Agenda and minutes

To declare any personal / prejudicial interests for the purpose of Section 81(3) of the Local Government Act 2000 and paragraphs 8 to 12 of the Members Code of Conduct.

The following declarations of personal interest were made:

• Councillor Kirkland – Item 9, Inquiry into the Localisation of Health and Social Care Services – Session 2 – Due to his position on the Wharfedale Hospital Forum and his attendance as an out patient at Wharfedale Hospital.  Minute No.90 refers.
• Laurence Wood – Item 9, Inquiry into the Localisation of Health and Social Care Services – Session 2 – Due to his position on the Wharfedale Hospital Forum.  Minute No.90 refers.  Item 12, A Local Involvement Network (LINk) for Leeds – Due to his position on the LINk procurement board.  Minute No. 93 refers.
• Councillor Bale – Item 9, Inquiry in to the Localisation of Health and Social Care Services – Session 2 – His daughter is a Social Care Services User.
• Eddie Mack - Item 9, Inquiry in to the Localisation of Health and Social Care Services – Session 2 – Due to his role on the Patient Advisory Group.  Minute No. 90 refers. Item 12, A Local Involvement Network (LINk) for Leeds – Due to his position with Leeds Voice.  Minute No. 93 refers.
• Councillor Russell - Item 9, Inquiry in to the Localisation of Health and Social Care Services – Session 2 – His Fiancée manages a Social Care business.  Minute No. 90 refers.
• Joy Fisher - Item 12, A Local Involvement Network (LINk) for Leeds – Due to her position as a Service User representative.  Minute No. 93 refers.
• Councillor Chapman - Item 9, Inquiry in to the Localisation of Health and Social Care Services – Session 2 – Due to her role in the Area Management Review and preparation of the report ‘Making a Bigger Difference in Localities – Proposals to Develop Area Management and Area Committees in Leeds.  Minute No. 90 refers.

Apologies for absence were submitted on behalf of Councillor Ewens, Councillor Iqbal and Sally Morgan.

To approve as a correct record the minutes of the meeting held on 17 December 2007.

RESOLVED – That the minutes of the meeting held on 17 December 2007, be confirmed as a correct record.

To note the minutes of the Executive Board held on 19^th December 2007.

RESOLVED – That the minutes of the Executive Board meeting held on 19 December 2007 be noted.

To note the minutes of the Overview and Scrutiny Committee held on 6 November 2007 and 11 December 2007.

Members attention was brought to Minute No. 55 of the meeting held on 11 November 2007 which outlined amendments to Call-In Arrangements.

RESOLVED – That the minutes of the Overview and Scrutiny Committee meetings held on 6 November 2007 and 11 December 2007 be noted.

A report from the Head of Scrutiny and Member Development introducing the second session of the Board’s Inquiry.

The Head of Scrutiny and Member Development submitted a report regarding the Board’s inquiry into the Localisation of Health and Social Care Services.  Further reports were submitted from Leeds PCT; which provided information on GP Practice-Based Commissioning, Community Needs Assessment, Service Development and Public Consultation and Engagement; and from the Director of Adult Social Services which provided information in relation to the Leeds Joint Strategic Needs Assessment.

The Chair welcomed the following to the meeting:

• Christine Outram, Chief Executive, Leeds PCT
• John England, Deputy Director (Strategy & Performance), Social Services Department
• Dennis Homes, Chief Officer, Commissioning, Social Services Department
• Lisa Parkin, Leeds VOICE
• Councillor Angela Gabriel, South Inner Area Committee

Christine Outram addressed the Board.  She reported that there was a focus on how the PCT planned and commissioned health services based upon how to meet health needs, the tackling of inequalities, securing access to a comprehensive range of services and ensuring that commissioned services were safe and of high quality.  Commissioning decisions responded to public needs and consultation included Patient and Public Involvement Forums and surveys of patients and organisations.  There were also systematic processes for review of services which considered ways into improving delivery by considering the health needs of the population and information from hospitals and GPs.  Other issues outlined included the need to meet Government priorities and targets, partnership work and practice based commissioning.

Lisa Parkin gave the Board a brief overview of consultation that Leeds Voice had been involved with.  She also gave examples of good practice of health care provision within the Voluntary Sector and referred to the review of Community Development and the Community Health Development network. 

• Concern was expressed regarding the lack of dialogue between the PCT and Area Committees.  It was reported that the PCT had previously been represented on District Partnerships and there was a need to review PCT links to local communities through Area Committees.
• In relation to concerns and questions regarding Practice Based Commissioning, it was reported that the PCT would continue to deliver plans and strategies towards the localisation of services over the next three years.  Members attention was brought to the different consortia of practices across Leeds and the need to analyse and identify needs.  It was hoped that Practice Based Commissioning would cut the length of hospital waiting lists.

In brief summary, the following issues were discussed in relation to Members’ comments and questions:

• Preventative health issues.
• Publicising local services.
• The Voluntary Sector and how it could complement Practice Baced Commissioning and localisation of health services in local communities.
• It was reported that there were two main issues in relation to Adult Social Care:

  - Engagement – How to look at in more detail and the role   of the Local Involvement Network (LINk).

   - Statutory requirements – The Joint Strategic Needs   Assessment (JSNA) which was to be accried out by the   Council and PCT.  This formed part of the Council’s   Policy and Budgetary Framework.

