Agenda item

To consider a report of the Head of Scrutiny and Member Development providing a position statement on behalf of the Transformation Board which includes an overview of the Leeds Health and Social Care Transformation Programme together with details of the supporting managerial governance arrangements

(report attached)

  Members considered a report of the Head of Scrutiny and Member Development setting out the position on the work of the Transformation Board which included an overview of the Leeds Health and Social Care Transformation Programme together with details of the supporting managerial governance arrangements

  Mr Matt Ward – Associate Director of Commissioning – NHS Leeds presented the report and provided a brief overview of the Transformation Programme, referred to the consultation processes which would need to take place on these proposals and highlighted some of the benefits to be achieved from the proposed changes for Leeds’ citizens, these included:

·  a focus on quality and safety

·  greater local facilities

·  help and support to enable people to manage their own health conditions

·  integrated services

·  reduced duplication

Mr Ward also gave detailed information on work to be undertaken on

specific projects which included:

·  outpatient follow-ups

·  prescribing

·  musculoskeletal clinical pathways

·  out of hours service

·  early identification of patients at risk of hospital admission (risk stratification)

·  improvements to support for older people and greater integration between health and social care teams

·  better management of type 2 diabetes

·  home oxygen services

Councillor Mulherin declared a personal interest as a family member

was currently receiving musculoskeletal treatment

  Sally Morgan declared a personal interest through having received musculoskeletal treatment

  Councillor Bruce declared an interest through a family being member in long term care and currently being in hospital

  Joy Fisher declared an interest through her involvement with the NESTA bid which Mr Ward had referred to

  Councillor Charlwood declared a personal interest through being employed by Leonard Cheshire Disability which cared for people with long term care needs

  Councillor Armitage declared a personal interest as the Chair of Swarcliffe Good Neighbours scheme which provided services for older people

  Members commented on the following matters:

·  the pace of the changes

·  the difficulties of dealing with patients with varied and complex needs particularly when the focus was moving towards treating people at home

·  prescribing issues, particularly expensive drugs with limited clinical effectiveness

·  the need for reassurances to be given that in relation to prescribing generic drugs, due consideration was given to the specific conditions of patients as some conditions may be exacerbated by changes in the medication prescribed.  Mr Ward confirmed that this was the case

·  out of hours GP services; the need for these to be local and if situated in a hospital that this was not seen as a hospital service and not managed by a consultant.  Mr Ward accepted these comments and stated that the model for this had not yet been defined

·  how success would be measured , with Mr Ward stating that an exploration of this had commenced

·  that reassurances were needed in respect of empowering people to take greater responsibility for their health.  Mr Ward confirmed that this was about people who were willing and able to manage their own health conditions.  These patients would then be offered a support network from practitioners although they could move back to a more structured approach if they wished or needed to

·  the mechanisms for educating people about their health

RESOLVED -  

i)  To note the information provided and the comments

now made and to request a further report be provided to the meeting to be held on 29^th February 2012 which provided a further update and greater detail on how patients would manage the process and how the changes would be communicated to the public

ii)  That information on diabetes rates in the Super output areas be

 provided

iii)  That a list of the 49 conditions recognised as being effectively

treated using non-patient pathways be provided