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, but supplementary information was circulated in relation to Item 11 - Innovation in the Health and Care Sector.

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

No declarations of interests were made at the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence had been received from Councillor S Firth, with Councillor B Anderson attending as a substitute.

To approve as a correct record the minutes of the meeting held on 21^st March 2023.

RESOLVED - That the minutes of the meeting held on 21^st March 2023, be approved as an accurate record.

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

The Head of Democratic Services submitted a report regarding the appointment of co-opted members to the Scrutiny Board (Adults, Health and Active Lifestyles) in line with the arrangements detailed in the Council’s Constitution.

In considering the report, members of the Board were reminded of

Healthwatch Leeds’ nomination of Dr John Beal as a non-voting co-opted member.

RESOLVED –

That Dr John Beal, representing Healthwatch Leeds, be appointed to the

Scrutiny Board as a non-voting co-opted member for 2023/24.

To receive a report from the Head of Democratic Services presenting the Scrutiny Board’s terms of reference.

The Head of Democratic Services submitted a report which presented the Scrutiny Board’s terms of reference for Members information.

Appendix 3 of the report particularly helped to give an overview of how each of the council’s five individual Scrutiny Boards for the year had been aligned to Officer Delegated Functions and Executive Portfolios.

The Chair outlined the procedure for the Scrutiny Board terms of reference being agreed at the Full Annual Council meeting, which was held on 24^th May 2023.

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

To receive a report from the Head of Democratic Services associated with the discharge of the Boards special responsibility to fulfil the council’s statutory health scrutiny function.

The Head of Democratic Services submitted a report associated with the  discharge of the Boards special responsibility to fulfil the council’s statutory health scrutiny function and scrutinising any matter relating to the planning, provision, and operation of local health services.

The Scrutiny Board (Adults, Health and Active Lifestyles) had been assigned to fulfil the council’s statutory health scrutiny function and so the report presented further information and guidance to assist the Board in undertaking this specific role.

The report presented:

• The Department of Health guidance ‘Local Authority Health Scrutiny’ (2014) to support local authorities and partners deliver effective health scrutiny.
• Draft Terms of Reference for the Health Service Developments Working Group – to provide a forum for health partners to present proposed service changes or developments at an early stage to help determine the level of engagement and/or consultation with the Scrutiny Board.
• Details of the West Yorkshire Joint Health Overview and Scrutiny Committee and sought the Boards nomination for two members to serve as the Board’s representatives on the Joint Committee for 2023/24.

RESOLVED –

(a) That the content of this report, alongside the associated appendices,

information and guidance presented, be noted.

(b) That the re-establishment of the Health Service Developments Working

Group, in line with the Terms of Reference as presented at Appendix 1, be

agreed.

(c) That Councillor A Scopes (Chair of the Board) and Councillor C Anderson be appointed as the Board’s representatives to serve on the West Yorkshire Joint Health Overview and Scrutiny Committee (JHOSC) for the municipal year, 2023/24.

To receive a report from the Head of Democratic Services on potential sources of work for the Scrutiny Board.

The Head of Democratic Services submitted a report regarding the potential sources of work for the Scrutiny Board.

The following were in attendance:

·  Councillor Fiona Venner - Executive Member for Children’s Social Care and Health Partnerships

·  Councillor Salma Arif - Executive Member for Adults Social Care, Public Health and Active Lifestyles

·  Caroline Baria - Interim Director of Adults and Health

·  Victoria Eaton - Director of Public Health

·  Tony Cooke - Chief Officer Health Partnerships

·  Steve Baker - Head of Active Leeds

·  Professor Phil Wood - Chief Executive of Leeds Teaching Hospitals NHS Trust (LTHT)

·  Tim Ryley - ICB Accountable Officer (Leeds Place)

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

The Chair invited those present to introduce themselves and to outline key issues and potential areas of work for the Scrutiny Board to undertake during the current municipal year.  It was noted that apologies had been received from Dr Sara Munro, Chief Executive, Leeds and York Partnership NHS Foundation Trust.  The Chair explained that having recently met with Dr Munro, he was able to relay her suggestions to the Board in her absence.

The Chair also invited Board Members to raise any questions and share their views on potential areas of work for the Scrutiny Board to undertake this year.