• The possible effect on the VCF  ...  view the full minutes text for item 90.

A report to provide Scrutiny Board with a review of the POPPs Programme, including the performance, evaluation and governance arrangements and assessment of progress to date.

The Head of Scrutiny and Member Development submitted a report which gave the Board an update on the Leeds Partnerships for Older People Projects (POPPs).  A Service Redesign for Older People with Mental Health Needs was appended to the report along with a national evaluation of POPPs programmes and a sustainability plan for Leeds.

The Chair introduced the following to the meeting:

• Janice Simpson, former POPPs Programme Manager
• Jenny Thornton, POPPs Programme Manager
• Mike Evans, Chief Officer, Adult Social Care
• Mick Ward, Head of Strategic Partnerships and Development

Janice Simpson gave the Board a brief summary on Governance, Performance and Sustainability arrangements for the POPPs programme:

• Governance – There were robust Governance measures both at local and national level.
• Performance – The POPPs self assessment wasat green/amber according to Department of Health definitions.  Local evaluation had been carried out by the University of Leeds.
• Sustainability – Sustaining POPPs projects was the major challenge for the coming year.  Some would come to a natural end, whilst others would continue due to roll over funding although assistance may be required from Adult Social Care and the PCT.  The performance group would continue to monitor the impact of the projects.

Further to Members comments and questions, the following issues were discussed:

• Mental health needs for older people
• Age discrimination
• How to sustain POPPs projects, particularly in areas where there was a growing demand.
• Financial support for POPPs
• How POPPs supports community services.

The Chair thanked those present for their attendance.

RESOLVED –

(1)  That the content of the POPPs report and achievements made through   the POPPs programme be noted.

(2)  That a further progress report be brought to the Board in 6 months.

To consider a report from the Assistant Chief Executive (Planning, Policy and Improvement) outlining progress to date with the development of the Leeds Strategic Plan and Council Business Plan.

The Assistant Chief Executive (Planning, Policy and Improvement) submitted a report which provided the Board with an update on the Leeds Strategic Plan and Council Business Plan: Outcomes and Priorities.

The Chair welcomed the following to the meeting for this item:

• John England, Deputy Director (Strategy & Performance), Social Services Department
• Dylan Griffiths – Project Manager (Policy), Chief Executive’s Department

The Board was informed that the report contained feedback following the consultation that had been undertaken on the Leeds Strategic Plan.  A number of outcomes and priorities had made reference to the health and wellbeing of young people and older people whether they had specific or more general outcomes. 

The following issues were discussed:

• The number of performance indicators would be rationalised and would be matched against priorities.
• How the Leeds Strategic Plan and Council’s Business Plan would compliment each other form part of the Council’s service delivery.
• Some of the strategic outcomes were cross cutting, for example drugs and alcohol misuse came under Community Safety.  Strategic Leadership teams would be established and teams would work together on cross cutting issues.
• Negotiations would take place with the Government Office of Yorkshire and Humber to agree priorities within the Local Area Agreement requirements.

The Chair thanked John England and Dylan Griffiths for their attendance.

RESOLVED – That the report be noted.

(Councillor Rafique left the meeting at 12.20 p.m. during the discussion on this item.)

A briefing from the Director of Adult Social Services, to provide Members with an update on progress with a LINk for Leeds.

The Director of Adult Social Services submitted a report which provided the Board with an update on progress in securing a Local Involvement Network (LINk) for Leeds.

The Chair welcomed Mike Simpkin, Public Health Strategy Manager to the meeting.

He reported that the Council was leading the procurement process to find a host organisation for the LINk in Leeds.  The key role of the LINk would be to replace the current Patient and Public Involvement Forum (PPI) and other support organisations currently funded by the Department of Health.  The Council had been given the role of the commissioning organisation to eastablish the LINk, but the LINk would not be a Council controlled body.  The current PPI arrangements would cease to exist after 31 March 2008 and it was envisaged that there would be a shortlist of organisations to host the LINk by the end of January 2008.

In brief summary, the following was discussed in relation to Members’ comments and questions:

• The LINK would have a huge brief and governance arrangements would have to be worked out by the host organisation.
• The LINk would need to re-evaluate how representation was organised across the city.
• There would be a transition time of 6 months. 
• The roles of representatives from existing organisations was under discussion.

The Chair thanked Mike Simpkin for his attendance.

RESOLVED – That the report be noted.

(Councillor Bale left the meeting at 12.35 p.m. during discussion of this item.)

To receive a report from the Head of Scrutiny and Member Development on the Board’s Work Programme for the forthcoming Municipal Year.

The Head of Scrutiny and Member Development submitted a report which detailed the Board’s Work Programme for the 2007/08 Municipal Year.  Appended to the report was an extract from the Forward Plan of Key Decisions which gave Members an overview of activity within the Board’s portfolio area.

Members discussed the Work Programme and the Inquiry theme of the localisation of health and social care services. The following issues were raised:

• Site Visits
• Sikh Day Care Contract

RESOLVED – That the current Work Programme be agreed.

Monday, 18 February 2008 at 10.00 a.m. (Pre-meeting for all Members at 9.30 a.m.).

Monday, 18 February 2007 at 10.00 a.m.  Pre-meeting for all Board Members at 9.30 a.m.