Agenda and minutes

Representatives of Clinical Commissioning Group

Tim Ryley – Chief Executive of NHS Leeds Clinical Commissioning Group

Directors of Leeds City Council

Victoria Eaton – Director of Public Health

Cath Roff – Director of Adults and Health

Chris Dickinson – Head of Commissioning, Children and Families

Third Sector Representative

Pat McGeever – Health for All

Pip Goff – Forum Central

Representative of Local Health Watch Organisation

Hannah Davies – Chief Executive of Healthwatch Leeds

Representatives of NHS providers

Phil Wood - Leeds Teaching Hospitals NHS Trust

Representative of Leeds GP Confederation

Jim Barwick – Leeds GP Confederation

The Chair welcomed all present and brief introductions were made.

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 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 formal late items. However, updated versions of Appendix 1 & 2 to Item 12 were circulated and published in advance of the meeting.

To disclose or draw attention to any interests in accordance with Leeds City Council’s ‘Councillor Code of Conduct’. 

There were no declarations of interests.

To receive any apologies for absence

Apologies for absence were received from Dr Sara Munro, Jane Maxwell, Julian Hartley, Dr Alistair Walling, Jason Broch, Thea Stein, Dr John Beal, Sal Tariq and Superintendent Richard Close. Chris Dickinson and Dr Phil Wood were 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 16 September 2021 as a correct record.

RESOLVED – That the minutes of the meeting held 16^th September 2021 be approved as an accurate record.

To consider the report of the Leeds Trauma Awareness, Prevention and Response Steering Group that sets out the Leeds ambition, approach, progress to date and next steps in developing our Compassionate Leeds: Trauma Informed City. This is a long-term ambition and will need a strategy and plan to reflect that need to keep our focus on this area for the next decade.

The Leeds Trauma Awareness, Prevention and Response Steering Group submitted a report that set out the Leeds ambition, approach, progress to date and next steps in developing our Compassionate Leeds: Trauma Informed City.

The following were in attendance:

-  Jane Mischenko, Children's Partnership Development Lead, NHS Leeds CCG

-  Emmerline Irving, Programme Manager for Improving Population Health and Maternity (Public Health), West Yorkshire & Harrogate Health and Care Partnership

Representatives introduced the report and provided a presentation to Members, providing an overview of plans to create the children and families’ trauma service to prevent, raise awareness of and respond to Adverse Childhood Experience’s (ACEs) in Leeds, led in partnership by the NHS Leeds CCG and Leeds City Council. It was explained that community adversities such as poverty, community violence and discrimination are now recognised as ACEs, and all forms of traumatic experience require a holistic response from all agencies who have key relationships with vulnerable children and young people. Members were advised that colleagues are also working to develop a local place-based strategy alongside the WY&H Integrated Care System programme strategy, to align and ensure synergy, whilst also reflecting the distinct needs of the city. It was also acknowledged that Leeds is the first city nationally to create a dedicated trauma service and strategic plan.

Members discussed a number of matters, including:

·  Members recognised the challenge associated with developing clear indicators that evidence the impact of the programme on key mental health indicators, but sought more information on the actions for agencies and organisations and how they will be measured. Members were advised that the strategy and action plan is currently being co-produced, and will include clear actions for specific agencies involved that will be measured and evaluated, but that the initial focus will be to generate a cultural shift and gain commitment from agencies to key ambitions.

·  Members welcomed the broader definition of ACEs to include non-relational adversities, along with the ambitions for cultural change and focus on overcoming trauma and as opposed to unhelpful diagnosis based on self-soothing behaviours, such as drug or alcohol abuse.

·  Members noted the importance of involving third sector organisations and smaller grass roots projects in shaping the strategy and ambitions, as well as providing the resources and funding to help groups deliver trauma awareness and support projects locally.

RESOLVED – That the Health and Wellbeing Board:

a)  Note the ambitious vision and scope of the Leeds work

b)  Recognise progress to date in Leeds

c)  Note proposed next steps in Leeds

d)  Recognise the synergy of the WYICS programme and benefit of working together

To consider the joint report of the Director of Public Health and the Director of City Development that provides an update on the development of the Physical Activity (PA) Ambition for Leeds which is being led by Active Leeds and Public Health together with partners across the city. The report builds upon previous items covering the Physical Activity Ambition presented at the Health and Wellbeing Board in December 2018 and October 2020.

The Director of Public Health and the Director of City Development submitted a joint report that provided an update on the development of the Physical Activity (PA) Ambition for Leeds which is being led by Active Leeds and Public Health together with partners across the city.

The following were in attendance:

-  Anna Frearson, Chief Officer, Public Health

-  Steven Baker, Head of Active Leeds, City Development

The Executive Member for Public Health and Active Lifestyles introduced the report, advising Members that activity levels have significantly reduced due to the impact of Covid-19 and there has been evidence of increasing inequalities for people from different socio-economic backgrounds and age groups. Therefore, two priorities around ‘Active Environments’ and ‘Active People – Reconditioning’ are proposed as a next stage focus, along with work progressing to develop a new Physical Activity Governance structure, which involves the establishment of a Physical Activity Partnership Board.

