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 6 – Minutes of the Scrutiny Board (Adult Social Services, Public Health, NHS) meeting held on 4 October 2016

-  Agenda item 13 – Care Quality Commission (CQC) – Inspection Outcomes

-  Agenda item 13 – Adult Social Care Members’ Briefing Note – Donisthorpe Hall Nursing Home

-  Agenda item 14 – Scrutiny Board (Adult Social Services, Public Health, NHS) – Children’s Epilepsy Surgery Services update 

-  Agenda item 14 – Children’s Epilepsy Surgery Services (CESS) – Public consultation outcome (November 2016)

-  Agenda item 14 – Copy of letter dated 21 November 2016 from Dr Yvette Oade, Chief Medical Officer, Leeds Teaching Hospitals NHS Trust to Councillor Peter Gruen, Chair of Scrutiny Board (Adult Social Services, Public Health, NHS)

-  Agenda item 14 – NHS England – Proposed changes to service specification for Children’s Epilepsy Surgery: Consultation Outcome report

-  Agenda item 15 – Leeds Teaching Hospitals NHS Trust update for Scrutiny Board (Adult Social Services, Public Health, NHS).

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 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.

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

To receive any apologies for absence and notification of substitutes.

There were no apologies for absence.

To confirm as a correct record, the minutes of the meetings held on 4 October 2016 and 25 October 2016, respectively.

RESOLVED – That the minutes of the meetings held on 4 October and 25 October 2016 be approved as a correct record.

Minute No. 69 – Budget Monitoring

The Board was advised that a working group had been setup to consider departmental budgets (revenue and capital) and budget pressures.  The first meeting was scheduled for Thursday, 15 December 2016 at 10.00am.

To receive for information purposes the draft minutes of the Health and Wellbeing Board meeting held on 20 October 2016.

RESOLVED – That the minutes of the Health and Wellbeing Board meeting held on 20 October 2016, be noted.

Minute No. 24 – The Leeds Approach to Commissioning and Decommissioning

The Board was informed that the Health and Wellbeing Board meeting included an in-depth discussion on commissioning and decommissioning in Leeds.  The Chair emphasised the important role of the Scrutiny Board when considering such matters.

Minute No. 25 – Staying Focussed on the Wider Determinants of Health

The Board sought clarification regarding work being undertaken to ensure that areas of real need were properly resourced.  The Board was advised that targeting resources to areas with the greatest economic need was one of the key elements of the Health and Wellbeing Strategy.

To receive for information purposes the draft minutes of the Executive Board meeting held on 19 October 2016.

RESOLVED – That the minutes of the Executive Board meeting held on 19 October 2016, be noted.

Minute No. 83 – Outcome of the Call In of the Decision taken at Executive Board on 21 September 2016 in relation to the ‘Better Lives Programme: Phase Three: Next Steps and Progress Report

It was noted that in light of the recommendations made by the Scrutiny Board at its Call In meeting on 11 October 2016, the Executive Board had been invited to further consider its decisions.  Confirmation regarding the decisions taken at Executive Board was provided to the Scrutiny Board.

To consider a report from the Head of Governance Services introducing an update from NHS England regarding the future provision of Children’s Epilepsy Surgery Services in England. 

The Head of Governance Services submitted a report which introduced an update from NHS England regarding the future provision of Children’s Epilepsy Surgery Services in England.

The following were in attendance:

-  Dr Michael Gregory, Regional Clinical Director Specialised Commissioning, NHS England North

-  Dr Tim Martland, Consultant Paediatric Neurologist at the Royal Manchester Children’s Hospital and Clinical Lead, NORCESS

-  Penny Gray, North Region Women’s and Children’s Programme of Care Manager and Lead Commissioner Paediatric Neuroscience Clinical Reference Group NHS England

-  Matthew Groom, Assistant Regional Director, Specialised Commissioning, NHS England North.

The Board received a short presentation regarding Children’s Epilepsy Surgery Services (CESS) – Public consultation outcome (November 2016).

