Agenda and minutes

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

Contact: Steven Courtney (0113) 37 88666  Email: steven.cortney@leeds.gov.uk

Items
No. Item

1.

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 information was submitted to the Board:

 

·  Agenda item 10 – Proposed Changes to Prescribing Guidance across Leeds – Confirmation from NHS England on national work going forward

·  Agenda item 12 – Draft outline work schedule.

 

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

 

2.

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 P Truswell advised that a family member was likely to be affected by proposed prescribing changes.

-  Councillor J Chapman advised that a family member had accessed residential care services.

 

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

 

3.

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 C Macniven.  Notification had been received that Councillor M Harland was to substitute for Councillor C Macniven.

 

4.

Minutes - 25 April 2017 pdf icon PDF 98 KB

To approve as a correct record the minutes of the Scrutiny Board (Adult Social Services, Public Health, NHS) meeting held on 25 April 2017.

Minutes:

RESOLVED – That the minutes of the Scrutiny Board (Adult Social Services, Public Health, NHS) meeting held on 25 April 2017 be approved as a correct record.

 

5.

Co-opted Members pdf icon PDF 104 KB

To receive and consider a report from the Head of Governance and Scrutiny Support setting out the available options for appointing co-opted members to the Scrutiny Board.

 

 

Minutes:

The Head of Governance and Scrutiny Support submitted a report which sought the Board’s formal consideration for the appointment of co-opted members.

 

The Board was informed that they could appoint the following:

 

·  Up to five non-voting co-opted members for a term of office that does not go beyond the next Annual Meeting of the Council; and/or

·  Up to two non-voting co-opted members for a term of office that relates to the duration of a particular and specific scrutiny inquiry.

 

RESOLVED –

 

(a)  That Dr John Beal representing HealthWatch Leeds be appointed as a non-voting co-opted Member of the Board for the 2017/18 municipal year.

(b)  That the Board considers the appointment of co-opted members on an ad-hoc basis for any inquiries where it was deemed appropriate.

 

6.

Scrutiny Board Terms of Reference pdf icon PDF 133 KB

To receive and consider a report from the Head of Governance and Scrutiny Support setting out the Scrutiny Board’s Terms of Reference.

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which presented terms of reference for the Adults and Health Scrutiny Board for Members’ information.

 

RESOLVED – That the Board’s terms of reference be noted.

 

7.

Sources of Work pdf icon PDF 114 KB

To receive and consider a report from the Head of Governance and Scrutiny Support introducing a range of information to help identify priorities and work items for the Scrutiny Board (Adults and Health) work schedule 2017/18.

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which provided information and guidance on potential sources of work and areas of priority within the Board’s terms of reference.

 

The following information was appended to the report:

 

-  Vision for Scrutiny in Leeds

-  Best Council Plan 2017/18: Tackling poverty and reducing inequalities

-  Leeds Health and Wellbeing Strategy (2016-2021)

-  NHS Leeds West CCG Integrated Quality and Performance Report (May 2017)

-  Financial Performance – Outturn Financial year ended 31 March 2017 – Report to Executive Board dated 21 June 2017

-  Financial Health Monitoring 2017/18 – Month 2 (May 2017) – Report to Executive Board dated 21 June 2017.

 

The following were in attendance:

 

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

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

 

A number of work areas were put forward for consideration within the overall work schedule, including:

 

·  Partnership working, including development of Leeds’ health and care plan and associated cost implications.

·  Quality of care affecting all service users, especially focused on social care providers judged as ‘requiring improvement’.

·  The types of support offered as part of the transforming care agenda – i.e. around the repatriation of patients subject to long-term hospital placements.

·  A potential review of care arrangements for offenders in prison.

·  GP provision across the city.

·  Support available to working age adults.

·  Transition from hospital to home (hospital discharge), developing links with housing (specifically in relation to adaptations) and work across localities.

·  The development of digital technology to support patient care needs.

·  The role of public health, particularly in relation to health inequalities.

·  Mental health provision with a particular focus on transition from children to adults.

·  NHS performance and workforce issues.

·  Progress of the ‘One Voice’ project

·  The role of third sector in the delivery of health and social care services, including but not restricted to the neighbourhood networks, and associated funding arrangements.

·  Maintaining an overview of proposed service changes. 

 

As part of the discussions, the Board acknowledged there were limitations on the work schedule due to the resources directly available to support the Board’s work.  It was also acknowledged that the Scrutiny Board needed to prioritise the focus of its work schedule. 

 

RESOLVED –

 

(a)  That the above issues be used to inform the further development of the Board’s draft work schedule for the 2017/18 municipal year.

(b)  That authority be given to the Chair of the Scrutiny Board (Adults and Health), in conjunction with officers, to draw up inquiry terms of reference for subsequent approval by the Scrutiny Board, where required.

