Agenda and minutes

Scrutiny Board (Adults,Health & Active Lifestyles)
Tuesday, 17th September, 2019 1.30 pm

Venue: Civic Hall, Leeds, LS1 1UR

Contact: Steven Courtney (0113) 37 88666  Email: steven.courtney@leeds.gov.uk

Items
No. Item

Co-opted Member present - Dr J Beal

31.

Appeals Against Refusal of Inspection of Documents

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).

Minutes:

There were no appeals.

 

 

32.

Exempt Information - Possible Exclusion of the Press and Public

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.

Minutes:

There were no exempt items.

 

 

33.

Late 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.)

Minutes:

There were no late items.

 

 

34.

Declaration of Disclosable Pecuniary Interests

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.

Minutes:

There were no declarations of disclosable pecuniary interests.

 

 

35.

Apologies for Absence and Notification of Substitutes

To receive any apologies for absence and notification of substitutes.

Minutes:

Apologies for absence were received from Councillor N Harrington and S Lay. Councillor S Firth was in attendance as substitute.

 

 

36.

Minutes - 23 July 2019 pdf icon PDF 326 KB

To approve as a correct record the minutes of the meeting held on 23 July 2019.

 

 

Minutes:

RESOLVED – That the minutes of the meeting held on 23 July 2019 be approved as an accurate record.

 

 

37.

Development of the Leeds Mental Health Strategy pdf icon PDF 341 KB

To consider a report from the Director of Adults and Health setting out the work associated with the development of the Leeds Mental Health Strategy.

 

 

Minutes:

The Director of Adults and Health submitted a report that set out the work associated with the development of the Leeds Mental Health Strategy.

 

The following were in attendance:

 

-  Councillor Rebecca Charlwood, Executive Member for Adults, Health and Active Travel

-  Caroline Baria, Deputy Director, Integrated Commissioning

-  Victoria Eaton, Deputy Director of Public Health

-  Kashif Ahmed, Head of Service, NHS Leeds CCG

-  Dr Jane Mischenko, Lead Strategic Commissioner, Children and Maternity Care, NHS Leeds CCG

 

The Deputy Director for Integrated Commissioning introduced the item and provided a PowerPoint presentation on the development of the new all-age strategy focused on promotion of good mental health and prevention, as well as support for people experiencing mental illness.

 

Members discussed a number of matters, including:

 

·  Protective factors. Members were keen to see more examples of positive role models set out in the strategy than those noted in the report and presentation;

·  Development of a delivery plan. Members requested more information around the actions planned to meet the draft priorities, and were informed that a delivery plan was in progress and would be submitted to the Board in due course.

·  Engagement with employers. Members sought clarity regarding the engagement to date with employers across the city, to understand the barriers and support needed for people experiencing mental health problems to remain in work. Members were informed that over 200 employers in Leeds were part of the Mindful Employers network launched in 2018, enabling direct communication throughout the development of the strategy.

·  Successful funding bids. In response to queries around the level of resource available to achieve the priorities within the strategy, Members were informed that there had been a number of successful funding bids which would support the progress of the strategy. However, it was noted that the demand for mental health services was still greater than resource available.

·  Vacancies and training. Representatives recognised that recruiting clinical input remains a challenge, however, Members were informed of continued investment in early identification services in adult social care, along with new educational mental health practitioner roles in CAMHS.

·  Mental health services for older people. Members sought assurance that neighbourhood networks and other non-standard routes and services are supported to provide services for older people within the community.

·  Mental health services for young people, Examples of existing initiatives targeted at children and young people, including work with schools, was shared with the Board.

 

RESOLVED –

 

a)  That the delivery plan to the strategy be submitted to the Board for comment at the earliest opportunity;

b)  That the contents of the report and presentation, along with Members comments, be noted.

 

 

38.

HealthWatch Leeds Report: Mental Health Crisis in Leeds pdf icon PDF 133 KB

To consider a report from the Head of Democratic Services introducing the Healthwatch Leeds report, ‘Mental Health Crisis in Leeds’, setting out people’s experience of ‘What it is like to have a mental health crisis in Leeds’.  

 

Additional documents:

Minutes:

The Head of Democratic Services submitted a report that introduced the Healthwatch Leeds report, ‘Mental Health Crisis in Leeds’, setting out people’s experience of ‘What it is like to have a mental health crisis in Leeds’.

 

Sharanjit Boughan, Community Project Worker for Healthwatch Leeds, was in attendance and provided a PowerPoint presentation to Members summarising key findings and recommendations, along with an audio recording of patient feedback. Members were also informed about a forthcoming Mental Health Crisis Summit to bring all partners together in Leeds to reflect on the findings of the project and take forward this agenda.

 

Members welcomed the report and the opportunity to hear some of the experiences of patients who had accessed mental health services in Leeds. It was noted that action plans are now being developed and that a follow up review was also being planned. Linked to this, the Chair suggested that the Scrutiny Board schedules a further in update its work programme to discuss the actions taken to address the findings in the report, with relevant partners also in attendance.

