Agenda and minutes

 Co-optee present - Dr. J 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.

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 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 declarations of disclosable pecuniary interests.

To receive any apologies for absence and notification of substitutes.

An apology for absence was received from Councillor M Iqbal, and the Chair wished him a speedy recovery on behalf of the Board. Councillor K Brooks was in attendance as substitute.

To approve as a correct record the minutes of the meeting held on 15^th September 2020.

RESOLVED – That the minutes of the meeting held on 15^th September 2020 be approved as an accurate record.

To receive a report from the Head of Democratic Services presenting information from local health and care providers on the impacts and future implications of Covid-19 on mental health services across the city, including relevant updates on issues previously considered by the Board.

The Head of Democratic Services submitted a report that presented information from local health and care providers on the impacts and future implications of Covid-19 on mental health services across the city, including relevant updates on issues previously considered by the Board.

The following documents were appended to the report:

-  Report of the Director of Adults and Health on the implementation of the Leeds All Age Mental Health Strategy (including a copy of the Leeds Mental Health Strategy 2020-2025)

-  Report of the Executive Director of Operations (Leeds Community Healthcare NHS Trust) and Head of Service (Leeds Mental Wellbeing Service) on the Leeds Mental Wellbeing Service and the impact of Covid-19

-  Report of the Director of Operations North Yorkshire and York on the progress made in implementing the new enhanced community model for Adult Mental Health (AMH) and Mental Health Services for Older People (MHSOP) as part of the Harrogate and Rural District Transformation programme with particular emphasis on Wetherby

The following were in attendance:

-  Councillor Rebecca Charlwood, Executive Member for Health, Wellbeing and Adults

-  Cath Roff, Director of Adults and Health

-  Caroline Baria, Deputy Director (Integrated Commissioning)

-  Kashir Ahmed, Head of Commissioning (Mental Health and Learning Disabilities), NHS Leeds CCG

-  Caroline Townsend, Senior Commissioning Manager (Mental Health), NHS Leeds CCG

-  Sam Prince, Executive Director of Operations, Leeds Community Healthcare NHS Trust

-  Alison Kenyon, Associate Director, Leeds and York Partnership Foundation Trust

-  Naomi Lonergan, Director of Operations (North Yorkshire and York), Tees, Esk and Wear Valleys NHS Foundation Trust

The Head of Commissioning (NHS Leeds CCG) delivered a PowerPoint presentation, which provided an overview of challenges as a result of impact of COVID-19, along with key work streams in place to respond to the crisis across the city. It was highlighted that there was an initial reduction in demand for mental health services, however in recent months, demand has risen significantly and is expected to continue to do so, particularly for patients presenting acutely and those who, prior to the pandemic, have had no contact with secondary care for over 12 months.

Members discussed a number of matters, including:

·  Encouraging people to access support services. In response to a query, Members were advised that work is ongoing to monitor the access to services by groups, along with focused communication campaigns around winter wellbeing and reiterating that services are available for people who are experiencing difficulties. Additionally, recognising cultural differences in access to mental health services, Members requested that further data be circulated depicting trends for access to mental health services within BAME communities.

·  Support for prisoners. In response to a query, Members were advised that each prison has a separate mental health service commissioned by NHS England, however additional support and transfers are provided by the Leeds and York Partnership Foundation NHS Trust when required.

·  Wellbeing of care home residents. Following the introduction of the new alert level system by government, Members sought clarity on whether care home visits  ...  view the full minutes text for item 37.

To receive a report from the Head of Democratic Services presenting details of the latest revenue budget update for 2021/22 and budget savings proposals, as considered by the Executive Board at its meeting on 24th September 2020.

The Head of Democratic Services submitted a report that presented details of the latest revenue budget update for 2021/22 and budget savings proposals, as considered by the Executive Board at its meeting on 24th September 2020.

The following were in attendance:

-  Councillor Rebecca Charlwood, Executive Member for Health, Wellbeing and Adults

-  Councillor Mohammed Rafique, Executive Member for Environment and Active Lifestyles

-  Cath Roff, Director of Adults and Health

-  Victoria Eaton, Director of Public Health

-  John Crowther, Head of Finance, Adults and Health

-  Phil Evans, Chief Officer, Operations (City Development)

-  Mark Allman, Head of Active Leeds

The Chair explained that further budget savings proposals were expected to be brought to the Executive Board over the next couple of months and so all Scrutiny Boards would continue to be consulted.  Linked to this, the Chair suggested that the Adults, Health and Active Lifestyles Scrutiny Board holds a further working group meeting in November (proposed for Friday 20^th November 2020 at 12 pm) in order to facilitate this consultation.

The Director of Adults and Health introduced the report, highlighting the need to address the challenge of reducing the budget by increasing efficiencies where possible and continuing with a strength based approach to care in the city.

Members commented on the significant number of requests for the Early Leavers Initiative, and sought clarity on the approach taken to manage expectations, to ensure that an experienced and resilient workforce is maintained. Members were advised that all requests will be based on a business case for each individual, and staff have been made aware that requests may be declined on this basis.

RESOLVED –

a)  That the contents of the report, along with Members comments, be noted.

b)  That the Board holds a further working group meeting on Friday 20th November 2020 to facilitate the ongoing budget consultation.

To consider the Scrutiny Board’s work schedule for the 2020/21 municipal year.

The Head of Democratic Services submitted a report that invited Members to consider the Board’s Work Schedule for the remainder of the current municipal year.

RESOLVED – That the work schedule be updated to reflect the requests made by the Board during today’s meeting.

Tuesday, 24th November 2020 at 1.30 pm (pre-meeting for all Board Members at 1.00 pm)

Tuesday, 24^th November 2020 at 1.30 p.m. (pre-meeting for all Board Members at 1.00 p.m.)