Agenda item

To consider a report from the Head of Governance and Scrutiny Support introducing a range of information regarding Delayed Transfers of Care across the Leeds Health and Care System.

The Head of Governance and Scrutiny Support submitted a report which presented information regarding Delayed Transfers of Care across the Leeds Health and Care System.

The following information was appended to the report:

·  Delayed Transfers of Care (DToC) report to Leeds Health and Wellbeing Board – 23 November 2017

·  Leeds Health and Care Local System Delivery Plan 2017-18

·  Adult Social Care Outcomes Framework Indicators, including performance data on DToC.

The following were in attendance:

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

·  Shona McFarlane (Deputy Director, Adults and Health), Leeds City Council

·  Suzanne Hinchliffe (Deputy CEO), Leeds Teaching Hospitals NHS Trust

·  Saj Azeb (Assistant Director of Operations), Leeds Teaching Hospitals NHS Trust

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

·  Sara Munro (Chief Executive), Leeds and York Partnership NHS Foundation Trust

·  Lou Auger (Director of Delivery), NHS England

·  Sue Robbins (Director of Commissioning, Strategy and Performance), Leeds CCG Partnership

·  Mark Fox (Head of Operational Planning and Performance), Leeds CCG Partnership.

The Scrutiny Board considered and discussed the details within the agenda papers and presented at the meeting.  Some of the key areas of discussion included:

·  The commissioning of additional Mental Health Beds and Community Intermediate Care beds by Leeds Clinical Commissioning Group Partnership.

·  Reablement services provided by Leeds City Council.

·  The continuing and ongoing pressures being experienced within Leeds Teaching Hospitals NHS Trust.

·  The complexities and pressures associated with securing specialist Elderly Mentally Ill placements for those in need.  This included the refusal to accept some patients suitable for discharge from hospital. 

·  Confirmation that there had been an increase in the number of patients with dementia and challenges in relation to placements.

·  The effectiveness of the Leeds Winter Plan and the assurance provided by NHS England around the performance of the Leeds Health and Care Partnership; and despite the continuing pressures, all partners were performing and contributing as expected. 

·  Confirmation that the continuing pressures in Leeds tended to be a result of the acuity of patients’ needs, rather than different organisations not operating within the partnership and/or not discharging their responsibility.

·  Assurance around the point at which discharge planning from hospital was occurring / commencing. 

·  Further details provided to the Board about the table of weekly delays at Leeds Teaching Hospital NHS Trust.

·  The demands on homecare and the waiting times for home care packages to be in place, which were often dependent on geography and the complexity of the care package to be provided.  The Board requested more details around homecare provision. 

·  Issues associated with the recruitment and retention of nursing staff across care homes, which the Board recognised was a national issue.

RESOLVED –

(a)  That the contents of the report and appendices and the assurances provided at the meeting be noted.

(b)  That the Board be provided with additional details around the demands on homecare services and associated waiting times for home care packages.