Agenda and minutes

Co-opted Member present – Jane Mischenko

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 interests were made at the meeting.

To receive any apologies for absence and notification of substitutes.

Apologies for absence had been received from Councillor W Kidger.

To approve as a correct record the minutes of the meetings held on Tuesday 9^th July 2024 and Thursday 8^th August 2024.

RESOLVED - That the minutes of the meetings held on 9th July 2024 and 8th August 2024, be approved as an accurate record.

To receive a report from the Director of Adults and Health which presents an update from the Leeds Health and Care Partnership on the HomeFirst Programme, including outcomes delivered and proposed next steps.

The Director of Adults and Health submitted a report which presented an update from the Leeds Health and Care Partnership on the HomeFirst Programme, including outcomes delivered and proposed next steps.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Councillor Adrian McCluskey, Support Executive Member

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

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

·  Nick Earl, Director of Strategy, Planning and Programmes (Interim), Leeds Integrated Care Board

·  Andrea North, General Manager; Specialist Business Unit, Leeds Community Healthcare Trust.

The Chair invited the Executive Member for Adult Social Care, Active Lifestyles and Culture to provide some introductory comments and then invited the Director of Adults and Health and other invited contributors to give a brief overview of the key points set out within the appended briefing paper, which was presented in the form of a PowerPoint presentation.

In summary, the following key points were highlighted:

Ø  The HomeFirst programme brings together health and care partners with support from an external partner, Newton Europe, to create a sustainable, person-centred, home-first model of intermediate care across Leeds that is joined up and promotes independence.

Ø  A significant focus in the Programme has been on bringing people together with a shared focus on how to build a better offer focussed on a home first ethos and with the person at the centre. 

Ø  The ambition is to improve outcomes for over 3000 Leeds residents each year, resulting in an annualised financial saving of £17.3m to £23.1m.

Ø  The Programme is now in the embed and sustain phase.

Ø  The Board was briefed on the programme financial KPIs and programme financial opportunities.  It was highlighted that performance indicators are tracked monthly and will change as performance moves.  The performance data for August 2024 was shared with the Board, which showed that overall programme delivery is ahead of target.

Ø  The HomeFirst Programme Team has developed a draft Blueprint for Intermediate Care Services in Leeds, which sets out a proposed work plan covering the near term (2024-25), medium term (5 years) and longer term (10 years).  Such plans will need to respond to predicted demographic changes and the demand profile for intermediate care services.

During the Board’s discussions, the following issues were also raised:

Ø  Supporting people to live in suitable accommodation – Importance was placed on supporting people to live in accommodation that best suits their needs.  Linked to this, the Board discussed the issue of housing supply and the Director of Adults and Health advised that system partners, including health, social care and housing work collaboratively on this issue and agreed to provide further information for Board Members.

Ø  Staff surveys and communications – While acknowledging that 76% of the staff surveyed had agreed that the new model benefited the patient, the Board was advised that not all staff will  ...  view the full minutes text for item 38.

To receive a report from the Director of Public Health which presents the 2023 Director of Public Health Annual Report – Ageing Well: Our Lives in Leeds.

The Director of Public Health submitted a report which presented the 2023 Director of Public Health Annual Report called ‘Ageing Well: Our Lives in Leeds’.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Councillor Adrian McCluskey, Support Executive Member

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

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

·  Nick Earl, Director of Strategy, Planning and Programmes (Interim), Leeds Integrated Care Board

·  Andrea North, General Manager; Specialist Business Unit, Leeds Community Healthcare Trust.

·  Tim Fielding, Deputy Director of Public Health

·  Helen Laird, Head of Public Health

The Executive Member for Equality, Health and Wellbeing gave a brief introduction and then handed over to the Director of Public Health to highlight key aspects of the report, which was presented in the form of a PowerPoint presentation.  In summary, the following points were made:

Ø  The 2023 annual report focuses on ageing well in Leeds and explores how healthy people, places, and communities contribute to ageing well and the number of years people spend in good health in Leeds.

Ø  It brings together lived experiences of ageing well amongst Leeds’ citizens through listening to the voices and stories of local people as well as professionals who work in this field, alongside a review of the data and evidence relating to ageing well. 

Ø  A short film had been produced to accompany the report and highlights the individual experiences of people aged 50+ in Leeds. This was also shown during the Scrutiny Board’s meeting. The film and report are accessible on the Leeds Observatory site (https://observatory.leeds.gov.uk/dph-report/).

