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.)

The following late information was submitted to the Board:

·  Agenda item 11 – The Better Lives Strategy in Leeds.

The above information was not available at the time of agenda despatch, but 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 the following matters were brought to the attention of the Scrutiny Board for information:

-  Councillor G Hussain advised that two close family members were employees within the local NHS.

-  Councillor S Varley advised that she was known to families and residents of Siegen Manor Care Home.

-  Councillor J Chapman advised that she was known to families and residents of Donisthorpe Hall.  She also advised that her daughter had received residential care for autism.

All Councillors remained present for the duration of the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillors M Dobson and B Selby.  Notification had been received that Councillor G Hussain was to substitute for Councillor M Dobson and Councillor M Harland for Councillor B Selby.

To confirm as a correct record, the minutes of the meeting held on 18 May 2016.

RESOLVED – That the minutes of the meeting held on 18 May 2016 be approved as a correct record.

To receive a report from the Head of Scrutiny presenting the Scrutiny Board’s terms of reference.

The Head of Scrutiny submitted a report which presented the Board’s terms of reference.

The Chair thanked the Adult Social Services directorate for its contribution to the Board’s work during the 2015/16 municipal year.  He also welcomed Councillor Charlwood to her first Board meeting in her capacity as Executive Member (Health, Wellbeing and Adults).

RESOLVED – That the Board’s terms of reference be noted.

To receive a report from the Head of Scrutiny on the appointment of co-opted members to Scrutiny Boards for 2016/17.

The report of the Head of Scrutiny sought the Board’s formal consideration for the appointment of co-opted members.

The Board was informed that they could appoint the following:

·  Up to five non-voting co-opted members for a term of office that does not go beyond the next Annual Meeting of the 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.

RESOLVED –

(a)  That Dr John Beal representing HealthWatch Leeds be appointed as a non-voting co-opted Member of the Board for the 2016/17 municipal year.

(b)  That the Board considers the appointment of co-opted members on an ad-hoc basis for any inquiries where it was deemed appropriate.

To receive an update from the Chair on scrutiny activity, not specifically included on this agenda, since the previous Board meeting.

The Chair provided a verbal update on recent scrutiny activity that was not specifically included elsewhere on the agenda.

The key updates were:

·  An update on resources available to the Scrutiny Board.

·  The Care Quality Commission (CQC) had completed its inspection of Leeds Teaching Hospital Trust (LTHT).  The Board was awaiting publication of the report.  The Chair reported that he was meeting with Julian Hartley (Chief Executive of LTHT) on 4 July 2016 for a general discussion about the work of the Trust.

·  Leeds Partnerships NHS Foundation Trust (LYPFT) was awaiting its CQC inspection, which was due to commence on 11 July 2016.

·  The CQC inspection of Waterloo Manor commenced on 27 June 2016.

·  The Chair had met with Richard Jones, Chair of Adults Safeguarding Board, and followed up progress around BME representation on the Board.  There was also discussion about a focussed Scrutiny Board meeting in relation to Safeguarding in October.

·  The Board was awaiting an update from Leeds Community Healthcare NHS Trust (LCH) regarding autism assessment and treatment times.

·  In relation to Children’s Epilepsy Surgery Services, requests for information and a progress update had been sent to NHSE.  The Board expressed concern that the consultation closed in June 2015 and the decision had been the subject of a series of delays.  The Chair acknowledged the concern and agreed to contact NHSE again.

·  Sustainability and Transformation Plan – some discussion about the Leeds plan, which was the delivery mechanism for some parts of Leeds Joint Health and Wellbeing Strategy.  Also, an evolving role in terms of West Yorkshire planning and decisions.  This would be a key consideration for the Joint Health Overview and Scrutiny Committee (West Yorkshire).

·  Work being undertaken by Scrutiny Board (Environment and Housing) in relation to Air Quality.  Nominations sought from Scrutiny Board (Adult Social Services, Public Health, NHS).

RESOLVED – That the Chair’s update be noted.

To receive a report from the Head of Scrutiny introducing Leeds Community Healthcare NHS Trust’s formal response to the Scrutiny Board’s report and recommendations relating to the Scrutiny Board Statement – ‘Response to Leeds Community Healthcare NHS Trust Proposed Service Location Changes’.

The Head of Scrutiny submitted a report which presented Leeds Community Healthcare NHS Trust’s formal response to the Scrutiny Board’s report and recommendations in relation to the Scrutiny Board Statement – ‘Response to Leeds Community Healthcare NHS Trust Proposed Service Location Changes’.