 

RESOLVED –

 

a)  That a further update and discussion of the progress against actions set out within the report, with relevant partners in attendance, be added to the work programme;

b)  That the contents of the report and presentation, along with Members comments, be noted.

 

 

39.

Progress Report on Development of Local Care Partnerships pdf icon PDF 480 KB

To consider a report from the Director of Adults and Health providing an update on the development of Local Care Partnerships across Leeds.

 

Minutes:

The Director of Adults and Health submitted a report that provided an update on the development of Local Care Partnerships (LCPs) across Leeds.

 

The following were in attendance:

 

-  Councillor Rebecca Charlwood, Executive Member for Adults, Health and Active Travel

-  Thea Stein, Chief Executive, Leeds Community Healthcare NHS Foundation Trust

-  Kim Adams, Programme Director, Local Care Partnerships Development Programme

 

The Programme Director introduced the report and provided a PowerPoint presentation, including some of the key features of LCPs, an overview of the maturity framework, and an update on elected member engagement.

 

Members discussed a number of matters, including:

 

·  Ward coverage. Members sought assurance that the whole of the city was now covered by an LCP, which was confirmed by representatives present. However, it was felt that Members would also benefit from receiving LCP boundary maps.

·  Leadership. Members queried the leadership arrangements for each LCP, and were informed that each LCP had adopted a different approach, with most chaired by a GP, and others using a rotating chair system.

·  Definition of Frailty. Linked to the Population Health Management approach, Members sought clarity on the working definition of ‘frailty’.  Whilst acknowledging that this had been identified as a key area for all LCPs to approach, it was noted that LCPS are also looking at priority issues within their own areas.

·  Membership. As a model of joined-up working with teams delivering local health, wellbeing and care, Members recognised the value of LCPs also encouraging representation from local dental practitioners and community pharmacists.

 

RESOLVED – That the contents of the report and presentation, along with Members comments, be noted.

 

 

40.

Bereavement Arrangements at Leeds Teaching Hospitals NHS Trust pdf icon PDF 160 KB

To consider a report from the Head of Democratic Services that presents further evidence to support the Scrutiny Board’s review of bereavement arrangements, which includes an update from Leeds Teaching Hospitals NHS Trust (LTHT). 

 

Additional documents:

Minutes:

The Head of Democratic Services submitted a report that presented further evidence to support the Scrutiny Board’s review of bereavement arrangements, which includes an update from Leeds Teaching Hospitals NHS Trust (LTHT).

 

The following were in attendance:

 

-  Mike Philpott, General Manager for Pathology, Leeds Teaching Hospitals NHS Trust

-  Krystina Kozlowska, Head of Patient Experience, Leeds Teaching Hospitals NHS Trust

 

The General Manager for Pathology provided a brief overview of the report, highlighting developments to the service following a review of practice undertaken to improve the timeliness of release, including the removal of the requirement for completion of Green Disposal Certificates and a policy refresh due to be implemented in early 2020.

 

Members welcomed the changes to the service and discussed a number of matters, including:

 

·  Advice and support for bereaved families. Members queried the support available for bereaved families within the hospital setting, and were informed that a bereavement clinical nurse specialist had been recruited to provide ward based support, and that staff at the bereavement office were trained to signpost to organisations and charities who provide support.

·  Policy wording. Members also requested a number of specific changes to the wording as set out in appendix 1 for future public facing documents to avoid confusion around the removal of the requirement for Green Disposal Certificates.

 

RESOLVED – That the contents of the report, along with Members comments, be noted.

 

Councillor G Latty left the meeting at 4 pm during discussion of this item.

 

 

41.

Chair's Update - September 2019 pdf icon PDF 248 KB

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

 

Additional documents:

Minutes:

The Head of Democratic Services submitted a report that provided an opportunity for the Chair of the Scrutiny Board to outline some areas of work and activity since the previous Scrutiny Board meeting in July 2019.

 

RESOLVED – That the contents of the report be noted and reflected in the development of the Board’s work schedule.

 

 

42.

Work Schedule - September 2019 pdf icon PDF 244 KB

To consider the Scrutiny Board’s work schedule for the remainder of the 2018/19 municipal year.

 

Additional documents:

Minutes:

The Head of Democratic Services submitted a report which invited Members to consider the Board’s work schedule for the remainder of the 2019/20 municipal year. The Principal Scrutiny Adviser introduced the report and outlined the areas within the work schedule.

 

RESOLVED – That the outline work schedule presented, with the addition of the requests made during the meeting, be agreed.

 

 

43.

Date and Time of Next Meeting

Tuesday, 22 October 2019 at 1:30pm (pre-meeting for all Board Members at 1:00 pm). 

 

Minutes:

Tuesday, 22 October 2019 at 1:30pm (pre-meeting for all Board Members at 1:00 pm).