In summary, the following potential areas of work were raised:

Ø  Continuing the work of the former Scrutiny Board towards improving access to local NHS Dental Services.

Ø  Improving access to General Practice.

Ø  Workforce challenges impacting on health and care service delivery in Leeds.

Ø  Intermediate Care Redesign Programme.

Ø  Supporting and safeguarding people who live street-based lives.

Ø  Exploring how people’s voices are heard in the health and care system.

Ø  Monitoring progress with the Marmot programme.

Ø  Monitoring the Department for Transport pilot on active travel and active workplaces.

Ø  Progress with the Community Health and Wellbeing Programme in terms of transforming how domiciliary (home care) services are delivered and improved.

Ø  Reviewing the Leeds Offer for unpaid carers.

Ø  Exploring the impact of the cost-of-living crisis for patients accessing services.

Ø  The Leeds ICB operating model review.

Ø  Latest Public Health Annual Report.

Ø  Showcasing and learning from the Health and Wellbeing Board's Allyship Programme.

Ø  Understanding and addressing suicide rates in Leeds.

Ø  Exploring the extent and health impacts of cannabis use, particularly amongst young people. It was suggested that this matter be raised with the Drug and Alcohol Board in the first instance, with a view to providing an initial briefing paper for Board Members on the current position.

Ø  Tackling delays in children neurodiversity assessments.

Ø  Monitoring delivery of the Leeds Mental Health Strategy, including a focus around the Community Mental Health Transformation Programme.

Ø  Maximising local NHS and local authority funding and considering cost sharing provisions.

Another area of interest raised by Board Members related to the use of vapes (or e cigarettes) particularly amongst children and young people.  The Chair explained that this issue had also  ...  view the full minutes text for item 10.

To receive a report from the Head of Democratic Services which presents information provided by the Leeds Academic Health Partnership on how innovation in the health and care sector is helping to achieve the Leeds Best City Ambition to become a healthier and more economically prosperous city for all its citizens.

The Head of Democratic Services submitted a report which presented information provided by the Leeds Academic Health Partnership on how innovation in the health and care sector helps to achieve the Leeds Best City Ambition to become a healthier and more economically prosperous city for all its citizens.

The following were in attendance:

·  Councillor Fiona Venner - Executive Member for Children’s Social Care and Health Partnerships

·  Councillor Salma Arif - Executive Member for Adults Social Care, Public Health and Active Lifestyles

·  Caroline Baria - Interim Director of Adults and Health

·  Victoria Eaton - Director of Public Health

·  Tony Cooke - Chief Officer Health Partnerships

·  Steve Baker - Head of Active Leeds

·  Professor Phil Wood - Chief Executive of Leeds Teaching Hospitals NHS Trust

·  Tim Ryley - ICB Accountable Officer (Leeds Place)

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

·  Dr Luan Linden-Phillips - Innovation Adoption Specialist, Leeds Academic Health Partnership (LAHP)

The Executive Member for Children’s Social Care and Health Partnerships gave a brief overview of some of the positive work that had been progressed collaboratively through the LAHP in terms of developing solutions to challenges or creating more efficient measures within the health and care system.  In terms of making the city more receptive to the needs of innovators, specific reference was also made to the establishment of the LTHT Innovation Pop Up.

The Chief Officer for Health Partnerships and the Innovation Adoption Specialist at the LAHP then gave a brief introduction to the report and highlighted the following key points:

Ø  The LAHP recognises that innovation, research and evidence are central to all three pillars of the Best City Ambition.

Ø  Previous projects have included the establishment of the Leeds Health and Care Academy to transform the learning and development for the 57,000 people who work in health and care. The Academy now trains over a thousand unique learners each year and has generated over 200 jobs as part of the targeted employment programme in estates like Lincoln Green and opened up wider access routes into health and care for residents of the most deprived areas in Leeds.

Ø  Leeds has a thriving and diverse research and innovation ecosystem. New early diagnostic technology has been developed, such as PinPoint which uses blood biomarkers and artificial intelligence (AI) to determine a patient’s risk of cancer and optimise urgent cancer referral pathways. Pinpoint received incubation support from the Leeds Centre for Personalised Medicine and Health, a previous project of the LAHP.

