Agenda and minutes

The Chair welcomed all in attendance to the March meeting of the Scrutiny Board (Health and Well-being and Adult Social Care).

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 admitted to the agenda the following supplementary information:

• Agenda item 8 – NHS Airedale, Bradford and Leeds Board Joint Performance report (Minute No. 83 refers)
• Agenda item 8 – Leeds Teaching Hospitals NHS Trust briefing note on actions in response to Care Quality Commission Compliance Inspection – December 2011 (Minute No. 83 refers)
• Agenda item 9 – Briefing note on Health and Looked After Children from NHS Airedale, Bradford and Leeds (Minute No. 84 refers).

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.

There were no declarations of interest.

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillors Chapman, Hussain, Illingworth and Co-opted Member, Sally Morgan.  Notification had been received that Councillor Chastney was to substitute for Councillor Chapman.

To approve the minutes of the Scrutiny Board (Health and Wellbeing and Adult Social Care) meeting held on 29^th February 2012

(minutes attached)

RESOLVED – That the minutes of the meeting held on 29 February 2012 be approved as a correct record.

To consider a report of the Assistant Chief Executive (Customer Access and Performance) providing a summary of the quarter 3 performance data relevant to the Board and including an update on the Health and Wellbeing partnership priorities

(report attached)

The Assistant Chief Executive (Customer Access and Performance) submitted a report which presented a summary of the quarter 3 performance data relevant to the Scrutiny Board (Health and Well-being and Adult Social Care).

The following information was appended to the report:

• Performance reports relating to the City Priority Plan (CPP)

• Adult Social Care Directorate Priorities and Indicators.

The following Executive Member, officers and NHS representative attended the meeting and responded to Members’ questions and comments:

• Councillor Yeadon, Executive Member (Adult Health and Social Care)
• John Lennon, Chief Officer – Access and Inclusion, Adult Social Services
• Stuart Cameron-Strickland, Head of Policy, Performance and Improvement, Adult Social Services
• Kim Maslyn, Head of Service – Support and Enablement, Adult Social Services
• Graham Brown, Performance Manager, NHS Airedale, Bradford and Leeds.

The key areas of discussion were:

• Further improvements needed to reduce the number of smokers, the role of the Council in relation to public health and the benefits of cross departmental support.  It was reported that there was some success in stopping people smoking through the smoking cessation programmes offered, however it was suggested that reducing the number of people starting smoking in the first instance needed to be addressed.
• The positive impact arising from the ban on smoking in public places and the national advertising campaign on the risks of cigarette smoke.
• Update on the Tobacco Action Strategy and development of local leadership teams.
• The need to establish greater links with youth services and schools in getting the message across.
• Concern that only a small number of midwives had been trained to undertake CO monitoring for pregnant women and the shortage of CO monitors for them to use.  It was recommended that this practice should be extended to all midwives and the associated costs of doing so were requested.
• Further data and information requested in relation to giving people choice and control over health and social care services, particularly in relation to personal budgets and how this informed the overall scorecard.

RESOLVED –

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

(b)  That the costs associated with training midwives and providing CO monitors, to help monitor and tackle smoking in pregnancy be reported to the next meeting on 18 April 2012.

(c)  That the data and information requested in relation to giving people choice and control over health and social care services be reported to the next meeting on 18 April 2012.

To consider a report of the Head of Scrutiny and Member Development which will provide current performance data from NHS Airedale, Bradford and Leeds, together with information on issues raised by the Board at the meeting on 21^st December 2011

(report attached)

The Head of Scrutiny and Member Development submitted a report which presented the latest performance data from NHS Airedale, Bradford and Leeds.  The report also provided details of the following areas, highlighted at the December Scrutiny Board meeting:

·  Bariatric surgery

·  Fractured Neck of Femur operated on within 48 hours

·  Stroke care.

Appended to the report was a copy of the Care Quality Commission (CQC) report that identified improvements needed at St. James’ University Hospitals (part of Leeds Teaching Hospitals NHS Trust (LTHT)).

