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 supplementary information was submitted in relation to Item 12 – Sources of Work:

·  NHS England update on specialised services.

The information had not been available at the time of agenda publication.

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 declarations of disclosable pecuniary interest.

To receive any apologies for absence and notification of substitutes.

Apologies were received from Councillor H Blagbrough (Calderdale Council) and Councillor M Walton (Kirklees Council).

As this is the first formal meeting of the West Yorkshire Joint Health Overview and Scrutiny Committee, there are no previous minutes to consider.

As the first meeting of the Joint Committee, there were no previous minutes for consideration.

To consider a report that presents the terms of reference for the West Yorkshire Joint Health Overview and Scrutiny Committee and sets out the proposed arrangements for Chairing meetings for the current municipal year, 2015/16.

The terms of reference for the West Yorkshire Joint Health Overview and Scrutiny Committee was presented and discussed.

In the spirit of cooperation and transparency, it was discussed that where it was considered to be beneficial for a joint West Yorkshire approach to matters relating to Adult Social Care and/or Public Health, details would be considered by the Joint Committee, on an issue by issue basis.

RESOLVED

(a)  That the terms of reference for the West Yorkshire Joint Health Overview and Scrutiny Committee be noted.

(b)  That, on an issue by issue basis, consideration be given to Adult Social Care and/or Public Health matters, where a joint West Yorkshire approach may be beneficial and appropriate.

To consider a report that introduces information associated with the West Yorkshire Urgent and Emergency Care Vanguard and associated programmes of work.

The Joint Committee consider a report from the Principal Scrutiny Adviser (Leeds City Council) that introduced information associated with the West Yorkshire Urgent and Emergency Care Vanguard and associated programmes of work. 

The following were in attendance for discussion of the item:

·  Nigel Gray – Leeds North CCG

·  Dr Guy Brookes – Leeds and York Partnership NHS Foundation Trust

·  Dr Phil Foster – West Yorkshire Urgent and Emergency Care Network (Chair)

·  Colin McIlwain – West Yorkshire Urgent and Emergency Care Network (Interim Director)

·  Stacey Hunter (Director of Operations) – Airedale NHS Trust

The Joint Committee received a brief introduction and summary of the information presented.

Members of the Joint Committee discussed the information presented and raised a number of issues, including:

·  Timescales and key milestones.

·  Priorities and the processes for decision-making.

·  Potential impact on patients and communities.

·  Financial and workforce challenges.

·  Specific implications around mental health services and ambulance services.

·  Any implications in terms of Adult Social Care.

·  Engagement with key stakeholders and service users/ patients.

RESOLVED –

(a)  That the information presented and discussed be noted.

(b)  That details of any proposed public/ patient involvement and engagement be presented to the Joint Committee at a future meeting.

(c)  That the Joint Committee maintains an overview of the West Yorkshire Urgent and Emergency Care Vanguard, including any specific proposed service changes that may emerge.

To consider a report that introduces information associated with the West Yorkshire Association of Acute Trusts.

The Joint Committee consider a report from the Principal Scrutiny Adviser (Leeds City Council) that introduced information associated with the West Yorkshire Association of Acute Trusts (WYATT), including its aims, objectives and planned projects. 

The following were in attendance for discussion of the item:

·  Stacey Hunter (Director of Operations) – Airedale NHS Trust

·  Nigel Gray – Leeds North CCG

The Joint Committee received a brief introduction and summary of the information presented.  It was confirmed that the WYATT was in the early stages of development, and that that Harrogate and District NHS Foundation Trust was also a member of the association. 

Members of the Joint Committee discussed the information presented and raised a number of issues, including:

·  How patient experience was used to inform the strategy of WYATT.

·  Consistency of approach across the Trusts forming WYATT.

·  Workforce issues across the West Yorkshire footprint, including the use of agency staff.

·  The overall financial landscape and financial position of individual Trusts.

RESOLVED –

(a)  That the information presented and discussed be noted.

(b)  That the Joint Committee maintains an overview of the West Yorkshire Association of Acute Trusts (WYATT) and considers future updates, including an annual report from the association, at future meetings.

To consider a report that introduces information associated with cancer waiting times and the associated performance of Leeds Teaching Hospitals NHS Trust, including information associated with the timely referral of patients across West Yorkshire.

The Joint Committee consider a report from the Principal Scrutiny Adviser (Leeds City Council) that introduced information relating to cancer waiting times and the associated performance of Leeds Teaching Hospitals NHS Trust, including information associated with the timely referral of patients across West Yorkshire.

The following were in attendance for discussion of the item:

·  Julie Owens – Leeds Cancer Centre Manager

·  Stacey Hunter (Director of Operations) – Airedale NHS Trust

The Joint Committee received a brief introduction and summary of the information presented, including:

·  Specific performance targets associated with referrals for assessment and commencement of treatment.

·  The impact and level of late/ delayed patient referrals.

·  Progress to develop agreed procedures across different elements of the health care system across West Yorkshire. 

Members of the Joint Committee discussed the information presented and raised a number of issues, including:

·  Patient non-attendance and the potential reasons.

·  Reasons for late/ delayed patient referrals.

·  Capacity issues across diagnostic and treatment pathways

RESOLVED –

(a)  That the information presented and discussed be noted.

(b)  That the Joint Committee reviews progress of developing a West Yorkshire cancer strategy and associated performance at a future meeting.

To consider a report that introduces information relating to a request for scrutiny received by Leeds City Council’s Scrutiny Board (Adult Social Services, Public Health, NHS) and considered at its meeting on 20 October 2015, as they may have an impact on the other local authority areas within West Yorkshire.

The Joint Committee considered a report from the Principal Scrutiny Adviser (Leeds City Council) that introduced information relating to a request for scrutiny received by Leeds City Council’s Scrutiny Board (Adult Social Services, Public Health, NHS) and considered at its meeting on 20 October 2015. 

The Principal Scrutiny Adviser briefly introduced the item and confirmed it was being presented to the Joint Committee for consideration as there may be an impact on the other local authority areas across West Yorkshire.

The Joint Committee considered the information presented and agreed to refer the matter back to Leeds City Council for sole consideration. 

RESOLVED – That the request for scrutiny be referred Leeds City Council for sole consideration.

To consider a report that introduces further information that may inform the future work programme of the West Yorkshire Joint Health Overview and Scrutiny Committee.

The Joint Committee considered a report from the Principal Scrutiny Adviser (Leeds City Council) that introduced further information that may inform the future work programme of the West Yorkshire Joint Health Overview and Scrutiny Committee.

The Joint Committee discussed a series of matters for potential consideration, including: 

·  Ambulance response times

·  The Adult Social Care System and its impact on the local Health System.

·  Workforce and recruitment across the local Health System.

·  Cancer waiting times.

·  Waiting times (overall).

·  Access to Child and Adolescent Mental Health Services (CAMHS).

·  Urgent and emergency care.

RESOLVED – That the information presented and discussed at the meeting be noted.

To consider the future work programme of the West Yorkshire Joint Health Overview and Scrutiny Committee.

Following on from the ‘Sources of Work’ discussion, it was suggested that a draft work schedule be developed and presented to a future meeting for agreement.

RESOLVED – That a draft work schedule for the Joint Committee be developed and presented to a future meeting for agreement.

To be determined.

The Joint Committee discussed arrangements for the next meeting and it was suggested this should take place in February / March 2016.  

Future venues of the meetings should include Wakefield, Bradford and Kirklees.

RESOLVED - That the date and time of the next meeting was to be agreed.

The meeting closed at 1:30pm.