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.)

The following late information was submitted to the Board:

-  Agenda item 9 – Chairs Update: Consultation response arising from the Joint Health Overview and Scrutiny Committee (JHOSC) meeting on 5 July 2017.

The above information was not available at the time of agenda despatch, but was subsequently made available on the Council’s website.

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 to the meeting, however the following matters were brought to the attention of the Scrutiny Board for information:

-  Dr J Beal advised that he was a former manager of a Community Dental Service.  In addition, he advised that a family member was employed by Child Adolescent Mental Health Services (CAMHS). 

Dr J Beal remained present for the duration of the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence were submitted by Councillors J Chapman and G Latty.

To approve as a correct record the minutes of the meeting held on 27 June 2017.

The draft minutes of the meeting held on 27 June 2017 were agreed as an accurate record.  There were no matters arising from the minutes identified at the meeting.

RESOLVED – That the minutes of the meeting held on 27 June 2017 be approved as a correct record.

To receive for information purposes the draft minutes of the Health and Wellbeing Board meeting held on 20 June 2017.

The Scrutiny Board considered the draft minutes of the Health and Wellbeing Board meeting held on 20 June 2017. 

In relation to the Leeds Health and Care Plan (minute 9 refers), members sought clarification in relation to the communications plan.  Similar clarification was also sought in relation to the West Yorkshire and Harrogate Sustainability and Transformation Plan (STP).

RESOLVED –

(a)  That the minutes of the Health and Wellbeing Board meeting held on 20 June 2017, be noted.

(b)  That clarification be provided in relation to the communications plan for the Leeds Health and Care Plan and the West Yorkshire and Harrogate Sustainability and Transformation Plan.

To receive for information purposes the draft minutes of the Executive Board meeting held on 21 June 2017.

RESOLVED – That the minutes of the Executive Board meeting held on 21 June 2017, be noted.

To receive an update from the Chair on relevant scrutiny activity since the previous Board meeting that is not specifically included elsewhere on the agenda.

The Chair provided a verbal update on recent scrutiny activity that had not been included elsewhere on the agenda.

The key updates included:

·  The recent meeting of the Joint Health Overview and Scrutiny Committee (JHOSC), held on 5 July 2017, which focused on NHS England’s proposals to implement standards in relation to congenital heart disease services across England.  A copy of the response to the consultation had been shared with Scrutiny Board members.

·  Meeting Professor Sean Duffy – Lead for Cancer Services / Strategy in Leeds and across West Yorkshire – and attendance at the Cancer Strategy Launch on 13 July 2017.

·  Monthly meetings with Director of Public Health and Director of Adults and Health.

·  An outline of some proposed changes to Community Dental Services provided by Leeds Community Healthcare NHS Trust, including proposals in relation to initial assessment and future access to services. 

RESOLVED –

(a)  That the Chair’s update be noted.

(b)  That details of the proposed changes to Community Dental Services be circulated to members of the Scrutiny Board for information. 

To receive and consider a report from the Director of Public Health that provides an update on progress of the Early Interventions and Reducing Health Inequalities Breakthrough Project against the three identified priorities, with a particular focus on inequalities. 

The Director of Public Health submitted a report which provided an update on progress of the Early Interventions and Reducing Health Inequalities Breakthrough Project against the following identified priorities, with a particular focus on inequalities:

·  To commission an Integrated Healthy Living Service (IHLS) and Locality Community Health Development and Improvement Service (CHID).

·  To ensure strategic alignment with healthy living services commissioned by partners

·  To inspire communities and partners to work differently to reduce health inequalities – physical activity selected as the focus.

The following information was appended to the report:

·  Maps showing inequalities between deprived and non-deprived Leeds

·  Leeds Integrated Healthy Living System.

The following were in attendance:

·  Dr Ian Cameron, Director of Public Health

·  Mark Allman, Head of Service for Sport

·  Heather Thomson, Head of Public Health

·  Tim Taylor, Head of Public Health (Localities & Primary Care)

·  Joe Kent, Barca.

The key areas of discussion included:

·  Confirmation regarding an error contained in paragraph 2.4 to the report – amendment to read 2004 not 2014.

