Agenda and minutes

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 following supplementary information was submitted:

• Item 10 – Transformation of Health and Social Care Services – comments from the Director of Adult Social Services
• Item 13 – Sources of work for the Scrutiny Board – Leeds Joint Strategic Needs Assessment (JSNA) 2012 – Executive Summary and Leeds Health Profile 2012
• Item 14 – Reguest for Scrutiny – letter issued to Yorkshire Ambulance Service on 21 May 2012

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 T Murray declared a personal interest in Agenda Item 10, Transformation of Health and Social Care Services in Leeds – Draft Scrutiny Board Report due to his position on the third sector leadership board.

Councillor P Truswell declared a personal interest in Agenda Item 8, Co-opted Members due to his position on the LINk steering group.

Councillor G Hussain declared a personal interest in Agenda Item 12, Leeds NHS Performance Report as he had a relative working for the Airedale and Bradford NHS Trust.

To receive any apologies for absence and notification of substitutes.

Apologies for absence on behalf of Councillor S Armitage were received.  Councillor N Walshaw was present as substitute.

To approve the minutes of the Scrutiny Board (Health and Wellbeing and Adult Social Care) meeting held on 16^th May 2012

(minutes attached)

RESOLVED – That the minutes of the meeting held on 16 May 2012 be confirmed as a correct record.

To consider a report of the Head of Scrutiny and Member Development on the changes to the Council’s Constitution in relation to Scrutiny

(report attached)

The report of the Head of Scrutiny and Member Development provided the Board with information on recent amendments to the Council’s Constitution, as agreed by Council on 21 May 2012, which directly related to and/or impact on the work of the Scrutiny Boards.

RESOLVED – That the report be noted.

To consider a report of the Head of Scrutiny and Member Development on potential sources of work for the Scrutiny Board

(report attached)

The report of the Head of Scrutiny and Member Development  sought to assist the Board in effectively managing its workload for the forthcoming municipal year and provided information and guidance on potential sources of work and areas of priority within the Board’s terms of reference.

The following were in attendance for this item:

Councillor Lisa Mulherin – Executive Member, Health and Well-Being

Dennis Holmes – Deputy Director, Adult Social Care

Rob Kenyon – Head of Partnerships, Adult Social Care

Dr Ian Cameron, Joint Director of Public Health, NHS Airedale, Bradford and Leeds/Leeds City Council

Apologies were submitted on behalf of Councillor Lucinda Yeadon, Executive Member for Adult Social Care.

The following issues were highlighted:

• Physical activity
• Mental Health – issues including increased demand for services, voluntary sector involvement, impact of the economy, BME groups and early intervention.
• Health inequalities across the City
• Residential and nursing care provision.
• Accommodation strategy for Older People in the City.
• Formulation of the Leeds Dementia Strategy.
• Joint Strategic Needs Assessment.
• Establishment of the Health and Wellbeing Board.
• Integration of Care and Commissioning.
• Development of Healthwatch.

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

• Mental Health issues – safeguarding and vulnerability of patients, early prevention and intervention, involvement of other partners including housing, long term accommodation issues,
• Healthwatch and the need for a robust independent body for patients.
• Health inequalities and links to deprivation.
• How the local authority can influence and shape public health.
• Local Development Framework – planning related issues for provision of healthcare facilities, schools etc.

RESOLVED – That the report and discussion be noted.

To consider a report of the Assistant Chief Executive (Customer Access and Performance) summarising the quarter 4 performance data relevant to the Scrutiny Board

(report attached)

The report of the Assistant Chief Executive (Customer Access and Performance) provided a summary of performance against the strategic priorities for the Council and City related to the Scrutiny Board (Health and Well Being and Adult Social Care).  Information in the report related to the Council Business Plan and Health and Wellbeing Indicators.

The following were in attendance for this item:

• Dennis Holmes – Deputy Director, Adult Social Services
• Dr Ian Cameron – Joint Director of Public Health
• Stuart Cameron Strickland – Head of Policy, Performance and Improvement

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

• Issues related to smoking – prevention, education, cessation services, shisha smoking.
• Information from GPs – it was reported that figures detailed in the report contained information from all but two GPs Surgeries across the City and that it was hoped that information would soon be provided by all.

RESOLVED – That the report be noted.

To consider a report of the Head of Scrutiny and Member Development on the appointment of co-opted members to Scrutiny Boards

(report attached)

The report of the Head of Scrutiny and Member Development sought the Board’s formal consideration for the appointment of Co-opted Members to the Board.

Members were informed of the previous year’s arrangements which included representatives from the Local Involvement Network (LINk), Alliance of Service Users and Carers and an Equality Representative.  Members also discussed the possibility of having a representative from one of the Universities.

RESOLVED –

(1)  That the report be noted.

(2)  That nominations be sought for Co-opted Members based on the previous year.

(3)  That the Univiersities be approached regarding nominating a Co-opted Member.

