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 8 – Draft Minutes of Executive Board meeting held on 22 March 2017

·  Agenda item 9 – Letter from Ian Holmes, West Yorkshire and Harrogate STP Programme Director, to Councillor P Gruen, Chair of Scrutiny Board (Adult Social Services, Public Health, NHS) dated 23 March 2017, regarding STP Engagement

·  Agenda item 12 – Information leaflet in relation to Joint Health and Social Care Team (Produced by Leeds Community Healthcare NHS Trust)

·  Agenda item 13 – Leeds Community Healthcare NHS Trust – Chief Executive’s Report (March 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, however the following matters were brought to the attention of the Scrutiny Board for information:

·  Dr J Beal advised that a family member was employed by Child Adolescent Mental Health Services (CAMHS).  In addition, he was a member of NHS Leeds West CCG Primary Care Commissioning Committee.

·  Councillor B Selby advised that a family member was employed within the local NHS.

The above Board Members 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 B Flynn and S Varley.

Notification had been received that Councillor P Latty was to substitute for Councillor B Flynn.

To confirm as a correct record, the minutes of the meeting held on 21 February 2017.

The Board requested an amendment under minute no. 134 ‘Care Quality Commission (CQC) – Inspection Outcomes’, as follows:

·  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.

RESOLVED – That subject to the above amendment, the minutes of the meeting held on 21 February 2017 be approved as a correct record.

Minute no. 134 – Care Quality Commission (CQC) – Inspection Outcomes

The Board was advised that the CQC had not indicated a timescale for formally rating dentistry.

To receive for information purposes the draft minutes of the Health and Wellbeing Board meeting held on 20 February 2017.

RESOLVED – That the minutes of the Health and Wellbeing Board meeting held on 20 February 2017, be noted.

To receive for information purposes the minutes of the Executive Board meeting due to be held on 22 March 2017 (draft minutes to follow, ahead of the meeting). 

RESOLVED – That the minutes of the Executive Board meeting held on 22 March 2017, be noted.

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

The Chair provided a verbal update on recent scrutiny activity and points of discussion which had not been specifically included elsewhere on the agenda.

The following matters were discussed:

Meetings and Visits

·  Leeds Survivor Led Crisis Service (Dial House) – 20 March 2017 – joined by Councillor Billy Flynn.

·  Rob Webster and Ian Holmes – 21 March 2017 – STP discussion Confirmation about resources to CCGs and subsidiarity of local plans.

·  West Yorkshire Lay Members – in relation to the West Yorkshire STP – 23 March 2017.

·  New Chief Officer Healthy Partnerships (Tony Cooke) – 23 March 2017.

·  West Yorkshire Joint Health Overview and Scrutiny Committee – 24 March 2017.

Ø  Main focus on access to NHS Dental Services;

Ø  A statement and recommendations were being drafted.  Details to be shared with the Board once completed;

Ø  STP development session agreed.  Agreed to extend to (a limited) number of local Scrutiny Board members.  Probably up to 5 members per authority.  No date had been agreed yet.

·  Closure of Blood Donor Centre at Seacroft

Ø  Further exchange of correspondence with NHS Blood and Transplant.

Ø  Advice from Independent Reconfiguration Panel that NHS Blood and Transplant followed the same process for service reconfiguration as other, local NHS commissioners and providers, particularly in terms of public engagement.  By its own admission, NHS Blood and transplant had not undertaken any public consultation on the proposed closure.

Ø  Currently drafting a statement to be circulated to the Board for comment. 

·  Letter received (Leeds West CCG): Re. Holt Park Branch Surgery Closure:

Ø  GP Partners at Abbey Grange Medical Practice had applied to NHS Leeds West CCG to close their branch surgery at Holt Park.

Ø  Leeds West CCG had approved the formal application following an eight week engagement exercise (undertaken by Abbey Grange Medical Centre from 5 October to 30 November 2016).

Ø  Closure planned for Friday, 28 April 2017.

Ø  Abbey Grange Medical Practice in process of writing to patients registered at the practice advising them about the closure and access to GP services in the future.

Ø  Patients did not have to change doctors or move to a different practice unless they wished to do so.

Ø  As part of engagement, Abbey Medical Practice had identified the needs of its most vulnerable patients and highlighted how it was to address these.

Ø  To help patients with further information the Practice had set up drop-in events at the Holt Park Site in April.

RESOLVED – That the Chair’s update be noted.

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 introduces details of the One City Care Home Quality and Sustainability project, including a ‘Quality and Sustainability in Care Homes’ event, alongside proposals for developing future reporting arrangements for the Scrutiny Board. 

