Agenda and minutes

To declare any personal / prejudicial interests for the purpose of Section 81 (3) of the Local Government Act 2000 and paragraphs 8 to 12 of the Members Code of Conduct.

Councillor Kirkland declared a personal interest in Agenda Item 8, Peripheral Hospitals as he is an out-patient of Wharfedale Hospital and a Member of the Wharfedale Hospital Forum. (Minute No.21 refers).

To receive any apologies for absence.

Apologies for absence were submitted on behalf of E Mack, S Saqfelhait and Councillors Atkinson and McKenna.

To receive and approve the minutes of the previous meeting held on 22 July 2008

RESOLVED – That the minutes of the meeting held on 22 July 2008, be confirmed as a correct record.

To receive and consider the attached report of the Head of Scrutiny and Member Development.

The report of the Head of Scrutiny and Member Development referred to the Board’s initial discussions regarding their work programme for the 2008/09 Municipal Year and the concern regarding Renal Services, particularly the transport of kidney patients.  Attached to the report were submissions from Leeds Teaching Hospital Trust (LTHT) and the National Kidney Federation.  Also tabled was a paper from the Yorkshire Ambulance Service (YAS).

The Chair introduced the following to the meeting:

• Nigel Gray – Leeds PCT
• Judith Lund – Leeds Teaching Hospitals NHS Trust
• Brian Young – Leeds Teaching Hospitals NHS Trust
• Amanda Dean – Matron for Renal Services , Leeds Teaching Hospitals NHS Trust

The Board was informed of recent changes to the delivery of Renal Services in and across Leeds, including the closure of the Wellcome Wing at Leeds General Infirmary (LGI), movement of services to St James’ Hospital and Seacroft Hospital and the continued development of the live donor renal transplant service.

It was reported that a number of initiatives had been developed regarding the transport of renal patients, however it was acknowledged that a number of problems had been encountered.  LTHT and the PCT would continue to work in partnership with Yorkshire Ambulance Service and the Kidney Patients Association (KPA) in an attempt to solve this.  A standard appointments system had been piloted although this had encountered some problems including some related to transport issues.

In response to Members questions and comments, the following issues were discussed:

• Due to the increase in the number of transplant patients, this should reduce the number of patients needing dialysis and alleviate some of the problems currently encountered.
• There had been a 12% increase in the number of patients requiring transport.  This had contributed to the problems encountered with transporting patients.
• Patients not attending appointments and failing to inform YAS that they would not be attending.
• There had been other bidders for the transport contract.  Yorkshire Ambulance Service had been considered to be the most suitable for the contract by the adjudication panel.  Consultation had taken place with the KPA throughout the process.
• Details of follow up action for patients who had failed to attend appointments.

The Chair introduced the following to the meeting:

·  Sarah Fatchett – Director, Yorkshire Ambulance Service

·  Diane Williams, Assistant Director, Yorkshire Ambulance Service

·  Nicola Greaves, Customer Relations Manager for Renal Services, Yorkshire Ambulance Service

It was reported that under the terms of the transport contract, YAS had a performance target to transport 90% of patients to appointments within 30 minutes.  This target had been met last year, but was currently running at 77%.  A number of service improvement measures had been implemented to improve this and bring the service back up to standard.  A further target of 90% was in place to transport patients home within 45 minutes of their treatment ending.  This was currently running at 90.26%.  Approximately 2% of journeys were cancelled or aborted due to cancelled or missed appointments.

In response to  ...  view the full minutes text for item 20.

To receive and consider the attached report of the Head of Scrutiny and Member Development

The Head of Scrutiny and Member Development submitted a report which updated the Board on the process to appoint an organisation to host Leeds’ Local Involvement Network (LINk).  Appended to the report was a further report from the Director of Adult Social Services and a Department for Health document which explained the roles of LINks.  It was reported that the Shaw Trust had been appointed as the host organisation and awarded a 3 year contract.

The Chair welcomed the following to the meeting:

• Mike Simpkin – Public Health Strategy Manager, Adult Social Services
• Janet Somers – Business Change Manager, Adult Social Services
• Dinah Shaw – Shaw Trust
• Tim Gilling – Centre for Public Scrutiny

Tim Gilling addressed the Board.  He reminded Members of the reasoning behind establishing the LINk and the role it would perform to provided meaningful engagement for public and patients across Leeds.  LINKs had been established nationwide based on boundaries of local authorities with Social Services responsibility.  He informed the Board that the LINk would provide a new way of involvement and would attempt to broaden involvement across Leeds.

Mike Simpkin reported that the Council had worked in partnership with various organisations and users during the process of establishing the LINk.  He informed the Board that the LINk would have a different role to its predecessors and referred to the report which detailed the appointment of the Shaw Trust as host organisation.  It was also reported that the Shaw Trust had commenced work with representatives of the old Patient and Public Involvement Forum and service users and carers.

