Agenda and minutes

Co-optee present - Dr John 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 against refusal of inspection of documents.

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.

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 that would be disclosure to them of exempt information as follows:

·  Item 11 – Care Quality Commission- Adult Social Care Providers Inspection Outcomes (February 2018 to April 2018) Pages 211 – 212 Appendix 2 be exempt under Access to Information Procedure Rule number 10.4(3).

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 disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-16 of the Members’ Code of Conduct.

No declarations of disclosable pecuniary interests were made.

To receive any apologies for absence and notification of substitutes.

Apologies had been received from Cllrs. Harrington and Lay.

Cllr. Shemilt had been due to substitute for Cllr. Harrington. However she had also sent her apologies.

It was noted that Cllr. Iqbal had informed the Chair that he would be late.

Apologies had also been received from Cllr Charlwood and Cath Roff, Director Adults and Health.

To receive a report from the Head of Governance and Scrutiny Support on the appointment of co-opted members to the Scrutiny Board (Adults, Health and Active Lifestyles).

The Head of Governance and Scrutiny Support submitted a report which sought the Board’s formal consideration for the appointment of co-opted members.

The Board was informed that they could appoint the following:

·  Up to five non-voting co-opted members for a term of office that does not go beyond the next Annual Meeting of the Council; and/or

·  Up to two non-voting co-opted members for a term of office that relates to the duration of a particular and specific scrutiny inquiry.

RESOLVED –

(a) That Dr John Beal representing HealthWatch Leeds be appointed as a non-voting co-opted Member of the Board for the 2018/19 municipal year.

(b) That the Board considers the appointment of co-opted members on an ad-hoc basis for any inquiries where it was deemed appropriate.

To approve as a correct record the minutes of the Scrutiny Board (Adults and Health) meeting held on 24 April 2018.

RESOLVED – That the minutes of the Scrutiny Board (Adults and Health) meeting held on 24 April 2018 be approved as a correct record.

To receive a report from the Head of Governance and Scrutiny Support presenting the Scrutiny Board’s terms of reference for the municipal year 2018/19.

The Head of Governance and Scrutiny Support submitted a report which presented terms of reference for the Scrutiny Board (Adults, Health and Active Lifestyles) for Members’ information.

RESOLVED – That the Board’s terms of reference be noted.

To receive a report from the Head of Governance and Scrutiny Support on potential sources of work for the Scrutiny Board (Adults, Health and Active Lifestyles).

The Head of Governance and Scrutiny Support submitted a report which provided information and guidance on potential sources of work and areas of priority within the Board’s terms of reference.

The following information was appended to the report:

·  Vision for Scrutiny in Leeds

·  Best Council Plan 2018/19 – 2020/2021: Tackling poverty and reducing inequalities

·  Leeds Health and Wellbeing Strategy (2016-2021)

·  The Annual Report of the Director of Public Health – Nobody Left Behind: Good Health and Strong Economy and Improving the Health Status for Leeds beyond 2018

·  Budget Reports: Adults and Health and City Development

·  Scrutiny Statement Enabling Active Lifestyles – Scrutiny Board (Inclusive Growth, Culture and Sport) April 2018

The following were in attendance:

·  Shona McFarlane (Chief Officer Access and inclusion, Adults and Health)

·  Steve Hume (Chief Officer Resources and Strategy, Adults and Health)

·  Dr Ian Cameron (Director of Public Health, Adults and Health)

·  Tony Cooke (Chief Officer Health Partnerships, Adults and Health)

·  Cluny Macpherson (Chief Officer Culture and Sport, City Development)

A number of work areas were put forward for consideration within the overall work schedule, including:

·  Social Care Services – including discharge from hospital, funding of social care services and specialist housing;

·  Mental Health with links to the following areas:-

o  Male suicides

o  Young people’s transition from using Childrens mental health services to accessing Adult services

o  Dementia

o  Links to physical activity

·  Digital technology for information and access

·  Impact of alcohol and drugs use and the prevalence of ‘Spice’

·  Health protection amongst migrants

The Board were provided with performance information throughout the discussions.

As part of the discussions, the Board acknowledged there were limitations on the work schedule due to the resources directly available to support the Board’s work. It was also acknowledged that the Scrutiny Board needed to prioritise the focus of its work schedule.

RESOLVED – To consider the information and guidance provided within this report when determining priority areas of Scrutiny work for the forthcoming municipal year.

Cllr. Hayden vacated the Chair briefly during this item to attend to urgent business. Cllr. Wakefield was elected to the Chair.

Cllr. Iqbal joined the meeting at 14:30 during this item.

To receive a joint report from the Director of Adults and Health and the Director of City Development that provides a summary of Council performance information relevant to the Board’s remit.

The report of the Director of Adults and Health and the Director of City Development provided an overview of citizen outcomes and service performance from the 2017-18 financial year relevant to the Board. The report was to help inform the start of the Scrutiny year and to ensure the visibility of key performance measures reflective of stated local and national priorities.