Ø  DigiBete was highlighted as another patient-led innovation which involves a multi-lingual video platform and app to help support children, young people and families self-manage their type I diabetes through age-appropriate shared videos and educational resources.

Ø  Funding from LAHP had been done under a fair share agreement to bring together a multitude of partners to look at opportunities to develop much needed innovations for patients and staff.

Ø  The LAHP is currently supporting around 10 significant multi-partner research and innovation bid opportunities, each with  ...  view the full minutes text for item 11.

To receive a joint report from the Director of Adults and Health, the Director of Public Health and the Director of City Development that provides an overview of outcomes and service performance related to the Council and city priorities within the remit of the Adults, Health and Active Lifestyles Scrutiny Board.

The joint report submitted by the Director of Adults and Health, the Director of Public Health and the Director of City Development provided an overview of outcomes and service performance related to the Council and city priorities within the remit of the Adults Health and Active Lifestyles Scrutiny Board.

The following were in attendance:

·  Councillor Fiona Venner - Executive Member for Children’s Social Care and Health Partnerships

·  Councillor Salma Arif - Executive Member for Adults Social Care, Public Health and Active Lifestyles

·  Caroline Baria - Interim Director of Adults and Health

·  Victoria Eaton - Director of Public Health

·  Tim Fielding - Deputy Director of Public Health

·  Tony Cooke - Chief Officer Health Partnerships

·  Steve Baker - Head of Active Leeds

·  Rob Wood – Intelligence and Policy Manager, Adults and Health

·  Shona McFarlane – Deputy Director of Adults and Health

In considering the performance details presented, the Board discussed a number of matters in more detail, across Adult Social Care, Public Health and Active Lifestyles, including the following:

Public Health

• Commentaries of the health inequality data had not been included in the report as publication from the Office for National Statistics data had been delayed until Autumn 2023.
• Life expectancy data for men and women remained stable, public health services continued to perform well, including access to NHS public health checks. Indicators will remain under review in line with the Marmot City work to support the strategic aims for Leeds, where ‘people who are the poorest improve their health the fastest.’
• The report covered a broad scope and a previous submission of this data had been reviewed to be clearer in content. The key indicators to provide an overview of long-term public health and service delivery measures and inequalities will be brought back to the Board every 6 months, supplemented with practical short-term actions.
• Data regarding vaping was noted to be emerging and although not included in this report, it was highlighted that analysis of this data will be conducted and can be brought back to the Board as part of future update reports.
• The Chair made reference to the data indicating a rise in obesity levels for younger people and highlighted his intention to bring this to the attention of the Chair of the Children’s and Families Scrutiny Board.
• Members noted that for data sets that show a significant change on previous data, it would be of use to have greater analysis of causation and corelation to understand the trends.
• Processes for shorter term funding bids for obesity reduction initiatives raised some concern as funding levels often do not meet the scale of certain projects. Positives were noted for longer term projects for tackling childhood obesity issues and successes in Local Care Partnerships can be learnt from and become more integrated within Public Health and NHS work.

Adult Social Care

• The report provided an overview of the latest figures and measures of adult social care and activity levels, including adult social care outcomes framework and relevant figures for the Best  ...  view the full minutes text for item 12.

To consider the Scrutiny Board’s work schedule for the 2023/24 municipal year.

The Head of Democratic Services submitted a report that presented a draft

work schedule for the municipal year, 2023/24. Reflected in the work schedule

were known items of scrutiny activity, such as performance and budget

monitoring, as well as other areas of work recommended for progression by

the former Scrutiny Board at the end of the previous municipal year, 2022/23.

With regard to the other potential areas of work identified during the Board’s discussions, the Chair explained that he would work with the Principal Scrutiny Adviser to consider how best to prioritise and incorporate these into the work schedule with a view to bringing an updated version to the Board’s next meeting for consideration and approval.

RESOLVED – That the Chair works with the Principal Scrutiny Adviser to consider how best to prioritise and incorporate the other identified areas of work into the work schedule with a view to bringing an updated version to the Board’s next meeting for consideration and approval.

Tuesday, 11 July 2023 at 1:30pm (pre-meeting for all Board Members at 1:00pm)

RESOLVED – To note the next meeting of the Adults, Health and Active Lifestyles Scrutiny Board is scheduled for Tuesday, 11^th July 2023 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)