Agenda and minutes

The Chair opened the meeting and welcomed those in attendance. 

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.

To identify items which have been admitted to the agenda by the Chair for consideration.

(The special circumstances shall be specified in the minutes.)

In accordance with powers under Section 100B(4)(b) of the Local

Government Act 1972, the Chair agreed to accept the following late information:

Scrutiny Inquiry: Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TAMHS) (Minute 81 refers)

·  Commissioners update report – Funding Picture

·   Children and Young People’s mental health services – survey and engagement report (2nd draft)

·  Improving Young People’s Health and Wellbeing – a framework for public health

Work Schedule (Minute 80 refers)

·  Minutes from the Health and Wellbeing Board meeting – 4 February 2015

The above information was not available at the time of agenda despatch and was subsequently made available 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.

There were no disclosable pecuniary interests declared to the meeting. 

However, in relation to the item on Leeds’ Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health in Schools (TAMHS),  Dr Beal drew members’ attention to the fact that his daughter was currently employed in the delivery of Leeds CAMHS services (minute 81 refers).

To receive any apologies for absence and notification of substitutes.

Apologies for absence were received and recorded on behalf of Councillor G Latty.  No substitute members were in attendance at the meeting. 

To confirm as a correct record, the minutes of the meetings held on 20 and 28 January 2015.

RESOLVED – The minutes from the meetings held on 20 January 2015 and 28 January 2015, respectively, were agreed as correct records of the meetings. 

There were no matters arising, however in respect of the meeting held on 28 January 2015, it was noted that Yorkshire Ambulance Service NHS Trust and Unite the Union were once again in discussion, with Unite having been re-recognised as a legitimate trade union organisation by Yorkshire Ambulance Service NHS Trust. 

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 meetings in January 2015.

The Head of Scrutiny and Member Development submitted a report that provided an outline of the Chair’s activity since the Board’s meetings in January 2015. 

The Chair provided a verbal update at the meeting and invited members of the Scrutiny Board to raise any specific matters for further discussion. 

No specific matters were discussed, however Members thanked the Chair for the update and agreed to maintain a continued overview of the issues dealt with outside the formal Board meetings.

RESOLVED –

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

(b)  To maintain a continued overview of the issues dealt with outside the formal Board meetings.

To receive a report from the Head of Scrutiny and Member Development introducing further information in relation to the development of Leeds’ Mental Health Strategy. 

The Head of Scrutiny and Member Development submitted a report introducing further information in relation to the development of Leeds’ Mental Health Strategy.  The further information presented included:

·  Associated action plans to support the delivery of the Leeds Mental Health Framework and specifically reflecting the requirements of the ‘Closing the Gap’ report (published in January 2014).

·  Details of the Mental Health Partnership Board and its associated governance arrangements.

·   A copy of the ‘Whole Life Course’ (covering children and adults), presented to the Health and Wellbeing Board.

The following representatives were in attendance:

·  Liane Langdon (Director of Commissioning and Strategy) – NHS Leeds North CCG

·  Jane Williams (Strategic Commissioning Lead – Mental Health) – NHS Leeds North CCG

·  Victoria Eaton (Consultant in Public Health) – Leeds City Council

The Director of Commissioning and Strategy and the Consultant in Public health introduced the item and outlined the additional details presented to the Scrutiny Board.  A brief summary of a recent workshop – focusing on delivery of services – was provided.

The Scrutiny Board considered the information provided and discussed a number of issues raised at the meeting, including:

·  Achievements to date in addressing the requirements of the ‘Closing the Gap’ report (published in January 2014).

·  Whether Leeds’ Health and Social Care system was ‘on track’ in meeting the requirements of the ‘Closing the Gap’ report.

·  How Leeds’ Mental Health Framework would benefit local people and families.

·  Work around ‘prevention’ and ‘social prescribing’ in seeking to address people’s mental health needs.

·  The relationship between the Mental Health Framework and dementia.

·  Timescales associated with agreeing and then delivering Leeds’ Mental Health Framework, with particular reference to primary care and community services.

On conclusion of the item, the Chair thanked those present for their attendance and contribution to the discussion. 

RESOLVED –

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

(b)  To consider further updates on the development and implementation of Leeds’ Mental Health Framework at a future meeting.

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

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.

The Principal Scrutiny Adviser gave a brief introduction to the report and set out the proposed areas of discussion at the remaining meetings of the current municipal year.

