Contact: Angela Bloor (0113) 24 74754 Email: angela.bloor@leeds.gov.uk
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Chair's opening remarks Minutes: As this was likely to be Councillor Mulherin’s final meeting as Chair before taking up a new role on Council, she paid tribute to the extensive and quality work undertaken by the Board during 2011/2012. Cllr Mulherin thanked Members of the Scrutiny Board for all their efforts and hard work during a very busy year, that had not just included the Health and Wellbeing and Adult Social Care Scrutiny Board, but also work associated with the Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber), established to consider the review of Children’s Cardiac Services and the implications for children and families across the region arising from any proposed changes.
The Chair also made specific reference to the following elements of work undertaken by the Board over the course of the municipal year 2012/13:
The Board specifically discussed Yorkshire Ambulance Service NHS Trust’s proposals to become a Foundation Trust and the associated governance arrangements. Members were advised that a response had been received from the Trust, which summarised the outcome of the public consultation and confirmed the governance arrangements as those set out in the original consultation document. This being despite the concerns expressed by the Scrutiny Board. The Scrutiny Board agreed that a further response should be sent to the Trust, expressing the Scrutiny Board’s continued concerns around the, seemingly agreed governance arrangements under a Foundation Trust model, and the absence of any West Yorkshire Local Authority representation on the Board of Governors.
The Chair also thanked the Board’s Principal Scrutiny Adviser for his work during the year.
Board Members thanked Councillor Mulherin for her work as Chair of the Board and her dedication the role.
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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: Although there were no formal late items, the Board was in receipt of the following supplementary information, for consideration at the meeting:
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Declarations of Interest 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.
Minutes: No declarations of interest were made at this stage although a declaration was made later in the meeting (minute 106 refers).
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Apologies for Absence and Notification of Substitutes To receive any apologies for absence and notification of substitutes.
Minutes: Apologies for absence were received from:
Councillor Chapman and co-opted members Joy Fisher (Alliance of Service Users and Carers) and Betty Smithson (Leeds Local Involvement Network (LINk)).
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To approve the minutes of the Scrutiny Board (Health and Wellbeing and Adult Social Care) meeting held on 18th April 2012
(minutes attached)
Minutes: RESOLVED - To approve the minutes of the Scrutiny Board (Health and Wellbeing and Adult Social Care) meeting held on 18th April 2012
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To consider a report of the Head of Scrutiny and Member Development setting out the draft documentation which has been published in relation to a proposed framework and specification standards for Children’s Neuroscience Networks
(report attached)
Additional documents:
Minutes: The Board considered a report of the Head of Scrutiny and Member Development introducing draft documentation published in relation to a proposed framework and specification standards for Children’s Neuroscience Networks. Appended to the report were the following documents:
Attending for this item were:
Councillor Mulherin declared a personal interest as a member of Epilepsy Action.
The main points of discussion were:
1. Providing 24/7 access to services, while making best use of resources across proposed networks and surgical centres; and, 2. The relationship with other services and clinical pathways.
The Chair thanked the Directors and Assistance Director of Specialised Commissioning for their attendance and contribution to the meeting. The Chair paid particular tribute to the Director’s ability to explain very complicated topics subject with great clarity and simplicity.
RESOLVED – i) To note the report and the comments made at the meeting. ii) That Members’ comments be used to form the basis of the Board’s response to the consultation on the proposed changes. iii) That a further report be presented to the Board in the new municipal year, once the network footprints had been agreed.
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To consider a report of the Head of Scrutiny and Member Development on recent Care Quality Commission inspection reports relating to the Leeds and York Partnership NHS Foundation Trust
(report attached)
Additional documents:
Minutes: Further to minute 96 of the Scrutiny Board (Health and Wellbeing and Adult Social Care) meeting held on 18th April 2012 where the Board considered a report following the Care Quality Commission’s (CQC) compliance report issued to the Leeds Teaching Hospitals NHS Trust in respect of Ward 53 at the Leeds General Infirmary, the Board considered a report of the Head of Scrutiny and Member Development relating to recent inspections at facilities managed by Leeds and York Partnership NHS Foundation Trust. Appended to the report were:
Attending for this item to provide further information and respond to the Board’s queries and comments were:
As the quality regulator across health and social care service providers, the CQC’s Compliance Manager provided the Board with an overview of the CQC’s work and priorities. The Board was advised of the CQCs contribution to nationally identified thematic reviews identified periodically and the recent areas of non-compliance that had been identified at St. Mary’s Hospital and the Newsam Centre.