Members discussed a number of matters, including:

·  In response to a request for more detail in relation to the governance structure, it was confirmed that a structure chart would be circulated to Members once finalised. Members were advised that it had been agreed that the Physical Activity Partnership Board (to be set up early 2022) will have a relationship with climate change and inclusive growth as well as health, and that the governance structure chart will reflect those relationships.

·  Members suggested that Local Care Partnerships, Community Committees and Parish/Town Councils all be engaged with, along with local third sector organisations, who will be able to provide knowledge and understanding of the needs and geography of the local area for new facilities and programmes.

RESOLVED – That the Health and Welling Board:

a)  Note the progress presented and support the proposed next stage priorities of Active Environments and Active People - Reconditioning.

b)  Support the establishment of the Physical Activity Partnership Board as part of governance arrangements.

c)  Note their role in realising a number of system leadership outcomes to support the achievement of the Physical Activity Ambition.

To consider the report of the Head of Housing and Homelessness that informs the Board of the review underway to produce a new 5 year Leeds Housing Strategy. The strategy review will be underpinned by the Council’s 3 strategic pillars including the Health and Wellbeing Strategy. Consultation and engagement on the housing strategy priorities will take place during November and December, with a view to finalising the updated strategy by April 2022.

The Head of Housing and Homelessness submitted a report that informs the Board of the review underway to produce a new 5-year Leeds Housing Strategy. The strategy review will be underpinned by the Council’s 3 strategic pillars including the Health and Wellbeing Strategy. Consultation and engagement on the housing strategy priorities will take place during November and December, with a view to finalising the updated strategy by April 2022.

Mandy Sawyer, Head of Housing and Homelessness, introduced the report and provided an overview of the review of the Leeds Housing Strategy currently underway and will be considered by Executive Board in April 2022. Members were advised that the review will focus on establishing the cities housing need and how the Council works with other housing providers and key agencies to improve housing conditions across the city with three main priorities - housing quality and affordability, age friendly housing, and supporting healthy and active communities.

Members discussed a number of matters, including:

·  Members welcomed the report and the priorities aligning to health inequalities, however suggested that narrative around links between good housing and good health, and poor housing and poor health, could be strengthened. Particular reference was made to deaths and serious health conditions linked to poorly heated and/or damp homes.

·  It was suggested that the recently published housing chapter of the health and social care White Paper be used to inform the development of the strategy.

·  Members also queried how the strategy will seek to address standards in new build homes moving forward. Members were advised that the Government are currently reviewing the Decent Homes Standard, which unfortunately will not be published in advance of the publication of the strategy, however, the strategy will reinforce the Council’s commitment to housing standards.

·  Affordable warmth and hoarding were also raised as key issues to focus on and were assured that both will feature as critical elements of the strategy.

RESOLVED –

a)  Note and comment on the proposed approach to reviewing the Housing Strategy.

b)  Note the comments made on how the Housing Strategy, including the health and housing theme can support the delivery of the Health and Wellbeing Strategy.

c)  Note the health and housing agenda item planned for the Health and Wellbeing Board meeting in February 2022.

c)

To consider the report of the Director of Pathway Integration (NHS Leeds CCG) and the Deputy Director of Integrated Commissioning (Leeds City Council) that seeks sign off from the Leeds Health & Wellbeing Board for the Leeds BCF Plan 2021/22.

The Chief Officer, Resources & Strategy, Adults & Health (Leeds City Council) and the Head of Planning & Performance (NHS Leeds CCG) submitted a report that sought sign off from the Health and Wellbeing Board of the End of Year 2020/21 Template.

RESOLVED – That the Board noted the submission of the Leeds BCF End of Year 2020/21 Template attached as Appendix 1.

To consider the report of the Leeds Health and Care Partnership Executive Group (PEG) that provides the Health and Wellbeing Board with an overview of the financial positions of the health and care organisations in Leeds, brought together to provide a single citywide financial report.

The Board received, for information, the report of the Leeds Health and Care Partnership Executive Group (PEG) that provides the Health and Wellbeing Board with an overview of the financial positions of the health and care organisations in Leeds, brought together to provide a single citywide financial report.

RESOLVED – That receipt of the report be noted.

To consider the report the Chief Officer, Health Partnerships, that provides a public account of recent activity from workshops and wider system meetings, convened by the Leeds Health and Wellbeing Board (HWB). It contains an overview of key pieces of work directed by the HWB and led by partners across the Leeds health and care system.

The Board received, for information, the report of the Chief Officer, Health Partnerships, that provides a public account of recent activity from workshops and wider system meetings, convened by the Leeds Health and Wellbeing Board (HWB). It contains an overview of key pieces of work directed by the HWB and led by partners across the Leeds health and care system.

RESOLVED – That receipt of the report be noted.

No matters were raised on this occasion.

The next meeting will be held Tuesday, 22^nd February, 2021 at 1:30 p.m.

The next meeting will be held Tuesday, 22nd February, 2021 at 1:30 p.m.