In attendance at the meeting were:

• Shona McFarlane (Chief Officer Access and inclusion, Adults and  

  Health)

• Steve Hume (Chief Officer Resources and Strategy, Adults and Health)

• Dr Ian Cameron (Director of Public Health, Adults and Health)

• Tony Cooke (Chief Officer Health Partnerships, Adults and Health)

• Cluny Macpherson (Chief Officer Culture and Sport, City Development)

The Chair and the Members of the Scrutiny Board had noted the information provided within the report and were satisfied with performance information provided throughout the presentation of the previous item.

RESOLVED – To agree:-

a)  Assurance that 2017-18 performance is visible, understood and responded to;

b)  How this informs scrutiny work to support ongoing improvement;

c)  The nature and content of future performance updates.

To consider a report from the Director of Adults and Health that provides details of recent Care Quality Commission inspection outcomes for social care providers across Leeds and also provides general information on the CQC ratings for service providers in the city.

(Please Note: Appendix 2 is exempt from publication under Access to Information Procedure Rule number: 10.4(3))

The report of the Director of Adults and Health advised Members of the Scrutiny Board with details of recently reported Care Quality Commission (CQC) inspection outcomes for social care providers across Leeds and to provide general information on the CQC ratings for providers in the city.

Attending the meeting was Mark Phillott (Head of Commissioning Contracts and Business Development, Adults and Health).

The report including the structure for the Care Quality Team and a copy of CQC –Inspection Outcomes February 2018 to April 2018 part of which was noted as confidential under Access to Information Rule number 10.4(3)

Members were informed of the following points:

·  CQC inspections and ratings;

·  How care homes in city had rated including older people’s care home, residential homes and nursing homes;

·  Vacancies in care homes;

·  Ongoing work to improve those care homes that were currently rated inadequate; and

·  The establishment of the Care Quality Team and how they planned to become a ‘critical friend’ to care homes to help address poor CQC ratings, provide preventative work across all services and develop a culture of continuous improvement.

Members discussed the points raised.

RESOLVED – That the Scrutiny Board note the details presented in the report.

To consider a report from the Head of Governance and Scrutiny Support that introduces the Scrutiny Board’s work schedule for the 2018/19 municipal year.

The report of the Head of Governance and Scrutiny Support requested consideration of the Scrutiny Board’s work schedule and working arrangements for the forthcoming municipal year.

Members considered the draft work schedule which was attached at Appendix 1 of the submitted report. The draft work schedule included traditional items of scrutiny work. These involved recommendation tracking of work previously undertaken by the Scrutiny Board; performance monitoring reports and any Budget and Policy Framework Plans.

Members reflected on the information presented earlier in the meeting and the associated discussion and the following list was proposed as potential areas for Scrutiny for the forthcoming municipal year:

·  Mental Health;

o  Men’s mental health; drug use including Spice: and alcohol; and male suicides

o  Dementia – flow of patients through the system; implementation of a strength based approach; inequalities in the city; and care in their own homes and carers

o  Children’s mental health and the transition to and links with adult’s mental health.

Members noted that there would only be six formal meetings of the Board. However, working groups would be set up to look at areas of work.

Member’s attention was drawn to 2.7 of the submitted report which provided information of West Yorkshire Joint Health Overview and Scrutiny Committee. Members were informed that Cllr. Hayden and Cllr. Flynn were Members of the Committee and requested to note the terms of reference set out in Appendix 2.

Members were requested to consider the draft terms of reference for the Health Service Developments Working Group and the membership arrangements of the working group for 2018/19 as set out at Appendix 3 of the submitted report.

RESOLVED -  To:

a)  Agee on the draft work schedule presented at Appendix 1, including the work items already identified and reflected within the current draft.

b)  Draw up a list of potential areas for Scrutiny for the forthcoming municipal year.

c)  Request that the Chair and the Principal Scrutiny Officer consult with the relevant Director and Executive Board Member regarding resources in line with the agreed Vision for Scrutiny and report back to the next meeting with a more detailed work programme.

d)  Note the current West Yorkshire Joint Health Overview and Scrutiny Committee terms of reference (presented at Appendix 2) and associated arrangements, while recognising such arrangements are currently under review and may change.

e)  Agree the draft terms of reference for the Health Service Developments Working Group (presented at Appendix 3) and confirm the membership arrangements of the working group for the current municipal year 2018/19.

Cllr. Wenham left the meeting at 15:30 during this item.

Tuesday, 17 July 2018 at 1.30 pm (pre-meeting for all Scrutiny Board Members at 1.00 pm)

Members were advised of Scrutiny Board Development Session planned for 9^th July 2018, (1:00pm – 4:00pm) covering the local NHS landscapes and organisations.

To note that the next meeting of the Scrutiny Board (Adults, Health and Active Lifestyles) would be Tuesday 17^th July 2018, at 1:30pm (pre-meeting for all Scrutiny Board Members at 1:00pm)

Cllr. Wakefield left the meeting at 15:50 during this item.

The Chair thanked everyone for attending.

The Chair apologised for having to leave the meeting briefly, and thanked Cllr. Wakefield for stepping in as Chair.

The meeting concluded at 15:55.