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 13 – Update on Development of the Leeds Sustainability and Transformation Plan (STP) – Health and Wellbeing Board Report (September 2016)

·  Agenda item 17– Updated Work Schedule (February 2017).

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.

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillors M Dobson, B Selby and A Smart.  Notification had been received that Councillor A Khan was substituting for Councillor B Selby and Councillor D Nagle for Councillor A Smart.

To confirm as a correct record, the minutes of the meeting held on 24 January 2017.

RESOLVED – That the minutes of the meeting held on 24 January 2017 be approved as a correct record.

To receive for information purposes the minutes of the West Yorkshire Joint Health Overview and Scrutiny Committee meeting, held on 23 January 2017.

RESOLVED – That the minutes of the West Yorkshire Joint Health Overview and Scrutiny Committee meeting held on 23 January 2017, be noted.

To receive a report from the Head of Governance and Scrutiny Support providing the opportunity for the Scrutiny Board to consider and discuss the local Clinical Commissioning Group’s ‘One Voice’ project.

The Head of Governance and Scrutiny Support submitted a report which provided an opportunity for the Scrutiny Board to consider Leeds Clinical Commissioning Groups (CCGs) ‘One Voice’ Project.

The following were in attendance:

-  Nigel Gray – Chief Officer, Leeds North CCG.

The key areas of discussion were:

·  The need for more strategic commissioning of some health and care functions.

·  Confirmation to achieve proposed changes by 1 April 2017, resulting in development of a new joint committee.

·  Greater focus on preventative work and mental health issues. 

·  The need to ensure greater communication and engagement with the public.

RESOLVED – That the contents of the report be noted.

(Councillor A Hussain joined the meeting at 11.45am during the consideration of this item.)

To receive and consider a report from the Head of Governance and Scrutiny Support introducing a general update on key issues and progress update from Leeds Teaching Hospitals NHS Trust.

The Head of Governance and Scrutiny Support submitted a report which introduced a general update on key issues and progress from Leeds Teaching Hospitals NHS Trust.

The following were in attendance:

-  Professor Suzanne Hinchcliffe – Deputy Chief Executive (Leeds Teaching Hospital Trust)

-  Craig Brigg – Director of Quality (Leeds Teaching Hospital Trust).

The key areas of discussion were:

·  Challenges associated with delayed discharge and joint working with partners to address issues.

·  Concern about pressures on A&E departments, particularly an increase in older patients with respiratory issues. 

·  The need to raise awareness about walk-in centres and specialist clinics.

·  A request that the Board be provided with further information regarding staffing and recruitment and waiting times.

RESOLVED –

(a)  That the general update on key issues and progress from Leeds Teaching Hospitals NHS Trust, be noted.

(b)  That the request for further information be provided to the Board.

To receive and consider a report from the Head of Governance and Scrutiny Support introducing the most recent Care Quality Commission Inspection Report in relation to Leeds Teaching Hospitals NHS Trust, alongside a progress report against the recommendations and agreed improvement actions.

The Head of Governance and Scrutiny Support submitted a report which introduced the most recent Care Quality Commission Inspection Report in relation to Leeds Teaching Hospitals NHS Trust, alongside a progress report against the recommendations and agreed improvement actions.

The following information was appended to the report:

-  The CQC Inspection report (published September 2016);

-  A progress report prepared by the Trust;

-  The Trust’s updated CQC Action Plan.

The following were in attendance:

-  Professor Suzanne Hinchcliffe – Deputy Chief Executive (Leeds Teaching Hospital Trust)

-  Craig Brigg – Director of Quality (Leeds Teaching Hospital Trust).

The key areas of discussion were:

·  The challenges achieving a ‘good’ or ‘outstanding’ rating in relation to safe domain.

·  An update on issues regarding mandatory training.  The Board was advised that a review had been undertaken and an improvement plan had been established.

·  Development of school of nursing and apprenticeship programme.

RESOLVED – That the contents of the report and appendices be noted.

(Councillor A Khan left the meeting at 12.30pm during the consideration of this item.)

To receive and consider a report from the Head of Governance and Scrutiny Support introducing details of recently reported and published Care Quality Commission inspection outcomes for health and social care providers across Leeds. The report also introduces specific information in relation to Donisthorpe Hall and across home care providers. 

