Agenda and minutes

Items
No. Item

27.

Apologies for Absence

To receive any apologies for absence.

Minutes:

Apologies for absence were submitted on behalf of Councillors Chapman, Illingworth and Langdale and Co-opted Member – Somoud Saqfelhait.

 

28.

Minutes of the Previous Meeting pdf icon PDF 82 KB

To receive and approve the minutes of the previous meeting held on 16 September 2008.

Minutes:

RESOLVED – That the minutes of the meeting held on 16 September 2008, be confirmed as a correct record.

 

29.

Implementation of the Mental Health Act 2007 pdf icon PDF 81 KB

To receive and consider the attached report of the Leeds Mental Health Act Steering group.

Additional documents:

Minutes:

The report submitted on behalf of the Leeds Mental Health Act Steering Group informed the Board of the Implementation of the Mental Health Act which was due to come into force on 3 November 2008.

 

The Chair welcomed the following to the meeting:

 

  • John England – Deputy Director, Adult Social Care
  • Kwai Mo – Service Delivery Manager (Mental Health), Adult Social Care
  • Peter Hayden – Project Lead (Mental Health Act), Adult Social Care
  • Jeff Barlow – Mental Health Legislation Implementation Project Manager, Leeds Partnership Foundation Trust
  • Dr David Newby, Leeds Partnership Foundation Trust

 

It was reported that the steering group was a multi-agency group that involved partners from the Council, Leeds PCT, Leeds Partnership Foundation Trust and voluntary organisations.  The group had considered issues across Leeds and how to implement the amendments of the Act.  The main implications of the act were detailed in the report and the Board was informed of issues surrounding the detainment of patients to prevent them and others from harm and procedures to provide Supervised Community Treatment.

 

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

 

  • Current arrangements for the detainment of patients and the most appropriate methods of treatment. 
  • Concern was expressed regarding the possibility of patients not taking medication and other associated problems when left to look after themselves.  It was reported that the basis of the Supervised Community Treatments would involve robust care plans and monitoring processes that would ensure patients complied with any treatments.  The care plans would be drawn up and supervised with the involvement of clinical physicians, mental health practitioners, social workers and other appropriate professionals.
  • Training – all staff involved had been trained to current required levels and training would be ongoing where necessary to keet conditions of the act.
  • There was an opportunity to reduce hospital stays and numbers detained under the Mental Health Act.
  • Age appropriate services would be provided.
  • 24 hour crisis teams were available along with on-call psychologists.
  • Not all aspects of the Act would be implemented immediately and impacts of the Act on patients would be strongly monitored.
  • Any concerns following the implementation of the Act could be addressed by one of the 6 multi agency workstreams established by the steering group.
  • Patients and carers would be informed of any changes as part of the communication strategy.
  • Patients carers and responsible family members would be involved at patient discharge meetings.
  • The use of Electro-convulsive therapy and new safeguards for patients.

 

RESOLVED – That the report be noted.

 

(Councillor Atkinson left the meeting at 10.50 a.m. during the discussion on this item).

 

30.

Accountability Arrangements for 2008/09 and Quarter 1 Performance Report pdf icon PDF 43 KB

To receive and consider the attached report of the Assistant Chief Executive (Planning, Policy and Improvement)

Additional documents:

Minutes:

The report of the Assistant Chief Executive (Planning, Policy and Improvement) outlined the approach to performance reporting and accountability which had resulted from the introduction of the Leeds Strategic Plan and Council Plan.  Appended to the report was a list of performance indicators relevant to the remit of the Scrutiny Board (Health) and Quarter 1 performance information for 2008/09.

 

The Chair welcomed Marilyn Summers, Senior Performance Manager, Planning, Policy and Improvement to the meeting.