The following were in attendance:

-  Thea Stein (Chief Executive), Leeds Community Healthcare NHS Trust.

The key areas of discussion were:

·  An update on closure of Garforth Clinic, particularly the ‘pause’ in disposal to ensure all considerations had been taken into account.

·  Further engagement with the local community and Ward Members to address issues.

·  Development of work with partners to improve equitable access to services.

·  The importance of effective public involvement, engagement and consultation processes and the role of Healtwatch Leeds and the third sector.

·  Confirmation of a city wide approach to the use of the built estate across the health and social care sector in Leeds.  It was agreed to provide the Board with an emerging overview in September.

In addition, the Board also received an update on recent service developments leading to improved waiting times for children to be assessed for autism.  The Board discussed the ‘single point of access’ for Child and Adolescent Mental Health Services in Leeds and requested a breakdown of referrals across Leeds.

RESOLVED –

(a)  That the Board notes the response from Leeds Community Healthcare Trust.

(b)  That, in September, the Board be provided with an emerging overview of the use of the built estate across the health and social care sector in Leeds.

(c)  That the Board receives a breakdown of autism waiting times across Leeds.

(d)  That the Board receives a breakdown of referrals into Child and Adolescent Mental Health Services across Leeds.

To receive and consider two requests for scrutiny, alongside a report from the Director of Adult Social Services setting out the background and findings of recent consultation regarding proposals on the future provision of Council care home and day-centre services. (Report to follow).

The Head of Scrutiny submitted a report which presented two requests for scrutiny, alongside a report from the Director of Adult Social Services setting out the background and findings of recent consultation regarding proposals on the future provision of Council care home and daycentre services.

The following information was appended to the report:

-  Better Lives for Older People – Day Centres for Older People – Consultation Report (June 2016)

-  Better Lives for Older People – Residential Care for Older People (June 2016)

-  Day Centre Service User Profiles (as at 15/06/16) and Alternatives

-  Resident Profiles (as at 15/06/16) and Alternatives

-  Better Lives Service Review – Potential Savings – Residential Care and Day Centres

-  Summary of all centres – Post Consultation Contact 24 December to Date

-  Request for scrutiny dated 19 May 2016 in relation to Siegen Manor Care Home, Morley.

The following were in attendance:

·  Councillor Rebecca Charlwood (Executive Member for Health, Wellbeing and Adults)

·  Cath Roth (Director of Adult Social Services) – Leeds City Council

·  Shona McFarlane  (Chief Officer: Access and Care Delivery) – Adult Social Services, Leeds City Council

·  Anna Clifford (Programme Manager) – Adult Social Services, Leeds City Council

·  Mark Phillott (Head of Commissioning (Contracts and Business Development)), Adult Social Services, Leeds City Council

·  Linda Newsome, Presenting the request for scrutiny in relation to Siegen Manor Care Home

·  Keith Spellman, Presenting the request for scrutiny in relation to the proposed closure of all three care homes, with a particular emphasis on Middlecross Care Home.

The Board received the requests for scrutiny in relation to Siegen Manor Care Home and the proposed closure of all three care homes, with a particular emphasis on Middlecross Care Home.

The Board considered and discussed the report from the Director of Adult Social Services. 

Some of the key areas of discussion included:

·  Historical practice in tender evaluations around the weighting of cost and quality.

·  The need to ensure that effective commissioning of services and monitoring arrangements were in place.

·   General concern about perceived poor standards of provision in the independent sector compared to Council provided care.

·  The quality landscape specifically in the vicinity of the three care homes proposed for closure.

·  The high level of response to the consultation and the overwhelming response not supporting the proposed closures.

·  The quality of the public consultation process.

·  Increased budget pressures on Adult Social Services.

·  Assurances that residents who moved elsewhere would not be worse off financially, nor in terms of the quality of service provided.

·  The Board was advised that while cost comparisons were based on revenue expenditure, capital expenditure was needed to refurbish Council Care homes to bring them in line with modern facilities.

·  Making best use of provision, i.e. provision of dementia day care services.

·  Concerns about how some CQC inspection outcomes  were reported – specifically in terms of the lack of judgements around the ‘impact’ on services.

·  Comparisons with other decisions made by the Council, with specific reference to the disposal of school buildings.

·  Plans  ...  view the full minutes text for item 9.

