Agenda and minutes

Representatives of Clinical Commissioning Group

Tim Ryley - Director of Strategy, Performance and Planning, NHS Leeds Clinical Commissioning Group

Phil Corrigan – Chief Executive of NHS Leeds Clinical Commissioning Group

Dr Alistair Walling – Chief Clinical Information Officer, Leeds City and Leeds CCG

Directors of Leeds City Council

Dr Ian Cameron – Director of Public Health

Cath Roff – Director of Adults and Health

Steve Walker – Director of Children and Families

Sue Rumbold – Chief Officer, Children and Families

Representative of NHS (England)

Anthony Kealy – Locality Director, NHS England North (Yorkshire & Humber)

Third Sector Representative

Karen Pearse – Director, Forum Central

Alison Lowe – Director, Touchstone

Representative of Local Health Watch Organisation

Dr John Beal - Healthwatch Leeds

Hannah Davies – Healthwatch Leeds

Representatives of NHS providers

Eddie Devine – Associate Director, Leeds and York Partnership NHS Foundation Trust

David Berridge – Leeds Teaching Hospitals NHS Trust

Thea Stein – Leeds Community Healthcare NHS Trust

Representative of Leeds GP Confederation

Jim Barwick – Chief Executive of Leeds GP Confederation

The Chair welcomed all present and brief introductions were made.

The Chair informed the Board and the public present of the Leeds Digital Festival which was currently taking place across the city, running from 23^rd April to 3^rd May 2019. The Chair noted that there were a number of sessions taking place focused on opportunities for technology to improve the health and wellbeing of people across the city.

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)

There were no appeals.

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:-

There were no exempt 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)

There were no formal late items, however there was some supplementary information circulated to Members in relation to Item 13 - BCF Quarter 4 2018/19 Return Performance Monitoring.

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.

To receive any apologies for absence

Apologies for absence were received from Sara Munro, Julian Hartley, Gordon Sinclair, Supt. Jackie Marsh and Councillor Stewart Golton. Eddie Devine and David Berridge were in attendance as substitutes.

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.

A member of the public, Heather Cooper, raised concerns to the Board about the current policy for cemeteries in Leeds. Ms Cooper explained that the current policy did not allow graves to be decorated with flowers, which has a serious impact on the health and wellbeing of family and friends grieving for a loved one. In response, the Chair asked for the Director of Public Health to contact the relevant officers within the Communities directorate at Leeds City Council to explore the issue further, and to contact Ms Cooper with a response.

A member of the public, Gilda Peterson, highlighted an issue to the Board regarding the high thresholds for mental health support and the pressure for professionals to close cases faster, in response to high demands on services. Ms Peterson expressed concerns about the risks associated with this way of working, particularly for the substantial group of people whose mental health problems are not critical, but are still suffering with chronic and long-term conditions. In response, Members assured Ms Peterson that they were aware of the issue, which had been the rationale behind the re-procurement of the IAPT Service and recognition that some mental health issues could be addressed outside of medical services.

RESOLVED – That the matters raised be noted.

To approve the minutes of the previous Health and Wellbeing Board meeting held 28^th February 2019 as a correct record.

RESOLVED – That the minutes of the meeting held on 28^th February 2019 be agreed as a correct record.

To consider the report of the Leeds Mental Health Partnership Board providing an update on the progress of the development of the new all-age mental health strategy for Leeds.

The Leeds Mental Health Partnership Board submitted a report providing an update on the progress of the development of the new all-age mental health strategy for Leeds.

The following were in attendance:

-  Caroline Baria, Deputy Director Integrated Commissioning, Adults and Health, Leeds City Council

-  Victoria Eaton, Chief Officer / Consultant in Public Health, Leeds City Council

-  Jane Mishenko Lead Commissioner Children & Maternity Services, NHS Leeds CCG

The Deputy Director for Integrated Commissioning introduced the report and provided a PowerPoint presentation highlighting the key progress made in developing an all-age mental health strategy for the city. The Board were also advised that the strategy aimed to incorporate existing strategies to embed a ‘one culture’ approach, to integrate a range of medical and non-medical services, and set out a consensus around language / definitions used.

Members discussed a number of matters, including:

·  Support for the ‘one culture’ approach from a number of Members, to enable patients to move freely between services. The Chair requested that the strategy be adapted to clearly align with the Inclusive Growth Strategy.

·  Support for the engagement plan, particularly in relation to the outreach work with third sector organisations. Members sought confirmation that children and young people would be consulted, and it was confirmed that the Future in Mind group and the MindMate Ambassadors were involved in consultation as well as procurement.

·  The importance of engaging organisations and businesses across the city was raised, to ensure that their workforce are supported, in relation to caring responsibilities as well as employee mental health. Members were informed that there would be an upcoming launch of a website for Mental Health in the city, which will include an employment package.

·  The need for a greater focus on families. It was noted that local research found that 34% of parents of children who had become looked after had experienced mental health problems.

·  Some discussion around the number of priorities, with suggestion that fewer priorities could be more effective.

·  The need for a greater focus on commitment to resources, in order to achieve parity of esteem.

RESOLVED –

a)  To support the proposed content of the draft strategy.

b)  To endorse the shared vision that Leeds will be a mentally healthy city for all.

c)  To approve the priorities and the four passions contained within the strategy.

The Director of Children and Families left the meeting at 11:20am during discussion of this item.

To consider the report of the Leeds Dementia Partnership providing an overview of the previous Leeds Dementia Strategy highlighting the progress that has occurred to date across the partnership.

Promote The Leeds Dementia Partnership submitted a report that provided an overview of the previous Leeds Dementia Strategy highlighting the progress that has occurred to date across the partnership.

