Agenda and minutes

Venue: Room 412, Rose Bowl, Leeds Beckett University, Portland Crescent, Leeds, LS1 3HB

Contact: Helen Gray  0113 2474355

Note: A pre-meeting for Members of the Board will be held 1.00pm until 1.30pm 

Items
No. Item

1.

Welcome

Minutes:

Councillor Charlwood, as the new Chair of the Health and Wellbeing Board welcomed all present to the first formal Board meeting of the 2016/17 Municipal Year. Councillor Charlwood expressed thanks to Councillor Mulherin for her leadership and significant work during her time as Chair of the HWB.

 

The following appointments to the Board were noted:  

Councillor Graham Latty

Third Sector - Kerry Jackson, St Gemma’s Hospice

NHS Providers - Sara Munro, Leeds & York Partnership NHS Foundation Trust

 

Councillor Charlwood expressed her thanks and best wishes on behalf of the Board to Jill Copeland (Leeds & York Partnership NHS Foundation Trust), Neil Buckley and Lucinda Yeadon (Leeds City Council) for the work they had undertaken as former members of the Board.

 

2.

Appeals against refusal of inspection of documents

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)

Minutes:

There were no appeals against the refusal of inspection of documents.

 

3.

Exempt Information - Possible Exclusion of the Press and Public

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:-

 

Minutes:

No exempt information was contained within the agenda.

 

4.

Late 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)

 

Minutes:

No formal late items of business were added to the agenda; however Board members were in receipt of a supplementary pack in respect of Agenda item 9 Appendix 1 - the draft Work Plan for the Health and Wellbeing Board (Minute 9 refers).

 

5.

Declarations of Disclosable Pecuniary Interests

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.

 

 

Minutes:

No declarations of disclosable pecuniary interests were made.

 

6.

Apologies for Absence

To receive any apologies for absence

Minutes:

Apologies for absence were received from Councillor Debra Coupar, Sara Munro, Phil Corrigan, Gordon Sinclair, Julian Hartley, Thea Stein, Kerry Jackson, Nigel Richardson, Dr Ian Cameron and Nigel Gray. The HWB welcomed the following substitutes to the meeting:

Councillor Eileen Taylor

Visseh Pejhan-Sykes – NHS Leeds West CCG

Sue Rumbold – LCC Childrens Services

Hannah Howe – Forum Central (Third Sector)

Dawn Hanwell - Leeds & York Partnership NHS Foundation Trust,

David Berridge  - Leeds Teaching Hospitals NHS Trust

Sue Ellis, Leeds Community Healthcare NHS Trust

 

7.

Open Forum

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.

Minutes:

The Chair allowed a period of up to 10 minutes for members of the public to make representation on matters within the remit of the Health and Wellbeing Board (HWB).

 

Sustainability and Transformation Plans (STPs) - Gilda Petersen addressed the Board outlining her concern over the presentation of the STPs to the public. She sought reassurance that the HWB would seek to provide a clear message to the public over the reshaping of health and care services and why change was required.

RESOLVED -

a)  To thank Ms Peterson for her comments and to note the contents of the representation

b)  To note that a written response to Ms Petersen would be provided in due course.

 

8.

Minutes pdf icon PDF 96 KB

To approve the minutes of the meeting held 21st April 2016 as a correct record.

Minutes:

RESOLVED – To approve the minutes of the last meeting held 21st April 2016 as a correct record.

 

9.

Leeds Health and Wellbeing Board Work Plan 2016/17 pdf icon PDF 23 KB

To consider the report of the Chief Officer, Health Partnerships, seeking approval for the Health and Wellbeing Board work plan for 2016/17 and the approach to keeping the work plan live.

 

(Report attached) (Appendix 1 to follow)

 

Additional documents:

Minutes:

Further to minute 78 of the meeting held 21st April 2016, the Chief Officer, Health Partnerships, submitted a report on the process taken to develop the 2016/17 work plan for the Health and Wellbeing Board.

