Agenda and minutes

The Chair welcomed everyone to the April 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.)

There were no formal late items of business to consider, however the Chair agreed to accept the following as supplementary information:-

·  Scrutiny Board (Health and Wellbeing and Adult Social Care) – Minutes of Meetings held on 20^th February 2013 and 27^th March 2013 (Agenda Item 6) (Minute 107 refers)

·  Leeds Dementia Action Plan 2012-13 (Agenda Item 8)(Minute 110  refers)

·  Review of Adult Congenital Heart Disease (ACHD) Services – Notes of a meeting between the Chair and the Consultant in Adult Congenital Heart Disease (Leeds Teaching Hospitals NHS Trust (LTHT) held on 22 April 2013 (Agenda Item 9)(Minute 111 refers)

The documents were not available at the time of the agenda despatch, but made available to the public on the Council’s website.

To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-16 of the Members’ Code of Conduct.

·  Councillor P Truswell, Joy Fisher, Emma Stewart, Sally Morgan and Betty Smithson declared a non-pecuniary interest in Agenda Item 7 ‘Healthwatch Leeds – Progress Update’ as Members of LINk (Minute  109 refers)

·  Councillor S Varley declared a non-pecuniary interest in Agenda Item 10 ‘Work Schedule’ due to the fact that she was a Member of the Cross Party Board for the Charging Review (Minute 112 refers)

To receive any apologies for absence and notification of substitutes.

Apologies for absence were received on behalf of Councillors G Hussain,

K Bruce and M Robinson.

Notification had been received for Councillor M Harland to substitute for Councillor G Hussain.

To confirm as a correct record, the minutes of the meetings held on 20^th February 2013 and 27^th March 2013.

(Copies to follow)

RESOLVED –

a)  That, subject to the inclusion of the Co-opted Members i.e. Joy Fisher, Sally Morgan, Betty Smithson and Emma Stewart within the attendance list, the minutes of the meeting held on 20^th February 2013 be approved as a correct record.

b)  That the minutes of the meeting held on 27th March 2013 be approved as a correct record.

a)  Leeds HealthWatch – HealthWatch Leeds (Minute 89 refers)

The Chair informed the meeting that, on behalf of the Board, he would write to the Chief Executive, Leeds City Council, regarding some personnel matters that had been drawn to members’ attention.

b)  Charges for Non-Residential Adult Social Care Services (Minute 98 refers)

The Principal Scrutiny Adviser informed the meeting that the minutes of the Scrutiny Board Working Group held on 12^th April 2013 were included within the Executive Board report, scheduled for consideration at the Executive Board meeting later that day (i.e. 24 April 2013). 

To receive and consider a report from the Head of Scrutiny and Member Development providing an update on the arrangements for establishing and developing HealthWatch Leeds as the new local consumer champion for both health and social care.

Referring to Minute 84 of the meeting held on 20^th February 2013, the Head of Scrutiny and Member Development submitted a report providing an update on the arrangements for establishing and developing HealthWatch Leeds as the new local consumer champion for both health and social care.

Appended to the report was a copy of a document entitled ‘10 questions to ask if you’re scrutinising arrangements for effective local Healthwatch’ produced by the Centre for Public Scrutiny for the information/comment of the meeting.

The following representatives were in attendance and responded to Members’ queries and comments:-

-   Linda Phipps, Chair, HeathWatch Leeds

-  John Beech, Mobilisation ManagerHealthWatch Leeds

At the request of the Chair of the Scrutiny Board, the HealthWatch Leeds representatives briefly outlined their vision for HealthWatch Leeds and commented on the work to be undertaken over the coming months ahead.

The Chair of HealthWatch Leeds:

·  acknowledged the previous work undertaken with the Scrutiny Board,  in her role as an expert advisor representing the Centre for Public Scrutiny (CfPS); and,

·  thanked the Scrutiny Board for the opportunity to attend the meeting and discuss the developing role of HealthWatch Leeds. 

It was outlined that an essential role for HealthWatch Leeds would be to:

·  Listen effectively and gather the views service users; and

·  Use those views to influence service commissioners and service providers.