The Head of Governance and Scrutiny Support submitted a report which introduced details of recently reported and published Care Quality Commission inspection outcomes for health and social care providers across Leeds.  The report also introduced details of the One City Care Home Quality and Sustainability project, including a ‘Quality and Sustainability in Care Homes’ event, alongside proposals for developing future reporting arrangements for the Scrutiny Board.

The following were in attendance:

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

The key areas of discussion were:

·  A request that the Board received more detailed information in relation to those health and social care providers rated as requiring improvement.

·  Confirmation regarding a Project Launch Event: Quality and Sustainability in Care Homes: A One City Approach on Friday, 7 April 2017.

·  An update on intermediate care arrangements.  The Board was advised that the outcome of the procurement exercise in relation to intermediate care was expected in April / May 2017.

·  Proposed changes to the future reporting arrangements for CQC inspection outcomes.

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 the Board receives more detailed information in relation to those health and social care providers rated as requiring improvement.

(c)  That the following changes for presenting CQC Inspection Outcomes, be approved:

Ø  Quarterly updates to the Scrutiny Board in contrast to monthly;

Ø  Display of all five CQC ratings as well as overall rating;

Ø  Date and overall rating of the last inspection;

Ø  Additional appendix to include city wide trends.

(Councillor J Chapman left the meeting at 2.00pm during the consideration of this item.)

To receive and consider a report from the Head of Governance and Scrutiny Support, introducing a range of information associated with the Scrutiny Board’s inquiry into Men’s Health – with a specific focus on suicide and suicide prevention. 

The Head of Governance and Scrutiny Support submitted a report which introduced a range of information associated with the Scrutiny Board’s inquiry into Men’s Health – with a specific focus on suicide and suicide prevention.

The following information was appended to the report:

-  Overview of Approach to Reducing Suicides in Leeds

-  Audit of Suicides and Undetermined Deaths in Leeds (2011-2013)

-  Working Action Plan for Leeds (2017-2020)

The following were in attendance:

-  Councillor Fiona Venner – Chief Executive, Leeds Survivor Led Crisis Service

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

-  Victoria Eaton – Chief Officer / Consultant in Public Health, Leeds City Council

-  Catherine Ward – Health Improvement Principal, Leeds City Council

-  Professor Alan White, Founder and Co-director of the Centre for Men’s Health, Leeds Beckett University

-  Dr Amanda Seims, Centre for Men’s Health, Leeds Beckett University.

The key areas of discussion were:

·  Targeted work in relation to suicide prevention.

·  Develop of early intervention programmes, particularly work with schools.

·  The need for more crisis supervision due to changes in the way individuals take their own lives.

·  The important multi-agency work undertaken by crisis centres and the types of support provided.

·  Robustness of some of the information and data that had been provided.

·  A request that the Board be provided with comparative data and information of other core cities.

·  The positive work undertaken by the Bereavement Suicide Support Service.

·  The need to promote awareness of mental health issues across the Council.

RESOLVED –

(a)  That the issues raised as part of the Board’s inquiry into Men’s Health in Leeds, be noted.

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

(Councillor A Hussain joined the meeting at 2.35pm during the consideration of this item.)

To receive and consider a joint report from the Director of Adult Social Services and Chief Executive Officer of Leeds Community Healthcare NHS Trust that provides an update on developing partnership working across neighbourhood health and social care teams. 

[‘’The Director of Adult Social Services and Chief Executive Officer of Leeds Community Healthcare NHS Trust submitted a report which provided an update on developing partnership working across neighbourhood health and social care teams.

The following were in attendance:

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

-  Julie Bootle, Head of Service – Adult Social Care, Leeds City Council

-  Kim Adams, Programme Manager (Health Integration) – Adult Social Care, Leeds City Council

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

-  Sam Prince, Executive Director of Operations (Leeds Community Healthcare NHS Trust).

The key areas of discussion were:

·  An update on new models of care and engagement with partners.

·  The challenges of inspecting integrated services.

·  The continued challenge of recruiting nurses.

·  The work of neighbourhood teams, particularly in terms of ensuring a joined up approach.

·  A greater emphasis on development of preventative strategies.

RESOLVED – That the update on developing partnership working across neighbourhood health and social care teams, be noted.

(Councillor J Pryor left the meeting at 3.20pm 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 in relation to Leeds Community Healthcare NHS Trust.

The Head of Governance and Scrutiny Support submitted a report which introduced a general update on key issues in relation to Leeds Community Healthcare NHS Trust.

