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

12.

Chair's Opening Remarks

Minutes:

The Chair opened the meeting, welcomed all those in attendance and highlighted the ‘Third Party Recordings’ code of practice that applied to use of recorded information at the meeting. 

 

In recognising the changed membership recorded at the previous Joint Committee meeting (minute 6 refers) the Chair specifically welcomed new members of the Joint Committee. 

 

On behalf of the Joint Committee, the Chair wished Councillor Revill (a long-standing member of the Joint Committee) a full and speedy recovery from his illness.

 

13.

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:

In accordance with his powers under Section 100B(4)(b) of the Local Government Act 1972, the Chair agreed to accept the following late information:

 

·  Draft minutes of the meeting held 17 October 2014 (minute 16 refers)

·  Written submissions from Embrace, Leeds Teaching Hospitals NHS Trust and Children’s Heart Surgery Fund (CHSF) (minute 17 refers)

 

14.

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 13-18 of the Members’ Code of Conduct.

Minutes:

There were no declarations of disclosable pecuniary interests.

 

15.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

Apologies for absence were submitted on behalf of:

 

·  Councillor J Bromby – North Lincolnshire Council

·  Councillor C Funnell – City of York Council

·  Councillor B Hall – East Riding of Yorkshire Council

·  Councillor T Revill – Doncaster Metropolitan Borough Council

·  Councillor B Rhodes – Wakefield Council

 

It was noted that Councillor Schofield was attending as a substitute member for Councillor Revill (Doncaster Metropolitan Borough Council).

 

16.

Minutes - 17 October 2014

To confirm as a correct record, the minutes of the meeting held on 17 October 2014.

 

(Minutes to follow)

Minutes:

The minutes of the meeting held on 17 October 2014 were presented for consideration.  There were no matters arising identified from the minutes.

 

RESOLVED – That the minutes of the meeting held on 17 October 2014 be approved as a correct record.

 

17.

The New Congenital Heart Disease Review - input from key stakeholders pdf icon PDF 63 KB

To receive a report from the Head of Scrutiny and Member Development introducing a range of inputs from key stakeholders for the Committee to consider and to help inform its formal response to the current public consultation on proposed service specifications and draft standards, arising from the new Congenital Heart Disease (CHD) review

 

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report introducing a range of inputs from key stakeholders to help inform the Joint Committee’s formal response to the current public consultation on the proposed service specifications and draft standards arising from the new Congenital Heart Disease (CHD) review.

 

The following representatives were in attendance to help the Committee consider the information presented:

 

·  Julian Hartley – Chief Executive (Leeds Teaching Hospitals NHS Trust)

·  Dr Bryan Gill – Medical Director (Leeds Teaching Hospitals NHS Trust)

·  Dr Elspeth Brown – Consultant Cardiologist (Leeds Teaching Hospitals NHS Trust)

·  Carin Van Doorn – Consultant Congenital Heart Surgeon (Leeds Teaching Hospitals NHS Trust)

·  Sharon Coyle – Director (Children’s Heart Surgery Fund)

·  Lois Brown – Parent and member of the relevant Clinical Reference Group

 

Prior to the Joint Committee discussing matters in detail, the Principal Scrutiny Adviser drew members’ attention to the written submission provided by Embrace.  In summary, this highlighted the following:

 

·  An acknowledgement of the invitation to attend the meeting.

·  Offered apologies for non-attendance due to operational issues.

·  Confirmed that Embrace currently meets the service specification and standards (as drafted).

·  Embrace continues to work with Leeds Teaching Hospitals NHS Trust and other trusts in Yorkshire and the Humber in order to ensure a focus on quality and safety in relation to patient transfers.

·  From a transport view the proposed specifications and standards do not raise any issues.

·  Should there be any changes to the current configuration and provision of services across Yorkshire and the Humber then a re-assessment against the standards will be required.

·  Currently, Embrace had not been asked to participate in any specific groups or workstreams of the new CHD review.

 

The Chief Executive of Leeds Teaching Hospitals NHS Trust (LTHT) addressed the Committee and outlined the Trust’s involvement and engagement with the new CHD review.  The Chief Executive noted the new CHD review had been a much more inclusive process than its Safe and Sustainable predecessor. 

 

The Joint Committee discussed the information presented and raised a number of specific matters, including:

 

·  The Trust’s overall position against the proposed standards – i.e. the percentage of draft standards currently met.

