Agenda and minutes

Venue: Millennium Room, Carriageworks, Leeds

Items
No. Item

14.

Chair's Opening Remarks

Minutes:

The Chair welcomed all present to the meeting, particularly Tanya Matilainen as the new representative for Healthwatch Leeds and the following substitute members: Elaine Wylie (NHS England) and Sue Rumbold, Leeds City Council (Children’s Services).

 

In order to accommodate officers' attendance, the Chair agreed to vary the agenda running order

 

15.

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 Chair admitted one formal late item of business to the agenda in respect of the “Better Care Fund: Final Sign Off and Submission” (minute 23 refers).

 

16.

Declarations 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 declarations of interest.

 

17.

Apologies for Absence

To receive any apologies for absence

Minutes:

Apologies for absence were received from Phil Corrigan (Leeds West CCG), Nigel Richardson (Children’s Services), Moira Dumma (NHS England) and Linn Phipps (Healthwatch Leeds)

 

18.

Open Forum

At the discretion of the Chair, a period of up to 10 minutes may be allocated at each ordinary meeting for members of the public to make representations or to ask questions on matters within the terms of reference of the Health and Wellbeing Board.  No member of the public shall speak for more than three minutes in the Open Forum, except by permission of the Chair.

Minutes:

The Chair allowed a period of up to 10 minutes to allow members of the public to make representations on matters within the terms of reference of the Health and Wellbeing Board (HWB). No matters were raised by the public on this occasion

 

19.

Minutes pdf icon PDF 66 KB

To approve the minutes of the meeting held on 18th June 2014 as a correct record

 

Minutes:

RESOLVED – That, subject to amendments to minute 7 to correctly reflect the name of the officer presenting the report as “Kath Hillian” and to read “NHS England”, the minutes of the meeting held 18th June 2014 be agreed as a correct record

 

20.

The Leeds Transformation Programme pdf icon PDF 91 KB

To consider the report of the Clinical Chief Officer, Leeds South and East Clinical Commissioning Group, providing an update on the development of the Leeds Transformation Programme, particularly the development of the governance structures and programme content

 

Additional documents:

Minutes:

The Clinical Accountable Officer, Leeds South & East Clinical Commissioning Group, submitted a report providing an update on the development of the Leeds Transformation Programme, particularly the development of the governance structures and programme content.

 

In presenting the report, Dr Andy Harris highlighted the current position in readiness for delivery of the Transformation Programme in the medium term and provided several example patient case studies identifying the role of the work of the Transformation Board.

 

During discussions the following matters were considered:

-  the availability of pastoral care and the holistic approach to providing support, particularly for young people

-  Reference to LCC Health and Adult Social Care Scrutiny Board which had identified young people's mental health as an issue for further scrutiny

-  How and where service users access the services/support, having regard to patients' current perspective of care.

-  That General Practice could be seen as the first point of access to request support and/or highlight problems with that support

-  Comments that GP provision was not currently structured for general enquiries or to issue prescriptions for the social and/or leisure provision which may enhance health services were noted and that further work would be required to enhance GP provision.

-  The need to raise the profile of the connectivity of services

 

Additionally, the Board considered whether the work of the Transformation Board with General Practices could be supported by the work of the Assistant Chief Executive Citizens and Communities through the "Citizens @ Leeds" initiative.

 

Appendix 1 of the report contained a schedule outlining the Transformation Programme

RESOLVED –

a)  That the progress of the Transformation Programme be noted

b)  That the contents of the discussions giving consideration of the role of the Health & Wellbeing Board in the continued development and delivery of the Transformation Programme be noted.

c)  That in order to secure delivery of the Transformation Programme the Health and Wellbeing Board agree that all partners will continue to  work together and support the delivery of the Programme and to consider any potential appropriately with the LCC Citizens@Leeds programme to support the work with General Practices

 

21.

The Implications for Leeds of new legislation a) The Children and Families Act 2014 and b) The Care Act 2014 pdf icon PDF 97 KB

To consider reports of the Directors of Chidlresn Services and Adult Social Care on the implications for Leeds of new legislation in respect of

a)  The Children and Families Act 2014; and

b)  Care Act 2014

Additional documents:

Minutes:

The Health and Wellbeing Board received two reports on separate legislation, previously identified by the Board as having a significant impact on its efforts to create a sustainable and high quality health and social care system for the citizens of Leeds

 

Part A – The Children and Families Act 2014: Implications for services in Leeds

The Director of Children’s Services submitted a report on the Children and Families Act 2014 which had brought changes to a number of areas including family justice and care and in particular; major changes to legislation affecting children and young people with special educational needs and disabilities (SEND) and their families.

 

Barbara Newton, Head of Complex Needs, LCC Children’s Services, attended the meeting and in presenting the report, highlighted the key issues as being:

-  The replacement of Statements of Special Educational Needs and Learning Difficulties Assessments with Education, Health and Care plans and the extension of provision to 25 years

-  Drivers for change being the experience of the young person, preparation for adulthood and the life outcomes they could hope to achieve

-  The responsibility for Children's Services to maintain and publish a list of all locally available services had prompted consideration of effective commissioning, linked to the introduction of personal budgets and personalisation.

