Agenda and minutes

Co-opted Member present – Jane Mischenko

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.)

There were no late items.

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 Councillor C Hart-Brooke.

To approve as a correct record the minutes of the meeting held on 18^th June 2024.

RESOLVED - That the minutes of the meeting held on 18^th June 2024, be approved as an accurate record.

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Partnership on the Community Mental Health Transformation and Crisis Transformation Programmes.

The Head of Democratic Services submitted a report which presented a briefing paper by the Leeds Health and Care Partnership on progress made with the Community Mental Health Transformation (CMHT) and Crisis Transformation programmes.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Eddie Devine, Programme Director (Mental Health, Learning Disabilities and Neurodiversity), ICB in Leeds

·  Alison Kenyon, Deputy Director of Service Development, Leeds and York Partnership NHS Foundation Trust

·  Helen Thurston, Interim Programme Manager, Community Mental Health Transformation, Leeds and York Partnership NHS Foundation Trust

·  Dr Jamie Pick, Clinical Director, Leeds and York Partnership NHS Foundation Trust

·  Debbie Thrush, Clinical Lead for Working Age Adults, Community Mental Health Transformation

·  Claire Nixon, Development Manager, Forum Central

The Chair explained that while the Adults, Health and Active Lifestyles Scrutiny Board has previously monitored the development and general delivery of the Leeds Mental Health Strategy, the Board was keen to receive a more detailed update surrounding these two specific Strategy workstreams.

The Chair then invited the representatives of the Leeds Health and Care Partnership to provide a brief overview of their briefing paper, which was presented in the form of a PowerPoint presentation and included the following key points:

Ø  The vision of the Community Mental Health Transformation (CMHT) programme is to re-shape the care offer for adults and older people with complex and ongoing mental health needs, typically referred to as ‘Severe Mental Illness’ or ‘SMI’.

Ø  This new model of care aims to respond to local populations’ needs and remove barriers so that people can access care, treatment and support as early as possible and also live as well as possible in their communities.

Ø  The model design has been informed by a wide range of partner organisations and people with lived experience, including carers.

Ø  The new model will operate in Integrated Community Mental Health ‘Hubs’ which are aligned to Local Care Partnerships (LCPs).

Ø  In moving from model design to testing and delivery, ‘Early Implementer’ Integrated Community Teams were established from March 2024 across 3 LCPs. 

Ø  Some of the key changes are linked to expanding community-based support and involves the introduction of new roles, which include Community Wellbeing Connectors; Peer Support Workers; and Key Workers. The model also includes the co-location of teams ‘anchor days’, to facilitate improvements in multidisciplinary working and provide a sense of belonging for the team.

Ø  Examples of feedback/quotes made by staff within the early implementer teams were shared as part of the presentation, including feedback from a recent visit made by the Health Services Safety Investigations Body (HSSIB).

Ø  Throughout the remainder of 2024 and into 2025, work will continue in terms of evaluating and learning from the wave 1 Early Implementor teams, with the aim of embedding and  ...  view the full minutes text for item 19.

To receive a report from the Director of Adults and Health surrounding the development and implementation of the new Community Health and Well-being service pilot.

The Director of Adults and Health submitted an update report surrounding the development and mobilisation of the Community Health and Well-being pilot service.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Kate Sibson, Commissioning Programme Manager, Adults and Health

The Chair invited the Executive Member for Adult Social Care, Active Lifestyles and Culture, Director of Adults and Health and the Commissioning Programme Manager to highlight key aspects of the report.  In summary, the following points were made:

Ø  The Community Health and Wellbeing Service (CHWS) is a transformational approach to delivering health and care services at home, delivered by a collaborative partnership of contracted providers working together on a neighbourhood basis.

Ø  The new service model aims to achieve four key outcomes; A reduction in turnover of care workers; Improvement in continuity of care worker and therefore customer satisfaction; Improvement in service users’ social connections; and Improvement in health and well-being through preventative approaches.

Ø  It is being piloted in Bramley and Stanningley, Armley, Farnley and Wortley and will support approximately 200 people and represents about 8% of the total home care commissioning budget.

Ø  The specification of the service has been developed over the last 18 months and informed by people who use home care services, their families, informal carers, key Third Sector organisations, care staff, care providers, social care professionals, trade unions and NHS colleagues.

Ø  As well as a commitment to pay the Real Living Wage, another key benefit of the new service model is enabling care workers to be paid a salary for a block of hours. This will allow them to use their time more flexibly and fill gaps between calls to provide additional support where needed.

Ø  Leeds Community Healthcare NHS Trust (LCH) are jointly commissioning the new service with the Council. The Neighbourhood Team will delegate visits to providers for tasks already within the skillset of care workers. The aim is to expand to more complex tasks backed up by enhanced training, career development, clinical oversight and robust governance.

Ø  Following the tendering process, Be Caring and Springfield will be the two providers who will trial delivering the Community Health and Wellbeing Service.

Ø  A three-month mobilisation period was put in place following the contract award.  As such, the pilot is due to start on 9th September 2024.

Ø  The pilot will run for 18 months with a key stock take at 12 months to review success or not against the stated objectives and outcomes. York Consulting Ltd will also undertake an independent evaluation of the service against the stated objectives and desired outcomes.

During the Board’s discussions, the following issues were also raised:

Ø  Delivering person-centred care – Members discussed the benefits of the new service model in terms  ...  view the full minutes text for item 20.

To consider the Scrutiny Board’s work schedule for the 2024/25 municipal year.

The Head of Democratic Services submitted a report that presented the Board’s latest work schedule for the forthcoming municipal year. The Chair explained that a number of key areas of interest were raised during the Board’s last meeting and that efforts had therefore been made to try and reflect as many of these as possible into the work schedule while also ensuring that it remained manageable.

RESOLVED – That the Scrutiny Board’s work schedule for the 2024/25 municipal year, along with Members comments, be noted.

Tuesday, 10^th September 2024 at 1:30pm (pre-meeting for all Board Members at 1:00pm)

RESOLVED – To note the next meeting of the Adults, Health and Active Lifestyles Scrutiny Board is scheduled for Tuesday, 10^th September 2024 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)