Agenda and minutes

Health and Wellbeing Board - Monday, 20th February, 2017 9.45 am

Venue: Room 408, The Rose Bowl, Leeds Beckett University, Portland Crescent, Leeds LS1 3HB

Contact: Helen Gray  0113 3788657

Note: A pre-meeting for Board Members will be held 9.00am to 9.45am 

No. Item

Representatives of Clinical Commissioning Groups

Dr Jason Broch  NHS Leeds North CCG

Dr Gordon Sinclair  NHS Leeds West CCG

Nigel Gray  NHS Leeds North CCG


Directors of Leeds City Council

Dr Ian Cameron – Director of Public Health

Cath Roff – Director of Adult Social Services

Sue Rumbold – Children’s Services


Representative of NHS (England)

Moira Dumma - NHS England


Third Sector Representative

Kerry Jackson – St Gemma’s Hospice


Representative of Local Health Watch Organisation

Lesley Sterling-Baxter – Healthwatch Leeds


Representatives of NHS providers

Sara Munro - Leeds and York Partnership NHS Foundation Trust

Liz Kay - Leeds Teaching Hospitals NHS Trust

Thea Stein - Leeds Community Healthcare NHS Trust



Welcome and introductions


The Chair welcomed all present and brief introductions were made.



Appeals against refusal of inspection of documents

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 against the refusal of inspection of documents.



Exempt Information - Possible Exclusion of the Press and Public

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:-



The agenda contained no exempt information.



Late 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)



No formal late items of business were added to the agenda.



Declarations of Disclosable Pecuniary Interests

To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-16 of the Members’ Code of Conduct.




There were no declarations of disclosable pecuniary interest.



Apologies for Absence

To receive any apologies for absence


Apologies for absence were received from Councillor G Latty, Steve Walker and Julian Hartley. Councillor B Flynn, Sue Rumbold and Liz Kay were welcomed as substitute members.



Open Forum

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 by members of the public under the Open Forum.



Minutes pdf icon PDF 115 KB

To approve the minutes of the previous Health and Wellbeing Board meetings held on 20th October 2016 and 24th November 2016 as a correct record.

Additional documents:


RESOLVED – The minutes of the previous meetings held 20th October and 24th November 2016 were approved as a correct record.



Matters Arising



Minute 15a) St Gemma’s Hospice – Councillor Charlwood briefly reported on a visit to St Gemma’s Hospice undertaken by Board members and expressed her support for the Hospice as an example of best practice for the City.

Minute 27 Future in Mind, Leeds – Councillor Mulherin reported on the recent launch of the strategy and a copy of the summary document was made available for Board members.



Introducing the Leeds Commitment to Carers pdf icon PDF 71 KB

To consider the report of Leeds Carers Partnership on the Leeds Commitment to Carers which sets out what being the best city for carers could look like. It includes a series of carer and organisational statements as well as recognising the Leeds Carers Partnership as a key strategic influencer and champion.

Additional documents:


The Board received a report from Leeds Carers Partnership on the “Leeds Commitment to Carers” which included a series of carer and organisational statements; recognising the Leeds Carers Partnership as a key strategic influencer and champion.


The report was presented by Mick Ward, (Integrated Commissioning, Adult Social Care & NHS Leeds North CCG) and Val Hewison (Chief Executive, Carers Leeds).


Ms Hewison reported that in her discussions with carers, repeated themes were love (for family carers); carers feeling invisible (all the focus is on the person being cared for); and fear (of what may happen in the future if they were not there to care). She reported that most care in Leeds was provided by a family carer, and most carers do not access services for themselves, they attend only to access care with/or for the recipient of care. It is important to ask “are you a Carer?” at that point


She highlighted that the Carers Commitment should:

-  Ensure that recognition, partnership and support for carers is our ‘usual business’.

-  Ensure that carers are able to continue to work and act as a carer. Just giving 10 hours of family care has detrimental impact on a carer’s own career or education

-  Tie together the strands of the previous 5 Year forward view (emphasised prevention and carers wellbeing) and the Sustainability & Transformation Plan (focus on relationships)


Finally, the Board congratulated the Carers Leeds Partnership Board as it had been awarded the Health Service Journal Award for Integrated Commissioning for Carers in recognition of its integrated approach to carers support.


Discussions included consideration of:

·  The scale of the task of offering support to carers, noting that 1:10 of the population were carers

·  Carers’ identification, acknowledgement and support could be achieved through partnership working. It was reported that partnership with 3rd sector organisations had already been secured; respite care was available to support carers; and partners could influence other commissioners/provider to ensure that carer support is built into all parts of business and work plans.

