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.)

There were no formal late items of business to consider, however the Scrutiny Board agreed to accept the following information for consideration during the meeting:

-  Item 6 – draft minutes of the meeting held on 10 June 2013 (minute 11 refers)

-  Item 11 – Schedule of potential work areas (minute 15 and 16 refers)

The documents were not available at the time of the agenda despatch, but would be made available to the public on the Council’s website.  Copies of the papers were also made available at the meeting.

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.

There were no disclosable pecuniary interests declared to the meeting, however during the meeting, Cllr Illingworth brought members’ attention to a personal interest in his role as company secretary for a charitable company working to raise access to trail bike ride for children. (minute 15 refers). 

To receive any apologies for absence and notification of substitutes.

Apologies for absence were received on behalf of Councillors M Robinson and C Towler.

Notification had been received that Councillor N Buckley was attending as a substitute for Councillor M Robinson and Cllr B Urry was attending as a substitute for Councillor C Towler.

To confirm as a correct record, the minutes of the meeting held on 10^th June 2013.

(Copy to follow)

While there were no issues associated with the accuracy of the minutes, members observed the apparent low priority/ weighting of health implications associated within the overall consideration/ impact of planning proposals and applications.

RESOLVED – That the minutes of the meeting held on 10 June 2013 be approved as a correct record.

To receive a report from the Head of Scrutiny and Member Development summarising recent amendments made to the Council’s Constitution which directly impacts on the terms of reference for the Health and Wellbeing and Adult Social Care Scrutiny Board.

The Head of Scrutiny and Member Development submitted a report setting out the terms of reference for the Scrutiny Board (Health and Wellbeing and Adult Social Care) for the 2013/14 municipal year. 

RESOLVED –That the terms of reference for the Scrutiny Board (Health and Wellbeing and Adult Social Care) for the 2013/14 municipal year be noted.

To receive and consider a report from the Head of Scrutiny and Member Development on the appointments of co-opted Members to Scrutiny Boards.

The Head of Scrutiny and Member Development submitted a report setting out the following options available to the Scrutiny Board (Health and Wellbeing and Adult Social Care) regarding the appointment of non-voting co-opted members to the Scrutiny Board for the 2013/14 municipal year:

-  Up to five non-voting co-opted members for a term of office that does not go beyond the next Annual Meeting of Council; and/or,

-  Up to two non-voting co-opted members for a term of office that relates to the duration of a particular and specific scrutiny inquiry.

The report highlighted that co-option would normally only be appropriate where the co-opted member has some specialist skill or knowledge, which would be of assistance to the Scrutiny Board – although this should not be seen as a replacement to professional advice from officers.

The report also set out the arrangements adopted by the previous Scrutiny Board for the 2012/13 municipal year and highlighted specific issues around the implications of the Health and Social Care Act 2012, pertinent to considering the appointment of non-voting co-opted members.

During discussion, it was highlighted that in relation to considering specific issues around equalities, appropriate Council officers could be called upon to give specific advice where necessary.

RESOLVED –

(a)  That the Scrutiny Board (Health and Wellbeing and Adult Social Care) would not appoint any standing non-voting co-opted members to its membership for the 2013/14 municipal year.

(b)  That the Scrutiny Board (Health and Wellbeing and Adult Social Care) would seek to continue to develop a close working relationship with HealthWatch Leeds, particularly in terms of gathering patient/ public views regarding specific work areas/ topics throughout the 2013/14 municipal year.

(c)  That, as and when appropriate, the Scrutiny Board (Health and Wellbeing and Adult Social Care) would review the appointment of non-voting co-opted members in relation to any particular and specific scrutiny inquiry during the 2013/14 municipal year.

To receive and consider a report from the Deputy Chief Executive summarising the quarter 4 performance data relevant to the Scrutiny Board.

The Deputy Chief Executive submitted a report introducing a summary of performance against the strategic priorities relevant to the Scrutiny Board (Health and Wellbeing and Adult Social Care) for the period January – March 2013.

The following representatives were in attendance to help the Scrutiny Board consider the matters before it:

-  Councillor  Adam Ogilvie (Executive Board Member for Adult Social Services)

-  Steve Hume (Chief Officer Resources and Strategy, Adult Social Services)

-  Richard Graham (Senior Quality Assurance Officer, Adult Social Services)

-  Councillor Lisa Mulherin (Executive Board Member for Health and Wellbeing)

The Scrutiny Board considered the details presented and discussed a number of issues, including:

·  Measuring public health outcomes and the potential incremental changes in short-term performance;

·  Smoking cessation and levels of smoking across the City;

·  Delayed hospital discharges;

·  The integration of health and social care services and the ‘pioneer bid’ being submitted to government;

·  Data sharing agreements and the sharing of relevant data across health and social care;

·  Schools built under Private Finance Initiative (PFI) schemes and the impact on schools being a ‘wider community resource’;

·  Personal (social care) budgets.

