Agenda and draft minutes

Leeds Committee of the West Yorkshire Integrated Care Board 

Jason Broch - Chief Strategic Clinical Information and Innovation Officer, Leeds Health and Care Partnership, NHS West Yorkshire ICB

Directors of Leeds City Council 

Victoria Eaton – Director of Public Health 

Caroline Baria – Director of Adults and Health 

Representative of Local Health Watch Organisation 

Jonathan Phillips – Co-Chair, Healthwatch Leeds 

Representatives of NHS providers 

Sara Munro - Leeds and York Partnership NHS Foundation Trust 

Selina Douglas - Chief Executive for Leeds Community Healthcare NHS Trust

Claire Smith - Chief Operating Officer at Leeds Teaching Hospitals NHS Trust

Representative of Leeds GP Confederation 

Jim Barwick – Chief Executive of Leeds GP Confederation 

Wider Determinants of Health – Partnership Working Representative

Mark Charlton – Head of Community Safeguarding, Housing and Environment

Leeds Committee of the West Yorkshire Integrated Care Board

Rebecca Charlwood - Independent Chair

Representative of Communities of Interest  

Pip Goff - Director, Volition 

The Chair welcomed Members and attendees to the first meeting of the municipal year and provided updates on the following events:

Councillor H Hayden’s Board Appointment

Councillor H Hayden had sent her apologies for this meeting but had been appointed to the Board as an Elected Member, replacing Councillor J Dowson, who was thanked for her work and contributions to the Board. There had been revisions of Leeds City Council’s Executive Portfolios, with the Chair covering Equality, Health and Wellbeing and Councillor H Hayden being the Executive Member for Children and Families, both integral to the discussions of the Board.

Selina Douglas’ Board Appointment

The Chair requested the Board to note the appointment of Selina Douglas, the Chief Executive for Leeds Community Healthcare NHS Trust, as a co-opted non-voting Member.

RESOLVED – That Selina Douglas be appointed to the Board.

Annette Morris

The Board reflected on and offered their condolences for the sad news of the passing of a dear friend and colleague, Annette Morris, who had made a huge contribution to the health and care system. Annette held a number of key roles, rooted in making a positive difference to the communities across Leeds, from working with Voluntary Action Leeds, supporting the Culturally Diverse Hub and Young Lives Leeds, to playing a key role in the Synergi programme to tackle mental health inequalities and sharing expertise at Leeds and York Partnership Foundation NHS Trust and Leeds Involving People. She had played a valuable part of the Team Shielding initiative to protect vulnerable people during the Covid-19 pandemic and had campaigned for racial and gender equality and for the reality of lived experience to be heard by policy and decision makers. Her legacy will live on through all the people she had influenced and her work within the Third Sector.

Corrina Lawrence, the Third Sector Representative, CEO at Feel Good Factor, provided a video which was played to Members, outlining that Anette had been a valued, trusted and respected colleague, using a compassionate approach to reach out to diverse communities and holding equality and fairness at the heart of her work. Her contributions to the city were vast, bridging the gap between statutory agencies and the Third Sector. She will be greatly missed as both a friend and an advocate for people and her legacy will continue.

Pip Goff, Representative of Communities of Interest and Director for Volition outlined her appreciation to the Board for taking their time to pay respect to Annette. She was remembered as a passionate activist, a talented musician and an advocate for peace and people. Her contributions to the city were numerous within a wide range of organisations and set an example for approaching and understanding the needs of different people, positively impacting mental health transformation and standing up to racism to make a change. Details of events to mark respect for Annette were to be provided to Members.

Partnership Update

The following updates regarding recent events in Leeds that were relevant to the Board’s  ...  view the full minutes text for item 1.

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 against the refusal of inspection of documents.

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 was no exempt information.

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.

To disclose or draw attention to any interests in accordance with Leeds City Council’s ‘Councillor Code of Conduct’. 

No declarations of interest were made.

To receive any apologies for absence

Apologies for absence had been received from Councillor S Golton, Councillor H Hayden, Helen Hart, Corrina Lawrence, Julie Longworth, Anthony Kealy, Superintendent Dan Wood, Sarah Forbes, Tim Riley with Jason Broch deputising, James Rogers with Mark Charlton deputising, and Dr Phil Wood with Claire Smith deputising.

