Agenda and minutes

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 as such, however supplementary information to Agenda Item 11, Better Care Fund was distributed and published prior to the meeting.

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 interests however Linn Phipps brought attention to involvement with the National Institute for Halth and Care Excellence.

To receive any apologies for absence

Apologies for absence were submitted on behalf of Susie Brown, Health for Life and Solo, Chief Executive, Help the Aged.

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.

The Chair allowed a period of up to 10 minutes for members of the public to make representations on matters within the terms of reference of the Health and Wellbeing Board.  On this occasion no members of the public wished to speak.

To confirm as a correct record, the minutes of the meeting held on 20 November 2013

RESOLVED – That the minutes of the meeting held on 20 November 2013 be confirmed as a correct record.

Minute 42 – Delivering the jointh Health and Wellbeing Strategy Outcome 3 – People’s Quality of Life Will be Improved by Access to Quality Services

Jane Mischenko had been appointed as the health sector representative on the Youth Offender Steering Group.

Further reports on primary care and the BME Mental Health Steering Group would be submitted to the Board in the forthcoming municipal year.

To receive and consider the attached report of the Chief Officer, Health Partnerships

The report of the Chief Officer, Health Partnerships presented a detailed picture of current work being undertaken to deliver the Leeds Joint Health and Wellbeing Strategy 2013-15.  In particular, it focussed on Outcome 4 of the strategy: ‘People will be involved in decisions made about them’.

Mark Gamsu of Healthwatch Leeds gave the Board a presentation on Outcome 4.  Issues highlighted in the presentation included the following:

·  Responsibility for patient and public involvement in Leeds.

·  Democratic engagement and accountability.

·  Role of those who are outside health and care providers.

·  Self directed support and payments – the take up in Leeds was ahead of most other areas.

·  Key findings – there was still further work to be carried out.

·  Involvement of Children and Young People.

In response to Members comments and questions, the following was discussed:

·  Good work across the city that was being shaped by public and patient involvement.  This included the drugs and alcohol Strategy and changes to sexual health services.

·  The need for qualitative information from surveys to measure satisfaction.

·  The need to identify gaps and prevent duplication.

·  Involvement of service users.

·  Focus on where and how improvement could be made.

·  The role of Healthwatch and how they could be supported by the Board.

·  How to measure improvement and the use of indicators.

·  How to get public and patient influence.

Members discussed the recommendations outlined in the report and it was suggested that officers work with Healthwatch to develop a further set of recommendations.

RESOLVED – That a further report with revised recommendations be brought the next meeting of the Health and Wellbeing Board

To receive and consider the attached report of the Chief Officer, Health Partnerships

The report of the Chief Officer, Health Partnerships presented an overview of the mechanisms to ensure quality, safety and safeguarding across health and care services in Leeds.

Members’ attention was brought to a diagram which gave an indicative overview of Leeds Quality, Safety and Safeguarding issues.  In response to Members comments and questions, the following was discussed:

·  How to enable people to raise their concerns with the relevant organisations – provision of contact information.

·  What benefits do service users get from safeguarding – how to demonstrate voice and influence.

·  Consideration of quality issues and the role of healthy scrutiny.

·  Which mechanisms require development and how to involve members of the public in their development.

·  Role of the safeguarding boards and how they work with service users – this was seen as a priority.

RESOLVED –

(1)  That the Quality, Safety and Safeguarding arrangements in place across Leeds that are available to take forward any matters that the Board might wish to refer in future are noted.

(2)  That the Board be assured that there is a comprehensive group of bodies in place to monitor and drive up quality, safety and safeguarding in Leeds.

To receive and consider the attached report of the Implementation Consultant, National Institute for Health and Care Excellence.

The report of Dr Stephen Streicker, Implementation Consultant, National Institute for Health and Care Excellence (NICE) aimed to raise awareness of the role of NICE in producing evidence based guidance and quality standards for health, public health and social care.

Apologies had ben sent from Dr Streicker who was unable to attend the meeting.

Issues highlighted from the report and discussion included the following:

·  Support to the pioneer programme and Better Care Fund.

·  Children and Young People – early intervention.

RESOLVED – That the report be noted.

To receive and consider the attached report of the Deputy Director Commissioning (ASC) & Chief Operating Officer (S&E CCG)

The report of the Deputy Director Commissioning (ASC) & Chief Operating Officer (S&E CCG) provided an update on the financial position and progress towards the requirements of the Better Care Fund in Leeds since the final guidance was released on 20 December 2013.  A supplement to the report had also been distributed.

The report set out the timetable for the signing off of the Better Care Fund (BCF) plan and reference was made to the Board’s governance role of the submission.  Members’ attention was brought to the supplementary report and the tables outlining the recurrently funded schemes for 2014/15 and pump priming - invest to save schemes for 2014/15.

In response to Members’ comments and questions, the following was discussed:

·  The three main strands of work:

o  Reducing the need for hospital and residential care

o  Helping people leave hospital more quickly

o  Helping people stay out of hospital and residential care

·  The options in Table 2 Pump priming – invest to save schemes and how these could assist to meet the main strands of work.

·  Would all the pump priming suggestions be used or just those that would be felt to be more effective – it was reported that these would support the work of the Transformation Board.

·  A key challenge was how the outcomes would look in 2 to 5 years.

·  Impact on the growth of community services.

·  Public involvement.

·  Work already carried out by the CCGs.

·  How to ensure that changes to the system are done in a sustainable way.

·  2014/15 was a planning year and the Better Care Fund would be in shadow form until April 2015.

RESOLVED –

(1)  That the progress to date to meet the requirements of the Better Care Fund and that work to refine Leeds’ BCF submission and engage key stakeholders in the development of the submission be noted.

(2)  That it be noted that the Health & Wellbeing Board will be asked to sign off the first draft of the BCF template (narrative and schemes with funding/measurement metrics attached) on 12 February before submission to NHS England on 14 February.

(3)  That it be noted that the Health & Wellbeing Board will be required to sign off the final version before submission to NHS England on 4 April and agree what process this will take.

Board Members were invited to the launch of the Leeds Homeless Accommodation Pathway.

Wednesday, 12 February 2014 at 4.00 p.m.

Wednesday, 12 February at 4.00 p.m.