 

The following issues were highlighted:

 

  • The Leeds Strategic Plan set out customer focussed targets and the Business Plan would be used in the delivery of these targets.
  • The Audit Commission had significantly reduced the number of national performance indicators to 198.  These would be closely monitored in respect of the Comprehensive Area Assessment which would replace the Comprehensive Performance Assessment.
  • There were 89 performance indicators within the Leeds trategic Plan which would support 43 improvement priorities.
  • The importance of monitoring the 198 national indicators for accountability was stressed.  It was not possible to report on all of these at this stage as some indicators were only supported by annual information.
  • Comparative data with other authorities was not available at this stage.
  • The Council worked closely with other organisations, including Leeds PCT, where indicators were the responsibility of more than one organisation.

 

RESOLVED – That the report be noted.

 

31.

Performance Report (NHS Leeds) pdf icon PDF 54 KB

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

Additional documents:

Minutes:

The report of the Head of Scrutiny and Member Development reminded the Board of the priorities and targets for NHS Leeds, Leeds Teaching Hospitals NHS Trust (LTHT) and the Leeds Partnership Foundation Trust (LPFT).  The Board had previously agreed to consider the performance report presented to the NHS Leeds Board on a bi-monthly basis and the most recent performance report was submitted with the agenda papers.

 

The Chair welcomed Beverly Bryant, Director of Performance, Leeds NHS to the meeting.

 

In brief summary, the following issues were discussed:

 

  • The Light Community Walk In Centre and plans to increase opening hours at walk in and minor illness and injury centres across Leeds.
  • Childhood obesity and the collection of information for performance figures.
  • Transportation – it was reported that  NHS Leeds had taken a proactive role on the Yorkshire Ambulance Service Board and ambulance response times were discussed.
  • 18 week referral standards and how many patients are sent for treatment outside Leeds.

 

RESOLVED – That the report be noted.

 

(Councillor Latty left the meeting at 11.45 a.m. at the conclusion of this item).

 

32.

Renal Services - Transport Update pdf icon PDF 587 KB

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

Additional documents:

Minutes:

The report of the Head of Scrutiny and Member Development updated the Board on issues surrounding transport for renal services patients.  Appended to the report were submissions from Leeds Teaching Hospital Trust and the Yorkshire Ambulance Service which addressed points raised by the Board at its September meeting.

 

The Chair welcomed Dianne Williams, Nicola Greaves and Sarah Fatchett of the Yorkshire Ambulance Service to the meeting.

 

It was reported that a letter had been sent to all renal services transport users with contact details for the Yorkshire Ambulance Service and reference was made to meeting held with the Kidney Patients Association and Leeds Teaching Hospitals Trust to continue addressing any outstanding issues for patients.  The report of the Yorkshire Ambulance Service detailed statistical information in relation to transport provision and also included benchmark information with Cheshire and Merseyside.

 

The Chair introduced Judith Lund, Dr Chas Newstead and Amanda Dean of the Leeds Teaching Hospital Trust to the meeting.

 

The Board was informed of 3 main areas highlighted at the recent meeting between the Yorkshire Ambulance Service, Leeds Teaching Hospital Trust and Kidney Patients Association which focussed on planning concerns, communication issues and how to reduce complaints.  Reasons for missed appointments were also highlighted.

 

Lilian Black of the Kidney Patients Association addressed the meeting.  She informed the Board of outstanding concerns which included future provision of services at Leeds General Infirmary, response to complaints and the times involved in transporting patients.

 

RESOLVED – That the report be noted and the Board be kept updated on the position regarding Renal Services transport.

 

33.

Work Programme

Report to follow

Minutes:

The Head of Scrutiny and Member Development submitted a report which detailed the Board’s Work programme and an update on the role of the Board’s Working Groups.

 

Issues discussed included a further report on the Mental Health Act 2007 and the membership of the Health Proposals Working Group.

 

RESOLVED –

 

(1)  That the updated work programme be agreed and amended as appropriate.

(2)  That the information provided in relation to each of the working groups be noted and that Councillor Rhodes-Clayton be added to the membership of the Health Proposals Working Group.

 

34.

Date and Time of Next Meeting

Tuesday, 18 November 2008 at 10.00 a.m. (Pre-meeting for all Members at 09.30 a.m.)

 

Minutes:

Tuesday 18 November 2008 at 2.00 p.m. (Pre-meeting for all Members at 1.30 pm.)