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.

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, John Puntis, representing Keep Our NHS Public attended and addressed Board Members, noting the following:

Update on migrant health checks from November 2023

Feedback was agreed to be provided back regarding the processes and impact for migrants accessing health checks and care provisions, and the associated charges, which had been raised as part of the Open Forum at a Board meeting on the 9^th of November 2023 but had not yet been received. Whether the Board scrutinised charges by Leeds Teaching Hospital Trust (LTHT) posed against migrants for health checks and care provision, the impact on affordability of care, how often this was reported to the Home Office and how fear of charges were addressed, had been queried. A follow up and a response on this matter was requested.

Inconsistent communications regarding the new Hospitals in Leeds

As previously submitted as part of the Open Forum at the Board meeting on the 21^st of March 2024, it was outlined that there was an inconsistency between information contained on the LTHT website and recent comments by the Secretary of State for Health and Care to Parliament regarding the progress of the new hospitals at the Leeds General Infirmary site and the timeline for the programme. The LTHT staff bulletin was also noted to have misrepresented the situation, claiming developments were fully funded and were to proceed. A report from the Director of Finance, considered by the LTHT Board on the 30^th of May 2024, stated costs for the development had increased by £250-£300million, planning permission was soon to expire, and the New Hospital Model 2.0 (NHP2) could potentially add a further £25million. The approach of the Department of Health and Social Care and the New Hospitals Programme Communications Playbook was considered onerous, but the Labour Governments support for NHP was welcomed. Clarity on this matter and the number of factors at play, which impacted on the plans to come into fruition, were needed.

Private care provider facilities at St. James’ Hospital

The plans for the new hospitals had referenced private health care provision for cancer patients, with potential impacts on staff clinician retainment and on health inequalities; whether this would lead to a disparity of care was queried. The contents of the Labour manifesto were positive, however, the direction of the NHS to address financial constraints was unclear. This had previously been outlined at the 21^st of March 2024 Board meeting and an update was sought.

In response the Chair noted a response had been sent to John Prentis on the 22^nd of July  ...  view the full minutes text for item 7.

To approve the minutes of the previous Health and Wellbeing Board meeting held on the 21^st of March 2024 as a correct record.

RESOLVED– That the minutes of the meeting held on the 21^st of March 2024 be agreed as a correct record.

To receive the report of the Head of Policy, Leeds City Council, which outlines that the purpose of the Joint Strategic Assessment (JSA) is to assess current and future health and social care needs in Leeds to inform the Health and Wellbeing Strategy, specifically to shape priorities, inform commissioners and guide the use of resources as part of commissioning strategies and plans for the city.

The report of the Head of Policy, Leeds City Council outlined that the purpose of the Joint Strategic Assessment (JSA) was to assess current and future health and social care needs in Leeds to inform the Health and Wellbeing Strategy, specifically to shape priorities, inform commissioners and guide the use of resources as part of commissioning strategies and plans for the city.

In attendance for this item were:

·  Mike Eakins – Head of Policy, Leeds City Council

·  Rosie Armitage – Intelligence and Policy Manager, Leeds City Council

The Chair provided an introduction to the item, noting that the publication of the JSA was a key function of the Board and its production on a three year cycle was a joint statutory responsibility of the Council and the West Yorkshire ICB, which informed the Leeds Health and Wellbeing Strategy. The last iteration of the JSA was published in 2021 and this report detailed the findings of the latest data analysis.

The following information was highlighted to Board Members:

·  The scope of the 2024 JSA was vast, covering a broad approach to the social determinants of health and had drawn out data to identify inequalities and also linked to the Marmot City work.

·  The JSA sought to go further than baseline data provision and contained qualitative data to create a narrative driven approach and provide a summary of where the city was and where improvements were needed.

·  It was noted that the report was in its draft format and was overseen by a sounding board which including partners. All contributors to this stage were thanked.

·  The structure of the JSA was primarily around life course stages, linking to policy implications and bringing data to life through lived experience.

·  Section 1 covered Leeds population data analysis, which mirrored national trends. There was birth rate boom from 2008 to 2018, with birth rates falling since, which had implications on the education system and its capacity for post school (16+) college and sixth form capacity.

