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 12 – Leeds Clinical Commissioning Groups (CCG) Partnership: Update.

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 D Ragan advised that a family member had accessed services provided by adult social care.

Councillor D Ragan remained present for the duration of the meeting.

To receive any apologies for absence and notification of substitutes.

An apology for absence was submitted by Councillor J Chapman.

To approve as a correct record the minutes of the meeting held on 18 July 2017.

RESOLVED – That the minutes of the meeting held on 18 July 2017 be approved as a correct record.

To consider, for information purposes, the draft minutes from the Executive Board meeting held on 17 July 2017, as they relate to the remit of the Scrutiny Board. 

RESOLVED – That the minutes of the Executive Board meeting held on 17 July 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 that had not been included elsewhere on the agenda.

The key updates included:

·  A meeting with Chief Executive of NHS Leeds CCG Partnership, Phil Corrigan, which covered, winter planning, new ambulance response time standards, and move to a single NHS commissioning body.  In relation to the move to a single NHS commissioning body, further assurance on funding had been sought from the CCG Partnership and NHS England.

·  Confirmation that a national audit on health protection was being undertaken.  An update was to be provided to a future Board meeting.

·  Confirmation that the Joint Health Overview and Scrutiny Committee (Calderdale and Kirklees) was considering hospital reconfiguration proposals across Huddersfield and Halifax had referred the matter to the Secretary of State for Health.

RESOLVED – That the Chair’s update be noted.

To consider a report from the Director of Adults and Health setting out the refreshed Better Lives Strategy and seeking comments from the Scrutiny Board. 

The Director of Adults and Health submitted a report which presented the refreshed Better Lives Strategy for comment from the Scrutiny Board.

The following were in attendance:

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

-  Mick Ward (Interim Deputy Director, Integrated Commissioning – Adults and Health).

The key areas of discussion were:

·  Potential to develop bespoke housing to deliver support.  Further details to be provided as part of future action plan reporting.

·  The important role of carers.  The Board was advised that more detailed information was included in the Carers Strategy, which was being submitted to Executive Board.

·  The need to develop the range of activities to support vulnerable adults in communities.

·  An increased reliance on neighbourhood networks to support adults with dementia.  The Board was advised that a report was being submitted to Executive Board setting out a future funding model.

RESOLVED – That the Board notes the draft refresh of the Better Lives Strategy (2017-2020).

To consider a report from the Director of Adults and Health presenting details of recently published Care Quality Commission (CQC) inspection reports relating to adult social care providers in Leeds.

The Director of Adults and Health submitted a report which presented details of recently reported and published Care Quality Commission inspection outcomes for adult social care providers in Leeds.

The following were in attendance:

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

-  Mick Ward (Interim Deputy Director, Integrated Commissioning – Adults and Health)

-  Mark Phillott (Head of Commissioning, Contracts and Business

Development – Adult Social Care).

The key areas of discussion were:

·  A suggestion that more information was needed about adult social care providers in ward member briefing emails, particularly the level of improvements required and details about specific issues that had been identified.

·  Concern about the level of providers requiring improvement in relation to the ‘caring’ domain.

·  The importance of effective leadership to deliver improvements.

RESOLVED – That the inspection outcomes for health and social care providers in Leeds, and the information discussed at the meeting, be noted.

To consider a report from the Head of Governance and Scrutiny Support introducing details of the joint report from the Director of Public Health, the Director of Children and Families and the Director of Adults and Health, which presented the draft ‘Leeds Health and Care Plan on a Page’ and accompanying narrative to the Executive Board at its meeting on 17 July 2017; and subsequently approved as the basis for the planned engagement and consultation exercise with citizens regarding the future health and care in Leeds.

The Head of Governance and Scrutiny Support submitted a report which presented the draft ‘Leeds Health and Care Plan’ and associated narrative approved as the basis for public engagement and consultation regarding future health and care in Leeds.

The following were in attendance:

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

-  Paul Bollom (Executive Lead for the Leeds Plan (Interim), Health Partnerships Team – Adults and Health).

The key areas of discussion were:

·  The need to be clear about the financial challenges faced and the impact on communities.

·  Clarification sought in the report regarding anticipated future spending on the health and care system in Leeds.

·  An update on development of a communication strategy and ensuring that the public was aware about how to access information on-line.

·  Suggested amendments to patient participation and the role of Healthwatch Leeds.

RESOLVED – That subject to the comments above, the Board notes the draft ‘Leeds Health and Care Plan’ and associated narrative approved as the basis for public engagement and consultation regarding future health and care in Leeds.

(Councillor J Pryor left the meeting at 3.40pm and Councillor P Truswell at 3.45pm, during the consideration of this item.)

To consider a report from the Head of Governance and Scrutiny Support introducing an update on developments of NHS Leeds Clinical Commissioning Groups Partnership and proposals to move to a single NHS commissioning organisation in Leeds. 

The Head of Governance and Scrutiny Support submitted a report which introduced an update on developments of NHS Leeds Clinical Commissioning Groups Partnership and proposals to move to a single NHS commissioning organisation in Leeds.

The following were in attendance:

-  Dr Gordon Sinclair – Clinical Chair, NHS Leeds West Clinical Commissioning Group

-  Jo Harding – Director of Nursing and Quality, NHS Leeds Clinical Commissioning Groups Partnership.

RESOLVED – That the Board notes the update on developments of NHS Leeds Clinical Commissioning Groups Partnership and proposals to move to a single NHS commissioning organisation in Leeds.

To consider a report from the Head of Governance and Scrutiny Support providing an update on the development of the Scrutiny Board’s inquiry and introducing a range of information, including an outline of the Council’s social care responsibilities for offenders. 

The Head of Governance and Scrutiny Support submitted a report which provided an update on development of the Scrutiny Board’s inquiry and introduced a range of information, including an outline of the Council’s social care responsibilities for offenders.

The following were in attendance:

-  Mick Ward (Interim Deputy Director, Integrated Commissioning – Adults and Health).

The Board sought clarification about the types of support provided following an offender’s release from prison, particularly in terms of access to a GP and dental care.

RESOLVED – That the issues raised as part of the Board’s inquiry around the Health and Social Care Needs of Offenders, be noted.

To consider the Scrutiny Board’s work schedule for the 2017/18 municipal year.

The Head of Governance and Scrutiny Support submitted a report which invited Members to consider the Board’s work schedule for the 2017/18 municipal year.

The Board discussed recommending to the CCG partnership that a credible plan for the efficiencies in running costs (required by NHSE as part of the process to move to a single commissioning organisation), was to earmark monies as a contribution to commissioning Neighbourhood Networks.  The Board considered that this fitted with the ambition of the Leeds Health and Care Plan around locality planning, delivery of integrated health and social care services, and a focus on prevention and early intervention. 

RESOLVED –

(a)  That subject to comments raised at the meeting and any on-going discussions and scheduling decisions, the Board’s outline work schedule, be approved.

(b)  That the Board submits responses to the Better Lives Strategy refresh and the Leeds Health and Care Plan.

(c)  That the Board recommends to the CCG partnership that a credible plan for the efficiencies in running costs was to earmark monies as a contribution to commissioning Neighbourhood Networks. 

Tuesday, 10 October 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

Tuesday, 10 October 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 4.40pm)