The following were in attendance:

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

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

The key areas of discussion were:

·  An update on the recent CQC inspection.  The Board was advised that the outcome was not yet known, although initial feedback had been positive.

·  Challenges around recruitment and retention of nursing staff.

·  An update on staff influenza vaccination campaign 2016.  It was reported that the Trust had topped the leader board for the most frontline staff vaccinated in a community trust.

·  An update on performance against statutory and non-statutory waiting times.

RESOLVED – That the general update on key issues in relation to Leeds Community Healthcare NHS Trust, be noted.

To receive and consider a report from the Head of Governance and Scrutiny Support that introduces a range of information in relation to Leeds Local Transformation Plan for Children and Young People's Mental Health and Wellbeing and specifically autism assessment waiting times.

The Head of Governance and Scrutiny Support submitted a report which introduced a range of information in relation to Leeds Local Transformation Plan for Children and Young People's Mental Health and Wellbeing and specifically autism assessment waiting times.

The following information was appended to the report:

-  Leeds CAMHS Local Transformation Plan, Assurance of implementation (Quarter 3, 2016-17)

-  Future in Mind: Leeds (2016-2020) ‘A strategy to improve the social, emotional, mental health and wellbeing of children and young people aged 0–25 years’

-  Future in Mind: Leeds (2016-2020) – Plan on a page

-  Briefing paper on Child and Adolescent Mental Health Services – Autism Waits.

The following were in attendance:

-  Dr Jane Mischenko – Commissioning Lead: Children & Maternity Services (NHS Leeds CCGs)

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

-  Janet Addison, Head of Service, CAMHS and Children’s Speech and Language Therapy

The key areas of discussion were:

·  An update on the local anti-stigma campaign plan.  The Board was advised about work to support women with mental health needs during pregnancy.  In addition, targeted work in relation to children and young people, work with schools and development of MindMate programme.

·  An update on 12-week waiting time target for autism.  The Board was advised that there had been a significant increase in referrals (35%).  Additional clinics at weekends and evenings had been setup.  The outcome on whether the target had been met would be known later in the year.

·  The ‘Future in Mind Strategy’ and associated funding, particularly in relation to work through school clusters.

RESOLVED – That the update on Leeds Local Transformation Plan for Children and Young People’s Mental Health and Wellbeing

(LTP), and the further update on waiting times for autism assessments in Leeds, be noted.

To consider a progress update on 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:

-  Phil Corrigan – Chief Executive, NHS Leeds West CCG.

The key areas of discussion were:

·  An update on development of a Joint Board with a single leadership team, due to be finalised later in the week.

·  The main focus was on ensuring consistency of approach and commissioning for outcomes.

·  Confirmation that positive feedback had been received from the staff survey.  A further staff survey was to be undertaken once the changes had been introduced.

·  Confirmation that composition of the Board was to include local authority and lay member representation.

RESOLVED – That the Board notes the update on progress and proposed arrangements for the future.

(Councillor P Latty left the meeting at 4.45pm during the consideration of this item.)

To receive and consider a report from the Interim Executive Lead for Leeds Health and Care Plan that provides an overview of the emerging Leeds Health and Care Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The Interim Executive Lead for Leeds Health and Care Plan submitted a report which provided an overview of the emerging Leeds Health and Care Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The following were in attendance:

-  Tom Riordan – Chief Executive, Leeds City Council

-  Phil Corrigan – Chief Executive, NHS Leeds West CCG

-  Paul Bollam – Interim Executive Lead for Leeds Health and Care Plan, Leeds City Council.

The key areas of discussion were:

·  The use of plain English to connect at a neighbourhood level.

·  The relationship between the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP) and the Leeds Health and Care Plan.

·  Issues around governance, decision-making and stakeholder engagement at a local and West Yorkshire level.

·  Further information needed about the financial implications of delivering the STP.

·  The need to develop public understanding about the financial challenges faced.

·  The timeline for developing the Leeds Health and Care Plan and proposals for engaging with the Scrutiny Board.

RESOLVED –

a)  That the overview of the emerging Leeds Health and Care Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP), be noted.

b)  That necessary arrangements be put in place for the Scrutiny Board to consider the emerging Leeds Health and Care Plan in due course.

(Councillor A Hussain left the meeting at 4.55pm 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 any on-going discussions and scheduling decisions, the Board’s outline work schedule be approved.

Tuesday, 25 April 2017 at 1:30pm

(pre-meeting all Scrutiny Board members at 1:00pm)

Tuesday, 25 April 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 5.25pm)