·  There were approximately 59,000 smokers in Leeds – spending a total of approximately £170M per year (based on an average cost of £8 per pack of 20 cigarettes).

·  An update on the Better Together contract, outreach work and other planned activity.

·  The importance of targeting work aimed at more deprived communities.  The Board was advised about the positive development of building community groups and the role of volunteers.

·  A request that the Board be provided with a breakdown of local data.

·  An update on narrowing the gap (i.e. improving the health outcomes of the poorest, the fastest) – some areas of improvement, i.e. infant mortality and cardiovascular disease, however there had been no improvement in relation to cancer and respiratory disease.  In addition, the Board was advised that there was evidence that the wider determinants of health inequalities had worsened, for example levels of deprivation.

·  The recent ‘Inclusive Growth Strategy’ launched for consultation and the opportunities for including a focus on improving health and wellbeing.

·  The availability of comparative information – particularly in relation to other Core Cities.

RESOLVED –

(a)  That the Board notes the overall progress against the three priorities of the Early Interventions and Reducing Health Inequalities Breakthrough Project.

(b)  That the Board notes the early positive indications of the impact of effective outreach and engagement with hard to reach groups by the CHID – Better Together Service providers.

(c)  That further consideration be given to working jointly with the Scrutiny Board (Inclusive Investment, Culture and Sport) in order to ensure there is sufficient focus on improving health and wellbeing across the City, within the Inclusive Growth Strategy.

To receive and consider a report from the Head of Governance and Scrutiny Support introducing a range of information relevant to the Scrutiny Board’s continued focus on the quality of care services in Leeds. 

The Head of Governance and Scrutiny Support submitted a report which introduced a range of information relevant to the Board’s continued focus on the quality of care services in Leeds.

The following information was appended to the report:

·  Briefing note to Scrutiny Board – One City Care Home Quality and Sustainability Project Update

·  Care Quality Commission – The State of Adult Social Care Services 2014 to 2017 – Findings from CQC’s initial programme of comprehensive inspections in adult social care.

The following were in attendance:

·  Mick Ward, Interim Deputy Director (Integrated Commissioning), Adults and Health.

The Interim Deputy Director gave a briefing introduction, which focused on the following three work streams, identified as part of the One City Care Home Quality and Sustainability Project:

·  Strand 1: One city approach to quality;

·  Strand 2: One city approach to market development; and

·  Strand 3: Re-Commissioning of the ASC Residential and Nursing Care Services (Framework Arrangement) Contract.

The key areas of discussion included:

·  Confirmation that the quality of care services in Leeds was similar to other core cities.  The Board was advised that the key factors were often associated with the quality of leadership and that generally smaller care homes performed better in terms of quality.

·  An update that an improvement to the governance arrangements of some providers was required.

·  The challenges associated with the recruitment and retention of nurses and care workers.

·  The challenges in providing a variety of care homes to meet the needs of the City

·  The positive work undertaken in communities, which reduced demand on care homes.

·  The working arrangements with the Care Quality Commission.

·  A request that the Board be provided with an update on the Shared Lives services, including details of current schemes, performance, outcomes, service user feedback and future plans for the services offered.

RESOLVED –

(a)  That the reports and appendices be noted.

(b)  That a report on ‘Shared Lives’ services be included as part of the Scrutiny Board’s continued focus on the ‘Quality of Health and social Care in Leeds’ and presented to a future meeting of the Board.

(Councillor S Varley left the meeting at 3.00pm during the consideration of this item.)

To receive and consider a report from the Head of Governance and Scrutiny Support introducing HealthWatch Leeds’ Annual Report for 2016/17 and its future work programme for 2017/18. 

The Head of Governance and Scrutiny Support submitted a report which presented Healthwatch Leeds Annual Work Report (2016/17) and its future work programme.

The following were in attendance:

·  Dr John Beal, Chair of Healthwatch Leeds.

The Chair of HealthWatch Leeds gave a short introduction to the report and highlighted the collaborative work undertaken – particularly with other Healthwatch areas (specifically West Yorkshire). 

The key areas of discussion included:

·  Recognition of an accessible annual report.

·  The similar, yet distinctly different roles of HealthWatch Leeds and the Scrutiny Board.