To consider a report of the Assistant Chief Executive (Customer Access and Performance) on the new Equality Improvement Priorities and revised Equality and Diversity Policy

(report attached)

The report of the Assistant Chief Executive (Customer Access and Performance) introduced the new Equality Improvement Priorities and the revised Equality and Diversity Policy.  It also set out the Council’s continued commitment to equality, outlined the Council’s equality objectives, identified how progress would be measured and how the Council would continue to improve and further embed the equality agenda.

The Chair welcomed Lelir Yeung, Head of Equality to the meeting for this item.

In summary, the following issues were discussed:

• Health issues relating to BME communities and migrant communities.
• Travellers health issues.
• Access to education and healthcare.

RESOLVED – That the report be noted.

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)

The report of the Head of Scrutiny and Member Development presented the draft report of the Board’s inquiry into the Transformation of Health and Social Care Services in Leeds.

The Board was informed of comments made by the Director of Adult Social Services and proposed amendments to the draft report.

RESOLVED – That the report be noted.

To consider a report of the Head of Scrutiny and Member Development providing current performance data from NHS Airedale, Bradford and Leeds

(report attached)

The report of the Head of Scrutiny and Member Development provided the Board with an overview of performance against performance  indicators for both NHS Leeds and NHS Bradford and Airedale.  The report highlighted the key performance issues facing the Cluster organisation and showed a partial evolution towards the 2012/13 Operating Framework, whilst also showing end of year data for 2011/12.

The following were in attendance for this item:

• Graham Brown – Performance Manager, NHS Airedale, Bradford and Leeds
• Karl Milner, Director of Communications and External Affairs, Leeds Teaching Hospital NHS Trust

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

• Rates of MRSA and CDiff.
• RTT targets and thresholds.
• Appointment of new nursing staff.
• Increasing pressures on accident and emergency and ambulance services.
• Staff turnover and use of agency staff.
• Staff appraisals.

RESOLVED – That the report be noted.

To consider a report of the Head of Scrutiny and Member Development on the review of children’s congenital cardiac services

(report attached)

The reports of the Head of Scrutiny and Member Development  provided the Board with updates on the review of both Adult’s and Children’s Congenital Cardiac Services.

It was reported that final public consultation for the Adult’s review was likely to take place in 2013/14.  Reference was made to the Joint Health and Overview Scrutiny Committee (JHOSC) (Yorkshire and the Humber) inquiry into the Children’s review and the view that both the Adult’s and Children’s reviews should have been carried out together.  This view had been made as part of JHOSC’s submission to the Joint Committee of Primary Care Trusts (JCPCT), The JCPCT had stated that the review of Adult’s Services was outside its current scope.

The following were in attendance for this item:

• Kevin Watterson – Cardiac Surgeon
• Alison Conchie, Leeds Teaching Hospital NHS Trust

Kevin Watterson addressed the meeting.  It was felt that the Adult’s Congenital Heart Review was merely a public relations exercise as any decision made would have to be based on those of the Children’s Services due to the same surgeons being involved.  He requested that the Board reiterated the views to the Secretary of State that the Adult’s Review would be a fait accompli and compounded the democratic deficit that was involved in the Children’s Review.  It was not felt that the decision making would be based on clear health planning principles and should have been based on population density and future planning requirements.  Reference was also made to previous meetings of the JHOSC and lack of attendance from a JCPCT representative.

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

• It was felt that the concerns over the reviews had to be addressed with the Secretary of State.
• The possibility of taking requesting a judicial review – it was reported that this would not reverse any decision that was taken.
• Members were informed of an informal meeting of the JHOSC that  had been held.
• The lack of logic behind the decision to deal with the reviews separately as the same surgeons, post operative care teams would be needed.
• The JHOSC had agreed to amend their terms of reference to review the implementation of the decision.

RESOLVED – That the report be noted.

To consider a report of the Head of Scrutiny and Member Development on a request for scrutiny received regarding the Patient Transport Service at Yorkshire Ambulance Service

(report attached)

The report of the Head of Scrutiny and Member Development referred to a request for scrutiny that had been received regarding the Patient Transport Service operated and delivered by the Yorkshire Ambulance Service.

Members were reminded of a previous Inquiry undertaken by the Board into this matter and it was suggested that a response be sought from the Ambulance Service and that montitoring of the service should continue.

RESOLVED – That the report be noted.

To consider a report of the Board’s Work Schedule for the forthcoming Municipal Year

(report attached)

The report of the Head of Scrutiny and Member Development asked Members to consider the Board’s Work Schedule for the forthcoming municipal year.

Members were given a recap of issues raised earlier in the meeting and the following potential areas of work were also highlighted:

• Quality Accounts
• Care Quality Commission
• Health Service Development Working Group
• Support from Centre for Public Scrutiny regarding the development of Healthwatch.

It was agreed that the Principal Scrutiny Adviser and Chair would consider items to be included in the Board’s work schedule.

RESOLVED – That the report be noted.

Wednesday 25^th July 2012 at 10.00am (Pre-meeting at 9.30am for all Board Members)

Wednesday, 25 July 2012 at 10.00 a.m. (Pre-meeting at 9.30 a.m.)