The key areas of discussion were:

·  Concern regarding the geography of the agreed CESS centres, particularly with Liverpool / Manchester being designated as the sole centre for the North of England.

·  Acknowledgement regarding development of a network approach to maintain care as close to home as possible.

·  The importance for Leeds Teaching Hospitals NHS Trust to continue to highlight the strategic importance of Leeds in delivering specialised services across the North of England, and to ensure the Trust’s early involvement and engagement in any future review of specialised services.

·  Acknowledgement regarding the relatively small number of children and families affected by the proposed changes, and Leeds Teaching Hospitals NHS Trust’s commitment to working with NHS England on implementation.

·  A suggestion that NHS England provides a 6-monthly progress report following implementation of the proposed changes in April 2017.

RESOLVED –

(a)  That the Board notes the update from NHS England regarding the future provision of Children’s Epilepsy Surgery Services in England.

(b)  That NHS England be requested to provide a 6-monthly progress report following implementation of the proposed changes in April 2017.

To receive a report from the Independent Chair of Leeds Safeguarding Adults Board, introducing the Leeds Safeguarding Adults Board Annual Report for 2015/16; its 3-year Strategic Plan (2016-19) and provides an update on the work and achievements in the current year (2016-17).

The Independent Chair of Leeds Safeguarding Adults Board submitted a report which introduced the Leeds Safeguarding Adults Board Annual Report for 2015/16.

The following information was appended to the report:

-  Leeds Safeguarding Adults Board – Annual Report 2015/16

-  Leeds Safeguarding Adults Board – Learning from Savile – Learning Pack (October 2016)

-  Leeds Safeguarding Adults Board – Strategic Plan 2016-19

-  Leeds Safeguarding Adults Board – Member Organisation Commitments.

The following were in attendance:

-  Richard Jones, Independent Chair, Leeds Safeguarding Adults Board

-  Mick Ward, Chief Officer (Commissioning), Adult Social Services, Leeds City Council.

The key areas of discussion were:

·  An update on the processes in place to protect whistle-blowers from detrimental treatment by employers. 

·  The benefits of joined up working, particularly the positive work undertaken with Trading Standards to tackle doorstep crime.

·  An update on development of a more integrated approach involving child and adult safeguarding boards.

·  A commitment by Leeds Safeguarding Adults Board to increase the number of representatives from different backgrounds on its Board.  The Board was advised that discussions had taken place with the Third Sector and good progress had been made.

RESOLVED – That the Leeds Safeguarding Adults Board Annual Report for 2015/16, be noted.

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

The Head of Governance Services 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:

-  Richard Jones, Independent Chair, Leeds Safeguarding Adults Board

-  Mick Ward, Chief Officer (Commissioning), Adult Social Services, Leeds City Council

-  Mark Phillott (Head of Commissioning (Contracts and Business Development)), Adult Social Services, Leeds City Council.

The key areas of discussion were:

·  The aspiration to increase the overall quality of homecare provision in Leeds rated ‘good’ or ‘outstanding’ from 50% to 80%.

·  The role of the Leeds Safeguarding Adults Board, particularly in terms of holding partners and individuals to account and ensuring that Leeds was a safe place to live for vulnerable adults.

·  An update on Donisthorpe Hall Nursing Home following their recent CQC rating of ‘inadequate’.  The Board was advised that CQC had not yet confirmed whether a Notice of Decision was to be served on the provider.

·  A suggestion that CQC be invited to attend a future Board meeting to discuss the sanctions available when a homecare provider had underperformed.  The Board also considered development of a charter setting out good practice.

·  The Board welcomed the positive news that St Gemma’s Hospice had recently been rated ‘outstanding’.  It was noted that the Board was due to visit St Gemma’s Hospice in January 2017 (Further details to be provided to Board Members in due course.) 

RESOLVED –

(a)  That the inspection outcomes for health and social care providers across Leeds, and the information discussed at the meeting, be noted.

(b)  That the CQC be invited to attend a future Board meeting to discuss the sanctions available when a homecare provider had underperformed.