The Chair thanked those present for their attendance.

RESOLVED – That the report be noted.

(Councillor Lamb left the meeting at 12.00 p.m. during discussion of this item).

To receive and consider the attached report of the Head of Scrutiny and Member Development

The Head of Scrutiny and Member Development submitted a report which referred to the request to include Neonatal Services as part of the Board’s Work Programme.  Also appended to the report was a submission from Leeds Teaching Hospitals NHS Trust which gave an overview of Neonatal Services across Leeds along with statistical information on admissions and service provision.

The Chair welcomed the following to the meeting:

• Dr Lawrence Miall, Leeds Teaching Hospitals NHS Trust
• Helen Barker, Leeds Teaching Hospitals NHS Trust
• Yvette Bartlett, Leeds Teaching Hospitals NHS Trust

In response to Members questions, the following issues were discussed:

• There had been a recent increase in the number of intensive care admissions, but these figures did fluctuate.  There had been no overall increase in the number of admissions.
• Cases where admissions had to be transferred out of the area only usually occurred when specialist treatment was needed.
• A joint NHS Task Group had been established to look at Neonatal Services across the country.

The Chair thanked those present for their attendance.

RESOLVED –

(1)  That the report be noted.

(2)  That a further report be brought to the Board in six months.

To receive and consider the attached report of the Head of Scrutiny and Member Development

The Head of Scrutiny and Member Development presented a report regarding the Board’s request for a briefing on peripheral hospitals in and across Leeds.  Leeds Teaching Hospitals NHS Trust submitted a briefing update on Wharfedale, Seacroft and Chapel Allerton Hospitals.

The Chair welcomed the following to the meeting:

• Sylvia Craven – Leeds Teaching Hospitals NHS Trust
• Ross Langford – Leeds Teaching Hospitals NHS Trust

In brief summary, the following issues were discussed:

• It was proposed to get the maximum possible use out of the peripheral hospitals in and around Leeds.  Acute services would remain to be delivered from the two major hospital sites at Leeds General Infirmary and St James’ Hospital.
• Seacroft Hospital site had a lot of old buildings.  It was proposed to locate services in the better conditioned buildings and near the York Road entrance of the site to make access easier for patients.
• The Choose and Book system for booking appointments.

The Chair thanked Sylvia Craven and Ross Langford for their attendance.

RESOLVED – That the report be noted.

To receive and consider the attached report of the Head of Scrutiny and Member Development

The Head of Scrutiny and Member Development submitted a report which detailed responses and progress made to the recommendations of the Board following the Inquiry into Localisation of Health and Social Care Services carried out by the Scrutiny Board (Health and Adult Social Care).

The Chair welcomed John England, Adult Social Services and Lisa Butland, and Emma Wilson, Leeds PCT to the meeting.

In brief summary, the following issues were discussed:

• Otley Clinic – in response to concern regarding the fabric of the building, it was reported that Otley Clinic was being considered for works under the PCT’s Capital Committee’s investment programme.
• Regarding under usage of facilities at Yeadon Clinic, it was reported that a number of services had approached the PCT to practice at the Centre.  Dental services had been provided at the centre and consisted of private and community dentists.
• A survey of residents had given the PCT opportunity to see what types of services there should be and where and how these should be delivered.  It was noted that there was a need for longer opening hours and weekend provision.
• Family planning provision.

The Chair thanked those present for their attendance.

RESOLVED –

(1)  That the report be noted.

(2)  That the Board receive a further update.

(Councillors Latty, Langdale, Chapman and Iqbal left the meeting during the discussion on this item).

To receive and consider the attached report of the Head of Scrutiny and Member Development

The Head of Scrutiny and Member Development submitted a report which outlined the Board’s work programme.  The report also detailed the Board’s Working Groups.

The following documents were distributed in relation to the Work Programme:

• GP led Health Centres Working Group meeting notes – 19 August 2008
• Proposal for a new GP led Health Centre in Leeds Analysis Report
• Terms of reference for the proposed inquiry into Improving Sexual Health Among Young People.
• Revised terms of reference for the Health Proposals Working Group.

RESOLVED –

(1)  That the work programme attached at appendix one be agreed and amended as appropriate.

(2)  That the revised terms of reference for the Health Proposals Group be agreed.

(3)  That the information provided in relation to the GP-led Health Centre, and in particular the consultation analysis be noted.

(4)  That the revised terms of reference for the inquiry into Improving Sexual Health among Young People be noted.

(5)  That the position regarding the proposed changes to the structure of NHS Blood and Transplant and the specific implications of closing the blood testing and processing centre within Leeds be noted.

(6)  That a further report on Renal Services be brought to a future Board meeting.

Tuesday, 21 October 2008 (Pre-meeting for all Members at 09.30 a.m.)

Tuesday, 21 October 2008 at10.30 a.m. (Pre-meeting for all Members at 9.30 a.m.).