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.)

There were no formal late items.

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

In relation to agenda item 7 ‘Access to local NHS Dental Services’, co-opted member Dr John Beal had informed the Board that he is a member of the British Dental Association.

To receive any apologies for absence and notification of substitutes.

Apologies were received for the meeting from Cllr E Taylor and Cllr J Gibson with Cllr K Renshaw substituting for Cllr E Taylor.

To approve as a correct record the minutes of the meeting held on 18^th October 2022.

RESOLVED - That the minutes of the meeting held on 18 October 2022 be approved as an accurate record.

To receive a report from the Head of Democratic Services that presents information which follows up on the previous work undertaken by the Scrutiny Board in relation to access to local NHS dental services.

The Head of Democratic Services submitted a report that presented information following on from the Board’s earlier work surrounding access to local NHS dental services.

In introducing this item, the Chair highlighted that dentistry has been a longstanding area of interest to the Scrutiny Board in recognition that oral health is integral to general health and quality of life.

The Chair reminded everyone of the scrutiny work undertaken in February 2022 when the Board had engaged with dental commissioners, providers and patient representatives to discuss and review access to local NHS dental services.  This had resulted in the Board agreeing five recommended actions during its March 2022 meeting.  As well as reviewing the situation again in terms of progress made since March, it was noted that the Board would also be addressing specific issues surrounding orthodontic services for children; water fluoridation; and the transfer of commissioning responsibilities for local dental services to the West Yorkshire Integrated Care Board (ICB) as of April 2023.

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

·  Victoria Eaton, Director of Public Health

·  Emma Newton, Health Improvement Principal, Public Health

·  Emma Wilson, Head of Co-commissioning (Y&tH), NHS England

·  Ian Holmes, Director of Strategy and Partnerships, NHS West Yorkshire Integrated Care Board

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

·  Richard Agyekum-Sakyi, General Manager, Leeds Dental Institute

·  Munaf Qayyum, Leeds Dental Committee Chair

·  Jane Moore, Leeds Dental Network Chair, NHS England

·  Stuart Morrison, Team Leader, Healthwatch Leeds

·  Mandy Sharp - Patient representative nominated by Healthwatch Leeds

The Chair acknowledged the importance of capturing information from the perspective of commissioners, providers, practitioners and patients again and therefore welcomed the wide range of contributors to the Board’s meeting.

The Chair then invited each of the external witnesses to provide a brief overview of the key issues they wished to share with the Board, which is summarised below.

·  The Head of Co-commissioning (Y&tH), NHS England referred to the briefing paper within the agenda pack by NHS England which set out the key challenges facing dental services, along with actions being taken nationally and locally to help strengthen future service provision.  It was acknowledged that the primary care national contract, rolled out in 2006, had been a key factor in terms of ongoing issues affecting the sector, along with significant workforce challenges nationally.  Responding the Board’s earlier recommendations, particular reference was made to the new dental system reforms aimed at making it easier for patients to access NHS dental care. The Board was also updated on the Oral Health Needs Assessment (OHNA), which was completed in May 2022 to help understand the oral health inequalities across the region in order to best allocate available resources. 

·  The Director of Strategy and Partnerships, NHS West Yorkshire Integrated Care Board (ICB) outlined that, in line with the Health and  ...  view the full minutes text for item 44.

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Partnership on the current issues and actions linked to the Leeds health and care system resilience and winter planning process.

The Head of Democratic Services submitted a report which presented the Board with a briefing paper by the Leeds Health and Care Partnership regarding the current issues and actions linked to the Leeds health and care system resilience and winter planning process. While each organisation in the System has its own winter resilience plans, decision management and assurance process, the Board were provided with an overview of approaches, plans, progress and risk with capacity plans overseen by the Health and Social Care System Resilience Co-ordination Group.

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

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Helen Lewis, Director of Pathway Integration, NHS West Yorkshire Integrated Care Board

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

·  Mark Dodd, Interim Deputy Director for Service Delivery, Leeds and York Partnership NHS Foundation Trust

The Director of Pathway Integration, NHS West Yorkshire Integrated Care Board introduced the report which highlighted the following key headings; Acute, primary care and community demand; Mental health services; Public health plan; Vaccination; Demand assumptions for winter; Creating additional capacity; National planning requirements and resilience response; Governance arrangements for the ICB; and Risks.  It was highlighted that the systems action plans are developed to mitigate risk and identify areas where demand and capacity may be significantly increased.

The following areas were also discussed during the Board’s consideration of the report:

·  The vaccination plan aimed to be more pro-active with information being provided over social media to increase vaccination numbers in areas with low uptake. Efforts to reduce fear of vaccines was underway, including community consultation and information points in hospitals and shopping centres.

·  It was confirmed that all Primary Care Networks were providing Covid-19 and flu vaccinations through an opt in process, some concern from the public regarding taking a joint vaccine was noted.

·  Mental health community projects working along with the mental health transformation programme will align services to one system and assist with a reduction in patients ending up at crisis point.

·  Bed capacity issues can result in patients being moved to different sites, the priority will be to provide care as close to home as possible and have regular contact with the outreach team if moved. There was also an increase in home care provision noted.

·  Patient self-management is a common procedure and evaluation through the enhanced recovery programme can assist with the journey back home while providing therapy at relevant points if necessary.

·  Third sector pathways will use case-based patient evaluation to determine needs which has led to earlier discharge rates. However, it was noted that admission prevention is always prioritised.

·  Greater support will be needed for frailer people to reduce harm within the pressures of the cost of living crisis which will affect people’s physical and mental health and may increase cold  ...  view the full minutes text for item 45.

To consider the Scrutiny Board’s 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 made particular reference to the following:

·  That the proposed work item surrounding the introduction of Liberty Protection Safeguard is to be deferred until assurances surrounding the national implementation timeframe can be provided.

·  That the Board’s budget working group meeting had been confirmed for 14^th December 2022 at 4 pm.

RESOLVED –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.

Tuesday, 17^th January 2023 at 1:30 pm (pre-meeting for all Board members at 1:00 pm).

RESOLVED – To note the next meeting of the Board asTuesday, 17^th January 2023 at 1:30pm (pre-meeting at 1:00pm)

The Board acknowledged that NHS Providers, the membership body representing every NHS hospital, mental health, community and ambulance service in England, has appointed Julian Hartley as its next chief executive. Julian, who is currently chief executive at The Leeds Teaching Hospitals NHS Trust, will take up his new role with NHS Providers, on 1 February 2023.

Board Members formally acknowledged the positive contribution made by Julian to the health and wellbeing of local residents and therefore relayed their thanks and best wishes to Julian in his new role.

(The meeting concluded at 16:30)