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.)

There were no formal late items, but it was noted that a briefing note had been provided in relation to Autism, which was included as part of the Chairs Update item (minute 13 refers).

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 at the meeting, however the following matters were drawn to the attention of the Joint Committee:

·  Councillor Pearson advised the Committee of his role as a Company Director of a company that delivered services on behalf of Calderdale Council, Adult Social Services, through a formal contract arrangement.

·  Councillor Baines advised the Committee of his role as an elected member representative on NHS Calderdale and Huddersfield Members Council.

·  Councillor Smaje advised the Committee that two close family members were currently in receipt of services for the treatment of cancer.

As the matters of interest were non-pecuniary, all members remained present for the meeting.

To receive any apologies for absence and notification of substitutes.

Members were advised of the following changes to the substantive membership of the Joint Committee:

·  Councillor Stephen Baines, MBE (Calderdale Council) replaced Councillor C Pearson (Calderdale Council)

Apologies for the meeting were reported as follows:

·  Councillor V Greenwood (Bradford Council), with no substitute member in attendance.

·  Councillor J Hughes (Kirklees Council), with no substitute member in attendance.

·  Cllr M Greenwood (Calderdale Council), with Cllr C Person attending as a substitute member.

Members were further advised of the attendance of Councillor Jim Clark (North Yorkshire County Council) in line with the outcome of the Joint Committee’s previous discussions regarding the involvement/ participation of a suitable North Yorkshire County Council representative in relation to the West Yorkshire and Harrogate Sustainability and Transformation Plan and associated discussions. 

The Joint Committee also noted apologies had been received from Merran Macrae (Chief Executive, Calderdale Council) – the nominated Chief Executive to lead on the West Yorkshire and Harrogate Sustainability and Transformation Plan on behalf of the five West Yorkshire local authorities – who had been invited to attend the Joint Committee. 

The Joint Committee received deputations from members of the public representing a number of ‘protect the NHS’ campaign groups, opposing the West Yorkshire and Harrogate Sustainability and Transformation Plan.

On behalf of the Joint Committee, the Chair thanked those in attendance for their attendance and contributions to the meeting.

RESOLVED – To note the comments made at the meeting.

To confirm as a correct record, the minutes of the meeting held on 18 November 2016.

RESOLVED – That the draft minutes from the meeting held on 18 November 2016 be agreed as an accurate record.

To receive an update from the Chair of the Joint Committee on any specific actions or activity since the previous meeting, which is not presented elsewhere on the agenda.

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support, providing an opportunity for the Chair to provide an update on any specific actions or activity since the previous meeting on matters not presented elsewhere on the agenda.

Specific reference was made to a briefing note that had been circulated in relation to Autism Assessment and Diagnosis.  The briefing note outlined:

·  The commencement of a comprehensive scoping exercise to fully understand current arrangements position in relation to autism across West Yorkshire and Harrogate.   

·  The range of groups involved in the scoping exercise.

·  Plans to conclude the scoping exercise by the end of March 2017.

In considering the information presented, the Joint Committee made a number of comments, including:

·  Disappointment that local authority health overview and scrutiny committees did not feature as identified key stakeholders in the scoping exercise.

·  Seeking clarification on the likely timescales.

RESOLVED – That the Joint Committee receives an interim report on the autism scoping exercise by the end of March 2017, with a view to receiving the final scoping report and recommendations as soon as practicable. 

To receive a report from the Head of Governance and Scrutiny Support introducing information in relation to the Stroke Services priority area, within the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support, introducing information in relation to the Stroke Services priority area within the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The following were in attendance for consideration of this item:

·  Jo Webster, Chief Officer, Wakefield CCG

·  Linda Driver, West Yorkshire & Harrogate Stroke/Hyper Acute Stroke Project Lead

·  Dr Pratap Singh Rana, Consultant Stroke Physician, Calderdale and Huddersfield NHS Foundation Trust

·  Rory Deighton, Director, Healthwatch Kirklees

·  Karen Coleman, Communications and Engagement Lead, West Yorkshire and Harrogate STP

·  Jackie Crossley, Head of Clinical Effectiveness, Yorkshire Ambulance Service NHS Trust

In providing general background and introducing information within the report, a range of matters were highlighted, including:

·  Context of the national review of stroke services.

·  Emerging evidence on approaches to reduce strokes resulting in death and long-term conditions.

·  Projections for an increase in the number of patients having a stroke.

·  Consideration was being given to how hyper acute stroke and acute stroke care services could be improved across West Yorkshire.

·  Plans for public and patient engagement in relation to improvements across the whole clinical pathway for stroke care, including prevention, first 72 hours of care, rehabilitation and community support. 