The Head of Governance and Scrutiny Support submitted a report which presented details of recently reported Care Quality Commission (CQC) inspection outcomes for health and social care providers across Leeds.

The following were in attendance:

-  Mick Ward – Interim Chief Officer of Commissioning, Adult Social Care

-  Mark Phillott – Head of Commissioning (Contracts and Business Development), Adult Social Care

-  Sheila Grant – Head of Inspection North Central, Care Quality Commission

-  Lorna Knowles – Inspection Manager, Care Quality Commission (Adult Social Care Directorate).

The key areas of discussion were:

·  An update on issues in relation to Donisthorpe Hall.  The Board was advised that a notice of decision had been issued which had been appealed.  A re-inspection was anticipated in the near future.

·  A request that the Board received an update on nursing provision to assist with its ongoing inquiry work.

·  The challenges facing larger providers to deliver good standards of care.

·  That the Board be kept updated regarding the quality landscape for homecare services across Leeds and the future development of commissioning arrangements; specifically in relation to those homecare service providers commissioned by LCC and identified by the CQC as requiring improvement.

·  Concern that dentistry was not formally rated by the CQC.  It was suggested that an update on the timescale for achieving this be submitted to the Board.

RESOLVED –

(a)  That the inspection outcomes for health and social care providers across Leeds, and the information discussed at the meeting, be noted

(b)  That an update on the timescale for formally rating dentistry be submitted to the Board.

(Dr J Beal left the meeting at 1.00pm and Councillor D Nagle at 1.15pm during the consideration of this item.)

To receive and consider a report from the Head of Governance and Scrutiny Support introducing an update on the Scrutiny Board’s previous recommendations in relation to Cancer Waiting Times in Leeds.

The Head of Governance and Scrutiny Support submitted a report which introduced an update on the Scrutiny Board’s previous recommendations in relation to Cancer Waiting Times in Leeds.

The following information was appended to the report:

-  A summary of the desired outcomes and associated recommendations for the Cancer Waiting Times inquiry;

-  Cancer Care for Leeds City – Briefing paper to the Scrutiny Board on behalf of Leeds Integrated Cancer Services Steering Group.

The following were in attendance:

-  Professor Sean Duffy – Clinical Director and Alliance Lead, West Yorkshire and Harrogate Cancer Alliance.

The key areas of discussion were:

·  Recommendation 3 – That a response be sought from Julian Hartley, Chief Executive, LTHT.

·  Recommendation 5 – That the Board receives further information from Healthwatch Leeds.

·  Recommendation 6 – That the Board be provided with membership details and terms of reference for the Leeds Cancer Strategy Group.

RESOLVED –

(a)  That the Board notes the update provided in relation to the Cancer Waiting Times inquiry.

(b)  That the above requests for information be provided.

To receive a report from the Head of Governance and Scrutiny Support that provides a further opportunity for the Scrutiny Board to consider the Leeds placed-based elements of the West Yorkshire and Harrogate Sustainability and Transformation Plan (the STP).

The Head of Governance and Scrutiny Support submitted a report which provided a further opportunity for the Scrutiny Board to consider the Leeds placed-based elements of the West Yorkshire and Harrogate Sustainability and Transformation Plan (the STP).

The following were in attendance:

-  Dr Ian Cameron – Director of Public Health, Leeds City Council

-  Professor Sean Duffy – Clinical Director and Alliance Lead, West Yorkshire and Harrogate Cancer Alliance.

The key areas of discussion were:

·  Development of a new Leeds Plan and an update on the consultation process involving Community Committees.

·  The need to develop an effective communication strategy involving members of the public.

·  Concern about transparency of the Leeds Plan, particularly in relation to financial challenges and how some of the proposed changes were to be delivered.

·  A suggestion that a working group be setup to consider development of the Leeds Plan.

RESOLVED –

(a)  That the contents of the report and appendices be noted.

(b)  That a working group be setup to consider development of the Leeds Plan.

To receive and consider a report from the Head of Governance and Scrutiny Support introducing the most recent Financial Health Monitoring report, presented to the Executive Board at its meeting on 8 February 2017. 

