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 a revised version of Agenda Item 8, Better Care Fund – Approval of the Draft Submission, with additional appendices was 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 interest.  Dr J Broch and Dr G Sinclair made the Board aware that in relation to item 8, Better Care Fund, there could be a future disclosable pecuniary interest due to the nature of the pump priming funding and how this could affect the CCGs.

To receive any apologies for absence

Apologies for absence were submitted on behalf of Councillor J Blake, Dr A Harris, P Corrigan, L Phipps and S Keene.

Councillor J Jarosz was in attendance as substitute for Councillor J Blake and Dennis Holmes attended on behalf 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.

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

The joint report of the Deputy Director Commissioning (ASC) and Chief Operating Officer (S&E CCG) provided an update on progress since the high level summary of the Better Care Fund (BCF) was reviewed by the Board on 29 January, ahead of sign off of the first draft for submission on 14 February.

Members’ attention was brought to the BCF planning template and scemes for pump priming funding into over the following year.  It was reported that a final submission would be submitted in April and between now and then, there would be further engagement and analysis on the economic impact and performance.  Further issues highlighted included the following:

·  The template had been redesigned to align with other documentation.

·  Pioneer programme and how to use this with the BCF.

·  The need to discuss any gaps and next steps before final submission in April 2014 – this also coincided with the submission opf the CCG plans.

·  There had been a lot of work to get the template to its current position and it was recognised there was substantially more work to be done, particularly the detail behind the figures involved.

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

·  The final submission would have extended information on performance and the return on investment.

·  Role of the pioneer programme and use of external expertise in developing financial models.

·  Due to the timescale the final submission needed to reflect the lack of opportunity of public engagement.

·  Budgets would be split to organisations based on their population size.

·  Concern regarding the terminology and use of acronyms which were not clearly communicated for lay people or the public.  Health watch offered to assist.

·  Development of a 5 year strategy alongside the BCF.

·  Timescales for the final submission were discussed and it was proposed to hold an additional meeting nearer to the time of the submission.

The Chair thanked all those involved for the preparation of the first draft of the Better Care Fund plan.

RESOLVED –

(1)  That the progress to date to meet the requirements of the Better Care Fund and that there will be further scope for refinement beyond 14 February 2014 be noted.

(2)   That the first draft of the BCF template 9narrative template, metric template and locally developed supplementary information which set out the BCF schemes in more detail) be signed off.

(3)  That it be noted that the Health and Wellbeing Board will be required to sign off the final version before submission to NHS England on 4 April 2014 and agree what process this will take.

(4)  That it be noted that the BCF is a part of wider plans in the city to achieve a high quality and sustainable health and care system and to spend the ‘Leeds £’ wisely.

To receive and consider the attached report of the Head of Planning and Performance, NHS Leeds North CCG

The report of the Head of Planning and Performance, NHS Leeds North CCG gave the Board a progress update on the draft CCG 2 year plans, together with additional items related to this update for information.

It was reported that guidance was issued in December 2013 on what was required in submission for the 2 year plans and also the 5 year strategy.  These needed to show the delivery of quality and value for money.  The report focussed on the first 2 year plan and also gave a brief outline of the 5 year strategy.

Further issues highlighted from the report included the following:

·  Members attention was brought to an appendix to the report which outlined the main domains, ambitions, outcomes and key measures.

·  Quality provisions – these were based on national targets.

·  The three CCGs had worked together in producing the Plan.

·  The NHS had placed CCGs in peer groups to provide comparative information.

·  Development of quality plans.

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

·  Provision of qualitative information.

·  Outcomes based on patient experience.

·  Differences in life expectancy across the city – how could CCGs invest in the right areas geographically to reach disadvantaged areas and factors such as smoking and deprivation.

·  Involvement of citizens in service design and change – self care/self management.

·  Impact of other issues on health where the Council has a role such as housing, licensing and planning.

·  Provision of Adult and Children’s Social Care.

RESOLVED –

(1)  That the progress made by the three Leeds CCGs in forming their 2 year operational plans, cyrrent proposals and key outcome measures be noted.

(2)  That the significant overlap between planning for the Better Care Fund and the 2 year CCG operation plans be noted.

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

The report of the Chief Officer, Health Partnerships presented the Board with revised recommendations following the consideration of ‘Delivering the JHWS – Focus on Outcome 4’ at the meeting of 29 January 2014.

It was reported that the recommendations had been revised and had recognised children and young people, patient and public involvement and involvement of the CCGs.

RESOLVED –

(1) That it be noted that Healthwatch Leeds will develop and refine its report submitted to the Board on the 29^th January 2014, using it to continue dialogue with members of the public on Patient and Public Involvement

(2) That the Board supports Healthwatch Leeds' proposal to investigate the potential of establishing a standing group involving PPI leads across all sectors to:

o  better support improvement and good practice in Patient and Public Involvement in the city, including identifying and addressing any gaps

o  ensure that this work is linked to wider work on citizen engagement

o  demonstrate how people have a voice and influence in decision-making

o  and identify the top 3 quality issues that the public is concerned about provide assurance to the H&WBB that agencies across the city are working together to address them

(3) That further reports on progress with Patient and Public Engagement development in the future be received.

Wednesday, 12 March 2014 at 10.00 a.m.

Wednesday, 12 March at 10.00 a.m.