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 an additional appendix to Agenda Item 10, Better Care Fund Update was tabled.

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.

To receive any apologies for absence

Apologies for absence were submitted on behalf of Councillor G Latty, Dr A Harris, N Gray, P Corrigan, S Keene and A Buck.

Councillor N Buckley was in attendance as a substitute member and Dennis Holmes attended in place of Sandie Keene.

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 meetings held on 29 January and 12 February 2014

RESOLVED – That the minutes of the meetings held on 29 January and 12 February 2014 be confirmed as a correct record.

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.  It focussed on Outcome 5 of the Strategy – ‘People will live in healthy and sustainable communities’.

The following were in attendance for this item:

• Steve Carey
• Liz Cook
• Brenda Fullard

Members were given a presentation regarding the Focus on Poverty which covered issues including the impacts of Welfare Reform.  Further issues highlighted from the report and during the presentation included the following:

• Housing – quality and housing growth
• Fuel poverty
• Vulnerable groups with lower life expectancy including homeless and traveller communities.
• Access to housing, employment and financial inclusion
• Educational attainment and links to health outcomes.
• Impact of drugs and alcohol.

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

• Link between good nutrition and learning outcomes for children.
• Improving the health of the poorest.
• Housing decency standards and the provision of greenspace and the effects on health.
• Access to welfare, financial and debt advice for vulnerable groups and can this be integrated into assessment pathways?  It was reported that there had been an agreed contract for debt advice with the Step Change charity and further progress was being made when commissioning services for building these access issues into pathways, particularly for vulnerable people.
• Supporting those with mental health problems into employment.
• The Leeds Home Care Standard and focus on external quality as well as internal.
• Concern regarding the quality of private sector housing and what steps could be taken to address this.  Reference was made to current enforcement practice.
• Support for vulnerable in managing finances.
• Provision of advice in primary care settings.
• Tackling high cost lending.

RESOLVED –

(1)  That the report be noted.

(2)  That the Board support the recommendations and priorities as outlined in the report.

To receive and consider the attached report of the Head of Sport and Active Lifestyles

The report of the Head of Sport and Active Lifestyles presented an overview of the Leeds Let’s Get Active Project, its progress to date and future considerations should the project prove successful.  So far progress appeared to be ahead of target with some encouraging initial results being achieved, including over 15,000 people already signed up to the programme.

The following were in attendance for this item:

• Mark Allman
• Rachel Brighton
• David O’Loan

The Board was given a presentation on the Leeds Lets Get Active (LLGA) scheme and the following was highlighted:

• The correlation between activity and health inequality.
• Integration of day centres into leisure centres.
• A higher than expected take up of membership into the scheme.
• Funding for LLGA

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

• Barriers to exercise – transport, provision of equipment, childcare – it was keen to engage third sector partners to look at breaking down these barriers.
• Figures for exercise by the city’s population could be broken down into postcode areas.
• Evaluation of the project.
• Benefits to mental health and wellbeing
• Role of GPs and care providers in encouraging exercise.

RESOLVED – That the Leeds Let’s Get Active update and progress towards meeting Sports England targets 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) and the Chief Operating Officer set out the key issues for refining Leeds’ BCF Plan ahead of the final submission on 4 April 2013 based on feedback from the Board meeting in February.

Members attention was brought to the additional appendix to the report which gave RAG ratings for the conditions and metrics.  It was reported that the metrics that were at a red stage for emergency admissions and local metrics would not require too much adjustment.

RESOLVED –

(1)  That the first draft of the BCF submitted on 14 February 2014, incorporating comments made by the Board at the sign off meeting on 12 February be noted.

(2)  That the feedback from NHS England and LGA through the assurance process, received on 7 March 2014 be noted.

(3)  That the progress to date on key issues in developing the BCF and that work will continue to ensure Leeds’ BCF plan is in the best shape possible up until the final deadline of 4 April 2014 be noted.

(4)  That the Health and Wellbeing Board will be required to sign off the final version before submission to NHS England be noted and that this will be circulated no later than 25 March 2014.

To receive and consider the attached report of CCG Planning Leads

The report of the CCG Planning Leads referred to the requirement to provide information in relation to CCG plans.  This included financial templates, provider activity forecasts, the Better Care Fund plan and 2 year CCG operational plans.  These had been submitted in draft format to a previous Board meeting and this report set out specific areas within the 2 year operational plans for the three Leeds CCGs.

The Board was given a brief overview of the report and the following was highlighted:

·  Outcome measures – trajectories on Potential Years of Life Lost.

·  Development of Local Quality Premiums.

·  Patient experience measures.

RESOLVED – That the report be noted and a further report be brought to the next meeting of the Health and Wellbeing Board.

To be confirmed

Thursday, 27 March 2014 at 9.30 a.m.