Agenda item

The report of Interim Chief Officer, Leeds Health Partnerships is to provide Outer North West Community Committee with an overview of the emerging Leeds Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plans (STPs). It sets out the background, context and the relationship between the Leeds and West Yorkshire plans. It also highlights some of the key areas that will be addressed within the Leeds Plan which will add further detail to the strategic priorities set out in the recently refreshed Leeds Health and Wellbeing Strategy 2016 – 2021.

(Report attached)

The Chair welcomed Cllr. G Latty back to the Committee after his illness. He asked that Cllr. Latty in his role as Health Champion and member of the Health and Wellbeing Board introduce item 9 – Overview on the Development of the Leeds Plan and West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

Cllr. G Latty introduced the item informing Members that the report set out a number of ways in which Members could contribute to the Leeds Plan and the West Yorkshire and Harrogate STP.

Cllr. Latty praised individual departments in the NHS but went on to say that unfortunately not all areas were joined up such as admissions and discharges.

Cllr. Latty went on to say that the provision of the health services was not one that should be taken lightly. He was of the view that the survival of the health service required cultural and attitude change. He said that Members needed to encourage social prescribing looking to local health services in the community to offer preventative and ongoing care.

Steve Walker, Director of Children’s Services, Dr Chris Mills, local GP from Rawdon, and Paul Bollom Interim Chief Officer, Leeds Health Partnerships presented the report.

The Committee was informed that this was the start of consultation on the Leeds Plan which had been launched in April 2016.

Members were advised that the Leeds Health and Wellbeing Strategy 2016-2021 set out 5 outcomes and 12 priorities. The Strategy has twin aims of feeding into the West Yorkshire and Harrogate STP and providing a delivery plan for our citywide health and care ambitions in Leeds.

The Committee was informed that the Leeds Plan was a ‘roadmap’ for how the city would improve health and wellbeing, improve care and quality and work towards more financial sustainability, providing a focus for services to work together.

The Leeds Plan has four main themes underpinned by a commitment to culture change built on working with people wherever possible in all aspects of their health and care they were listed as follows:

·  Prevention

·  Self-management, proactive and planned care

·  Optimising the use of secondary care resources  and facilities

·  Urgent care / rapid response in times of crisis

It was also noted that there were 3 gaps in the outcomes. Members were advised that the gaps were as follows:

·  Health and Wellbeing – Life expectancy for men and women remains significantly worse in Leeds than the national average

·  Care and Quality – NHS Constitutional KPI’s have been identified as areas to focus on to reduce the care and quality gap these include

o  Metal Health

o  Patient Satisfaction

o  A&E and Ambulance response times

o  Delayed transfers of care

o  Hospital admission rates

·  Finance and Efficiency 

Dr Mills of Rawdon Surgery and Chair of Leeds GP Provider Group provided Members of an overview on statistics for the outer North West area in relation to:

·  Life expectancy at birth

·  Under 75 Cardiovascular disease mortality

·  Under 75 Cancer mortality

·  And the suicides identified by audit 2011-2013 per postcode district

Dr Mills gave a brief overview of the health of the Outer North West area. He explained that many people in this area lived into their eighties but with this brought other health issues with more people suffering from illnesses such as dementia and the care and support that this required.

Dr Mills went on to say that as people started to live longer they would need to plan for the future and consider the type of care and support that might be required.

The Committee was informed that communicating and working closer with individuals, families and communities would address health issues by designing services around communities.

Members discussed the follow points:

·  The timing of the consultation

·  Finance and efficiency gap over the next five years

·  Changing the mind set to provide services in localities that people need

·  The use of the third sector to support should not be seen as a cheap option

·  The need for the systems to be simplified when contacting the NHS for advice or admissions

·  The need for efficiency savings without the loss of beds

·  The need for Council departments, health partnerships and third sector to link together in providing services

·  New models of care – piloted at Armley and now first meetings taking place to role this model out across the city.

·  Cultural changes to lifestyle choices

·  Inequalities in areas of deprivation

·  The need to consult on issues within small ward based areas

·  Consider the use of small hospitals for other health areas such as aftercare on discharge

Cllr. G Latty summed up the discussion saying that it had been a useful. He said that Councillors needed to be included in discussions for the ‘new model of care’.

Councillor Latty invited Dr Mills or a colleague to attend a Health, Well-being and Adult Social Care sub group for further discussion on the new models of care and the Leeds Plan.

RESOLVED – That the Committee:

·  Note the key areas of focus for the Leeds Plan described in the submitted report and how they will contribute to the delivery of the Leeds Health and Wellbeing Strategy

·  Identify needs and opportunities within their area that will inform and shape the development of the Leeds Plan

·  Recommend the most effective ways/opportunities the Leeds Plan development and delivery team can engage with citizens, groups and other stakeholders within their area to shape and support delivery of the Leeds Plan.