Ø  The report will form part of the Joint Strategic Assessment for Leeds.

Ø  Looking to 2033, there will be a growth in the 70+ age groups, particularly the 80+ age group. Population trends also show that the older population (50+) is growing in the most deprived areas and becoming more diverse.

Ø  When comparing wards in Leeds with high and low levels of deprivation there is a difference in life expectancy at birth (11.7 years for males and 12.1 years for females).

Ø  The national data taken from the CMO report on healthy ageing is reflective of the Leeds position, with people living in the most deprived areas spending a larger number of years in poor health in later life and starts in their early 50’s.  This is particularly relevant given that 1 in 4 of the Leeds total population is living and ageing in the most deprived areas.

Ø  When asked what was important to ageing well in Leeds, the top three factors from professionals mirrored those identified by people in later life (though not in the same order) and included healthy living, travel and access to public spaces and being socially connected.

Ø  While there are many initiatives and programmes already in place, there is still lots more that  ...  view the full minutes text for item 39.

To receive a report from the Director of Adults and Health which sets out the work undertaken to improve the take up of direct payments in the context of person-centred and strength-based care and support.

The Director of Adults and Health submitted a report setting out the work undertaken to improve the take up of direct payments in the context of person centred and strength-based care and support.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Councillor Adrian McCluskey, Support Executive Member

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

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

·  Carmel Langstaff, Chief Officer Transformation and Innovation, Adults and Health

The Executive Member for Adult Social Care, Active Lifestyles and Culture gave a brief introduction and then handed over to the Deputy Director Social Work and Social Care Service to highlight key aspects of the report, which was presented in the form of a PowerPoint presentation.  In summary, the following points were made:

Ø  In Leeds, the proportion of people who use services who receive direct payments was 14.9% (938 people) in 22/23. This result means Leeds is ranked 12th (out of 15) in the region, 13th (out of 16) of peer LAs and 111 nationally.

Ø  Unlike some other local authorities, Leeds continues to provide people who draw on care and support with the choice for the local authority to arrange care in all circumstances, known as ‘managed budgets’. Many local authorities offer direct payments as the primary option and their social work staff are expected to prioritise the offer of direct payments over managed budgets.

Ø  The Care Act 2014 allowed local authorities to move away from a ‘care management’ approach to a strengths and asset-based approach.  There is more focus on ‘what’s strong, not what’s wrong’, so it builds on people’s own strengths and community assets.

Ø  A key area of success is with people with learning disabilities, where there are a number of people in receipt of a significant package of care which is delivered entirely through a direct payment, often managed by their families to work around the person and their family. There is also a positive level of take up of direct payments for part of a care package where the direct payment is used to meet need such as for community support – access to support in the community, short breaks for families. It is in this context that the Council is working to identify an appropriate target for take up of direct payments in Leeds. Achieving 255 new direct payments over the year (22 per month) would increase performance to 16.6%.

Ø  The Board was briefed on the wide range of improvement activity measures already undertaken over the past year.  This included the development of a Direct Payments Dashboard to monitor performance on a monthly basis.  An example of the Dashboard was shared as part of the presentation.

Ø  Current plans to improve take up of direct payments involve the development of a Direct Payments Team; improving the direct payments process; raising  ...  view the full minutes text for item 40.

To consider the Scrutiny Board’s work schedule for the 2024/25 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 reminded Board Members that he continues to represent the Board as part of the ongoing piece of work around youth vaping that is being led by the Children and Families Scrutiny Board.  Linked to this, the Chair reiterated the importance of engaging with other key partners alongside Public Health colleagues.  This includes West Yorkshire Trading Standards (WYTS) in terms of tackling illicit vapes and underage sales.  It was noted that Members would be kept informed as this work progresses.

The Chair also confirmed that in line with the Scrutiny Board’s ‘Health Service Developments Working Group’ approach, there would be a working group meeting set up to enable Board Members to consider proposed plans for Adult Mental Health High Intensity Rehabilitation Inpatient Services.

RESOLVED –

(a)  That the Scrutiny Board’s work schedule for the 2024/25 municipal year be noted.

(b)  That a working group meeting be set up to enable Board Members to consider proposed plans for Adult Mental Health High Intensity Rehabilitation Inpatient Services.

Tuesday, 8th October 2024 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, 8^th October 2024 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)