Agenda and draft minutes

Health and Wellbeing Board
Friday, 14th June, 2019 12.30 pm

Venue: Infinity Centre, Conway Road, Leeds, LS8 5JH (opp. Bilal Mosque)

Contact: Harriet Speight  0113 3789954

Items
No. Item

1.

Welcome and introductions

Minutes:

The Chair welcomed everyone to the meeting.

 

Councillor Graham Latty was welcomed on his return to the Board as were Councillors Fiona Venner and Alice Smart who had been appointed to the Board for the 2019/20 Municipal Year.

 

Thanks were expressed to Councillors Lisa Mulherin, Pat Latty and Eileen Taylor who had sat on the Board in the previous year.

 

The Chair also welcomed members of the public in attendance and gave an overview of the role of the Board.

 

 

2.

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:

There were no declarations.

 

 

3.

Apologies for Absence

To receive any apologies for absence

Minutes:

Apologies for absence were submitted on behalf of Cath Roff, Dr Alistair Walling, Dr Gordon Sinclair, Julian Hartley and Thea Stein.

 

 

4.

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 Board heard from representatives of Change Leeds.  Change Leeds is a user led organisation which worked for equal rights for people with learning disabilities.  Reference was made to the health inequalities faced by people with learning disabilities and the need to have a voice and be included in mainstream commissioning and planning of health care.  The group asked how they could work with the Board to make sure those with learning disabilities would be included in health planning.

 

The Board welcomed the presentation and reference was made to where learning disabilities were considered in various strategies and health planning.  Further issues discussed included employment and independent living.  It was agreed to arrange a meeting with representatives of Change Leeds to discuss matters further.

 

 

5.

Developing our approach to improving health and wellbeing across West Yorkshire and Harrogate and Leeds pdf icon PDF 557 KB

9.1 To consider the report of the West Yorkshire and Harrogate Health and Care Partnership that provides an overview of the development of the 5 Year Strategy for Health and Care in West Yorkshire and Harrogate to date.

 

9.2 To consider the report of the Leeds Health and Care Partnership Executive Group (PEG) that provides an update on the review, success of the plan to date, alignment with the West Yorkshire and Harrogate Integrated Care System and the NHS Long Term Plan and recommendations for how the plan will develop.

Additional documents:

Minutes:

The Board received the following reports:

 

-  The report of the West Yorkshire and Harrogate Health Care Partnership provided an overview of the development of the 5 year strategy for health and care in West Yorkshire and Harrogate to date.

 

-  The report of the Leeds Health and Care Partnership Executive Group (PEG) that provided an update on the review, success of the plan to date, alignment with the West Yorkshire and Harrogate Integrated Care System and the NHS Long Term Plan

 

The following were in attendance for this item:

 

·  Ian Holmes, West Yorkshire & Harrogate Health Care Partnership (WYH HCP)

·  Rachel Loftus, Health Partnerships

·  Tony Cooke, Chief Officer Health Partnerships

·  Paul Bollom, Head of Leeds Health and Care Plan

 

Ian Holmes and Rachel Loftus updated the Board on the development of the 5 year strategy for health and care in West Yorkshire and Harrogate.  The following was highlighted:

 

·  Work carried out across West Yorkshire and Harrogate to deliver the strategy.

·  The development of the strategy was due to be finished in Autumn 2019.

·  Proposed future model for West Yorkshire and Harrogate.

·  Improving Population Health and the need for a more focused approach on Children, Young People and Families

·  Supporting people to support themselves and how to influence decision making.

 

Further discussion included the following:

 

·  Positive impact Healthwatch has contributed to WYH HCP.

·  Health and wellbeing of children, young people and families and the importance of embedding a ‘Think Family, Work Family’ approach across West Yorkshire and Harrogate.

·  Ensuring that the public version of the narrative is accessible to citizens.

·  Role of the WYH 5 year strategy in enabling support within communities to make the ‘left shift’ approach a reality in how we commission services and address workforce challenges as a ‘wicked issue’ across the region.

·  Importance of subsidiarity of place and working at scale across WYH HCP where it makes sense to do so and there is added value with a clear rationale.

·  Importance of ensuring Health and Wellbeing Boards in WYH have early sight of, and conversations about, new initiatives and resources

 

RESOLVED – That the Leeds Health and Wellbeing Board is asked to:

 

·  Input views and ideas into the overall development of the 5 year strategy for Health and Care in West Yorkshire and Harrogate

·  Contribute specific feedback to the development of the 2 new programmes including how these can be achieved through closer working with the 6 Health and Wellbeing Boards across West and North Yorkshire.

 

Paul Bollom and Tony Cooke updated the Board on the Leeds Health and Care Plan.  The following was highlighted:

 

·  How the plan supported the Health and Wellbeing Strategy and links to working across West Yorkshire.

·  Population Health Management.

·  Key changes over the next 5 to 10 years.

·  Refresh of the Plan.

·  Ongoing work for aligned and shared priorities.

·  Issues to consider including learning disability, mental health and poverty impacts.

 

Further discussion included the following:

 

·  Welcomed the clarity that the Leeds Plan is the transformation programme for the health and care system  ...  view the full minutes text for item 5.

6.

Priority 12: The best care, in the right place, at the right time - Update on Urgent Treatment Centre (UTC) development pdf icon PDF 247 KB

To consider the report of the St Georges Urgent Treatment Centre that provides an overview of the development to date of UTCs in Leeds through the Unplanned Care and Rapid Response programme of the Leeds Health and Care Plan including learning from St Georges Centre and next steps.