 

The report set out a proposed approach for the regular review and update of the work plan; which included sessions to support the priorities of the Board and the emerging Sustainability and Transformation Plans. Board members received a copy of Appendix A - the draft Work Plan as a supplementary pack following the despatch of the main agenda.

 

During discussions, the following points were noted

·  "Working with people" should reflect "working with and being open with people". The work plan suggested that this theme would be picked up at the 20 October 2016 HWB meeting,

·  "All ages, all age strategy" and the need to ensure that young people's voices were heard. It was reported that the workshop planned for 24 November 2016 would concentrate on children and young people

RESOLVED –

a)  That approval be given to the Health and Wellbeing Board work plan for 16/17

b)  To approve the approach proposed in paragraph 3 of the submitted report to keep the work plan live

c)  To note the comments made during discussions

 

10.

Towards Better Joint Health and Care Working - A Governance Update pdf icon PDF 113 KB

To consider the report of the Chief Officer, Health Partnerships, on the current health and care partnerships for Leeds and West Yorkshire and explores the relationships between the ‘top tier’ structures and the Health and Wellbeing Board. In order to deliver the ambition for Leeds to be the Best City for Health and Wellbeing, the Leeds Health and Wellbeing Board must be assured that the right health and care partnership structures are in place and that they allow the Board influence across the partnerships.

Minutes:

The Chief Officer, Health Partnerships, submitted a report on the current health and care partnerships for Leeds and West Yorkshire. The report explored the relationships between the ‘top tier’ structures and the Health and Wellbeing Board (HWB) and highlighted where relationships could be strengthened or shifted in order to provide the transparent and effective governance needed to achieve the outcomes of the Leeds Health and Wellbeing Strategy 2016-21.

 

The report noted the changing nature of the health and care system at local, regional and national levels, alongside the continuing financial challenge and enduring health inequalities. The report posed two key questions for the Board to consider:

-  Is the Board assured that the right partnership structures are in place?

-  And do the structures allow the Board influence across the partnership to help achieve our shared ambitions for Leeds?

 

It was reported that governance arrangements would evolve with the partnerships structures. Key to this, were the partnerships described within paragraph 3.3 of the report between HWB, Leeds Health and Care Partnership Executive Group (PEG); the Integrated Commissioning Executive (ICE); Leeds Academic Health Partnership (LAHP) and the Leeds Clinical Senate (LCS). Importantly, the HWB would receive reports on the ICE work programme and LAHP update in the future as part of the HWB work plan.

 

The Board noted the following discussions:

·  The request for a “plan on a page” diagram approach to identify partnership links

·  Acknowledged the report presented the top-tier structures and partnerships, if this structure was agreed, further work would be undertaken to identify Third Sector, Voluntary and smaller groups within the partnerships

·  Recognition that if the HWB was to have oversight of finance arrangements in the future, then this would need to be factored into governance arrangements.

·  Where the separate West Yorkshire and Leeds own STPs overlapped, clear governance structures were required

RESOLVED –

a)  To agree to ensure that the right partnership structures are in place and that they help to achieve our shared ambitions for Leeds

b)  To confirm that the partnership structures create a space in which significant things can happen between or outside of Health and Wellbeing Board meetings (in which the Board has influence)

c)  To endorse the proposals set out in section 3 of the submitted report

d)  To confirm that the proposals around reference/engagement groups such as the Leeds Academic Health Partnership and Leeds Clinical Senate do satisfy issues around clinical voice and leadership

e)  To request that an update on the progress of the Leeds Academic Health Partnership and Leeds Clinical Senate is presented to a future meeting of the Board

f)  To request a further update and options for governance at a future meeting of the Board

g)  To note the comments made during discussions for action and to note the intention for reports on the ICE work programme and LAHP update in the future as part of the HWB work plan.

 

11.

Sustainability Transformation Plans (STPs) pdf icon PDF 703 KB

To consider two reports relating to the Sustainability and Transformation Plans and to undertake a joint discussion of both.

