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

110.

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 10: Delivering the Better Lives Strategy in Leeds Programme – Phase 3 update – additional correspondence.

·  Agenda item 15: Proposed closure of the Blood Donor Centre in Seacroft – additional information.

 

111.

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:

 

·  Dr J Beal advised that he was a member of NHS Leeds West CCG Primary Care Commissioning Committee.

·  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.

 

112.

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 M Dobson and S Varley.  Notification had been received that Councillor C Dobson was to substitute for Councillor M Dobson.

 

113.

Minutes - 20 December 2016 pdf icon PDF 168 KB

To confirm as a correct record, the minutes of the meeting held on 20 December 2016.

 

Minutes:

RESOLVED – That the minutes of the meeting held on 20 December 2016 be approved as a correct record.

 

114.

Matters arising from the minutes

Minutes:

Minute no. 106 – Draft West Yorkshire and Harrogate Sustainability and Transformation Plan:  The Leeds Plan

 

The Board was provided with a brief update regarding a recent meeting of West Yorkshire Joint Health Overview and Scrutiny Committee.  It was advised that discussions with Rob Webster in relation to development of the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP) were ongoing.

 

115.

Minutes of Executive Board - 14 December 2016 pdf icon PDF 144 KB

To receive for information purposes the draft minutes of the Executive Board meeting held on 14 December 2016.

 

Minutes:

RESOLVED – That the minutes of the Executive Board meeting held on 14 December 2016, be noted.

 

116.

Chair's Update pdf icon PDF 97 KB

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

 

Additional documents:

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. 

 

The following matters were raised and discussed:

 

·  Air Quality

·  LCH Response: Changes to location of Sexual Health Clinic in Beeston

·  Aire View Care Home Leeds

·  Discussions with all CCGs – important to maintain / develop relationships

·  Visit to St Gemma’s Hospice (5 January 2017)

·  Meeting with Julian Hartley – Leeds Teachings Hospital NHS Trust (10 January 2017) – and specifically the temporary opening of intermediate care beds at Wharfedale Hospital to help alleviate demand pressures currently faced by the Trust

·  Quality Accounts Session (12 January 2017)

·  Letter from Susie Brown, Chief Executive of Zest to Director of Public Health

·  Proposal to close Holt Park branch surgery of Abbey Grange Medical Practice

·  Centre for Public Scrutiny event on Sustainability and Transformation Plans (2 February 2017)

 

RESOLVED – That the Chair’s update be noted.

 

117.

Care Quality Commission (CQC) - Inspection Outcomes pdf icon PDF 97 KB

To receive a report from the Head of Governance and Scrutiny Support 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 Governance and Scrutiny Support submitted a report which presented details of recently reported Care Quality Commission (CQC) inspection outcomes for health and social care providers across Leeds.

 

The following were in attendance:

 

·  Councillor Rebecca Charlwood, Executive Member for Health, Wellbeing and Adults

·  Cath Roff, Director of Adult Social Services

·  Mick Ward, Chief Officer (Commissioning), Adult Social Services.

 

The key areas of discussion were:

 

·  The information provided still provided a mixed picture in terms of quality of social care services across Leeds.

·  The need to focus more closely on homecare services.

·  An update on developments at Donisthorpe Hall.  It was advised that discussions with the Board of Trustees were ongoing.  It was suggested that a report be submitted to the February Board meeting to provide a more detailed update. 

 

RESOLVED –

 

(a)  To note the updated Care Quality Commission inspection outcomes provided.

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

(c)  That a further report on developments at Donisthorpe Hall be submitted to the February Board meeting.

 

118.

The 'One Voice' Project pdf icon PDF 96 KB

To receive and consider a report from the Head of Governance and Scrutiny Support introducing details around the local Clinical Commissioning Group’s ‘One Voice’ project.

 

Minutes:

The Head of Governance and Scrutiny Support submitted a report which introduced details regarding the local Clinical Commissioning Group’s ‘One Voice’ project.

 

The Board was advised that it had been requested by Leeds CCGs that consideration of the ‘One Voice’ project be deferred to the February Board meeting to enable further discussions with staff to take place about the project.

 

RESOLVED – That consideration of the One Voice project be deferred to the February Board meeting.

 

119.

Delivering the Better Lives Strategy in Leeds Programme - Phase 3 update pdf icon PDF 126 KB

To receive a report from the Head of Governance and Scrutiny Support introducing a briefing note to provide an update on delivering the Better Lives Strategy in Leeds Programme – Phase 3.  

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which presented an update on delivering the Better Lives Strategy in Leeds Programme – Phase 3. 