Councillor Lisa Mulherin (Executive Board Member for Health and Wellbeing – Leeds City Council) was in attendance to address the Scrutiny Board following the outcome of the Executive Board meeting on 11 February 2015 and specifically outlined the following areas:

·  Leeds’ Best Start Programme

·  Leeds’ Drugs and Alcohol Treatment and Recovery services

·  Leeds’ Integrated Sexual Health services.

Specific reference was made to the improved service specification in relation to Drugs and Alcohol Treatment and Recovery services and the integrated Sexual Health services.

The Scrutiny Board considered the information provided and discussed a number of issues raised at the meeting, including:

·  Future commissioning responsibilities for children aged 2-5 years.

·  Whether the improvements in the infant mortality rate would be sustainable in the longer term.

·  Referral from the Executive Board of the ‘Local Account of Leeds’ Adult Social Services’ for consideration by the Scrutiny Board.

On conclusion of the item, the Chair thanked the Executive Board Member for her attendance and contribution to the discussion. 

RESOLVED –

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

(b)  The Principal Scrutiny Adviser, in consultation with the Chair, amend the work schedule as necessary and to reflect the discussion at the meeting. 

(The Chair adjourned the meeting at 11:00am for a short break.  The Chair recommenced the meeting at 11:10am.)

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

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

·  A further update from commissioners, including next steps

·   Details from service providers, including issues relating to transition from CAMHS to Adult Mental Health Services

·   Submissions provided by Leeds Local Medical Committee (LMC)

·  Commissioners update report – Funding Picture (minute 74 refers)

·  Children & Young People’s mental health services – survey and engagement report (2nd draft) (minute 74 refers)

·  Improving Young People’s Health and Wellbeing – a framework for public health  (minute 74 refers)

The Chair outlined the format for the discussion – commencing with service user representatives, then service providers and finally service commissioners.

Service user representatives

The following representatives were in attendance:

·  Liz Neill (Youth Engagement/ Training Coordinator) – YoungMinds (Leeds and Yorkshire)

·  Caroline Holroyd

·  Corey Smith

Service Provider representatives

The following representatives were in attendance:

·  Sam Prince (Executive Director of Operations) – Leeds Community Healthcare NHS Trust

·  Nick Wood – General Manager (Children’s Services) – Leeds Community Healthcare NHS Trust

·  Jill Copeland (Chief Operating Officer and Deputy Chief Executive) – Leeds and York Partnership NHS Foundation Trust

Commissioner representatives

The following representatives were in attendance:

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

·  Jane Mischenko (Commissioning Lead – Children and Maternity Services) – NHS Leeds CCGs

·  Paul Bollom (Head of Commissioning and Market Management) – Children's Services, Leeds City Council

·  Joe Krasinski (Lead Emotional Wellbeing and Mental Health Consultant & TaMHS Project Manager – Leeds City Council)

·  The challenging budget pressures, with 5% budget savings target per year.

·  The potential impacts of pressures in other parts of the NHS – such as, the Out of Hours service, pressures on A&E (specifically any back-ups caused) and the 111 service.

·  The development of a performance improvement plan – in the context of providing a regional service but specifically focused on West Yorkshire. 

The service users and representative from YoungMinds addressed the Scrutiny Board and outlined some of the key findings of the engagement work with service users, parents and professionals in relation to young people’s mental health services in Leeds.

The Scrutiny Board considered the information highlighted and discussed a number of issues raised at the meeting, including:

·  Focus on early intervention and support available in schools.

·  Overall waiting times and support while ‘waiting for services’.

·  Engagement of service users and their involvement in redesigning services.

The service providers addressed the Scrutiny Board and gave a broad outline of the specialist Children and Adolescent Mental Health Services provided.  An outline of transitional arrangements (between services for children and services for adults) was also provided. 

The Scrutiny Board considered the information highlighted and discussed a number of issues raised at the meeting, including:

·  The recruitment and retention of specialist staff.

·  Thresholds associated with access to services and overall waiting times.

·  The focus on improving young people’s overall mental health  ...  view the full minutes text for item 81.

Tuesday, 24 March 2015 at 10.00am in the Civic Hall, Leeds (Pre-meeting for all Board Members at 9.30am)

Tuesday, 24 March 2015 at 10:00am (with a pre-meeting for members of the Scrutiny Board from 9:30am).

The Chair thanked all those in attendance for their contribution to the Scrutiny Board’s discussion and closed the meeting. 

(The meeting concluded at 12:40pm)