 

Discussions on the impact of these changes on young people with complex needs highlighted the following matters:

-  The important role of parent partnerships

-  The need to ensure a joined up and holistic approach to the care and support given to the individual from the various organisations, care and service providers involved.

-  Noting that the change to personal budgets for SEN, Adults Social Care and Health Services were all due to come online simultaneously, assurance was sought that administration of the three strands would be synchronised. Confirming the CCG Lead Officer was seen as a key consideration

-  The need to support information collectors to ensure the quality and usefulness of data collection and therefore effective service delivery. Integration of infrastructures was identified as key and it was noted that Children's Services was looking to integrate its ICT and support models with those of Adult Social Care and NHS England.

 

The following matters for further discussion between partners were identified:

-  concern over duplication of processes

-   the future template of brokering services

-  the appropriate body responsible for care 18-25 years

-  identification of the appropriate budget for each service provider

-  the role of the Complex Needs Board, the Infomatics Board, Children's Trust Commissioning Board and ICE

 

In conclusion, the HWB noted suggestions for a city wide discussion on the introduction of personal budgets to be held and for partners to be invited to a Member briefing from EPIC Leeds (the parents forum) later in the year on service users experiences of accessing services

 

 

Part B - Care Act (2014)

The Director of Adult Social Services presented a report setting out a summary of the key elements of the Care Act (2014) and the implications  ...  view the full minutes text for item 21.

22.

Delivering the Joint Health and Wellbeing Strategy pdf icon PDF 42 KB

To consider the report of the Chief Officer, Health Partnerships,, providing an update on the work being undertaken to deliver the Leeds Joint Health and Wellbeing Strategy 2013-15 and on the current position of the 22 indicators within the Strategy.

 

Additional documents:

Minutes:

The Chief Officer, Health Partnerships, submitted a report for the Boards information providing an update on the current work being undertaken to deliver the Leeds Joint Health and Wellbeing Strategy 2013-15 and information on the current position of the 22 indicators within the Strategy

 

Appended to the report was a copy of the document “Leeds Health and Wellbeing Board - Delivering the Strategy’.

 

In receiving the update, the Board considered the schedule "Children and Young People's Plan Key Indicator Dashboard - City Level April 2014". Discussion centred upon the questions asked of the respondents and the issue of children's mental health.

RESOLVED - That the contents of the report and the discussions be noted

 

23.

LATE ITEM OF BUSINESS: Better Care Fund: Final Sign Off and Submission pdf icon PDF 92 KB

To consider the joint report of the Deputy Director Commissioning (Adult Social Care) and the Chief Operating Officer (S&E CCG) which presented the updated Leeds Better care Fund submission, as a result of being a ‘fast tracked’ area.  

Additional documents:

Minutes:

The Board received the joint report of the Deputy Director, Commissioning (Adult Social Care) and the Chief Operating Officer (South & East Clinical Commissioning Group) on the updated Better Care Fund submission.

 

The tight timescales for preparation and submission of the documents were highlighted within the report - as Leeds had received notification on 30 June 2014 of its nomination as one of 14 potential "exemplar" areas for the BCF with a deadline for submission of 9 July 2014. Accordingly, the Board had received and approved a copy of the documentation on 9th July 2014 in readiness for submission the same day and the revised BCF templates as submitted were presented to the meeting for formal consideration

 

The Board noted that a response to the submission was awaited and extended its thanks to all officers who worked on the submission.

RESOLVED -

a)  To note that Leeds was selected as one of 14 “fast tracked” areas on the strength of the BCF submission of 4 April

b)  That the revised BCF templates (attached as an appendix to this report) which the Board approved via email on 9 July given the tight national timescales be formally noted.

c)  To note that a national announcement on which of the 14 areas to be selected as “exemplars” is forthcoming. A date for the announcement and implications for Leeds should the city be selected are not yet known.

d)  To note that it was announced nationally on 11 July that arrangements for pay-for-performance element of the fund are currently being finalised and this may result in revised guidance / templates for local areas to complete.

 

24.

Any Other Business

Minutes:

The Chair reported that following consultation with HWB members at the recent stocktake, and subsequent discussion at full Council, letters will be sent to Leeds Teaching Hospitals, Leeds Community Healthcare and Leeds and York Partnership Foundation Trust, inviting them to nominate a representative to join the Health and Wellbeing Board from October

 

25.

Date and Time of Next Meeting

To note the date and time of the next meeting as Wednesday 22nd October 2014 at 1.00 pm.

Minutes:

RESOLVED – To note the date and time of the next meeting as Wednesday 22nd October 2014 at 1:30 pm. This meeting to be held at (with a pre-meeting for Board members at 1:00 pm)