(c)  That a further meeting be arranged involving key stakeholders to discuss establishing a charter.

To consider a report from the Head of Governance Services introducing the initial response to the Scrutiny Board recommendations, following its inquiry into the Involvement of the Third Sector in the provision of Health and Social Care Services across Leeds.

The Head of Governance Services submitted a report which introduced the initial response to the Scrutiny Board recommendations, following its inquiry into the Involvement of the Third Sector in the provision of Health and Social Care Services across Leeds.

The following were in attendance:

-  Mick Ward, Chief Officer (Commissioning), Adult Social Services, Leeds City Council.

The key areas of discussion were:

·  In relation to recommendation 1, the Board requested details regarding the timescales involved.

·  In relation to recommendation 2, the Board identified some budget issues for consideration by the Budget Working Group.

·  It was noted that the Board may provide some further input regarding Leeds Community Healthcare NHS Trust’s stakeholder engagement strategy, due for review in early 2017.

RESOLVED –

(a)  That subject to the above comments, the responses to the Board’s recommendations, be noted.

(b)  That the Board regularly monitors progress against the recommendations.

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 and points of discussion which had not been specifically included elsewhere on the agenda.

Meeting with Dr Sara Munro, Leeds and York Partnership NHS Foundation Trust (LYPFT)

·  Introductory meeting to discuss the following key areas of work:

-  Integration / alignment of services

-  Partnership working across West Yorkshire

-  CQC Inspection – process and outcome.

Other Meetings

·  Cancer Strategy meeting – 14 November 2016

·  LTHT – CQC Quality Summit meeting – 15 November 2016

·  STP – West Yorkshire JHOSC – 18 November 2016.

Working Group meetings

·  LTHT estates strategy / development of the LGI – 9 December 2016, 2.00pm

·  Budget discussion – 15 December  2016, 10.00am

·  Notification of CQC planned inspections (January – March 2017)

-  Leeds Community Healthcare NHS Trust (31 January 2017)

-  Nuffield Independent Hospital (8 February 2017).

Whinmoor Surgery

·  An update on Whinmoor Surgery and ongoing work by the CCG on the approach it should take regarding its future use.

West Yorkshire Joint Health Overview and Scrutiny Committee

·  Clarification sought regarding development of a West Yorkshire or place based approach.  It was advised that a further meeting of West Yorkshire Joint Health Overview and Scrutiny Committee was due to take place in January 2017 to consider key issues that had been raised. 

RESOLVED –

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

(b)  That the Board writes to key stakeholders about the Board’s involvement in the 'Leeds' aspect of the STP.

To consider a report from the Head of Governance Services introducing the half-year Financial Monitoring report for 2016/17, due to be considered by the Executive Board at its meeting on 16 November 2016.

RESOLVED – That budget monitoring issues be referred to the Budget Working Group meeting on Thursday, 15 December 2016.

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

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 work were:

·  Delayed discharges;

·  CQC summary of inspection outcomes;

·  Men’s health issues;

·  The use of Pre-Exposure Prophylaxis (PrEP) in preventing the spread of HIV infection;

·  Scrutiny inquiry updates in relation to Cancer Waiting Times and Bereavement;

·  Sustainability and Transformation Plan update; and

·  General performance reporting.

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

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

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

The following were in attendance:

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

The key areas of discussion were:

·  An update on the occurrence of 4 ‘never’ events and the actions in place to ensure that such events did not happen again.

·  An update on staffing and medical pressures.  It was advised that a minimum 300 nurses were needed. The Board was advised about development of an additional school of nursing (due to start in January 2017) to help address staffing issues. 

RESOLVED – That the progress update from Leeds Teaching Hospitals NHS Trust (LTHT) on key issues, be noted.

(Councillor P Gruen and Councillor M Dobson left the meeting at 4.00pm during the consideration of this item.)

(Councillor P Truswell chaired the remainder of the Board meeting once Councillor P Gruen had left.)

Tuesday, 20 December 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm).

Tuesday, 20 December 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm).

(The meeting concluded at 4.25pm)