Agenda and minutes

Co-opted Member 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.)

No formal items of late business were added but supplementary information was submitted in relation to Item 9 – Elective Care Hub Proposal and Draft Response (minute 23 refers). 

To disclose or draw attention to any interests in accordance with Leeds City Council’s ‘Councillor Code of Conduct’.

No declarations of interest were made at the meeting. 

To receive any apologies for absence and notification of substitutes.

Apologies had been received from Councillor Iqbal and Councillor Hart-Brooke. No members were in attendance as substitutes.

(i)  To approve as a correct record the minutes of the meting held on 21 June 2022.

(ii)  To note the meeting notes of the consultative committee meeting held on 19 July 2022 and to agree any specific recommendations.

RESOLVED

(a)  That the minutes of the meeting held on 21 June be approved as an accurate record

(b)  That the meeting notes of the consultative meeting held on 19 July be noted and the recommendations presented be agreed. 

To consider a report from the Head of Democratic Services introducing an update on stoke services in Leeds.

The Head of Democratic Services submitted a report which introduced an update on stroke services in Leeds.

The following were in attendance for this item:

·  Councillor Fiona Venner, Executive Member for Adult and Children’s

Social Care and Health Partnerships

·  Councillor Salma Arif, Executive Member for Public Health and Active

·  Lifestyles

·  Cath Roff, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Lindsay McFarlane, Head of Pathway Integration, Long Term Conditions, Leeds Office of the Integrated Care Board

·  David Wardman, Clinical Lead for Long Term Conditions, Leeds Office of the Integrated Care Board

·  Mandy Young, Clinical Lead for Specialist Services, Leeds Community Healthcare NHS Trust LCHT

·  Dr Marissa Minns, Consultant and Clinical Lead for Stroke, Leeds Teaching Hospitals NHS Trust

·  Rob Newton, Associate Director Policy and Partnerships, Leeds Teaching Hospitals NHS Trust

It was noted that the Head of Service (Clinical) for Neurology & Adult Speech and Language Therapy (Leeds Community Healthcare NHS Trust) was unwell and unable to attend.

The Head of Pathway Integration, Long Term Conditions introduced the report which updated members on the progress of the Leeds Stroke Service since the vision and priorities were previously presented and discussed with the Board in October 2021.

The report and introduction included updates on:

·  Inpatient stroke rehabilitation ward move from Leeds Teaching Hospitals NHS Trust.

·  The development of Leeds’ vision and priorities for stroke services.

·  Patient and Public Involvement and Stroke Awareness

·  Stroke Prevention in Leeds

·  Improved patient care and performance, including thrombectomy access

·  Post-COVID activity

·  Challenges and health inequality

·  Next steps and implementation plans. 

The Board considered and discussed the report and details presented at the meeting and raised a number of matters, including:

·  The use of prescribed medication as part of the overall approach to preventing the occurrence of stokes.  Members discussed the need for GPs to promote healthy diet and exercise as part of the overall approach to stroke prevention – and not rely solely on prescribed medication. 

·  The potential role of the third sector in advising stroke preventative lifestyle choices within local communities.

·  The impact and legacy of the current cost of living crisis, which could exacerbate existing risk factors and affect people who may already be unbale to afford an optimal healthy diet.

·  Multifactor issues related to patients not taking their prescribed medication, including lack of education around conditions and medication, and perceptions of the health and care system.

·  Yorkshire Ambulance Service NHS Trust role in dealing with suspected stroke patients – including any prospective role in performing thrombolysis procedures and the prioritisation for response times. 

·  The impact of ethnicity and genetics in stroke risk among the African Caribbean community.

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

To consider a report from the Head of Democratic Services, introducing an update on Leeds Community Neurological Rehabilitation Service.

The Head of Democratic Services submitted a report that introduced an update on Leeds Community Neurological Rehabilitation Service.

The following were in attendance for this item:

·  Councillor Fiona Venner, Executive Member for Adult and Children’s

Social Care and Health Partnerships

·  Councillor Salma Arif, Executive Member for Public Health and Active

·  Lifestyles

·  Cath Roff, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Lindsay McFarlane, Head of Pathway Integration, Long Term Conditions, Leeds Office of the Integrated Care Board

·  David Wardman, Clinical Lead for Long Term Conditions, Leeds Office of the Integrated Care Board

·  Mandy Young, Clinical Lead for Specialist Services, Leeds Community Healthcare NHS Trust LCHT

It was again noted that the Head of Service (Clinical) for Neurology & Adult Speech and Language Therapy (Leeds Community Healthcare NHS Trust) was unwell and unable to attend.

The Head of Pathway Integration, Long Term Conditions presented the report that updated members on the Neurological Rehabilitation Service since the previous discussion with the Scrutiny Board in October 2021. 

The report and introduction included updates on progress made since October 2021 and the agreed service model, including.

·  The overall ambition and the following six key elements that will form the service offer in the long-term:

o  An assessment and referral function;

o  A rapid 48-hour response pathway;

o  A core ‘home first’ service offer;

o  An extended rehabilitation service offer;

o  Bespoke speciality pathways; and,

o  Inpatient rehabilitation

·  Challenges and risks

·  Ongoing stakeholder involvement and engagement

·  Implementation plans and next steps.

