Agenda and minutes

Venue: Civic Hall, Leeds, LS1 1UR. View directions

Contact: Steven Courtney (0113) 24 74707  Email: steven.courtney@leeds.gov.uk

Items
No. Item

45.

Chair's Opening Remarks

Minutes:

The Chair welcomed everyone to the December meeting of the Scrutiny Board (Health and Well-Being and Adult Social Care), the last meeting of the calendar year. 

 

The Chair reminded all those in attendance of the Council’s Third Party Recording code of practice, copies of which were available at the meeting. 

 

46.

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:

The following items were submitted and accepted as late items to the meeting:

 

·  Letter from Yorkshire Ambulance Service NHS Trust, dated 10 December 2014 (minute 50 refers)

·  Yorkshire Ambulance Service NHS Trust – Frequently asked questions: UNITE the Union (minute 50 refers)

·  Copy of response to freedom of information request received by the Council on 11 August 2014 (minute 50 refers)

·  Supplementary Request for Scrutiny – Better Lives Strategy in Leeds (minute 50 refers)

·  CAMHS additional information pack (minute 52 refers)

 

47.

Declaration of Disclosable Pecuniary Interests

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.

Minutes:

There were no disclosable pecuniary interests declared to the meeting.  However, Dr Beal drew the Board’s attention to the fact that a close family member currently worked in the Child and Adolescent Mental Health Service (CAMHS) in Leeds.  As this was not a pecuniary interest, Dr Beal remained in the meeting for that part of the discussion (minute 52 refers). 

 

48.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

Apologies for absence were received as follows:

 

·  Councillor J Ahktar

·  Councillor S Lay

 

No substitute members were in attendance. 

 

49.

Minutes - 25 November 2014 pdf icon PDF 76 KB

To confirm as a correct record, the minutes of the meeting held on 25 November 2014.

Minutes:

RESOLVED – The draft minutes from the meeting held on 25 November 2014 were agreed as a correct record.  There were no matters arising. 

 

50.

Request for Scrutiny pdf icon PDF 96 KB

To receive a report from the Head of Scrutiny and Member Development introducing two Requests for Scrutiny.

Additional documents:

Minutes:

The Principal Scrutiny Adviser introduced the item and outlined that requests for scrutiny had been received in relation to the following areas:

 

·  Use of Council’ resources in the delivery of a range of Adult Social Care services.

·  The potential risk to patients being created by the Board of the Yorkshire Ambulance Service NHS Trust.

·  The proposed next steps for delivering the Better Lives Strategy in Leeds, agreed at the Executive Board meeting on 19 November 2014. (minute 46 refers)

 

Use of Council’ resources in the delivery of a range of Adult Social Care services

 

Mr A Atkins was in attendance and addressed to Scrutiny Board to outline the request for scrutiny in more detail.  Mr Atkins referred to the supplementary information presented in the Council response to the freedom of information request received by the Council on 11 August 2014 (minute 46 refers) – specifically referring to the number of hours spent by Adult Social Services staff shadowing or working in alternative work areas, and the potential financial implications associated with such practice.

 

The Scrutiny Board discussed the information presented at the meeting and agreed to the Chair’s proposal to refer the matter to the Adult Social Care Working Group for more detailed consideration.  Mr Atkins was also invited to attend that working group when further consideration was given to the matters raised.

 

The proposed next steps for delivering the Better Lives Strategy in Leeds

 

The Chair outlined the request for scrutiny received by the Executive Member for Adult Social Services: that being to consider the next steps agreed by the Executive Board in November 2014.

 

While the precise timing for the proposed scrutiny activity was still to be determined, the Chair suggested that the Scrutiny Board agree to the request for scrutiny in principle and that further discussion takes place with Adult Social Services regarding the timing of the activity.  The Scrutiny Board agreed the Chair’s proposal.

 

The potential risk to patients being created by the Board of the Yorkshire Ambulance Service NHS Trust

 

The Principal Scrutiny Adviser outlined the details presented to the meeting, referred to the Scrutiny Board for consideration by the Executive Member for Health and Wellbeing.

 

Members of the Scrutiny Board discussed the available information and were reminded that any scrutiny activity should be focused around the performance of the service provider and the impact on patients/ services users in terms of service quality and/or matters of patient safety.

 

The Scrutiny Board agreed to the proposal to convene and additional, dedicated meeting to consider the concerns raised by Unite, seeking additional information to support/ substantiate the identified concerns, alongside responses from the service provider and NHS commissioners.  Consideration would also be given to involving other interested parties in this aspect of the Board’s work.

 

The Principal Scrutiny Adviser reminded members of the Scrutiny Board of the timing of the planned Care Quality Commission (CQC) inspection of Yorkshire Ambulance Service NHS Trust.  It was agreed that the CQC should be contacted and made aware of  ...  view the full minutes text for item 50.

51.