RESOLVED – That the 2012/13 Quarter 4 performance report and information discussed at the meeting be noted.

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

The Head of Scrutiny and Member Development submitted a report that presented a range of information and guidance on potential sources of work and priority areas within the terms of reference for the Scrutiny Board (Health and Wellbeing and Adult Social Care). 

Details in the report included:

-  The Executive Board report (19 June 2013) around the Best Council Plan 2013-17 – which included specific matters around the delivery of the Better Lives programme and integration of health and social care;

-  Public health guidance published by the National Institute for Health and Care Excellence (NICE);

-  Details of the 2011 Census – comparing results across Leeds;

-  Terms of Reference for the Health and Wellbeing Board; and,

-  Draft minutes from the first formal meeting of Leeds’ Health and Wellbeing Board, held on 22 May 2013.

Members of the Scrutiny Board were also presented with a schedule of potential work areas/ work programme topics that included a number of potential areas for review, identified via a number of different sources.

The following representatives were in attendance to help the Scrutiny Board consider the matters before it:

-  Councillor Adam Ogilvie (Executive Board Member for Adult Social Services)

-  Sandie Keene (Director of Adult Social Services)

-  Steve Hume (Chief Officer Resources and Strategy, Adult Social Services)

-  Steven Courtney (Principal Scrutiny Adviser)

The Scrutiny Board considered the details presented and discussed a number of issues, including:

·  Adult Safeguarding;

·  Delayed hospital discharges and the impact of South Leeds Independence Centre - an intermediate care facility to help older people bridge the gap between leaving hospital and living independently in their own homes again;

·  Reablement services;

·  Learning disabilities;

·  Health and Social Care Integration – implications of Foundation Trusts;

·  The role of Social Enterprise in Social Care;

·  Constraints on voluntary organisations involved in promoting ‘overall wellbeing’ in communities;

·  Narrowing the health gap across the City;

·  Urgent care across the City, including:

-  Accident and Emergency and the Out of Hours provision (NHS 111);

-  Current national engagement around urgent care.

·  Quality of Care, including:

-  Home care provision;

-  Residential care homes;

-  Adult Social Services 5yr Quality Framework;

-  Local implications/ responses to the Francis inquiry / report;

-  How quality is monitored and improved across the City.

-  Current engagement work being undertaken by the Care Quality Commission around service quality.

·  Review of the Targeted Mental Health in Schools (TaMHS) Service, following 18 months of operation;

To help summarise the discussion, the Chair suggested a number of potential themes to help form the broad direction of the work schedule, including:

·  Narrowing the Gap;

·  Service quality;

·  Urgent/ emergency care;

·  Progress / implications associated with achieving NHS Foundation Trust status;

·  Information flows/ data sharing

RESOLVED –That those matters presented and discussed at the meeting be noted and used to formulate the Scrutiny Board’s draft work schedule for 2013/14.

To consider the Board’s work schedule for the forthcoming municipal year.

(Copy to follow)

The Head of Scrutiny and Member Development submitted a report that asked members of the Scrutiny Board (Health and Wellbeing and Adult Social Care) to translate earlier discussions into a work schedule for the 2013/14 municipal year. 

Under the previous agenda item (minute 15 refers) Members of the Scrutiny Board had been presented with a schedule of potential work areas/ work programme topics.  This had included many of areas highlighted and discussed at the meeting.  In line with the discussion under the previous item, the Chair proposed that he and the Principal Scrutiny Adviser work to prepare a draft a work schedule for 2013/14 for circulation to other members of the Scrutiny Board and formal presentation to the Scrutiny Board’s next meeting (i.e. 31 July 2013). 

RESOLVED – That in consultation with the Chair, the Principal Scrutiny Adviser draft a work schedule for 2013/14 for consideration at the Scrutiny Board’s next meeting (i.e. 31 July 2013).

Wednesday, 31^st July 2013 at 10.00am (Pre-meeting for Board Members at 9.30am)

Details of the next meeting scheduled for Wednesday, 31 July 2013 at 10.00am (with a pre-meeting for members of the Scrutiny Board from 9:30am) be noted.

(The meeting concluded at 11:30am.)