The Scrutiny Board was further advised by the Compliance Manager that Leeds and York Partnership NHS Foundation Trust had responded quickly and positively to the findings of the CQC and drawn up associated action plans in order to address the issues highlighted. The Board was assured that the action plans had been acted upon and improvements at both locations were evident.
The Chief Executive of Leeds and York Partnership NHS Foundation Trust confirmed to the Board that a range of measures had been put in place by the Trust to both address the findings of the CQC and as part of the Trust’s internal processes and improvement work. The Scrutiny Board was advised that the Trust had:
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Quality Accounts for 2012 PDF 58 KB To consider a report of the Head of Scrutiny and Member Development updating the Board on the production of local healthcare providers’ Quality Accounts for 2012
(report attached)
Additional documents: Minutes: The Board considered a report of the Head of Scrutiny and Member Development providing an update on the production of local healthcare providers’ Quality Accounts for 2012, together with a copy of the Leeds and York Partnership NHS Foundation Trust’s draft Quality Account for comment
Attending for this item to respond to questions from the Board were:
The Board discussed the report and Quality Accounts, with the main issues arising from the discussion were as follows:
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Reducing smoking in Leeds - draft Scrutiny Board report PDF 53 KB To consider a report of the Head of Scrutiny and Member Development setting out the draft Inquiry report following the Board’s inquiry into reducing smoking in the city
(report attached) – draft Inquiry report to follow
Minutes: Following its inquiry into Reducing Smoking in Leeds, the Board considered the draft Scrutiny Board report. Comments received from the Director of Public Health, Dr Cameron were circulated and considered at the meeting.
Whilst accepting Dr Cameron’s suggested amendment to recommendation 2 of the draft report, the Board did not accept the comments made in relation to recommendation 11, which Dr Cameron suggested should be specifically around the sharing of data for public health purposes regarding tobacco. The Scrutiny Board felt this was too restrictive an approach.
The Board also discussed Dr Cameron’s suggestion about the issue of costs around tobacco litter but felt that this issue was addressed in the draft Tobacco Action plan.
RESOLVED - i) To agree the draft recommendations subject to an amendment to recommendation 2 to state …. Where smoking cessation services are offered, including GP practices ii) That the final Inquiry report be issued to the appropriate bodies and a formal response be presented to a future meeting of the Scrutiny Board in the new municipal year.
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Transformation of Health and Social Care Services in Leeds - draft Scrutiny Board report PDF 53 KB To consider a report of the Head of Scrutiny and Member Development on the draft report following the Board’s consideration of the transformation of Health and Social Care Services in Leeds
(report attached) – draft report to follow
Minutes: Following the Board’s inquiry into Transformation of Health and Social Care Services in Leeds, the Board considered the draft Scrutiny Board report.
The Chair welcomed the report which succinctly covered the extensive work undertaken by the Board on this Inquiry over the course of the year. It was felt that the report provided some important recommendations for moving forward. Some minor drafting errors were highlighted for correction within the submitted report
RESOLVED -
(i) That, subject to the minor amendments highlighted at the meeting, the report presented be approved as the final draft inquiry report to form the basis for consultation with the appropriate Directors for their comments.
(ii) That the final draft report, and associated comments from Directors, be submitted to the first meeting of the Scrutiny Board in the new municipal year for formal approval.
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Reducing Health Inequalities in Leeds - draft Scrutiny Board report PDF 54 KB To consider a report of the Head of Scrutiny and Member Development setting out the draft report following the Board’s consideration of issues relating to reducing health inequalities in Leeds
(report attached) – draft report to follow
Minutes: Following the Board’s inquiry into Reducing Health Inequalities in Leeds, the Board considered the arising outline principals and main areas for recommendations.
The Board gave detailed consideration to the outline principals and main areas for recommendations.
The importance of engaging with communities and obtaining their views on ways to achieve improvements and reduce health inequalities, rather than adopting a prescriptive approach, was highlighted
Whilst regretting that this work had not been concluded in the time available, the Chair stressed the importance of the successor Board completing this work and then using the recommendations as the basis for more detailed work in the future.
RESOLVED - To note the outline principals and recommendations relating to the Board’s inquiry into Reducing Health Inequalities in Leeds, and for these to form the basis of the Scrutiny Board’s draft final report to be reported to a future meeting of the Scrutiny Board in the new municipal year.
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