Additional documents:

Minutes:

The report of St George’s Urgent Treatment Centre provided the Board with the following:

 

·  Awareness of the national mandate and rationale behind the development of Urgent Treatment Centres (UTCs)

·  As part of the Leeds Health and Care Plan, inform Members of the vision and aims of the Leeds Unplanned Care and Rapid Response Strategy and how UTCs support delivery.

·  Update on the development of the St George’s UTC, the learning from implementing the first designated UTC in Leeds and how we will use this learning when widening out the UTC provision across Leeds.

·  Seek continued support from Members around the development of YTCs across the City.

 

The following were in attendance for this item:

 

·  Jo Thornton

·  Andrew Nutter

·  Kate Parker

·  Deborah Taylor

 

Key issues highlighted included the following:

 

·  How services had been developed at St George’s and how people accessed services.

·  The ambition to have 5 UTCs across the City.

·  30,000 patients a year were seen at St George’s with approximately three quarters living in the surrounding areas.

·  How to get people to access the appropriate services for their needs – case studies were shown

·  Next steps – developing pathways with other partners.

 

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

 

·  Mental health support within UTCs.

·  Opportunity to provide greater clarity between different health and care services and when it is appropriate to use UTCs.

·  Welcomed engagement to occur with Local Care Partnerships and opportunities around this.

·  Considerations around making best use of our estates to improve access to UTCs.

 

RESOLVED – The Health and Wellbeing Board is asked to:

 

·  Note the role of the Unplanned Care and Rapid Response programme of the Leeds Health and Care Plan in progressing the development of UTCs in line with Leeds Health and Wellbeing Strategy

·  Provide feedback and continue to support the development of UTCs across the City using leaning from St George’s UTC and the next steps outlined.

 

 

7.

State of Women's Health in Leeds Report pdf icon PDF 300 KB

To consider the report of the Director of Public Health that provides a summary of the issues highlighted from its findings and next steps in using this learning across the system to understand needs and commission better services for women supporting the vision of the Leeds Health and Wellbeing Strategy, that Leeds will be a healthy and caring city for all ages, where people who are the poorest will improve their health the fastest.

Additional documents:

Minutes:

Leeds was the first city in the UK to produce a comprehensive picture of life, health and wellbeing for women and girls – the State of Women’s Health in Leeds Report.

 

The report of the Director of Public Health summarised the issues highlighted from its findings and next steps in using this learning across the system to understand needs and to commission better services for women supporting the vision of the Leeds Health and Wellbeing Strategy that Leeds will be a healthy and caring city for all ages, where people who are the poorest will improve their health the fastest.

 

The following were in attendance for this item:

 

·  Dr Ian Cameron, Director of Public Health

·  Professor Alan White

·  Jeannette Morris-Boam, Women’s Lives Leeds

·  Tim Taylor, Public Health

 

The Board received a presentation.  Discussion included the following:

 

·  Welcomed the State of Women’s Health in Leeds Report and reflected on its launch onInternational Women’s Day.

·  Opportunity for a future Health and Wellbeing Board workshop focusing on the key challenges that can only be addresses in partnership.

·  Importance of State of Women’s Health in Leeds Report to be used to influence how we commission through a Future Generations approach.

·  Ensuring that the recommendations of the report are implemented in a way that reflects the diversity of Leeds including for LGBT, BAME and disabled women. Particularly around accessibility and provision of mainstream services.

 

RESOLVED – The Health and Wellbeing Board is asked to:

 

·  Note the content of the paper.

·  Support the findings and recommendations of the State of Women’s Health in Leeds report.

·  Agree for organisations represented on the HWB to:

o  Invite the authors of the report to their relevant senior board/group meetings to discuss the findings

o  Reflect on gender difference in health and wellbeing in their services and the further actions needed to work to address the findings.

o  Identify comments to support delivery of the recommendations of the State of Women’s Health report, which will be overseen and reported to a future HWB meeting.

 

 

8.

For information: Leeds Health and Care Quarterly Financial Report pdf icon PDF 389 KB

To note, for information, receipt of the report of Leeds Health and Care Partnership Executive Group (PEG) providing an overview of the financial positions of the health & care organisations in Leeds, brought together to provide a single citywide quarterly financial report.

Minutes:

The report of the Leeds Health and Care Partnership Executive Group (PEG) provided the Board with an overview of the financial positions of the health and care organisations in Leeds, brought together to provide a single citywide financial report.

 

RESOLVED – That the 2018/19 April to March partner organisation pre-audit financial positions be noted.

 

 

9.

For information: Connecting the wider partnership work of the Leeds Health and Wellbeing Board pdf icon PDF 339 KB

To note for information, the report of the Chief Officer Health Partnerships that provides a summary of recent activity from workshops and wider system meetings, convened by the Leeds Health and Wellbeing Board (HWB).

Minutes:

 

The report of the Chief Officer, Health Partnerships provided a summary of recent activity from workshops and wider system meetings, convened by the Leeds Health and Wellbeing Board (HWB). The report gives an overview of key pieces of work across the Leeds health and care system, including:

 

·  Leeds System Resilience Plan Update: Winter 2018/19

·  Progressing our Leeds Health and Care Workforce Strategy

·  Overview of our approach to Leeds City Health Tech

·  Leeds Community Safety Strategy: Working together so people can live in healthy, safe and sustainable communities

·  Promoting healthy adolescent relationships

 

RESOLVED – That the report be noted.

 

 

10.

Minutes pdf icon PDF 241 KB

To approve the minutes of the previous Health and Wellbeing Board meeting held 25th April 2019 as a correct record.

Minutes:

RESOLVED – That the minutes of the meeting held on 25 April 2019 be confirmed as a correct record.

 

11.

Date and Time of Next Meeting

Monday 16th September 2019 at 2pm.

Minutes:

Monday, 16 September 2019 at 2.00 p.m.