Agenda and draft 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.

Apologies were also relayed by Councillor Venner, Executive Member for Equality, Health and Well-Being and Caroline Baria, Director of Adults and Health.

To approve as a correct record the minutes of the meeting held on 8^th October 2024.

RESOLVED - That the minutes of the meeting held on 8th October 2024, be approved as an accurate record.

Minute 50 – It was noted that following the Scrutiny Board’s last meeting and the Executive Board meeting on 16th October 2024, a letter was submitted to the Chancellor in relation to the plans for new hospital provision in Leeds.  All Board Members were sent a copy for information, noting that the Chair of the Adults, Health and Active Lifestyles Scrutiny Board was included as one of the signatories to this letter.

To receive a report from the Head of Democratic Services which presents information provided by Public Health and the broader Leeds Health and Care Partnership on tackling health inequalities in Leeds.

The Chair explained that the Adults, Health and Active Lifestyles Scrutiny Board had agreed to utilise its November meeting to have a themed focus on how partners are working collaboratively towards tackling health inequalities in Leeds.

The Head of Democratic Services submitted a report which included the following appended information:

Ø  A report from Public Health describing how the city council and specifically Public Health are working with partners to reduce health inequalities and an overview of the role and contribution of Leeds Public Health function.

Ø  A report from the Leeds Health and Care Partnership (LHCP) describing how partners providing health and care services are working to address health inequalities, including an update on the Healthy Leeds Plan and how partners are working to minimise the health inequality impact of cost improvement measures.

The following were in attendance:

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

Ø  Victoria Eaton, Director of Public Health

Ø  Tim Fielding, Deputy Director of Public Health

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

Ø  Kashif Ahmed, Deputy Director Integrated Commissioning, Adults and Health

Ø  Sarah Erskine, Head of Public Health

Ø  Nick Earl, Director of Strategy, Planning and Programmes (Interim), Leeds Integrated Care Board

Ø  Dr Anna Ray, Consultant in Public Health representing Leeds Community Healthcare NHS Trust, Leeds Teaching Hospitals NHS Trust and Leeds and York Partnership NHS Foundation Trust.

Ø  Dr Magnus Harrison, Chief Medical Officer, Leeds Teaching Hospitals NHS Trust

Ø  Pip Goff, Forum Central

Ø  Meg Russell, Voluntary Action Leeds

The Executive Member for Adult Social Care, Active Lifestyles and Culture gave a brief introduction and then handed over to the Director of Public Health and other invited contributors to give an overview of the information provided to the Board.  This was in the form of a PowerPoint presentation.

In summary, the following key points were highlighted:

Ø  Health inequalities are systematic, unfair and avoidable differences in health outcomes across the population and between different groups in society.

Ø  Evidence suggests at least 80% of health and health outcomes are related to ‘the social determinants of health’ – to factors such as housing, access to green spaces, employment and poverty, with only around 20% attributable to activity delivered by healthcare services.  However, as the causes of health inequalities are complex, so action to address them must be a whole system approach, at a sufficient intensity to meet need and involve many stakeholders.

Ø  With deprivation being the major cause of poor heath and health inequalities, a map of Leeds showing the most and least deprived areas was presented to the Board.

Ø  People living in the poorest wards in Leeds live more of their life in ill-health and die around 12 years earlier than people in the most affluent ward, whilst the gap is 9 years between the most deprived 10% of neighbourhoods (i.e. IMD1) and those living in the least deprived 10% of neighbourhoods (i.e. IMD10).

Ø  The Best  ...  view the full minutes text for item 62.

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.  Linked to this, the Chair reminded Board Members of the following forthcoming working group meetings:

Ø  Adults and Children Neurodiversity Assessments – Monday 25^th November at 1pm.

Ø  Budget Consultation – Thursday 19^th December 2024 at 10 am.

Also appended to the work schedule report was a summary note of the Scrutiny Board’s ‘Health Service Developments Working Group’ meeting held on 3rd October 2024.  This related to proposed plans for Adult Mental Health High Intensity Rehabilitation Inpatient Services.  The summary note reflected the key issues raised during this working group meeting for the full Board’s consideration.

RESOLVED –

(a)  That the Scrutiny Board’s work schedule for the 2024/25 municipal year be noted.

(b)  That the summary note of the Scrutiny Board’s working group meeting relating to proposed plans for Adult Mental Health High Intensity Rehabilitation Inpatient Services be noted.

Tuesday, 14^th January 2025 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, 14^th January 2025 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)