·  The role of the Steering Group to record and monitor progress against an organisation’s own action plan.

·  The ongoing work to secure agreement from each LCC Directorate to sign up to the action plan

·  The change in the carer workforce - from older persons caring for their spouse/partner to carers tend to be of working age – and concern over the difficulty in identifying young carers and older people with learning difficulties who now cared for their elderly parents/family member. The comments regarding identification of young carers were noted for further consideration by all present


In conclusion the Chair expressed the support of the Board and commended the work of the partnership


a)  To endorse the Leeds Commitment to Carers.

b)  That the Leeds Carers Partnership be tasked with promoting the Leeds Commitment to Carers and reviewing all action plans

c)  That the Leeds Carers Partnership be requested to present a progress report in 2018



Reducing Health Inequalities through Innovation and System Change pdf icon PDF 66 KB

To consider the report of the Head of Health Innovation, Leeds Health Partnerships. Innovation and system change provide a key means through which the reduction of health inequalities will be delivered. This paper therefore sets the scene for a short series of presentations to the Health and Wellbeing Board on the key issues and opportunities to be addressed in an effective programme of delivery. It includes an overview of the scale of the health inequality in Leeds and the role of economic growth, the Leeds Digital Strategy and investment through partnership.


Additional documents:


The Board considered the report of the Head of Health Innovation, Leeds Health Partnerships on how innovation and system change provide the means by which the reduction of health inequalities will be delivered. The report set the scene for a series of presentations on the key issues and opportunities to be addressed in an effective programme of delivery. Additionally the report included an overview of the scale of health inequality in Leeds and the role of economic growth, the Leeds Digital Strategy and investment through partnership.


The Leeds Growth Strategy - Colin Mawhinney provided an overview of the Strategy 2011/16 which was currently under review. The Strategy had taken account of the diversity of the city, quality of life as well as measurable outputs and had recognised the role of partnership working. The review would focus on implementation; and consider the impact of Brexit, employment and the predicted economic growth for Leeds, particularly in the digital and education sectors. Key to being able to address health inequality was a strong; growing economy. Future productivity was influenced by health, skills and support. Small and Medium Enterprises (SME’s) were a large part of the healthcare sector in Leeds providing a number of jobs and requiring support as they expanded.


The Board received a short video presentation. Representatives from 4 SMEs highlighted the advantages of being based in Leeds – the collaborative approach between the business and education sectors; the local talent pool; skills, support and transport infrastructure which encouraged easy access to the city and allowed SMEs a greater regional reach to provide services and encourage staff.


Challenges ahead included ensuring the continued development of a local talent pool with relevant skills; and encouraging local commissioners/business to buy local products and services.


The Board welcomed the context and framework for inward investment provided by the presentation and noted comments on issues including:

·  Securing new jobs for Leeds residents

·  The existing skilled workforce in the digital and education economy. Further consideration to be given to create opportunities for different skills/workforce to support other parts of the general economy which in turn will raise the standard of the health and wellbeing of Leeds citizens

·  The challenge of encouraging uptake of health and care jobs when pay, conditions and hours may not be seen as favourable as other sectors

·  Recognition of the link between economic deprivation and health inequality and the need to target economic growth, education and new skills to areas of deprivation.


The Leeds Digital Strategy – Dylan Roberts emphasised the role of Digital Economy in supporting health and wellbeing of the population and identified the link between Leeds’ Digital Roadmap and the Leeds Health & Care Plan – a place based approach will support the appropriate platform on which to create and share design principles. Arrangements were being put in place to deliver a city digital team supported by NHS Digital. The Board was urged to consider the positive impact of digital/technology on self-care and prevention and the opportunity for SMEs to establish  ...  view the full minutes text for item 52.


Any Other Business


West Yorkshire & Harrogate Sustainability & Transformation Plan

Freedom of Information request – Councillor Flynn sought assurance that no information had been withheld from the published WYH STP. He reported on a recent FOI request made to secure the publication of the appendices to the STP, which had been refused by NHS Wakefield CCG under the provisions of Section 36(2) (ii) of the FOI Act. Relevant representatives assured the Board that they were not aware that any information had been withheld from the public domain, and had attended STP meetings where a transparent approach had been agreed.

Next Steps – Confirmation of the date for publication, recorded as December 2017 in the WYHSTP, was requested. It was agreed that this information would be provided directly to the Board member.



Date and Time of Next Meeting

To note the date and time of the next meeting as Thursday 20th April 2017 at 9:30am (with a pre-meeting for Board members from 9:00am)


RESOLVED – To agree that the next meeting on 20th April 2017 would be re-scheduled as an informal workshop for Board members.