To receive a report from the Head of Scrutiny presenting an Adult Social Services progress update in relation to services at Donisthorpe Hall.

The Head of Scrutiny submitted a report which presented an update from Adult Social Services regarding services at Donisthorpe Hall

The following information was appended to the report:

-  CQC inspection report of Donisthorpe Hall dated 16 May 2016.

The following were in attendance:

-  Shona McFarlane (Chief Officer: Access and Care Delivery) – Adult Social Services, Leeds City Council

-  Mark Phillott (Head of Commissioning (Contracts and Business Development)) – Adult Social Services, Leeds City Council.

The Board was advised that residents’ and families had been made aware about the recent inspection report and no new residents were being admitted until improvements had been made.  A detailed 100 day plan of priorities had been put in place which sought to address issues from Adult Social Care / Clinical Commissioning Group (CCG) monitoring visits and CQC inspections.

The Chair expressed thanks to the provider for the open and transparent approach displayed while seeking to address the issues highlighted by the CQC inspection report.

RESOLVED – That the Board be provided with an update on progress against the improvement plan.

To receive a report from the Head of Scrutiny presenting draft inquiry reports from the previous municipal year (2015/16) for consideration / agreement.

The Head of Scrutiny submitted a report which sought approval of draft inquiry reports from the previous municipal year (2015/16).  The Board was advised that the reports were still being finalised and it was recommended that the item be deferred.

RESOLVED – That the item be deferred.

To receive a report from Head of Scrutiny on potential areas of work for the Scrutiny Board. 

The Head of Scrutiny submitted a report which presented potential areas of work for the Scrutiny Board.

The following information was appended to the report:

-  Vision for Scrutiny at Leeds

-  Best Council Plan 2015-20 – Update for 2016/17

-  Leeds Health and Wellbeing Strategy 2016-2021

-  Leeds Beckett University – The State of Men’s Health in Leeds: A Summary.

The following sources of work were put forward for consideration:

·  Joint working with Scrutiny Board (Environment and Housing) regarding Air Quality Inquiry.  Councillors J Pryor, P Truswell and S Varley expressed an interest in attending.

·  Length of hospital stay / discharges, including the role of intermediate care services.

·  CCG updates, particularly in relation to the new role as commissioners of primary care services.

·  CQC inspection outcomes.

·  Budget monitoring.

·  Focussed work on budgets, e.g. budgetary issues likely to impact on the delivery of Child and Adolescent Mental Health Services (CAMHS) and Targeted Mental Health Services (TaMHS).

·  West Yorkshire Joint Scrutiny Committee with a particular focus on the West Yorkshire Sustainability and Transformation Plan.

·  Raising awareness of men’s health issues.

·  The use of Pre-Exposure Prophylaxis (PrEP) in preventing the spread of HIV infection.

·  Development of integrated care through joint health and social care teams.

The Chair summarised the discussion by identifying the following key themes that will encapsulate the Boards work for the year:

·  Quality of services

·  Making a difference to service users and their families.

RESOLVED –

(a)  That the above issues be incorporated into the Board’s draft work schedule for the 2016/17 municipal year.

(b)  That authority be given to the Chair of the Scrutiny Board (Adult Social Services, Public Health, NHS), in conjunction with officers, to draw up inquiry terms of reference for subsequent approval by the Scrutiny Board, where required.

To receive a report from the Head of Scrutiny setting out the Board’s role in relation to scrutiny of the NHS, alongside proposed details for the establishment of a working group to help discharge such functions and responsibilities.   

The Head of Scrutiny submitted a report which set the Board’s role in relation to scrutiny of the NHS, alongside proposed details for the establishment of a working group to help discharge such functions and responsibilities.

The following information was appended to the report:

-  Department of Health, Local Authority Health Scrutiny – Guidance to support Local Authorities and their partners deliver effective health scrutiny

-  Health Service Developments Working Group Terms of Reference.

The Chair advised that Board Members were to be provided with further details regarding the establishment of a Health Service Developments Working Group for 2016/17.

RESOLVED –

(a)  That the Board notes the Department of Health ‘Local Authority Health Scrutiny (June 2014)’ guidance.

(b)  That the proposed Terms of Reference for the Health Service Developments Working Group be agreed.

(c)  That the Board be provided with further details regarding the standing membership of the Health Service Developments Working Group.

Tuesday, 26 July 2016 at 1.30pm (pre meeting for all Board Members at 1.00pm)

Tuesday, 26 July 2016 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 4.20pm)