·  The financial implications of achieving the proposed standards and the Trust’s current position with regard to achieving ‘Foundation Trust’ status, including any barriers this created in terms of making necessary improvements.

·  Any specific funding gap currently at the Trust – based on achieving the proposed standards.

·  The Trust’s position against the standards, relative to other centres across England.

·  Numbers of surgeons and trainee surgeons, including the impact of the Safe and Sustainable Review on the number of trainees.

·  The Trust’s governance arrangements relative to the proposed standards.

·  Current and future approaches to commissioning CHD services for children and adults, including:

·  The Trust’s position relative to the proposed standards around Paediatric Intensive Care Unit.

·  Any potential risks associated with the changing nature of commissioning, and in particular co-commissioning.

·  Network arrangements – not just regional networks, but networks between specialist surgical centres.

·  The balance between services  ...  view the full minutes text for item 17.

18.

The New Congenital Heart Disease Review - NHS England response to issues raised during discussions with key stakeholders pdf icon PDF 61 KB

To receive a report from the Head of Scrutiny and Member Development which provides NHS England an opportunity to respond to issues identified by the Committee and/or raised during discussions with key stakeholders.

 

Minutes:

The Head of Scrutiny and Member Development submitted a report which provided NHS England an opportunity to respond to issues identified by the Committee and / or raised during discussions with key stakeholders. 

 

The following representatives were in attendance to help the Committee consider the information presented:

 

·  Alison Hughes – Commissioning and Change Lead (Congenital Heart Disease Programme)

 

It was noted that as the meeting was running ahead of schedule, Michael Wilson (New CHD Review Programme Manager (NHS England)) was not in attendance, as originally planned. 

 

Following on from the discussion under the previous item (Minute 17 refers), the Committee continued to discuss the proposed service specifications and draft standards associated with the new CHD review.  Members raised a number of specific matters, including:

 

·  Timing of the current public consultation.

·  Availability of consultation documentation in other languages.

·  Overall responsibility for the consultation process.

·  Financial assessment and future funding.

·  Relative funding for the North of England.

·  Timings for meeting proposed standards – in particular the requirement for 4 surgeons.

·  Issues associated with implementation and commissioning against the draft standards.

 

The Joint Committee discussed these matters with the NHS England representative and agreed to use the details provided to inform the Joint Committee’s draft response to the consultation.

 

RESOLVED –

 

(a)  That the report and information presented to the meeting be noted.

(b)  That the details provided be used to inform the Joint Committee’s draft response to the proposed service specifications and draft standards arising from the new Congenital Heart Disease (CHD) review.

 

At the conclusion of the discussion, the Chair thanked the NHS England representative for their attendance and contribution to the meeting.

 

19.

Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber) - Proposed Work Schedule pdf icon PDF 60 KB

To consider the Committee’s proposed work schedule.

Minutes:

The Head of Scrutiny and Member Development submitted a report outlining the Committee’s proposed future activity and meeting arrangements.

 

The following representatives were in attendance to help the Joint Committee consider the information presented:

 

·  Steven Courtney (Principal Scrutiny Adviser – Leeds City Council)

 

The Principal Scrutiny Adviser provided a brief outline of the report and proposed activity – seeking views from members of the Joint Committee. 

 

The Joint Committee considered and discussed matters raised earlier in the meeting and highlighted the following matters for specific inclusion in the Joint Committee’s consultation response:

 

·  Future funding arrangements.

·  Consultation arrangements, specifically in relation to BME communities.

·  Availability of appropriately qualified staff.

·  Confirmation of timescales around implementation.

 

RESOLVED – That the details provided be used to inform the Joint Committee’s draft response to the proposed service specifications and draft standards arising from the new Congenital Heart Disease (CHD) review.

 

20.

Date and Time of Next Meeting

Friday, 21 November 2014, at 10.00 a.m. in the Civic Hall, Leeds

 

(Pre-meeting for all Committee Members at 9.30 a.m.)

Minutes:

RESOLVED – To note the date and time of the next meeting as Friday 21 November 2014 at 10:00am (with a pre-meeting for members of the Scrutiny Board from 9:30am).

 

The Chair thanked everyone for their attendance and contribution to the meeting. 

 

(The meeting concluded at 11:45am)