Agenda and minutes

The Chair welcomed everyone to the February meeting of the Scrutiny Board (Health).

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 Chair agreed to accept the following document as supplementary information:-

·  The Leeds Sexual Heath Commissioning Strategy 2010-2012-Appendix 1 (Agenda Item 8) (Minute 84 refers)

The document was not available at the time of the agenda despatch, but made available on the Council’s Internet site prior to the meeting.

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 E Taylor made a general declaration of personal interest in respect of today’s agenda, in her capacity as an NHS employee.

To receive any apologies for absence and notification of substitutes.

An apology for absence was submitted on behalf of Arthur Giles

To confirm as a correct record the minutes of the meeting held on 25^th January 2011.

RESOLVED – That the minutes of the meeting held on 25^th January 2011 be confirmed as a correct record.

To consider a report of the Head of Scrutiny and Member Development presenting to the Board details/proposals associated with the Mental Health Integration Project.

The Head of Scrutiny and Member Development submitted a report presenting to the Board details/proposals associated with the Mental Health Integration Project.

Appended to the report was a copy of document entitled ‘NHS Leeds – Proposals for Change – Health Scrutiny Board’ for the information/comment of the meeting.

The following representatives were in attendance to present the key issues highlighted in the report and to address any specific questions identified by the Scrutiny Board:

-  Michelle Moran (Director of Service Delivery and Chief Nurse) – Leeds 

  Partnerships NHS Foundation Trust (LPFT)

-  James Hoult (Project Manager)  – Leeds Partnerships NHS Foundation

  Trust (LPFT)

-  John Lennon (Chief Officer (Access and Inclusion)) – Leeds City Council,

  Adult Social Services

The Director of Service Delivery and Chief Nurse, together with the Project Manager briefly outlined the main proposals associated with the Mental Health Partnership Integration Project. In addition, the Chief Officer (Access and Inclusion), Adult Social Services provided the Board with an update on relevant issues within Adult Social Care.

In summary, it was outlined that the main aim of the project was the integration of care management teams (from LPFT and Leeds City Council) for the benefit of patients.  With clearer accountability as an underlying principle, the benefits would include better:

·  Management and flow of information to and from patients;

·  Use of resources; and,

·  Reflection on service user involvement and experience.

It was outlined that, on completion of the project, it was expected that LPFT would provide mental health service on behalf of the Council.  While the Council would remain statutorily responsible for such services / functions, this would be achieved through a formal (Section 75) agreement, secondment of staff and transfer of a budget in the region of £7.9M.

There was a wide ranging discussion where a number of points were raised and addressed, including: 

·  Concerns that too much jargon was contained within the document and the need for more clarity regarding the proposals

·  Commissioning arrangements in relation to the new IT system and anticipated completion date

·  The process for establishing a the single management structure and joint outcome/ accountability framework

·  How the proposals would work in practice, including whether or not the Section 75 agreement and secondments were time limited and around the appointment process / accountability of the Head of Service post

·  How the proposals would benefit service users and whether or not services would improve in the short/long term

·  The need for stability for those people who go through the service transformation process

·  Decision-making processes and the timescales in relation to reporting back proposals to the Council’s Executive Board

RESOLVED-

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

b)  That further reports on this issue be presented to the Board for discussion in due course.

(Councillor J Illingworth joined the meeting at 10.15am during discussions of the above item)

(Councillor G Latty left the meeting at 11.00am during discussions of the above item)

To consider a report of the Head of Scrutiny and Member Development presenting to the Board details/proposals associated with the Leeds Sexual Health Strategy.

N.B The Leeds Sexual Health Strategy  to follow (Appendix 1 refers)

The Head of Scrutiny and Member Development submitted a report presenting to the Board details/proposals associated with the Leeds Sexual Health Strategy.

Appended to the report was a copy of the ‘Leeds Sexual Health Commissioning Strategy 2010-2012‘ for the information/comment of the meeting.

