the West Yorkshire STP, w/c 31 October 2016 and that public engagement / consultation starts at that point.

(c)  That the Board writes to the Council’s Executive Board, highlighting its general concerns regarding the development of the West Yorkshire STP and the significant involvement of Senior Council Officers, without parallel involvement of Elected Members and/or the public.

(d)  That the Board establishes a working group to discuss issues at a local level.

 

72.

Care Quality Commission Report: The State of Health Care and Social Care in England 2015/16 pdf icon PDF 111 KB

To consider a report from the Head of Governance Services introducing the Care Quality Commission report: The State of Health Care and Social Care in England 2015/16.

 

 

Additional documents:

Minutes:

The Head of Governance Services submitted a report which introduced the Care Quality Commission report: The State of Health Care and Social Care in England 2015/16.

 

The following were in attendance:

 

-  Mick Ward, Chief Officer (Commissioning), Adult Social Care

-  Mark Phillott, Head of Commissioning (Contracts and Business Development), Adult Social Care.

 

The key areas of discussion were:

 

·  The overall quality landscape of the health and social care sector in Leeds, and how this compared to the national landscape.

·  Clarification that there were a broad range of issues to consider in relation to CQC ratings.

·  A suggestion that CQC representatives be invited to attend future Board meetings to discuss issues.

·  An update on the risks and financial challenges faced by residential and social care providers. 

 

RESOLVED –

 

(a)  That the Board notes the Care Quality Commission report: The State of Health Care and Social Care in England 2015/16.

(b)  That CQC representatives be invited to attend future Board meetings to discuss different aspects that contribute to the overall health and social care quality landscape in Leeds.

 

73.

Leeds Community Healthcare NHS Trust - update pdf icon PDF 52 KB

To consider a report from the Head of Governance Service introducing a general update on key issues and progress update from Leeds Community Healthcare NHS Trust.

 

Additional documents:

Minutes:

The Head of Governance Services submitted a report which introduced a general update on key issues and progress from Leeds Community Healthcare NHS Trust.

 

The following were in attendance:

 

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

-  Nick Wood, General Manager for Children’s Services, Leeds Community Healthcare NHS Trust.

 

The key areas of discussion were:

 

·  The CQC inspection of Little Woodhouse Hall had confirmed the building was not fit for purpose.

·  Confirmation that a further review of safety issues had been undertaken in response to concerns raised as part of the CQC inspection of Little Woodhouse Hall.

·  The challenges faced by young people to access mental health services.  The Board was advised about development of single point of access for referrals into the Child and Adolescent Mental Health Service (CAMHS).  The Board requested further information about this provision and clarification about signposting to services.

 

RESOLVED –

 

(a)  That the Board notes the update provided by Leeds Community Healthcare NHS Trust.

(b)  That the request for further information be provided as part of the Trust’s future updates to the Board.

 

74.

Autism Assessment Waiting Times - progress update pdf icon PDF 118 KB

To consider a report from the Head of Governance Service introducing an update from Leeds Community Healthcare NHS Trust in relation to the waiting times for autism assessments in Leeds and progress against the associated recovery plan.

 

 

Minutes:

The Head of Governance Services submitted a report which introduced an update from Leeds Community Healthcare NHS Trust in relation to the waiting times for autism assessments in Leeds and progress against the associated recovery plan.

 

The following were in attendance:

 

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

-  Nick Wood, General Manager for Children’s Services, Leeds Community Healthcare NHS Trust.

 

The key areas of discussion were:

 

·  An update on recruitment to reduce autism assessment waiting times.  The Board was advised that the original 12-week assessment target would not be achieved by December 2016.  The revised target date due to recruitment issues was March 2017.  There were currently 200 young people on the waiting list. 160 young people had waited over 12 weeks for an assessment.

·  Clarification sought about support available to young people and families.  Members were advised about the types of support provided by schools.  The Board emphasised the importance of support to be made available outside of the school environment, particularly during school holidays.

·  Clarification was also sought about the support services in place for adult patients diagnosed with autism (during adulthood) and their families.  Specifically, the Board requested details about the type of services provided, where they were provided and how they were accessed.

 

RESOLVED –

 

(a)  That the Board notes the update from Leeds Community Healthcare NHS Trust in relation to the waiting times for autism assessments in Leeds and progress against the associated recovery plan.

(b)  That a further progress update be submitted to the Board meeting in March 2017.

(c)  That the further update in March 2017 specifically includes input from service commissioners and details progress against Leeds transformation plan for children’s emotional and mental health wellbeing.

(d)  That further information be provided regarding:

·  The availability and access to autism support services for children outside of school term-time.

·  The availability of support services for adult patients diagnosed with autism.

 

(Councillor M Dobson left the meeting at 4.15pm and Councillor J Pryor at 4.25pm, during the consideration of this item.)

 

75.

Children's Epilepsy Surgery Services pdf icon PDF 94 KB

To consider a report from the Head of Governance Services to formally update the Scrutiny Board on any decisions following NHS England’s review and public consultation on the future provision of Children’s Epilepsy Surgery Services in England.

 

Minutes:

The Head of Governance Services submitted a report which updated the Board on NHS England’s review and public consultation on the future provision of Children’s Epilepsy Surgery Services in England.

 

The key areas of discussion were:

 

·  Concern about the continued delay by NHS England to publish its decision on the future delivery of services.

·  A suggestion that NHS England be invited to attend the November Board meeting to outline its decision and/or the decision making process and the reasons for any continued delay.

 

RESOLVED –

 

(a)  That NHS England be invited to attend the November Board meeting to outline its decision on the future delivery of services and/or the decision making process and the reasons for any continued delay.

(b)  That the Board writes to local MPs to highlight its concerns regarding the continued delay.

 

76.

Work Schedule

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

Minutes:

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

 

The key areas of discussion were:

 

·  2016/17 budget performance and the budget setting process for 2017/18.

·  The West Yorkshire Sustainability and Transformation Plan (STP) and its local implications.

·  The state/ quality of health and social care services in Leeds, as assessed by the Care Quality Commission.

·  Children’s Epilepsy Surgery Services.

·  NHS Performance.

 

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

 

77.

Date and Time of Next Meeting

Tuesday, 22 November 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

Minutes:

Tuesday, 22 November 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

 

RESOLVED – That subject to confirmation, the date of the February Board meeting be moved from Tuesday, 28 February 2017 to Tuesday, 21 February 2017.

 

 

(The meeting concluded at 4.35pm)