Agenda and minutes

Co-opted Member present – Dr J Beal

To consider any appeals in accordance with Procedure Rule 25* of the Access to Information Procedure Rules (in the event of an Appeal the press and public will be excluded).

(* In accordance with Procedure Rule 25, notice of an appeal must be received in writing by the Head of Governance Services at least 24 hours before the meeting).

There were no appeals.

1.  To highlight reports or appendices which officers have identified as containing exempt information, and where officers consider that the public interest in maintaining the exemption outweighs the public interest in disclosing the information, for the reasons outlined in the report.

2.  To consider whether or not to accept the officers recommendation in respect of the above information.

3.  If so, to formally pass the following resolution:-

RESOLVED – That the press and public be excluded from the meeting during consideration of the following parts of the agenda designated as containing exempt information on the grounds that it is likely, in view of the nature of the business to be transacted or the nature of the proceedings, that if members of the press and public were present there would be disclosure to them of exempt information, as follows:

  No exempt items have been identified.

There were no exempt items.

To identify items which have been admitted to the agenda by the Chair for consideration.

(The special circumstances shall be specified in the minutes.)

With agreement from the Chair, there was Supplementary Information circulated to Board Members in relation to agenda item 11 – Work Schedule. This was Appendix 2 of the report, which was a summary of a working group held on the 9^th of March 2023 regarding the Leeds Mental Health Strategy.

To disclose or draw attention to any interests in accordance with Leeds City Council’s ‘Councillor Code of Conduct’.

No declarations of interests were made at the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence had been received from Councillors W Kidger and C Hart-Brooke.

To approve as a correct record the minutes of the meeting held on 21^st February 2023.

RESOLVED - That the minutes of the meeting held on 21^st February 2023, be approved as an accurate record.

To receive a report from the Head of Democratic Services which presents a further update provided by the ICB Accountable Officer (Leeds Place).

The Head of Democratic Services submitted a report which presented further updates provided by the ICB Accountable Officer (Leeds Place).

The following were in attendance for this item:

·  Cllr Fiona Venner, Executive Member for Adult and Children’s Social Care and Health Partnerships

·  Cllr Salma Arif, Executive Member for Public Health and Active Lifestyles

·  Tim Fielding, Deputy Director of Public Health

·  Tony Cooke, Chief Officer Health Partnerships

·  Jenny Cooke, Director of Population Health Planning, Leeds ICB

·  Gaynor Connor, Director of Primary Care and Same Day Response, Leeds ICB

The Chair explained that since July 2021, the Scrutiny Board has been actively monitoring the ongoing development of the new local Integrated Care System.  During the Board’s last update in October 2022, it was agreed that this next update would be more focused on the key priority work areas of the ICB in Leeds linked to the Healthy Leeds Plan.

The Chair invited the Director of Population Health Planning and the Director of Primary Care and Same Day Response to provide a brief introduction to the report provided by the ICB Accountable Officer (Leeds Place).  In doing so, the following areas were highlighted:

Ø  The refresh of the Healthy Leeds Plan had been undertaken between October 2022 and March 2023 to coincide with the refresh of the Health and Wellbeing Strategy.

Ø  Funding secured through the Core20PLUS5 framework resulted in £3million being allocated to the health inequalities programme in Leeds. This programme is made up of 44 individual projects across the system alongside funding to the eight local care partnerships (LCP) with the highest levels of deprivation.

Ø  The 44 individual projects were selected from a list of over 90 proposed projects in varying states of maturity, from ongoing projects that were coming to the end of their funding to new projects.

Ø  The funding for next year has been secured and discussions are underway to determine how best to deploy this funding.

Ø  The Intermediate Care Redesign Programme aims to deliver a bold and innovative programme to achieve the vision of having a sustainable, person-centred, home-first model of intermediate care across Leeds that is joined up and promotes independence.  This 18-month programme has been constructed over three phases and is being led by Dr Phil Wood, the Chief Executive for Leeds Teaching Hospitals Trust (LTHT).  The programme is transitioning from Phase 2 to Phase 3 and it was therefore suggested that that Scrutiny Board maintains a watching brief of progress.

Ø  Improving access to General Practice is recognised as a key priority for the ICB due to unprecedented demand for services.  Recent data shows delivery of 20,000 appointments on average per day across the 92 practices in Leeds.  Currently 43% of all appointments are booked on the same day with a total of 70% being booked within 7 days.  Over 71% of all appointments were conducted face to face and just under 50% are with a GP.  A further 20,000 enhanced access service appointments (evening and weekends in PCN based hubs across  ...  view the full minutes text for item 79.