 

1)  Update on Development of the Leeds Sustainability and Transformation Plan (STP)

To consider and discuss the report of the Chief Operating Officer, NHS Leeds South and East CCG which provides an overview of the STP development in Leeds and West Yorkshire.

 

2)  Local Digital Roadmap (LDR)

To consider and discuss the report of the Clinical Chair and GP, NHS Leeds North CCG, providing assurances that the LDR takes appropriate account of the Leeds Health and Wellbeing Strategy 2016-2021, the Leeds STP and will contribute to the delivery of the digital infrastructure capability required to meet the needs of the health and care system in the future

Additional documents:

Minutes:

The Board considered two reports seeking endorsement of ongoing work which supports the overarching aims and priorities of the HWB.

 

The first report provided an overview of the emerging Sustainability and Transformation Plans (STPs), including the background, context and relationship between the Leeds and West Yorkshire STPs. It also highlighted some of the key areas to be addressed within the Leeds plan which will add further detail to the strategic priorities set out in the recently refreshed Leeds Health and Wellbeing Strategy 2016 – 2021. The paper also sought assurance that the Board supports the approach being taken.

 

The second report addressed the purpose of the Local Digital Roadmap – to contribute to the delivery of the digital infrastructure capability required to meet the needs of the health and care system in the future. A copy of the publication “Leeds Local Digital Roadmap 1st Submission 30th June 2016” was included in the second report.

 

Matt Ward, Chief Operating Officer NHS Leeds South & East Clinical Commissioning Group, presented the report on the Sustainability and Transformation Plans (STPs), primarily focussing on the progress of Leeds' individual STP; with reference to the emerging West Yorkshire STP and the complexity of linking local STPs to the West Yorkshire STP, as detailed in the diagram at paragraph 3.9 of the report.

 

The Board received assurance that the Leeds approach continued the focus of the previous 5 Year Plan through the continuance of key issues and themes as summarised in the tables shown in paragraphs 3.19 and 3.31 of the report.

 

Finance and resources remained an issue, with a budget gap of £723m identified, however it was reported that the gap could be potentially addressed through service transformation and CCG efficiency savings

 

Key solutions to address gaps and create sustainable health and care for the future, as described in paragraph 5.3, would be the focus of a future HWB workshop and consider what the STPs mean for service users. Additionally, the Board noted the intention to hold discussions at the next HWB meeting on the introduction of consultation/conversations on the STPs to the public.

 

HWB discussed the following key issues:

Public/staff involvement and engagement – Noted the suggestion that the table at paragraph 5.3 represented the brief for holding discussions with the public as it clearly described how and what will change. The Board also noted the need to start sharing information with service providers and build relevant consultation into the timeline for developing the STPs - figures show 51,000 local healthcare professionals and 800,000 potential service users (the approximate population of Leeds), who all need to be involved in future discussions on their view of healthcare.

 

Relationships between the Leeds and West Yorkshire STP - HWB received reassurance from Sue Ellis as Chair of the Leeds STP group that connections were made with the West Yorkshire STP

 

The progress of the West Yorkshire STP – The Board noted comments seeking to ensure that the best practice operated by Leeds in terms of  ...  view the full minutes text for item 11.

12.

For Information - Leeds Better Care (BCF) Update pdf icon PDF 85 KB

To note the joint report of the Chief Operating Officer, NHS Leeds South and East CCG and the Director of Adult Social Services, Leeds City Council which provides the Board with an update on the final version of the BCF Narrative Plan for 2016/17 and the BCF Quarter 4 return for 2015/16.

 

Additional documents:

Minutes:

Further to minute 82 of the meeting held 21st April 2016, the Board received an update report on the Leeds Better Care Fund

RESOLVED – To note the contents of the report

 

13.

Any Other Business

Minutes:

No matters were raised.

 

14.

Date and Time of Next Meeting

To note the date and time of the next meeting as Thursday 20th October 2016 at 9.30 am

Minutes:

RESOLVED – To note the date and time of the next meeting as Thursday 20th October 2016 at 9.30 am.