 

The following information was appended to the report:

 

·  Briefing note submitted by the Director of Adult Social Services providing an update on progress

·  Better Lives Residential and Day Project (Phase 3) – High Level Programme Plan.

 

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 Care

·  Anna Clifford, Programme Manager (Better Lives), Adult Social Care.

 

The Board was advised that implementation of Phase 3 of the Better Lives Strategy was generally on track. 

 

The Board was further advised that following discussions with the Executive Board Member (Health Wellbeing and Adults), it had been suggested that, initially, the issues raised in relation to The Green be considered at a working group meeting and then subsequently at a future formal Scrutiny Board meeting.

 

RESOLVED –

 

(a)  That the update provided on delivering the Better Lives Strategy in Leeds Programme – Phase 3, be noted.

(b)  That, initially, the issues raised in relation to The Green be considered at a working group meeting (date to be determined) and then subsequently at a future formal Scrutiny Board meeting.

 

120.

Leeds and York Partnership NHS Foundation Trust - update pdf icon PDF 52 KB

To consider a report from the Head of Governance and Scrutiny Support  introducing a report from the Chief Executive on key issues in relation to Leeds and York Partnership NHS Foundation Trust. 

 

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which presented an update on key issues in relation to Leeds and York Partnership NHS Foundation Trust.

 

The following were in attendance:

 

·  Dr Sara Munro, Chief Executive, Leeds and York Partnership NHS Foundation Trust

·  Anthony Deery, Chief Nurse and Director of Quality Assurance, Leeds and York Partnership NHS Foundation Trust

·  Mark Gallacher, Interim Head of Performance and Quality, Leeds and York Partnership NHS Foundation Trust.

 

A number of matters were raised and discussed with the Scrutiny Board, including:

 

·  Development of the Trust Strategy – due to be launched in March 2017.

·  An overview of the current and future financial and workforce pressures likely to face the Trust.

·  Reduction in the number of Out of Area placements.

·  Negotiations in relation to contracts for 2017/19.

·  The Trust’s contribution to the Sustainability and Transformation Plans.

 

RESOLVED –

 

(a)  That the update provided on key issues in relation to Leeds and York Partnership NHS Trust, be noted.

(b)  That the Board be kept updated regarding the development of incentives to support nursing staff with relocation.

 

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

 

121.

Leeds and York Partnership NHS Foundation Trust - Care Quality Commission Inspection Report and Action Plan pdf icon PDF 62 KB

To receive a report from the Head of Governance and Scrutiny Support introducing the Care Quality Commission inspection report and recommendations for Leeds and York Partnership NHS Foundation Trust and the associated Trust action plan. 

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which introduced the Care Quality Commission (CQC) inspection report and recommendations for Leeds and York Partnership NHS Foundation Trust (LYPFT) and the associated Trust action plan.

 

The following information was appended to the report:

 

·  The CQC Inspection report (published 18 November 2016)

·  A summary note from Leeds and York Partnership NHS Foundation Trust

·  A summary of ‘must do’ regulatory requirements

·  A summary of the Trust’s service areas, rated against each inspection domain

·  A summary action plan for ‘must do’ and ‘should do’ recommendations.

 

The following were in attendance:

 

·  Dr Sara Munro, Chief Executive, Leeds and York Partnership NHS Foundation Trust

·  Anthony Deery, Chief Nurse and Director of Quality Assurance, Leeds and York Partnership NHS Foundation Trust

·  Mark Gallacher, Interim Head of Performance and Quality, Leeds and York Partnership NHS Foundation Trust

·  Kate Gorse-Brightmore, Inspection Manager, Care Quality Commission, Hospitals Directorate, Mental Health West Yorkshire Team

·  Brian Cranna, Inspection Manager, Care Quality Commission, Hospital Directorate, Mental Health North East

·  Mick Ward, Chief Officer (Commissioning), Adult Social Services.

 

The key areas of discussion included:

 

·  Clarification sought regarding difficulties associated with achieving a ‘good’ or ‘outstanding’ rating in relation to ‘safe’ domain.  It was acknowledged that there were challenging issues to consider, particularly affecting large organisations based across multiple locations / sites.

·  The need to ensure compliance with mandatory training requirements.  The Board was advised that there had been issues releasing some staff from their duties to attend training.  The Trust was currently reviewing how training was to be delivered in future.

·  An update on commissioning and contract monitoring arrangements.

·  Staff training in relation to psychological interventions.

·  The role of the Advocacy Service.

 

RESOLVED –

 

(a)  That the Care Quality Commission (CQC) inspection outcome report published in November 2016, in relation to Leeds and York Partnership NHS Foundation Trust, be noted.