 

(Councillor G Hussain left them meeting at 2.00pm during the consideration of this item.)

 

8.

Proposed changes to prescribing guidance across Leeds - formal consultation pdf icon PDF 103 KB

To receive and consider a report from the Head of Governance and Scrutiny Support introducing some proposed changes to prescribing guidance across Leeds, as part of the formal public consultation. 

 

 

Additional documents:

Minutes:

The Head of Governance and Scrutiny Support submitted a report which introduced some proposed changes to prescribing guidance across Leeds, as part of the formal public consultation.

 

The following information was appended to the report:

 

-  Proposed Prescribing Changes: Formal Consultation – Report to Scrutiny Board (Adult Social Services, Public Health, NHS) on 25 April 2017.

 

The following were in attendance:

 

-  Sue Robins, Director of Commissioning and Strategy, NHS Leeds CCGs Partnership

-  Heather Edmonds, Head of Medicines Optimisation, NHS Leeds CCGs Partnership.

 

The key areas of discussion were:

 

·  Concern about the potential issue of creating a postcode prescribing arrangement.  The Board discussed the need for clear national guidance to ensure consistency of approach – as previously identified during discussions in April 2017.

·  Concern about the potential impact of the proposals on patients and subsequently health inequalities across the city. 

·  An update that consultation on the proposals was due to end in July.  It was suggested that an update be provided to the Board 6 months after implementation.

·  Confirmation that the proposals were anticipated to save approximately £1m, although the total amount was dependent on clinical needs.

·  A request that the Board be provided with an update on changes to prescribing guidance implemented in North Yorkshire.

 

RESOLVED –

 

(a)  That the contents of the report and appendices be noted.

(b)  That the Principal Scrutiny Adviser draft a statement to the CCG to highlight the Board’s concerns about the proposed changes.

(c)  That the Board be provided with an update on changes to prescribing guidance implemented in North Yorkshire.

(d)  That the CCG be requested to provide an update to the Board 6 months after implementation.

 

9.

Chair's Update pdf icon PDF 94 KB

To receive a verbal update from the Chair on relevant scrutiny activities undertaken between meeting cycles; and not specifically included elsewhere on the agenda.

 

Minutes:

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

 

The key updates included:

 

·  A visit to Donisthorpe Hall on 7 June 2017 (Honorary Life President, Geoff Caplan) and subsequent facilitation of discussions between the provider and the Executive Board member;

·  York Road Surgery and the planned dispersal of the patient list – with the surgery due to close 30 September 2017;

·  Cottingley Surgery (retirement of Dr Pai) – due to retire on 30 June 2017, Dr Pai had written to all patients on 22 June 2017 advising of his retirement and temporary arrangements in place, as follows:

o  Leeds Clinical Commissioning Groups Partnership had commissioned Windsor House Group Practice in Morley to take on the current registered patient list for the next 12 months, to ensure continuity of care for the registered patients;

o  Over the next few weeks, the CCG would be sending out a survey to patients to help understand patients’ preferences for accessing and receiving GP care in the future.

·  Care Quality Commission (CQC) – Hospital Mental Health directorate report update;

o  Waterloo Manor – Targeted inspection in March 2017 (covering Safe and Well-led domains) and judged as ‘Requires Improvement’ for both domains and overall.  CQC to monitor breaches of regulation through ongoing engagement with the service, including monthly meetings to review their action plan response;

o  St Anne’s Community Services – Alcohol Services – inspected in April 2017 against the regulatory breaches and recommended actions from the previous comprehensive inspection (March 2016).

·  Closure of Blood Donor Centre in Seacroft – responses received from NHS Blood and Transplant (NHSBT) and the Independent Reconfiguration Panel (IRP).  No response yet from the Department of Health, but had until 30 June 2017.  Details of the responses to be considered at July’s Scrutiny Board meeting;

·  Joint Health Overview and Scrutiny Committee (Yorkshire and Humber) meeting on 5 July 2017 to formally consider NHS England’s proposals for the future provision of Congenital Heart Disease Services for children and adults.  The outcome to be reported to the Scrutiny Board at its next meeting.

 

RESOLVED – That the Chair’s update be noted.

 

10.

Work Schedule pdf icon PDF 92 KB

To consider the Scrutiny Board’s draft work schedule for the 2017/18 municipal year.

Minutes:

The Head of Governance and Scrutiny Support submitted a report which invited Members to consider the Board’s work schedule for the 2017/18 municipal year.

 

RESOLVED – That the draft work schedule be amended to take account of the sources of work discussion at the meeting (minute 7 refers).

 

11.

Date and Time of Next Meeting

Tuesday, 18 July 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

Minutes:

Tuesday, 18 July 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

 

 

(The meeting concluded at 3.05pm)