The following representatives attended the meeting to present the report and respond to Members’ questions and comments:

• Graham Brown, Performance Manager, NHS Airedale, Bradford and Leeds.
• Al Sheward, Divisional Nurse Manager (Medicine) – Leeds Teaching Hospitals NHS Trust
• Karl Milner, Director of Communications and External Affairs – Leeds Teaching Hospitals NHS Trust.

Prior to discussing the item, apologies were provided on behalf of the Executive Director for Delivery and Service Transformation (NHS Airedale, Bradford & Leeds), who had been due to attend the meeting.  Apologies were also received on behalf of the Chief Nurse (Leeds Teaching Hospitals NHS Trust) who was unable to attend due to an unannounced Care Quality Commission visit at the Trust.

The key points of discussion were:

• Clarification about some of the acronyms used in the report, highlighted as follows: RTT – referral treatment time; and AAACH – all ages, all causes, mortality.
• Acknowledgement of further improvement needed in relation to fractured neck of femur operated on within 48 hours.  The Scrutiny Board was informed that penalties were imposed if targets were not met.
• Greater capacity needed to undertake orthopaedic surgery.
• The positive impact of publicity in the media that raised awareness about strokes and heart disease.
• Strong concern about targets not being met in relation to early intervention in psychosis and the reasons attributed to this.
• Update on LTHT Accident & Emergency waiting times – latest position 95.4%, up from 93.4%.  (Members were advised that the national standard from April 2011,had been revised to 95%, from the previous standard of 98%). Further information/ clarification was sought on the data, including the classification of patients that had been removed as part of the data validation process.
• Further work taking place as part of a national programme to attract health visitors into the profession.

In relation to the Care Quality Commission (CQC) report, the following issues were identified:

• Serious concern about staffing shortages, particularly in relation to older persons care.  Actions were being taken by the Trust to ensure this was being addressed and that there was a consistency of approach across departments.
• Concern in relation to the logging of sick leave and other types of absence.

(Joy Fisher withdrew from the meeting at 11.55am, Councillor Armitage at 12 noon and Councillor Chastney at 12.03pm, during the consideration of this item.)

RESOLVED –

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

(b)  That further information regarding the impact of not meeting the early intervention in psychosis  ...  view the full minutes text for item 83.

To consider a report of the Head of Scrutiny and Member Development providing information relating to health inequalities for Looked after Children as part of the Board’s inquiry into health inequalities

(report attached)

The Head of Scrutiny and Member Development submitted a report which provided information in relation to health inequalities for Looked After Children.

Appended to the report was a copy of the Looked After Children report to Executive Board on 7 March 2012.

The following Executive Member and officer attended the meeting and responded to Members’ questions and comments:

• Cllr Blake, Executive Member (Children’s Services)
• Steve Walker, Deputy Director (Safeguarding, Specialist and Targeted Services), Children’s Services.

The main points of discussion were:

• Support for young people with mental health needs and links to the work of Child and Adolescent Mental Health Services (CAMHS).
• Support for families through early intervention programmes, case conferencing and clusters.
• Request for information in relation to child placements and teenage conception rate for looked after children.
• Update on the foster carer campaign – review of expressions of interest had taken place in response to changing market.  Currently 10 more carers than last year.  38 foster carers currently subject to the Council’s approval process.

RESOLVED –

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

(b)  That the information requested in relation to child placements and teenage conception rate for looked after children be reported to Board.

(c)  That further information be invited from Children’s Services about the links with CAMHS for circulation to the Board.

To consider a report of the Head of Scrutiny and Member Development setting out the Board’s current work programme for the 2011/2012 municipal year

(report attached)

A report was submitted by the Head of Scrutiny and Member Development which detailed the Scrutiny Board’s work programme for the remainder of the current municipal year.

Appended to the report for Members’ information was the current version of the Board’s work programme, minutes of the Executive Board meeting held on 7^th March 2012, and an extract from the Forward Plan of Key Decisions for the period 1^st March 2012 to 30^th June 2012.

RESOLVED – That the work programme be approved.

18^th April 2012 at 10.00am (Pre-meeting at 9.30am for all Board Members)

Wednesday 18^th April 2012 at 10.00am with a Pre Meeting for Board Members at 9.30am

(The meeting concluded at 12.40pm.)