The following representatives were in attendance to present the key issues highlighted in the report and to address any specific questions identified by the Scrutiny Board:

-  Victoria Womack  (Drugs and Sexual Health Lead) – NHS Leeds

-  Ruth Middleton (Head of Commissioning, Staying Healthy) – NHS Leeds

The Drugs and Sexual Health Lead Officer, together with the Head of Commissioning, Staying Healthy outlined the main points within the Leeds Sexual Health Commissioning Strategy 2010-2012.

In brief summary, the main points of discussion were:

·  Sexual Health remained a significant issue for some areas of the community, with an increase risk to people under 25 years old

·  The focus of the strategy being on:

o  Early access to sexual health assessment and treatment services;

o  Early access to contraception services

o  Prevention

·  The HPV vaccine within the context of the Leeds Sexual Health Strategy

(The Drugs and Sexual Health Lead Officer responded and informed the meeting that  HPV did not specifically relate to the strategy; but agreed to supply information of the percentage rates of HPV immunisation to the Board via the Principal Scrutiny Adviser)

·  Links with the Student Union in helping to deliver the key messages of the strategy, with reference made to the successful campaigns undertaken in Leeds Colleges around Chlamydia screening

·  Consistency of Sex and Relationship Education within Leeds schools.

·  How the strategy contributed to the delivery of locality based services

RESOLVED- That the contents of the report and appendices be noted and welcomed.

To consider a report of the Head of Scrutiny and Member Development seeking the Board’s view on a range of options for commenting on the Quality Accounts of local health care providers for 2011.

The Head of Scrutiny and Member Development submitted a report seeking the Board’s view on a range of options for commenting on the Quality Accounts of local health care providers for 2011.

Arising from discussions, the Board agreed to take a practical and pragmatic approach considering and, where appropriate, commenting on the Quality Accounts produced by the full list of NHS healthcare service providers identified in the report: That is:

·  Leeds Teaching Hospitals NHS Trust

·  Leeds Partnerships Foundation Trust

·  Leeds Community Healthcare

·  Spire Hospital Leeds

·  Nuffield Hospital Leeds

·  Fountain Diagnostics

·  Commuter Walk-In Centre Leeds

RESOLVED-

a)  That the contents of the report be noted.

b)  That approval be given to pursuing Option 2b (a devolved working group, with an open membership arrangement) for commenting on the Quality Accounts of local NHS healthcare providers for 2011.

To receive and consider a report from the Head of Scrutiny and Member Development outlining the Scrutiny Board’s work programme for the remainder of the current municipal year.

The Head of Scrutiny and Member Development submitted a report outlining the Scrutiny Board’s work programme for the remainder of the current municipal year.

Appended to the report were copies of the following documents for the information/comment of the meeting:-

·  Scrutiny Board (Health) – Work Programme 2010/11 (Appendix 1 refers)

·  NHS Leeds Board – Notes of a Meeting held on 2^nd February 2011 (Appendix 2 refers)

·  Leeds NHS - Pharmacy Needs Assessment – Briefing Note (Appendix 3)

The Board’s Principal Scrutiny Adviser presented the key issues highlighted in the report and addressed specific points of clarification identified by the Scrutiny Board.

Specific reference was made to the national review of Children’s Cardiac Surgery Services and the future delivery options recently agreed for consultation.

RESOLVED-

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

b)  That approval be given to the outline work programme in accordance with the report now submitted.

c)  That in relation to Children’s Cardiac Surgery Services – national review, consideration be given to raising the profile of this issue via a White Paper Motion to Council and to request the Board’s Principal Scrutiny Adviser to write to Area Committee Chair’s with a request that this issue be debated at Area Committee meetings in March/April 2011.

d)  That in relation to the provision of playing fields in Leeds and the public health implications, this issue be incorporated within the Board’s work programme in the new Municipal Year.

e)  That in relation to Workforce Planning and the associated problems of city-wide pupils obtaining a place at Medical School, this issue be incorporated within the Board’s work programme in the new Municipal Year.

To note that the next meeting of the Scrutiny Board will be held on Tuesday 22^nd March 2011 at 10.00am (Pre-meeting for Board Members at 9.30am).

To note that the next meeting of the Scrutiny Board will be held on Tuesday 22^nd March 2011 at 10.00am (Pre meeting for Board Members at 9.30am)

(The meeting concluded at 12 noon)