To receive a further update report from the Chief Officer Health Partnerships on the work undertaken to develop the Leeds Health and Wellbeing Strategy and includes the current working draft of the Strategy refresh.

The Chief Officer for Health Partnerships submitted a report regarding the work undertaken to develop the Leeds Health and Wellbeing Strategy and included the current working draft of the Strategy refresh.

The following were in attendance for this item:

·  Cllr Fiona Venner, Executive Member for Adult and Children’s Social Care and Health Partnerships

·  Cllr Salma Arif, Executive Member for Public Health and Active Lifestyles

·  Tim Fielding, Deputy Director of Public Health

·  Tony Cooke, Chief Officer Health Partnerships

·  Wasim Feroze, Strategy Partnership Development Manager

The Executive Member for Adult and Children’s Social Care and Health Partnerships provided the Board with an overview of the ongoing work and discussions of the Health and Wellbeing Board (HWB) and how the Health and Wellbeing strategy guides action within the health and care system.

Strategy delivery was noted to be challenging given the current context of the cost-of-living crisis, pandemic recovery and staffing and accessibility issues experienced within the health and care system. It was recognised that plans therefore needed to be aspirational while also remaining realistic.  The ‘Team Leeds’ approach that had been adopted during the pandemic will be incorporated as the strategy develops and is deployed.

The Chief Officer for Health Partnerships and the Strategy Partnership Development Manager presented the report, outlining the following:

Ø  In response to feedback arising from the Scrutiny Board’s meeting in October, it was highlighted that greater focus had now been given to the role of carers and that one of the twelve priorities within the Strategy relates to support for carers and enabling people to maintain independent lives.

Ø  The importance of equality, diversity and inclusivity was noted, recognising the needs of diverse communities across the city and to represent those needs across the West Yorkshire partnerships.

Ø  The strategy will be implemented in a two-phase approach and following its formal launch in July 2023, the second phase will involve working with the Leeds Health and Wellbeing Board and partners to agree clear plans under each of the priorities.

Ø  Reference was made to the links with the five breakthrough projects that have been established specifically on promoting mental health in the community; better homes for health and wellbeing; inclusive green jobs; learning outcomes for social mobility and responding to the cost-of-living crisis.

Ø  The strategy and plans will run longer term, until 2030, and align with inclusive growth and climate emergency initiatives.

During the Board’s discussions on this matter, the following points were also raised:

·  In response to a question regarding the effectiveness of the Marmot Approach delivery, the Board was advised that the initial processes had begun and that a report will be brought to the Executive Board in April 2023.  A two year work programme is due to commence with the National Marmot Team and so the Scrutiny Board will be kept updated once the approach is launched.

·  A suggestion was made for greater detail on post-natal and maternity care to be reflected in the Strategy.

·  It was noted that not all Members  ...  view the full minutes text for item 80.

To receive a joint update report from the Head of Active Leeds and the Chief Officer Consultant in Public Health on the development of the Physical Activity Ambition for Leeds.

The Head of Active Leeds and the Chief Officer Consultant in Public Health submitted a joint update report regarding the development of the Physical Activity Ambition for Leeds.

The following were in attendance for this item:

·  Cllr Fiona Venner, Executive Member for Adult and Children’s Social Care and Health Partnerships

·  Cllr Salma Arif, Executive Member for Public Health and Active Lifestyles

·  Tim Fielding, Deputy Director of Public Health

·  Tony Cooke, Chief Officer Health Partnerships

·  Steve Baker, Head of Active Leeds

·  Emma Powell, Project Enabler (Get Set Leeds)

·  Katy Bowden, Development Manager Sports and Active Lifestyles

The Executive Member for Public Health and Active Lifestyles provided an overview of the development of the ambition collaboratively with Active Leeds and Public Health, noting data for Leeds as 31% of children and young people, 23% of adults and 36% of those over 65 are inactive. Poorer communities had lower levels of activity, with the inequality gap for activity widening with initiatives to reduce this being Get Let Leeds, Covid-19 Rapid Review, Big Leeds Chat and insight from national campaigns. An aim of the strategy is for Leeds to be a place where ‘everyone moves more everyday’ and has the opportunity to live an active life with The Leeds Everyone Moving More Leadership Group championing this vison. The report outlined the progress of workstreams since the Board’s last update back in March 2022.

