Agenda item

To receive a report from the Head of Scrutiny and Member Development introducing the Care Quality Commission’s inspection reports and ratings for Leeds and York Partnership NHS Foundation Trust, along with the Trust’s initial response and proposed improvement activity. (Cover report only attached.  CQC reports not yet published)

The Head of Scrutiny and Member Development submitted a report introducing the Care Quality Commission’s inspection reports and ratings for Leeds and York Partnership NHS Foundation Trust, along with the Trust’s initial response and proposed improvement activity. 

Additional information by way of the Care Quality Commission (CQC) press release and Inspection Report (summary) and Leeds and York Partnership NHS Foundation Trust: Stakeholders Briefing Pack were submitted to the meeting for consideration (minute 56 refers).

The following representatives were in attendance:

·  Chris Butler (Chief Executive – Leeds and York Partnership NHS Foundation Trust)

·  Anthony Deery (Interim Director of Nursing and Quality – Leeds and York Partnership NHS Foundation Trust)

·  Nigel Gray (Chief Officer) – NHS Leeds North CCG

·  Lianne Langdon (Director of Commissioning and Strategy) – NHS Leeds North CCG

Members were advised that representatives from the CQC had been invited to the meeting but were unable to attend. 

The Chief Executive of Leeds and York Partnership NHS Foundation Trust addressed the meeting and thanked the Scrutiny Board for the opportunity to discuss the outcome of the recent CQC inspection of the Trust. In his opening address, the Chief Executive highlighted a number of matters including the following:

·  The context of the Trust’s operating arrangements and experience of the inspection.

·  The Trust had been assessed as ‘Good at Caring’ across the organisation.

·  70% of services were assessed as good; 25% of services ‘required improvement’ and 5% of services had been assessed as ‘inadequate’.

·  The inspection outcome could be considered as providing a ‘tale of two cities’ – with services in Leeds generally receiving a more favourable assessment when compared to some services in York.

·  It was believed that a number of issues identified in York were a result of historic underfunding, with the Trust only taking control of services in York in the previous 3 years.

Representatives from NHS Leeds North CCG addressed the meeting and highlighted a number of matters, including the following:

·  Commissioners had been fully involved in the inspection process and welcomed the report.

·  The inspection clearly identified some areas for improvement, but also highlighted some examples of good practice.

·  The Mental Health Partnership Board would be taking a commissioner/ provider approach in looking to address some of the areas for improvement.

·  The CQC’s inspection methodology had recently changed (moving from a place based assessment to a whole service assessment) and the Trust was part of the first wave to be inspected under the new arrangements/ approach.  Some learning about the inspection process had emerged.

The Scrutiny Board considered the information submitted to the meeting and the verbal introductions provided.  Members raised and discussed a number of matters, including:

·  The relationship between service commissioners in Leeds and York.

·  The experience of patients accessing services.

·  The need to differentiate improvement actions to services across Leeds and York i.e. being clear about which services needed to improve and where – Leeds, York or both.

·  Concerns regarding the ‘ligature points’ identified during the inspection.

·  Delivery of a ‘place of safety’ and the working relationship with the Police.

·  Timescales for the Trust to produce and report its action plans to the CQC and future involvement of the Scrutiny Board.

·  Assurance from the Trust and commissioners regarding the quality of services in Leeds.

RESOLVED –

(a)  To note the report and the information presented and discussed at the meeting.

(b)  To receive and consider the Trust’s action plans (disaggregated for Leeds) at the Scrutiny Board meeting in March 2015.   

(c)  To consider a further report from the Trust at the Scrutiny Board meeting in March 2015 in relation to its approach to broader engagement.

On conclusion of the discussion, the Chair thanked those in attendance for their contribution to the discussion. 

NB Councillor James Lewis left the meeting at 11:05am during discussion of the above item.