Agenda and minutes

To consider any appeals in accordance with Procedure Rule 15.2 of the Access to Information Rules (in the event of an Appeal the press and public will be excluded)

(*In accordance with Procedure Rule 15.2, written notice of an appeal must be received 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:-

There was no exempt information.

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’. 

There were no declarations.

To receive any apologies for absence

Apologies for absence were received on behalf of Victoria Eaton, Thea Stein, Dr Alistair Walling, Superintendent Dan Wood, Councillor Norma Harrington, Councillor Mary Harland, Tim Ryley, Pat McGeever and Dr Sara Munro.

Councillor Caroline Anderson, Councillor Jane Dowson, Jenny Cooke and Cathy Woffendin were all in attendance as substitutes.

At the discretion of the Chair, a period of up to 10 minutes may be allocated at each ordinary meeting for members of the public to make representations or to ask questions on matters within the terms of reference of the Health and Wellbeing Board.  No member of the public shall speak for more than three minutes in the Open Forum, except by permission of the Chair.

No matters were raised on this occasion.

To approve the minutes of the previous Health and Wellbeing Board meeting held 6 December 2021 as a correct record.

RESOLVED – That the minutes of the meeting held on 6 December 2021 be confirmed as a correct record.

The joint report of the Director of Communities, Housing and Environment and the Director of Adults and Health informs the Board about the emerging Health and Housing programme of work as well as wider conversations about the new Housing Strategy and the ideas that are being discussed as part of scoping for the new City Ambition and the Marmot programme. 

The report of the Director of Communities, Housing and Environment and the Director of Adults and Health informed the Board about the emerging Health and Housing programme of work as well as wider conversations about the new housing strategy and ideas that were being discussed as part of scoping for the new city ambition and the Marmot programme.  The paper sought input from the Board on how the programme could better support the Health and Wellbeing Strategy by improving health through housing and by engaging a wider group of strategic and operational stakeholders.

Tony Cooke, Chief Officer, Health Partnerships and Maddie Edwards gave the Board a presentation.

Key issues highlighted included the following:

·  The need for people to live in homes that promoted health and were sustainable and stable.

·  The need for investment in housing, particularly for vulnerable people.

·  Impacts of poor housing on health.

·  Health issues and support for homeless people.

·  Aims of the new Housing Strategy:

-  Affordable Housing Growth

-  Improving Housing Quality

-  Reduce Rough Sleeping and Homelessness

-  Creating Sustainable Communities

-  Improving Health Through Housing

-  Age Friendly Housing

·  Investment in council housing to improve energy efficiency.

·  Council House Growth Program.

·  Introduction of Private Sector Licensing.

·  Provision of Extra Care Housing.

·   

In response to questions from the Board, the following was discussed:

·  Consulting young people and children was essential and a youth Housing Area Panel was to be trialled.

·  Improvements in areas where selective licensing had been introduced.

·  Home visits could be used to identify issues such as hoarding and self neglect.  There were no longer visits to 100% of tenants but vulnerable tenants were prioritised.

·  Further information was requested on passive housing.  Reference was made to energy efficiency work that has helped people to reduce bills.

·  The areas selected for selective licence had a large number of private landlords.  Work carried out was not just in relation to the housing stock but to support the people living there with issues such as employment and training.  The proposed registration scheme would operate differently.  If the selective licensing scheme was successful and funding was available, it would be hoped to extend it.

·  Dental care for homeless people – the Board was asked to support, in principle, the provision of Dental Services for homeless people and ask NHS England to implement this as soon as possible.

·  There was a large waiting list for housing and even those who were high priority were waiting up to two years.  There was currently a low turnover of properties.

·  A Key part of the Health and Housing Programme was a training programme which included early intervention to identify people’s needs.

·  Concern that selective licensing would lead to tenants picking up the cost of improvements through increased rents. 

RESOLVED –

(1)  That a Housing representative be invited to join the Health and Wellbeing Board.

(2)  That the Health and Wellbeing Board supports strengthened connections between housing and health strategies and closer alignment and integration between teams working across housing and health  ...  view the full minutes text for item 41.

The report of #TeamLeeds Health and Care People’s Voices Group (PVG) provided an outline of the key themes that people have raised with health and care organisations in the city.  The report calls for citywide commitment to act on the consistent messages from people, and to do that in co-production with the people of Leeds to target future engagement.

The purpose of the report of Team Leeds Health and the Care People’s Voices Group was threefold:

1.  To ask the Board to ensure the new collaborative involvement culture that our PVG has fostered through its workstreams is core to our developing local integrated arrangements; mandated under forthcoming legislation. This approach is rooted in listening to people and hearing the voices of those facing the greatest health inequalities.

2.  To set out key themes which have emerged from the recent Big Leeds Chat and other people’s voices work; and to invite the Board to agree how the governance to ensure that action is taken against each of the themes.

3.  Paper notes system commitments made on two areas where we have heard consistent feedback from people: communication and inequalities.

Hannah Davies, Healthwatch Leeds and Pip Goff, Forum Central gave the Board a presentation.

Key issues highlighted included the following:

·  The need to have people’s voices at the centre of health and wellbeing decision making.

·  Moving from collective listening to collective action.

·  Focus on involving people with greatest health inequalities.

·  Connecting involvement to decision making.

·  Working together -

·  A shared city wide workplan – bringing people together and decision making.

·  Local people’s voices to be heard in Local Care Partnerships.

·  The voice of staff was also essential.

·  The role of people’s voices in governance.

·  Use of Healthwatch and 3^rd Sector experience and involvement.

·  Listening to action – allocation of themes to forums;  reporting back to Health and Wellbeing Board; reporting back to public including through the Annual Health and Wellbeing Report.

·  The need for communication, co-ordination and compassion.

·  Use of plain English and making communication available to all including digitally excluded.

·  Actions needed to address health inequalities.

Further discussion included the following:

·  A suggestion that communication be brought as a future agenda item for the Board.

·  It was right to use the various forums and their expertise but it was essential that there were arrangements for reporting back.

·  Ways of measuring the communication process.  These included using people’s experiences, complaints and casework reviews.  Systematic metrics were being developed which could also provide information.  Further examples were given including the success of communication during the vaccination programme.

·  How involved people were with regards to their own care and the understanding of their care.

·  The Allyship Programme and Reaching out to more marginalised people – the need to provide feedback from the programme.

RESOLVED –

1.  HWB is asked to support the workstreams recommended by PVG and to help shape our citywide involvement culture by:

·  Receiving regular updates on the PVG’s work

·  Support and endorse progress within its various workstreams

·  Note and support the progress in embedding people’s voices into future system governance

2.  HWB is asked to take action on the insight gathered through the Big Leeds Chat by:

·  Using the insight to directly inform and influence the refresh of the Leeds Health and Wellbeing Strategy (LHWS) and the developing Best City Ambition

·  Provide the public with direct feedback around the  ...  view the full minutes text for item 42.

The report of Leeds Health and Care Partnership Executive Group (PEG) provided an update on the Leeds Health and Care Quarterly Financial Position.

The report of the Leeds Health and Care Partnership Executive Groupprovided the Board with a brief overview of the financial positions of the health and care organisations in Leeds, brough together to provide a single citywide financial report.  The report was for the period ending December 2021.

RESOLVED – That the M9 partner financial positions be noted.

Thursday, 28 April 2022 at 1.30 p.m.