·  Public engagement work due to take place over 6-weeks, commencing 1 February 2017.

·  Key drivers and the case for change/ review of services, which included:

o  Outcome of the resilience review undertaken (based on 2012 data);

o  Increasing demand for services;

o  Levels of morbidity for those suffering a stroke;

o  An ageing population with complex health and social care needs;

o  Workforce sustainability.

·  The potential impact of other stroke engagement and consultation work taking place in surrounding areas, including South Yorkshire and Bassetlaw and North Derbyshire.

Members of the Joint Committee discussed the information presented and raised a number of specific points / questions, including:

·  The contractual relationship between HealthWatch Kirklees and the STP Programme Office, in undertaking the public engagement activity.

·  Assurance sought around the independence of HealthWatch Kirklees in undertaking the public engagement activity on behalf of the STP Programme Office.

·  Assurance sought around any pre-determined reduction in the current number of stroke care units across the West Yorkshire and Harrogate STP footprint, and the language used in the STP document.

·  The likely decision-making timeline and governance arrangements.

·  A request for details of the recommendations identified by the Clinical Senate, and the evidence base/ working assumptions used at that time.

·  A request for the outcome of the public engagement work to be reported to the Joint Committee, prior to any potential reconfiguration decisions.

·  Assurance sought around the contribution of ‘stroke services’ in helping address the gaps identified in the West Yorkshire and Harrogate STP

On conclusion of the discussion, the Chair thanked the Clinical Director for his attendance and contribution to the discussion.

RESOLVED –

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

(b)  To receive and consider details of the resilience review and recommendations of the Clinical Senate referred to  ...  view the full minutes text for item 14.

To receive a report from the Head of Governance and Scrutiny Support introducing information in relation to the Cancer priority area, within the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support, introducing information in relation to the Cancer priority area within the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

The following were in attendance for consideration of this item:

·  Professor Sean Duffy, Clinical Director and Alliance Lead, West Yorkshire and Harrogate Cancer Alliance

In providing general background and introducing information within the report, the Clinical Director outlined the following five priority areas within the Cancer workstream:

·  Approach to prevention and awareness-raising;

·  Achieving earlier diagnosis;

·  Patient experience;

·  Supporting people living with and beyond cancer;

·  Modern, high quality services.

Members of the Joint Committee discussed the information presented and raised a number of specific points / questions, including:

·  The role of primary care in helping achieving earlier diagnosis and detection rates.

·  How patients broader health and social care needs will be considered as part of the ‘supporting people living with and beyond cancer’ workstream.

·  System pressures experienced in maintaining performance against the national indicators.

·  Performance levels of individual hospitals across the West Yorkshire STP footprint, and the associated relationships.

·  The impact of delays in diagnosis and/or access to treatment on patients and their families.

On conclusion of the discussion, the Chair thanked the Clinical Director for his attendance and contribution to the discussion.

RESOLVED –

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

(b)  To identify key milestones within the identified priority areas, alongside the development of any potential substantial service changes, and incorporate these into the future work programme of the Joint Committee.

To receive a report from the Head of Governance and Scrutiny Support introducing draft terms of reference in relation to the scrutiny of ‘Access to NHS Dental Services’

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support, introducing draft terms of reference in relation to the scrutiny of ‘Access to NHS Dental Services across West Yorkshire’. 

The draft terms of reference set out proposed key lines of enquiry; an indicative list of interested parties; key documents and indicative arrangements and timescales.

During consideration of the draft terms of reference, the Joint Committee discussed the merits of potentially expanding and broadening the scope of the inquiry to include actions to help promote good oral health, including potential fluoridation of the local water supply.  The Joint Committee subsequently agreed to maintain the focus of the inquiry on ‘Access to NHS Dental Services’.

RESOLVED – To agree the ‘Access to NHS Dental Services across West Yorkshire’ terms of reference, as presented.

To receive and consider a report from the Head of Governance and Scrutiny Support on the development of the Joint Committee’s future work programme. 

The Joint Committee received a report from Leeds City Council’s Head of Governance and Scrutiny Support on the development of the Joint Committee’s future work programme.

The Principal Scrutiny Adviser addressed the meeting, setting out proposals to structure the Joint Committee’s future work programme around the nine work streams identified in the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP), but also reflecting earlier discussions during the meeting, including:

·  Autism;

·  Access to NHS Dental Services across West Yorkshire; and,

·  Governance arrangements / proposals in relation to the STP.

RESOLVED – That officers continue to work towards developing a proposed future work programme for presentation, discussion and agreement at a future meeting of the Joint Committee.

To be confirmed.

RESOLVED – That the date and time of the next meeting be agreed in consultation with the Chair of the Joint Committee.

The meeting closed at 11:50am