Chair's Update pdf icon PDF 102 KB

To receive a report from the Head of Scrutiny and Member Development providing an update on some areas of work and activity of the Chair of the Scrutiny Board since the Scrutiny Board meeting in November 2014.

 

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report that provided an outline of the Chair’s activity since the Board’s meeting in November 2014. 

 

The Chair provided a verbal report at the meeting, drawing particular attention to the discussions / activity around the following matters:

 

·  Choice based lettings and work with Leeds Local Medical Committee (LMC).

·  The timely release of deceased relatives.

·  Work of the Joint Health Overview and Scrutiny Committee (JHOSC) for Yorkshire and the Humber and its response to the recent consultation to the new Congenital Heart Disease (CHD) review.

 

Members discussed and commented on the information and update provided. 

 

RESOLVED –

 

(a)  To note the report and update provided at the meeting.

(b)  To maintain an overview of the issues highlighted in the report and discussed at the meeting.

 

52.

Scrutiny Inquiry: Leeds' Child and Adolescent Mental Health Services and Targeted Mental Health in Schools pdf icon PDF 103 KB

To receive a report from the Head of Scrutiny and Member Development introducing some additional information as part of the Board’s inquiry into Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TaMHS).

Additional documents:

Minutes:

The Head of Scrutiny and Member Development submitted a report introducing additional information in relation to the Scrutiny Board’s inquiry into Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TaMHS).

 

The following representatives were in attendance:

 

·  Matt Ward (Chief Operating Officer) – NHS Leeds South & East CCG

 

Councillor Judith Chapman, Chair of the Scrutiny Board (Children’s Services) was also in attendance for the discussion. 

 

An additional information pack was also submitted to the meeting (minute 46 refers) and included the following details:

 

·  Reports to the Integrated Commissioning Executive – 2 December 2014 and 2 September 2014

·  Terms of Reference for Joint Commissioning Steering Group for Children and Young People’s Emotional and Mental Health Services in Leeds.

·  Children and Young People’s Mental Health and wellbeing Taskforce: Newsletter 1.

·  CAMHS waiting lists information (as at 21/10/2014)

 

The Chief Operating Officer gave an overview of the information provided and advised the review being undertaken in Leeds was focused on Tier 2 and 3 services – with Tier 4 services being specialised CAMHS services, commissioned by NHS England.

 

The waiting times data demonstrated the significant pressure within the local system.  It was reported that the waiting times in Leeds were reflective of the overall position nationally.

 

It was also reported the TaMHS service had received positive evaluations, as demonstrated in the reports presented. 

 

Members of the Scrutiny Board discussed the information presented and raised a number of points, including:

 

·  How Equality and Diversity issues were being considered as part of the review being undertaken, including the use of prevalence data where available.

·  The unacceptable waiting times across a range of different types of services and variations across Clinical Commissioning Group (CCG) areas.

·  The relationships between GPs and School Clusters.

·  The relationships between CAMHS and TaMHS and also the relationships between the different tiers of service.

·  Referral patterns/ pathways and the development of a single point of access.

·  Mechanisms for creating both additional capacity and capability with the local arrangement, including workforce planning.

·  Transitional issues between services for children and adults.

 

At the conclusion of the discussion, the Chair summarised some of the next steps for the inquiry, including:

 

·  Discussions with Clusters on current arrangements.

·  Service user involvement (involvement of HealthWatch)

·  Considering any impact assessment work

 

RESOLVED –

 

(a)  To note the report and the information presented and discussed at the meeting.

(b)  To use the information presented and discussed to inform the Board’s final inquiry report 

 

On conclusion of the discussion, the Chair thanked those in attendance for their contribution. 

 

53.

Work Schedule pdf icon PDF 105 KB

To consider the Scrutiny Board’s work schedule for the 2014/15 municipal year.

Minutes:

The Head of Scrutiny and Member Development submitted a report setting out the progress and ongoing development of the Scrutiny Board’s work schedule for the current municipal year.

 

Members discussed the issues presented in the report and the additional areas of work (i.e. requests for scrutiny) agreed earlier at the meeting.  Members also discussed the following additional work areas:

 

·  Assessment of the work of the Health Protection Board

·  Consideration of the initial budget proposals

 

RESOLVED –

 

(a)  To note the content of the report and its appendices.

(b)  To amend the work schedule to reflect the issues raised and discussion at the meeting.

 

54.

Date and Time of the Next Meeting

Tuesday, 20 January 2014 at 10.00am in the Civic Hall, Leeds (Pre-meeting for all Board Members at 9.30am)

Minutes:

Tuesday, 20 January 2015 at 10.00am (with a pre-meeting for members of the Scrutiny Board from 9.30am).

 

At the conclusion of the meeting, the Chair thanked all Board members for their contributions during the year and offered her best wishes for the festivities over the Christmas and New Year period.

 

 

(The meeting concluded at 11.50am)