The following were in attendance:

-  Caroline Baria, Deputy Director Integrated Commissioning, Adults and Health, Leeds City Council

-  Tim Sanders, Commissioning Programme Leader, Adults and Health, Leeds City Council

The Commissioning Programme Leader introduced the report and provided a PowerPoint presentation, outlining the 8 themes of the strategy along with some data around prevalence in Leeds, particularly in areas of high deprivation. The Board were also informed of some of the progress made in relation to services, such as the number of people being diagnosed at a faster rate.

Members discussed a number of matters, including:

·  The need to promote activities that can prevent onset of dementia. Members were advised that colleagues were careful not to create a blame culture, however the Chair noted that there was an ethical and economic case to promote.

·  Members requested further engagement with employers across the city, to enable and encourage them to support people to remain in work who have developed dementia at working age.

·  Support for the focus on carers through initiatives set out in the report.

RESOLVED –

a)  To note the progress made since “Living Well With Dementia In Leeds” was agreed in May 2013.

b)  To note the Board’s comments in support of the development of the proposed strategy.

Councillor P Latty left the meeting at 11:30am during discussion of this item.

To consider the report of the Leeds Autism Partnership Board providing an update on: progress on the strategy so far; the outcomes of the recent self-assessment framework (SAF); and developing information from national and local research.

The Leeds Autism Partnership Board submitted a report that provided an update on: progress on the strategy so far; the outcomes of the recent self-assessment framework (SAF); and developing information from national and local research.

The following were in attendance:

-  Helen Gee, Commissioning Manager, Adults and Health

-  David Radford, Service User

The Commissioning Manager introduced the report and provided a PowerPoint presentation, highlighting some of the challenges currently faced in Leeds, particularly in relation to transitions between services and increasing demand for diagnosis. Members were advised by Mr Radford of the lack of diagnostic information for BME communities, and the need for a single integrated database.

Members discussed a number of matters, including:

·  A suggestion for the launch of a model for autism awareness similar to ‘Dementia Friends’, to provide insight and encourage empathy.

·  Scope for further discussion with colleagues from Children’s Services, particularly in relation to transitions and late diagnosis.

·  Potential for links between the Personal Care Record and initiatives such as the Autism Alert Card and Health Passport.

RESOLVED –

a)  To note the city’s progress on meeting the aims of the Leeds Autism Strategy.

b)  To note the contribution of the work underway within health, third sector and social care provider and commissioner services. This is outlined in more detail at the briefing document at appendix 3.

c)  To support (subject to national guidance) the development of a whole system approach to communicating autistic needs and encouraging reasonable adjustments aligned with other citywide approaches to integration and meeting the needs of vulnerable people.

To consider the report of the Leeds Academic Health Partnership providing an update on the progress made on the delivery of the LAHP Strategy 2017-2021 a year since it was considered by HWB on 19 February 2018.

The Leeds Academic Health Partnership submitted a report that provided an update on the progress made on the delivery of the LAHP Strategy 2017-2021 a year since it was considered by HWB on 19 February 2018.

The following were in attendance:

-  Tony Cooke, Chief Officer for Health Partnerships

-  Sarah Bronsdon, QIPP programme manager at NHS Yorkshire and the Humber

The Chief Officer introduced the report and provided a PowerPoint presentation, highlighting some of the key developments for the Partnership,  along with detail around specific clinical research projects and scope for upcoming projects.

Members discussed a number of matters, including:

·  Members were advised of the development of a city-wide workforce strategy, and commented that the Health and Care Academy was central to making progress on workforce issues.

·  Members sought clarity as to whether patients had been consulted regarding the use of their data in potential research with the Leeds Care Record. The Chair noted that an in-depth discussion around use of personal data must take place with Board members as the proposal develops.

RESOLVED –

a)  To note the progress of the projects within the LAHP Strategy.

b)  To note the LAHP Strategy’s contribution to the delivery of the Leeds Health and Wellbeing Strategy, Leeds Health and Care Plan and Leeds Inclusive Growth.

Thea Stein and Jim Barwick left the meeting at 12:30pm during discussion of this item.

To note for information, receipt of the joint report from the Chief Officer Resources & Strategy, LCC Adults & Health and the Deputy Director of Commissioning, NHS Leeds CCG, on the BCF Performance Monitoring return for 2018/19 Quarter 4 which were previously submitted nationally following circulation to members for comment.

The Board received, for information, the joint report from the Chief Officer Resources & Strategy, LCC Adults & Health and the Deputy Director of Commissioning, NHS Leeds CCG, on the BCF Performance Monitoring Return for 2018/19 Quarter 4 which were previously submitted nationally following circulation to members for comment.

RESOLVED – To note the contents of the report.

To note for information, receipt of the NHS Leeds CCG Annual Report 2018-19 section on ‘Delivering the Leeds Health and Wellbeing Strategy 2016-2021’.

The Board received, form information, the Annual Report 2018-19 section on ‘Delivering the Leeds Health and Wellbeing Strategy 2016-2021’.

RESOLVED – That the contents of the report be noted.

To note the proposed date and time of the next Board meeting as Friday 14^th June 2019, 12:00-15:00 (pre-meeting 12:00-12:30).

RESOLVED - That the proposed date and time of the next Board meeting be noted as Friday 14th June 2019, 12:00-15:00 (pre-meeting 12:00-12:30).

The Chair informed those present that Phil Corrigan would be leaving her position at the Leeds CCG later in the month, and thanked Phil on behalf of the Board for her invaluable contribution to health and care in Leeds.

The meeting ended at 12:40pm.