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 late items.

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.

All Board Members were present at the meeting.

Apologies had been received from Councillor Arif as the Executive Member for Adults Social Care, Public Health and Active Lifestyles and also from Caroline Baria, Interim Director of Adults and Health.

To approve as a correct record the minutes of the meeting held on 11^th July 2023.

RESOLVED – That the minutes of the meeting held on 11^th July 2023, be approved as an accurate record.

Minute no 21 – Matters arising from the meeting held on 13^th June 2023.

Members were advised that the requested briefing paper from the Drug and Alcohol Team regarding the issue of cannabis use, particularly amongst young people, will be made available in October.

The Chair also highlighted that the Children and Families Scrutiny Board had arranged to hold a working group meeting on the issue of vaping amongst children and young people on 27th September at 2.30 pm.  It was noted that Councillor Scopes and Councillor Anderson had volunteered to attend this meeting to represent the Adults, Health and Active Lifestyles Scrutiny Board.

Minute 22 – Leeds Mental Health Strategy 2020-2025

It was noted that Members had now received information on the evaluation framework linked to the Community Mental Health Grant allocations.

The Principal Scrutiny Adviser highlighted that while Members had also requested further information surrounding neurodiversity assessments for children, it was now proposed that this matter be considered as part of a working group approach, with arrangements to be confirmed in due course.

Minute 23 – Healthy Leeds Plan Refresh

Linked to the Healthy Leeds Plan, it was noted that Members had been sent details of the existing Outcome Frameworks associated with each of the Population Boards.  It was also highlighted that these are currently under review and that updated versions were expected to be available in November.

To receive a report from the Head of Democratic Services which presents an update from the Leeds Health and Care Partnership surrounding access to General Practice in Leeds.

The Head of Democratic Services submitted a report which presented a briefing paper from the Leeds Health and Care Partnership on access to General Practice in Leeds.

The following were in attendance:

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

·  Councillor David Jenkins, Deputy Executive Member

·  Victoria Eaton, Director of Public Health

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

·  Gaynor Connor, Director of Primary Care and Same Day Response, Leeds Health & Care Partnership

·  Dr George Winder, Chair of the Leeds GP Confederation and Clinical Director of Seacroft Primary Care Network

·  Dr Mo Sattar, Clinical Director of Chapeltown Primary Care Network

·  Andrea Mann, Clinical Director of Cross Gates Primary Care Network

·  Dr Sarah McSorley, Vice Chair of Leeds Local Medical Committee

The Chair invited the Executive Member for Children’s Social Care and Health Partnerships to provide some introductory comments and then invited the Director of Primary Care and Same Day Response, along with representatives from the GP Confederation and Leeds Local Medical Committee, to give a brief overview of the key points set out within the appended briefing paper.

In summary, the following key points were highlighted:

·  Leeds has 90 practices that collaborate in an operating model of 19 Primary Care Networks (PCNs) and Local Care Partnerships (LCPs).

·  Levels of appointments are now back to pre-pandemic levels and continue to grow, with 417,704 appointments carried out in June 2023, which is an increase of 28,000 appointments when compared to June 2022.

·  For Leeds, it was reported that the overall experience of the GP practice was slightly better than the national and West Yorkshire average at 73%.  However, it was acknowledged that the consensus view from both patients and staff is that more work still needs to be done to reduce the barriers some patients face when accessing services.

·  Patients particularly value quality and continuity of care and so the balance between increasing access, using the range of professional expertise in a practice and maintaining continuity of care is one that continues to be developed.

·  The reception team has a vital role to play in triaging patient calls.  Care navigation is a process done by care coordinators, appropriately trained reception or other practice staff, to signpost to the most appropriate clinician or elsewhere outside of the practice.

·  The impact of secondary care waiting times and changes in outpatient arrangements to more remote consultations have contributed to an increasing workload and appointment requests in general practice as people seek assurance, advice or information as they wait for hospital care.

·  Core general practice is funded through a national GP contract.  There is no specific standard within the contract which determines what workforce a practice should have in place other than it is sufficient and safe to deliver a core service as outlined in the contract.

·  Within the national GP contract there has been a 2% staff pay uplift to practice funding in each of the last 5 years, which has impacted on the ability to recruit and  ...  view the full minutes text for item 34.

To receive a report from the Director of Public Health which presents the 2022 Director of Public Health Annual Report – ‘In Our Shoes’.

The Director of Public Health submitted a report which presented the 2022 Director of Public Health Annual Report – ‘In Our Shoes’.