The development of the HealthWatch Leeds Board and the development of volunteers were highlighted as two important strands of activity over the next 3 months or so (100 days).

It was also highlighted that following the recent publication of the Fancis Inquiry report (related to the events at Mid Staffordshire NHS Foundation Trust), there was general sense of intent across the NHS, to actively listen to the service user voice.  However, it was noted that it was far too early to assess such intent by way of clear and demonstrative actions.

A discussion took place, covering a range of topic areas and questions/ comments made by members of the Scrutiny Board, including:

·  The development of volunteers and providing clarity around HealthWatch Leeds’ ‘volunteer offer’;

·  The impact of the patient champion role and the current national debate about the appropriateness/ legality of HealthWatch organisations reflecting the views of service users and ‘publically opposing’ proposals put forward for service changes / developments;

·  The re-engagement of former Local Involvement Network (LINk) members

·  The staffing structure of HealthWatch Leeds and proposed recruitment processes;

·  Taking forward learning points from the former Local Involvement Network (LINk) organisation;

·  Identifying priorities and the development of ‘prioritisation criteria’ to help shape the future work programme for HealthWatch Leeds;

·  The need, and desire, for the Scrutiny Board and Healthwatch Leeds to adopt a collaborative/ complementary working style;

Members of the Scrutiny Board also provided some specific feedback/ learning points following a recent event hosted by HealthWatch Leeds.  The points were noted by the HealthWatch Leeds representatives attending the meeting.

The Chair of Leeds HealthWatch thanked the Scrutiny Board Members for its  ...  view the full minutes text for item 109.

To receive and consider a report from the Head of Scrutiny and Member Development providing an update on the progress of the Leeds’ draft Dementia Strategy – Living Well with Dementia in Leeds (2012-2015) and development of the associated action plan.

Referring to Minute 80 of the meeting held on 23^rd January 2013, the Head of Scrutiny and Member Development submitted a report providing an update on the progress of the Leeds’ draft Dementia Strategy – Living Well with Dementia in Leeds (2012-2015) and development of the associated action plan.

In addition to the above report, Board Members received a copy of the Leeds Dementia Action Plan 2012-13 as supplementary information.

The following representatives were in attendance and responded to Members’ questions and comments:-

-  Mick Ward (Head of Commissioning) – Leeds City Council, Adult Social Services

-  Tim Sanders (Integrated Commissioning and Transformation Manager, Dementia) – Leeds City Council, Adult Social Care

At the request of the Chair, the Integrated Commissioning Officer gave a brief PowerPoint presentation on the priority areas covered within the Leeds Dementia Action Plan 2012-13.

Following the presentation, members of the Scrutiny Board raised and discussed a number of issues in relation to dementia suffers and their carers, including:

·  Protecting vulnerable adults and safeguarding considerations;

·  Potential impact of ‘cold-calling’and door-step selling;

·  The 3-year and 1-year timeframes for the Strategy and Action Plan documents, respectively;

·  How the needs of carers, and associated funding, were identified and prioritised; 

·  Seeking best value from service providers; The changing ‘funding landscape’ and comparisons with other cities;

·  The role of other agencies (for example the Police Service, the Fire and Rescue Service and Trading Standards) in supporting early interventions;

·  Sustainability of identified actions and available resources

The Chair of the Scrutiny Board thanked the Head of Commissioning and the Integrated Commissioning and Transformation Manager for their attendance and contribution to the discussion.

RESOLVED-

a)  That the contents of the report and supplementary information be noted.

b)  That the Leeds Dementia Strategy be revisited by the Scrutiny Board in the new municipal year (2013/14).

To receive and consider a report from the Head of Scrutiny and Member Development seeking the views of the Scrutiny Board in relation to revised proposals, in terms of the proposed model of care and draft designation standards, associated with the national review of services for Adults with Congenital Heart Disease (ACHD). 

The Head of Scrutiny and Member Development submitted a report seeking the views of the Scrutiny Board in relation to revised proposals, in terms of the proposed model of care and draft designation standards, associated with the national review of services for Adults with Congenital Heart Disease (ACHD). 

