Agenda and minutes

The Chair welcomed all present to the meeting, particularly new members Councillor Buckley and Moira Dumma; and Councillors Jarosz and Macniven as substitutes for Councillors Blake and Ogilvie. The Board also noted that Mark Gamsu was attending his last meeting as a Healthwatch Leeds representative and extended thanks to him for his contribution to the work of the Health and Wellbeing Board (HWB)

In addition to those submitted by Councillors Blake and Ogilvie, apologies for absence were received from Dr Jason Broch (Leeds North CCG) and Matt Ward (Leeds South and East CCG)

To identify items which have been admitted to the agenda by the Chair for consideration

(The special circumstances shall be specified in the minutes)

The Chair admitted one formal late of business onto the agenda for consideration “Update on Integrated Digital Care Fund (IDCF) Bids from Leeds.” The matter required urgent consideration at this meeting as the deadline for submission of Bids was reported as 14 July 2014 – before the next meeting of the Health and Wellbeing Board (minute 11 refers)

Additionally, the Board was in receipt of supplementary documents submitted in support of agenda item 9 “Planning for Health and Wellbeing In Leeds” (minute 8 refers)

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 interest

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 to allow members of the public to make representations on matters within the terms of reference of the Health and Wellbeing Board. No matters were raised by the public on this occasion

To approve the minutes of the meetings held on 12 and 27 March 2014

RESOLVED – That, the minutes of the meetings held on 12^th and 27^th March 2014 respectively be confirmed as a correct record, subject to the deletion of Councillor Jarosz’ name from the attendance list of 12^th March 2014.

To consider the report of NHS England (West Yorkshire)  on the challenges faced by General Practice in Leeds in respect of quality, health needs, patient expectations, financial and workforce; which are driving changes in the way in which services are structured and delivered. The report outlines that the NHS in West Yorkshire has agreed a Strategic Framework for Action for General Practice which looks to protect the strengths of the current model and build new ways of working, with the ambition  that general practice will play a much stronger role working “at scale” in an integrated model of care outside of hospital.

Moira Dumma, NHS England, in presenting the report of NHS England (West Yorkshire) noted that this report concentrated upon General Practice in Leeds and a further report on Primary Care Services would be presented to the October meeting.

Kath Hillian, Head of Primary Care West Yorkshire, gave a presentation to the Board on "General Practice in Leeds - Update to Health and Wellbeing Board" a copy of which was included within the agenda for the meeting.

In response to Members comments and questions, the following areas were discussed in detail:

-  The Quality and Outcomes Framework

-  The General Practice workforce and recognition of the demographic of the West Yorkshire GP workforce and funding structure

-  Children and Young People and the need to ensure that Leeds’ indicators acknowledged Leeds’ growing 0-4 years population

-  Future use of the NHS monitoring information

-  The links to Public Health provision

The following comments were noted for future consideration:

-  One indicator pertained to Patient Experience which measured length of consultations and the Board sought more focus on patients, quality and  access to services throughout the indicators and also supported a suggestion to involve patients/public in designing future systems

-  There should be local flexibility in the monitoring approach

-  The recently established Leeds Institute of Healthcare was an opportunity to develop local indicators for local quality

-  Acknowledged that open discussion was required on those indicators deemed to be useful and meaningful to Leeds, and those which were not, along with consideration of whether there were other local incentives which the HWB could promote

-  Further information was requested on English national average results for comparison and on any measures proposed by the NHS to address the differentiation between the results for English/West Yorkshire/Leeds average.

-  The Board sought guidance on how the information gathered by the NHS would inform the work of the HWB

In receiving the report and presentation, the HWB acknowledged that this report presented the national framework for systems, but that co-commissioning with CCGs would meet the local needs of patients. The report proposed for October would include more information on how NHS England planned to deliver care/services with the Leeds CCGs. Additionally, the HWB requested that the report include information on the patient involvement ambition

RESOLVED –

a)  To note the challenges facing General Practice in Leeds

b)  To note the comments made during discussions on the opportunities for the transformation of General Practice in Leeds to be integrated into the wider strategy for health and social care in the city

c)  To note the intention to present a further report on Primary Care Services to the October HWB meeting

To consider the report of the Chief Officer, Health Partnerships presenting the current plans and strategies of NHS organisations in Leeds and Leeds City Council in order to discuss and assess how strongly or otherwise organisational strategies in Leeds align to each other and the Joint Health and Wellbeing Strategy

Peter Roderick attended the meeting to present the report of the Chief Officer, Health Partnerships. The report aimed to assess all Leeds CCGs/NHS organisational strategies against the Joint Health and Well-being Strategy, providing an overview of alignment. The findings revealed successful alignment overall.