The Head of Governance and Scrutiny Support submitted a report which introduced the most recent Financial Health Monitoring report, presented to the Executive Board at its meeting on 8 February 2017.

The following were in attendance:

-  Dr Ian Cameron – Director of Public Health, Leeds City Council

-  John Crowther – Head of Finance (Financial Management, Adult Social Care), Leeds City Council.

RESOLVED – That the most recent Financial Health Monitoring report, presented to the Executive Board at its meeting on 8 February 2017, be noted.

(Councillor C Anderson left the meeting at 2.40pm during the consideration of this item.)

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 and discussion which had not been specifically included elsewhere on the agenda.

The following matters were discussed:

CfPS Event (2 February 2017)

·  Useful event.  Well attended.  Good for Leeds to be involved in hosting such events.

Communities and Local Government (CLG) Committee –  review scrutiny

·  Recently launched an inquiry into overview and scrutiny in local government, to consider whether overview and scrutiny arrangements in England were working effectively and whether local communities were able to contribute to and monitor the work of their councils.

·  Both individual and organisational response was encouraged, and the plan was to formulate a draft LCC response (focusing on the strategic operation of scrutiny)

Future in Mind

·  Strategy launch on 7 February 2017 – Part of Board’s work schedule for March. 

·  Working Group meeting – 9 February 2017 – Update on The Green.

·  Meetings with the Chief Executive and Director of Adult Social Services.

·  Concerns raised in relation to Community Dental Services and potential reduction in locations across the City.  Currently investigating.  Outcome to be reported to the Scrutiny Board.

·  Proposals to engage (12 weeks) on potential changes to prescribing, covering:

o  Prescribing over the counter medicines – where less expensive than prescription charges

o  Use of non-branded medicines

o  Prescribing Gluten free food.

·  NHS England launched a national consultation on its proposals for the future commissioning of Congenital Heart Disease. 

o  Proposals set out to commission against the national standards (themselves consulted on), which would see:

·  Surgery and interventional cardiology for children and adults would cease at:

-  University Hospitals of Leicester NHS Trust.

-  Royal Brompton and Harefield NHS Foundation Trust.

·  Surgery and interventional cardiology for adults would cease at Central Manchester University Hospitals NHS Foundation Trust.  Central Manchester did not currently undertake surgery for children.

·  If proposals were implemented, this would mean that, in future, Level 1 CHD surgical services would be provided by the following hospitals:

o  Alder Hey Children’s Hospital NHS Foundation Trust (children’s services) and Liverpool Heart and Chest Hospital NHS Foundation Trust (adult service)

o  Birmingham Children’s Hospital NHS Foundation Trust (children’s services) and University Hospitals Birmingham NHS Foundation Trust (adult service)

o  Great Ormond Street Hospital for Children NHS Foundation Trust (children’s services) and Barts Health NHS Trust (adult service)

o  Guy’s and St Thomas’ NHS Foundation Trust (children’s and adult services)

o  Leeds Teaching Hospitals NHS Trust (children’s and adult services)

o  Newcastle upon Tyne Hospitals NHS Foundation Trust (children’s and adult services)

o  University Hospitals Bristol NHS Foundation Trust (children’s and adult services)

o  University Hospital Southampton NHS Foundation Trust (children’s and adult services)

·  Suggestion to pick this up and formerly respond to the consultation through the Joint Health Overview and Scrutiny Committee (Yorkshire and the Humber)

·  Consultation runs to 5 June 2017. 

RESOLVED – That the Chair’s update be noted.

To receive for information purposes the minutes of the Executive Board meeting held on 8 February 2017.

RESOLVED – That the minutes of the Executive Board meeting held on 8 February 2017, be noted.

(Councillor A Hussain left the meeting at 2.45pm during the consideration of this item.)

To consider the Scrutiny Board’s work schedule for the remainder of the 2016/17 municipal year.

The Head of Governance and Scrutiny Support submitted a report which invited Members to consider the Board’s work schedule for the 2016/17 municipal year.

RESOLVED – That, subject to comments raised during the meeting and any on-going discussions and scheduling decisions, the Board’s outline work schedule be approved.

Tuesday, 28 March 2017 at 1:30pm (pre-meeting for all Board members at 1:00pm). 

Tuesday, 28 March 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 2.50pm)