A number of areas were discussed during the Board’s consideration of the report, including:

·  The specialist tertiary service provision and community provision across West Yorkshire. 

·  Social worker input as part of the multi-disciplinary team approach.

·  The number of community rehabilitation sessions offered in Leeds and the comparative number of sessions across other parts of West Yorkshire and the England average. 

·  Inpatient bed provision and level of out of area referrals. 

·  Ongoing patient and service user engagement to inform service development. 

RESOLVED - That the contents of the report, including the updated time scales, be noted.

To consider a report from the Head of Democratic Services that introduces a briefing note from Leeds Teaching Hospitals NHS Trust and provides an opportunity for the Scrutiny Board to agree any comments it wishes to submit in relation to the Trusts proposals. 

The Head of Democratic Services submitted a report which introduced an outline of Leeds Teaching Hospitals NHS Trust’s proposals to develop an Elective Care Hub at Wharfedale Hospital, and the associated implications for Endoscopy Services. 

A draft response on behalf of the Board, commenting on the proposals was presented to the meeting for consideration and agreement. 

The Principal Scrutiny Advisor outlined the report and sought members comments on the draft response presented at the meeting.  The Board was advised that the submission deadline for any comments was 22 September 2022.

RESOLVED –

a)  That the contents of the report be noted.

b)  That the draft response presented be agreed and submitted in accordance with the submission deadline, on behalf of the Board.

To consider a report from the Head of Democratic Services providing an update on Local Authority Health Scrutiny arrangements, following the publication of new guidance from the Department of Health and Social Care. 

The Head of Democratic Services submitted a report that provided an update on Local Authority Health Scrutiny arrangements, following the publication of new guidance from the Department of Health and Social Care.

The Principal Scrutiny Advisor outlined the contents of the report which introduced a range of new guidance issued by the Department of Health and Social Care.  The report specifically considered details contained in the guidance on health scrutiny principles and associated matters related to the implementation of the Health and Care Act 2022. 

RESOLVED –

(1)  That the contents of the report, the guidance on health scrutiny principles and its main features be noted, in particular:

a)  The confirmed, and continuing role of local authority health scrutiny as part of the hanging landscape of Integrated Care Boards (ICBs) and Integrated Care Partnerships (ICPs).

b)  The benefits of effective and proactive local authority health scrutiny arrangements.

c)  The guiding principles to help ensure the delivery of the benefits of effective and proactive local authority health scrutiny arrangements.

d)  Confirmation that the design of new models of integrated care and support being introduced through the Health and Care Act 2022 will inevitably lead to changes in how and where services are provided.

e)  The need to ensure balance between maintaining oversight of the effectiveness of ICB level plans and strategies (currently undertaken through the West Yorkshire Joint Health Overview and Scrutiny Committee) and local place-based scrutiny activity.

f)  The timeliness for reviewing the terms of reference for the discretionary West Yorkshire Joint Health Overview and Scrutiny Committee, subject to the necessary decision-making arrangements of the constituent local authorities, and any supporting processes and protocols.

(2)  That further details and local implications associated with the other Department of Health and Social Care guidance, highlighted in the report, be incorporated into the update on the local Integrated Care Board, currently scheduled for the Board’s October meeting.

To consider the Scrutiny Board’s updated work schedule for the 2022/23 municipal year.

The Head of Democratic Services submitted a report that presented the work schedule for the remainder of the municipal year.

The Principal Scrutiny Advisor to the Board outlined the upcoming work schedule as presented in the report, specifically highlighting the following work areas:

·  Dentistry and ongoing concerns around accessibility;

·  Proposed scoping of future agenda items in relation to workforce strategy and waiting lists / times.

·  Proposed workshop to inform any future Board activity in relation to the demand and provision of mental health services.

Board members discussed and commented on the report and outline work schedule presented.  The Board was supportive of the details and proposals set out in the report. 

Members expressed an interest in considering 2022/23 winter plans across Leeds’ health and care system.  It was suggested this could form part of the Board’s agenda for November 2022. 

RESOLVED –

1)  That the report and the latest iteration of the Scrutiny Board’s work schedule for the 2022/23 municipal year, as presented be noted and confirmed.

2)  That the update on the timing of the Board’s consideration of matters associated with access to dental services be noted.

3)  That the outline scope for matters associated with workforce and waiting lists/ times scheduled for the Board’s meeting in November 2022, with the inclusion of matters associated with winter planning for 2022/23 across Leeds’ health and care system, be agreed. 

4)  That the proposal to convene a working group meeting to help define the scope of any future Board activity in relation to mental health services and provision be agreed. 

5)  That the Executive Board minutes from its meeting held on 27 July 2022, be noted.

Tuesday, 18 October 2022 at 1:30pm (premeeting for all Board members at 1:00pm).

RESOLVED - Tuesday, 18 October 2022 at 1:30pm (pre-meeting at 1:00pm for all members of the Scrutiny Board)