The Board were in receipt of supplementary documents in respect of:

·  Five Year Strategic Plan Summary from the three Leeds CCGs

·  System Vision document

·  Five Year Strategy for Leeds - a view from the Leeds Unit of Planning (June submission)

During discussions, the following comments were noted:

·  The request for a future report to the Board on progress of the delivery of the priorities by the Organisations, to include an assessment of achievements and case studies

·  In welcoming the establishment of enterprising co-production, a request for information on how co-production had improved service delivery

Liane Langdon, Director of Commissioning and Strategic Development, attended the meeting to present the report "General Practice in West Yorkshire - Two Year Operational Plan 2014/16" and began by providing updated figures in respect of future funding. Additionally, the Board noted that public consultation had commenced during the previous week on initial proposals contained within the Operational Plan.

Discussion identified the following key issues:

·  The need to have regard to the impact of the Better Care Fund

·  Noted the balance between the current funding structure for specialist services and the importance of funding of preventative services

·  The need to recognise pressure points and ensure early discussions are held regarding future service provision

RESOLVED -

a)  That the comments made during discussions on the strategic plans of Leeds' organisations, as attached to the submitted report, be noted

b)  That the summary of plans as detailed within Section 3 of the submitted report be noted, and having assessed how strongly or otherwise the organisational strategies in Leeds align to each other and the JHWS, the Board welcome the references made to the JHWS throughout the strategies

To consider the report of the Director of Public Health outlining the new health protection duties of local government from 1^st April 2013. The report outlines proposals for the establishment of a Leeds Health Protection Board, in line with national guidance, to provide assurance that robust arrangements are in place to protect the health of communities in Leeds and implemented appropriately to meet local health needs. The Health and Wellbeing Board, at its meeting on 27^th March 2014, endorsed the establishment of a Health Protection Board in Leeds and requested that the draft Terms of Reference be reviewed in the light of comments made at that meeting. This report presents the revised Terms of Reference for endorsement, following discussions with key partners

Further to minute 88 of the meeting held 27th March 2014, the Director of Public Health submitted a report setting out a revised Terms of Reference document for the Health Protection Board for endorsement, following consultation and discussion with key partners. The report also addressed the previous comments made by the Health and Wellbeing Board in respect of membership and the role of the Health Protection Board.

A copy of the revised proposed Terms of Reference was attached to the report at Appendix 1

RESOLVED - That the revised membership and Terms of Reference for the Leeds Health Protection Board be endorsed

To consider the report of the Chief Officer, Health Partnerships setting out the origins of the Health and Wellbeing Board ‘Our First Year’ report 2013/14 and providing a brief overview of the topics covered within it.

The Board considered the report of the Chief Officer Health Partnerships, presenting the draft Health and Wellbeing Board Annual Report - "Our First Year". The report provided a brief overview of the topics covered within the Annual Report and comments were sought on the document prior to its proposed publication in Summer 2014.

Comments made in respect of the need to avoid the use of acronyms throughout the document were noted

RESOLVED

a)  That the comments made in respect of amendments required to avoid the use of acronyms were noted for action

b)  That, subject to the amendments in a) above, the content of the Annual Report "Our First Year" be approved for publication later in the summer

To consider the report of the Leeds Health and Wellbeing Informatics Board presenting information about the Digital Care Fund, providing an overview of the bids in progress following consultation across the Cities Health and Wellbeing partners and also seeking the Board’s in principle approval to progress.

The Board received a report from the Leeds Health and Wellbeing Informatics Board providing information on the Integrated Digital Care Fund. The report also provided an overview of the bids in progress following consultation across the City's health and wellbeing partners. Finally, approval in principle was sought for work to continue to progress the IDCF bids outlined on the submitted report.

RESOLVED - That the Board approve, in principle, work to progress on the IDCF bids outlined in the submitted report

No matters were raised under any other business

RESOLVED – To note the date and time of the next meeting as Wednesday 16^th July 2014 at 9:30 am