(b)  That future monitoring of progress against the Trust’s improvement / action plan be incorporated into the Trust’s regular updates to the Scrutiny Board.

 

122.

General Practice Forward View pdf icon PDF 103 KB

To receive a report from the Head of Governance and Scrutiny Support introducing the General Practice Forward View for Leeds and to consider how this relates to the Boards inquiry into Primary Care.

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which introduced the General Practice Forward View for Leeds and how this related to the Board’s inquiry into Primary Care.

 

The following information was appended to the report:

 

·  NHS Leeds South and East CCG Primary Care Commissioning

Committee – General Practice Forward View Development Plan

(22 December 2016)

·  General Practice Forward View – Delivering the GP Forward View in Leeds (7 December 2016)

 

The following were in attendance:

 

·  Kirsty Turner, Associate Director of Primary Care (NHS Leeds West Clinical Commissioning Group)

·  Lindsey Bell, Primary Care Commissioning & Contracts Manager (NHS Leeds North Clinical Commissioning Group)

 

The key areas of discussion were:

 

·  The 6 ambitions outlined in the GP Forward View

·  Concern that, while the Forward View sought to set the ambition for GP services, the potential risks failing to deliver those ambitions were not sufficiently realistic, including:

o  Issues associated with recruitment and retention of GPs.

o  The need for greater investment in general practice, particularly in relation to development of 7-day service.

o  The general availability of resources, particularly in terms of workforce and financial resources.

·  The ability of GP services to respond to the development of the City, particularly in relation to the expanded housing growth across the City.

·  The age profile of the existing workforce.

 

The Board also received an update that the West Yorkshire Joint Health Overview and Scrutiny Committee was considering the issue of access to dental services.  It was suggested that Dr J Beal, as co-chair of HealthWatch Leeds and as a former dentist, be involved to offer expert input from a Leeds perspective.

 

RESOLVED –

 

(a)  That the General Practice Forward View for Leeds, recently developed by local Clinical Commissioning Groups (CCGs) and submitted to NHS England, be noted and key issues be considered as part of the Boards ongoing consideration of Primary Care..

(b)  That Dr J Beal be invited to become involved with the West Yorkshire Joint Health Overview and Scrutiny Committee’s review of access to dental services.

 

123.

Proposed Closure of the Blood Donor Centre in Seacroft pdf icon PDF 94 KB

To receive and consider a report from the Head of Governance and Scrutiny Support regarding the proposed closure of the Blood Donor Centre in Seacroft.

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report regarding the proposed closure of the Blood Donor Centre in Seacroft.

 

The following information was appended to the report:

 

·  Details of the exchange in correspondence between the Chair of the Scrutiny Board and NHS Blood and Transplant.

 

The Scrutiny Board considered the additional information provided and:

 

·  Noted the intended closure of the Blood Donor Centre in Seacroft had been brought forward from the end of February 2017 to 27 January 2017 – due to the centre running at a reduced capacity.

·  Noted evidence of attempts by NHS Blood and Transplant (NHSBT) to inform / engage with the local scrutiny process, however out of date contact details had been used and there were no details around how NHSBT may have tried to verify the information.

·  Raised concerns around the lack of any formal public consultation regarding the proposed closure.

·  Raised further concerns regarding the general lack of awareness of the proposals across Leeds’ Health and Social Care economy (including both service commissioners and providers).

·  Considered whether or not to refer the closure to the Secretary of State for Health.

 

After some deliberation, the Scrutiny Board agreed not to make a formal referral to the Secretary of State for Health but agreed that the Chair should write to NHSBT and other key stakeholders setting out the concerns of the Scrutiny Board regarding the process followed by NHSBT and seeking assurances that lessons would be learned. 

 

The Scrutiny Board also agreed to request a further report from NHSBT to consider the impact of the closure on service users and the levels of blood donation across Leeds. 

 

RESOLVED –

 

(a)  That the update provided regarding the proposed closure of the Blood Donor Centre in Seacroft, be noted.

(b)  That the Chair write to NHSBT and other key stakeholders on behalf of the Scrutiny Board, setting out the concerns of the Board and seek assurances that lessons would be learned for future processes. 

(c)  That a further report on the impact of the closure be submitted to the Scrutiny Board in September 2017.

 

124.

Work Schedule (January 2017) pdf icon PDF 107 KB

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

 

Additional documents:

Minutes:

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

 

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

 

125.

Date and Time of Next Meeting

Tuesday, 21 February 2017 at 11:00am (10:30am pre-meeting for members of the Scrutiny Board only).

 

Minutes:

Tuesday, 21 February 2017 at 11.00am (pre-meeting for all Board Members at 10.30am).

 

 

(The meeting concluded at 3.45pm)