Appended to the report was a copy of a document entitled ‘Review of Adult Congenital Heart Disease Services – Engagement on Proposed Model of Care and Draft Designation Standards – 11 April-10 May 2013 –NHS England – April 2013’ for the information/comment of the meeting.

In addition, notes of a meeting between the Chair and a Consultant in Adult Congenital Heart Disease (Leeds Teaching Hospitals NHS Trust (LTHT)) held on 22 April 2013 were circulated as supplementary information.

The following issues were raised and discussed:-

·  Support from NHS England to help stakeholders consider the revised proposals in order to provide informed responses;

·  The previous findings and recommendation of the Joint Health Overview and Scrutiny Committee (JHOSC) for Yorkshire and the Humber;

·  The proposed standard regarding co-location of cardiac surgery services for adult and children, and the associated implications;

·  The proposed standard regarding co-location of other services, and the associated implications;

·  Clarification regarding the term/ definition of ‘co-located services’;

·  The assessment of the proposed standards in terms of the impact on current services/ providers and the practicalities associated with implementation;

·  Impact of the delay of the Review of Children’s Congenital Cardiac Services in England and the potential for combining the reviews of services for adults and children (as part of this discussion it was noted that NHS England was now the responsible body for both reviews);

·  Concerns over an apparent ‘blindness’ of each review regarding affordability for patients;

·  The potential ‘domino effect’ of losing specialist services and the potential implications for patients, the Trust and the local health economy.

In concluding discussions, the Chair informed the meeting that interested parties were invited to provide comments on the revised model of care and draft designation standards no later than 10^th May 2013.

RESOLVED –

a)  That the contents of the report, appendices and supplementary information be noted.

b)  That, reflecting the comments made at the meeting, the Principal Scrutiny Adviser be requested to prepare a response on the revised model of care and draft designation standards by the 10^th May 2013 deadline.

(Councillor J Walker left the meeting at 12 noon during discussions of the above item)

To receive and consider a report from the Head of Scrutiny and Member Development outlining the Scrutiny Board’s work schedule for the 2012/13 municipal year.

(Copy to follow)

The Head of Scrutiny and Member Development invited the Board to make comments on the work schedule for the current/new municipal year.

The following areas were highlighted as potential future items:-

·  Narrowing the Gap in Leeds

·  Welfare reforms and the impact on health

·  Emergency Care and A&E services

·  Obesity in young people

·  Developing the ‘111’ service locally

·  End of life care and bereavement care

The Principal Scrutiny Adviser responded and confirmed the need for the Board to prioritise its work schedule in view of the potential scope of the remit for the Scrutiny Board. 

In addition to the above items, the Principal Scrutiny Adviser outlined the following items which were requiring inclusion within the work schedule:-

o  Children’s and Adult Cardiac Services;

o  Services for the Blind – follow-up from the working group meeting held on 21 March 2013;

o  Charging for non-residential services – it was reported that the Scrutiny Board’s feedback was due to be considered by the Executive Board at its meeting later that day (i.e. 24 April 2013);

o  Proposals for Unplanned dental services across West Yorkshire;

o  Quality Accounts;

o  Commissioning plans.

The Principal Scrutiny Adviser informed the Board that the correspondence relating to the Quality Accounts was very detailed and, in some cases, required quick response by the Board during May 2013.  Members discussed the potential options for considering the draft quality accounts from the main healthcare providers in Leeds.  It was agreed that hard copies of the documentation would be distributed amongst the Board in order to make best use of the Board’s available resources (i.e. the draft quality account of one provider to be shared randomly with (at least) two Board Members).

RESOLVED –

a)  That the current position of the work schedule be noted.

b)  That further discussions be undertaken between the Chair and the Principal Scrutiny Adviser with regards to prioritising the work schedule for further consideration at the next meeting. 

c)  That in relation to the Quality Accounts, the Principal Scrutiny Adviser be requested to distribute the documentation as agreed at the meeting.

(Councillor P Truswell left the meeting at 12.10pm during discussions of the above item)

(Councillor M Harland left the meeting at 12.15pm during discussions of the above item)

Date of additional May Scrutiny Board meeting to be confirmed.

Date of additional May Scrutiny Board meeting to be confirmed.

(The meeting concluded at 12.30pm)