Agenda and minutes

Councillor Macniven declared an interest in Agenda Item 7, Transformation of Health and Social Care Services in Leeds (minute 59 refers), due to her position as Executive Support Member for Adult Social Care and a Governor of the NHS York and Leeds Partnership Foundation Trust.

Joy Fisher declared an interest in Agenda Item 7, Transformation of Health and Social Care Services in Leeds (Minute 59 refers) due to her involvement as a LINk representative involved in discussions around service integration.

Apologies for absence were submitted on behalf of Councillor T Murray, Councillor S Armitage and Mrs B Smithson.

Councillor C Macniven was in attendance as substitute for Councillor T Murray.

The report of the Head of Scrutiny and Member Development presented Members with an update against a number of the Board’s recommendations regarding the Transformation of Health and Social Care in Leeds.

The following were in attendance for this item:

• Councillor Lucinda Yeadon, Executive Member for Adult Social Care
• Dennis Holmes, Deputy Director, Adult Social Services
• Richard Clayton, Programme Manager – Leeds and York Partnership NHS Foundation Trust
• Michele Tynan, Chief Officer – Learning Disabilities, Adult Social Services
• Paul Morrin, Director of Integration – Leeds Community Healthcare NHS Trust
• Hilary Phillpot, Programme Manager – Commissioning Partnerships, NHS Airedale, Bradford and Leeds

Members discussed governance arrangements between the Council and health partners.  Issues highlighted included the following:

• The opportunity for social care and health partners to provide better outcomes through working together.
• The potential for savings to be made through joint working.
• The need to ensure and to be clear about relevant accountability for Elected Members.
• Complexity of the various organisations involved in the local healthcare system / economy. 
• Integration of teams and pooling of facilities and resources.
• Reference to a report that was considered at Executive Board in October 2012 which set out the legal position on how to manage arrangements as commissioners and providers.
• Sharing of data and compatibility between different IT systems.

Members discussed partnership arrangements between Adult Social Care and Leeds and York Partnership NHS Foundation Trust.  Issues highlighted included the following:

·  Provision of services for mental health patients – the social care needs for all mental health care would be met within Leeds but some hospital treatment would be provided elsewhere.

·  Equality Impact Assessments.

·  There had been more collaborative working between the organisations and a merging of roles and responsibilities.

·  Focusing on service user outcomes and how these can be improved.

·  Budget information – staffing budgets were not pooled.

·  The future relationship between the Scrutiny Board and the Health and Wellbeing Board.

·  Equality Impact Assessments

·  Staffing issues – processes for integrated working and protection of employment rights.

·  Mental Health Needs arising from Health Impact Assessments.

Members were informed about integrated health and social care teams and risk stratification.  It was reported that the integrated health and social care portfolio was focussed on older people and long term conditions with the provision of high quality care and the reduction of unnecessary hospital admissions and followed the following three strands:

·  Risk stratification – those likely to be needing health resources in the future

·  Introduction of health and social care teams and work with GP practices.

·  Supporting people to manage their conditions and retain independence.

Further discussion included the following:

·  Importance of risk stratification and how to identify those who need support – information provided from primary and secondary care systems and GP information.

·  Predicted future social care and health provision.

·  Co-location of NHS and Adult Social Care Staff – findings from demonstrator sites and roll out to more neighbourhoods.

·  Early evidence of impact – Leeds had been quoted as being in the top 3  ...  view the full minutes text for item 59.

The report of the Head of Scrutiny and Member Development presented the draft report of the Joint Health and Overview Scrutiny Committee (Yorkshire and the Humber) (JHOSC) to support its referral of the Joint Committee of Primary Care Trusts’ (JCPCT) decision around the reconfiguration of Children’s Congenital Cardiac Surgical Centres across England.

It was reported that the JHOSC had recently met and had prepared a report for referral to the Secretary of State. Further issues discussed included the following:

·  Difficulties and delays encountered requesting information from the JCPCT.  Freedom of Information requests had been made and local MPs had also asked parliamentary questions.

·  An Independent Reconfiguration Panel (IRP) had been commissioned to review the decision by the Secretary of State.

·  The Children’s Heart Surgery Fund had requested a delay to the Judicial Review of the decision of the JCPCT following the commissioning of the IRP.  This had been opposed by the Safe and Sustainable Review team.

It was reported that the Board would be kept updated.

RESOLVED – That the report and discussion be noted and the Board’s appreciation for the work of the Chair in this regard be registered.

The report of the Head of Scrutiny and Member Development outlined the Board’s work schedule for the forthcoming municipal year.  Recent Executive Board minutes were appended to the report.

The following matters were raised and briefly discussed:

• The availability and use of forthcoming guidance for local authorities from NICE (National Institute for Clinical Excellence);
• The recent/ ongoing consultation around Adult Social Care charging and the ‘care-ring’ service;
• The forthcoming ‘Time to Change’ members seminar – focusing on mental health.

RESOLVED – That the report presented and discussion points raised be noted and incorporated into the work programme as appropriate.

Wednesday, 19 December at 10.00 a.m.(Pre-meeting for all Board Members at 9.30 a.m.)