The following were in attendance:

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

·  Councillor David Jenkins, Deputy Executive Member

·  Councillor Dan Cohen, Chair of Children and Families Scrutiny Board

·  Victoria Eaton, Director of Public Health

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

·  Kathryn Ingold, Chief Officer / Consultant in Public Health 

·  Farrah Khan, Chief Officer Family Help, Children and Families Directorate

·  Hannah Lamplugh, Strategy and Influence Lead, Children and Families Directorate

·  Emily Carr, Associate Director Pathway Integration, Leeds Health & Care Partnership

The Chair invited the Deputy Executive Member to provide some introductory comments and then invited the Director of Public Health to introduce the report.

The Board was informed that the “In Our Shoes” report was publicly launched on 20th July at the Health and Wellbeing Board meeting. Progress against the recommendations reflected in this report will be shared in the next Director of Public Health Annual Report. 

It was also highlighted that the report was submitted to the Association of Directors of Public Health (ADPH) as part of the annual report competition and celebration. The top four reports that stood out as overall good examples included Leeds, with the panel paying tribute to Leeds for giving a powerful snapshot of the inequity of outcomes for children and young people in the city.

The Director of Public Health then gave a brief presentation during the meeting to highlight key aspects from the 2022 annual report. This included a short film sharing individual stories of children and young people in Leeds, which had been produced to accompany the annual report (link to film).

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

·  Selecting the theme of the annual report - the Chair of the Children and Families Scrutiny Board particularly welcomed the decision to focus the 2022 annual report on children and young people and supported the findings and recommendations.

·  Access to healthcare services – the Board acknowledged the recommendation directed to the Leeds Office of the West Yorkshire NHS Integrated Care Board to ensure health care services are accessible to all children and young people. Members particularly welcomed the focus on 3 key service areas which included dental services; mental health services; and speech, language and communication.

·  Children’s mental health – importance was placed on continuing to work in partnership to improve and protect children’s mental health through the delivery of the Leeds Children and Young People’s Plan and the Future in Mind strategy.  It was noted that these remain a key feature of the Children and Families Scrutiny Board work programme.

·  Neurodiversity– particular reference was made to the support needs of children with neurodiversity either with or without formal diagnoses and the role of the new Neurodiversity Hub as a one-stop shop for neurodivergence information and support for all children, young people  ...  view the full minutes text for item 35.

To receive a report from the Head of Democratic Services which presents the formal response of the Leeds Health and Care Partnership Executive Group (PEG) to the Scrutiny Board’s Statement in relation to the Leeds Tier 3 Specialist Weight Management Service.

The Head of Democratic Services submitted a report which presented the formal response of the Leeds Health and Care Partnership Executive

Group (PEG) to the Scrutiny Board’s Statement in relation to the Leeds Tier 3 Specialist Weight Management Service.

The Chair reminded Members of the key conclusions and recommendations stemming from the Board’s working group meeting on 28^th June 2023, which was then captured in the form of a Statement agreed by the Board during its July meeting.  

Members noted that the response of the Leeds PEG had addressed the issues set out within the Board’s Statement.  The Chair highlighted that it would be helpful for Members to better understand how NHS funding is allocated and the expectations surrounding the governance and management of such funding.  It was therefore proposed that a briefing session be arranged for Members.

RESOLVED –

(a)  That the formal response of the Leeds Health and Care Partnership Executive Group (PEG) to the Scrutiny Board’s Statement in relation to the Leeds Tier 3 Specialist Weight Management Service be noted.

(b)  That a briefing session be arranged for Members to better understand how NHS funding is allocated and the expectations surrounding the governance and management of such funding.

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

The Head of Democratic Services submitted a report that presented the

Board’s latest work schedule for the forthcoming municipal year.

The Chair explained that the Communities Team has requested nominations from all five Scrutiny Boards for representatives to sit on the Member Working Group as part of the Community Committee review.  Members agreed that Councillor Kidger and Councillor France-Mir would be the nominated representatives of the Scrutiny Board (Adults, Health and Active Lifestyles).

RESOLVED –

(a)  That the Scrutiny Board’s work schedule for the 2023/24 municipal year be noted.

(b)  That Councillor Kidger and Councillor France-Mir be the nominated representatives of the Scrutiny Board (Adults, Health and Active Lifestyles) to sit on the Member Working Group as part of the Community Committee review.

Tuesday, 10th October 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, 10^th October 2023 at

1:30pm (pre meeting for all Board Members at 1:00pm)