The Head of Active Leeds also outlined the following key points:

Ø  Since the last update in March 2022, governance arrangements have now been put in place, including a good leadership team to influence the sphere of work.

Ø  The connotation of the phrase ‘physical activity’ may discourage certain individuals. Movement in any shape or form is to be encouraged and does not always need to be structured activity.

Ø  Alongside Parks & Countryside, spaces had been established to accommodate many forms of exercise.

Ø  Work had been done with care homes so residents can exercise in creative ways at various levels of ability.

Ø  Targeting health inequalities, in particular people living with mental health issues, was noted as a priority and movement can have positive effects for mental wellbeing.

Ø  In response to the Board’s previous feedback, engaging with people from a young age was a key priority to influence ongoing healthy lives, which involves a variety of stakeholders.

Ø  Community work in priority neighbourhoods will allow the development of their own initiatives that work best for a given community.

Ø  Funding had been received from the Department of Transport to influence social prescribing and active travel.

During the Board’s discussions on this matter, the following points were also raised:

·  The Get Set Leeds initiative was noted to be positive and was confirmed to have a wide community reach and value as events were free and did not require a structured, competitive nature.

·  It was confirmed to Members there are 73 public exercise circuits and multi-use game facilities, including 29 outdoor gyms within parks and green spaces in Leeds. The importance  ...  view the full minutes text for item 81.

To receive a report from the Head of Democratic Services which presents the 2022/23 end of year statement for the Scrutiny Board (Adults, Health and Active Lifestyles) for the Board’s consideration and approval.

The Head of Democratic Services submitted a report which presented the 2022/23 end of year statement for the Scrutiny Board (Adults, Health and Active Lifestyles) for the Board’s consideration and approval.

The Chair explained that the 2022/23 end of year statement provided details of the Board’s full work programme for the 22/23 municipal year, including links to the associated agenda packs, minutes and webcast recordings, as well as including a statement from the Chair that reflects on the key priorities for the Scrutiny Board over the last year.

RESOLVED –

a.)  That the contents of the report be noted.

b.)  That the publication of the 2022/23 end of year statement for the Scrutiny Board, be approved.

To receive a report from the Head of Democratic Services which presents a draft work schedule for the 2023/24 municipal year and a summary note of the Board’s working group meeting on 9^th March 2023 for Members’ consideration.

The Principal Scrutiny Advisor introduced the report and reminded Members that the Board had agreed to hold a working group meeting to consider the current position surrounding the delivery of the Leeds Mental Health Strategy with a view to also identifying key areas that would potentially benefit from more focused scrutiny work to be taken forward into the new municipal year. This working group had been arranged for Thursday 9th March 2023.

A summary of the main issues and key conclusions arising from this working group meeting had been circulated and Members were asked to consider the contents of this summary note and endorse the key conclusions, including the two proposed recommendations for the successor Scrutiny Board to continue closely monitoring general progress with the Strategy, as well as undertaking a more focused piece of work that aims to assist in the successful delivery of the new Community Mental Health Transformation Programme.

The Principal Scrutiny Advisor explained that as this was expected to be the Board’s final formal public meeting for the municipal year, a draft work schedule for the new municipal year had been set out in Appendix 1 of the report for Members’ consideration.  This included preliminary future meeting dates and reflected known items of scrutiny activity, such as performance and budget monitoring, as well as other identified areas of work that the Board had already recommended for the successor Scrutiny Board to pursue in the new municipal year.

Reflecting on the Board’s earlier discussions, it was noted that the Board was also recommending that the successor Board schedules a focused item on social prescribing.

In conclusion, the Chair thanked all Board Members, Executive Members, officers and partners for their valuable contributions and support to the work of the Scrutiny Board throughout the year.

RESOLVED –

a)  That the contents of the work schedule of the successor Scrutiny Board for 2023/2024 be noted.

b)  That the successor Scrutiny Board is recommended to schedule a focused item on social prescribing as part of its work schedule.

c)  That the Board endorses the content of the working group summary note relating to the Leeds Mental Health Strategy, including the key conclusions and recommendations.

The next meeting of the Adults, Health and Active Lifestyles Scrutiny Board is provisionally scheduled for Tuesday 13^th June 2023 at 1.30 pm (pre-meeting for all Board Members at 1.00 pm).

RESOLVED – To note the next meeting of the Adults, Health and Active Lifestyles Scrutiny Board is provisionally scheduled for Tuesday, 13^th June 2023 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)