·  Recognition of the positive work undertaken by Youthwatch Leeds – recognised at a recent National HealthWatch event.  It was suggested that Youthwatch be invited to provide the Board with an overview of its work at a future meeting.

·  A suggestion that a joint meeting be arranged with Healthwatch Leeds to discuss in greater detail some of the issues identified in the Annual Report and future work programme.

RESOLVED –

(a)  That the Board notes the Healthwatch Leeds Annual Report (2016/17) and Future Work Programme.

(b)  That Youthwatch be invited to provide an overview of its work at a future meeting of the Board.

(c)  That a meeting be arranged with Healthwatch Leeds to discuss in greater detail some of the issues identified in the Annual Report and future work programme.

To receive and consider a report from the Head of Governance and Scrutiny Support that introduces responses to the previous Scrutiny Board’s statement following NHS Blood and Transplant’s decision to close the blood donor centre in Seacroft, Leeds. 

The Head of Governance and Scrutiny Support submitted a report which introduced responses to the Board’s statement following NHS Blood and Transplant’s decision to close the blood donor centre in Seacroft, Leeds.

The following information was appended to the report:

·  Scrutiny Board (Adult Social Services, Public Health, NHS) Statement – Closure of Blood Donor Centre in Seacroft, Leeds (May 2017)

·  NHS Blood and Transplant response (dated 6 June 2017)

·  The Independent Reconfiguration Panel (IRP) response (dated 21 June 2017)

The Principal Scrutiny Adviser introduced the item and outlined the background to the statement produced by the former Scrutiny Board in May 2017.  As part of the introduction, the Principal Scrutiny Adviser confirmed no response from the Department of Health had been received. 

In discussing the item and the information presented, the Board made a number of comments and observations, including:

·  Disappointment that the Department of Health had not provided a response.

·  Acknowledgement that ‘Special Health Authorities’ were exempt from the requirements of health scrutiny by local authorities that apply to other NHS bodies.

·  Recognition that the ‘four tests’ – announced by the Secretary of State for Health in May 2010 – were designed to build confidence within the service, with patients and communities.

·  Disappointment that the response from NHS Blood and Transplant failed to address or acknowledge the issues highlighted in the Scrutiny Board statement as being relevant to the ‘four tests’.

·  Acknowledgment that there was a lack of clarity in relation to the applicability of the ‘four tests’.

·  Disappointment that the general response from NHS Blood and Transplant (a publically funded body) was not in the spirit of an open, transparent and learning organisation.  

RESOLVED –

(a)  That the responses to the Board’s statement following NHS Blood and Transplant’s decision to close the blood donor centre in Seacroft, Leeds, be noted.

(b)  That the Board writes a letter to the Secretary of State for Health to:

  i.  Express disappointment at the lack of response from the Department of Health.

  ii.  Express disappointment that the general response from NHS Blood and Transplant (a publically funded body) was not in the spirit of an open, transparent and learning organisation

  iii.  Seek clarification about the responsibilities of Special Health Authorities around proposed service changes and/or developments and specifically the applicability of the ‘four tests’ announced in May 2010.

To consider the Scrutiny Board’s draft work schedule for the 2017/18 municipal year.

The Head of Governance and Scrutiny Support submitted a report which invited Members to consider the Board’s work schedule for the 2016/17 municipal year.

The following key areas identified included:

·  The health and care needs of offenders with a particular emphasis on mental health.

·  Hospital discharge linked to the quality of health and social care services agenda.

·  Leeds Health and Care Plan – it was reaffirmed that the Board be provided with details of the consultation timescales.

·  The re-establishment of the Health Service Developments Working Group with an expanded remit to include performance and provider updates.

RESOLVED –

(a)  That, subject to comments raised at the meeting and any on-going discussions and scheduling decisions, the Board’s outline work schedule be approved.

(b)  That the Health Service Developments Working Group be re-established with an expanded remit, as set out in the report. 

Tuesday, 5 September 2017 at 1:30pm (pre-meeting for all Scrutiny Board members at 1:00pm).

Tuesday, 5 September 2017 at 1.30pm (pre-meeting for all Board Members at 1.00pm)

(The meeting concluded at 3.45pm)