·  The pandemic had impacted child development and improvements were needed for provision of key stage (KS)1 and KS2 schooling.

·  Indices of multiple deprivation (IMD) decile data for age displayed that deprivation had increased most for young and elderly people. Child poverty was above national averages, with caution noted for this data when considering the geographical boundaries of the Council’s district covered inner city and outer, more rural settings. The scale of poverty in inner city areas was significant and work was ongoing for a more granular breakdown of data.

·  The IMD data for ethnicity outlined a disproportion for lower living standards and opportunities for diverse ethnic communities and individuals.

·  The student population within Leeds had significantly increased when census data from 2011 was compared with the 2021 census. The traditional student areas had expanded which posed questions to service provision and needs analysis, a response was required to address dynamic health care needs.

·  The geography of inequalities had been studied for a spatial understanding of health outcomes and social determinants  ...  view the full minutes text for item 9.

To receive the report of the Director of Public Health, which outlines that the Annual Report 2023 brings together lived experiences alongside a review of data and evidence relating to ageing well. This report outlines the key findings and recommendations contained within the DPH Annual Report focussed on system wide actions to reduce inequalities and increase the number of years spent in good health.

The report of the Director of Public Health outlined that the Annual Report 2023 brought together lived experiences alongside a review of data and evidence relating to ageing well. This report outlined that the key findings and recommendations contained within the DPH Annual Report focussed on system wide actions to reduce inequalities and increase the number of years spent in good health.

The following attended the meeting to present the item:

·  Victoria Eaton – Director of Public Health, Leeds City Council

·  Tim Fielding – Deputy Director of Public Health, Leeds City Council

·  Helen Laird – Head of Public Health, Leeds City Council

The Chair provided an overview, noting the Director of Public Health had a mandatory duty to publish an annual report describing the health of the population and provide recommendations to improve health outcomes. The report focused on lived experiences and data related to ageing well in Leeds, with the previous year focusing on the health and wellbeing of Children and young people in Leeds.

The Board was provided with the following information:

·  The report contained actions and updates from the previous year’s report so progress can be tracked, and this year’s iteration had clear recommendations in support of progress assessment.

·  A video was played for Members that had been produced to display the range of contributors to the report and the lived experience of people as they age in Leeds. The contents covered the treatment of older people, employment opportunities, transport and accessibility of services, green spaces, social and physical activity, menopause and health care access and how these topics corresponded with feeling happy, healthy and connected.

·  It was clarified that the focus was on ageing well and not older people, but the majority of data had been derived from populations trends and conversations with people who were 50+.

·  Ageing well was understood through pro-active measures and not an acceptance of the inevitability of poor health. Good health was dynamic across generations, with different challenges or implications faced at different life stages.

·  There was a strong base of services, programmes and institutions, such as the Age Friendly Strategy, the Centre for Aging and Third Sector organisations such as Leeds Older People Forum.

·  The report brought together evidence and qualitative data from local people and care professionals to direct future work and service provision to improve the health and opportunities for people as they enter later life stages.

·  An infographic was provided to understand the situations of older adults, as well as geographical information regarding the proportion of older adults who migrate away from city centres, often to more rural settings and the implications this had on needs and services.

·  1 in 3 people in Leeds were over 50, with this specific populations becoming more diverse and also more deprived. Demographic statistics noted more than half of people over 50 had one or two medical conditions and that there was a disproportion of around 12 years between deprived people and more affluent people spent in poorer health in later  ...  view the full minutes text for item 10.

To receive the report of the Leeds Health and Care System which outlines that the ICB in Leeds and the LCC’s A&H Directorate were required to complete and submit the Better Care Fund Plan for 2024-25 to NHS England by 10th June 2024. The plan has been completed to reflect key health and care priorities for the year, and is refresh of the 23-25 two-year plan, previously signed off by the HWB.

The report of the Leeds Health and Care System outlined that the ICB in Leeds and the LCC’s Adults & Health Directorate were required to complete and submit the Better Care Fund Plan for 2024-25 to NHS England by the 10^th of June 2024. The plan had been completed to reflect key health and care priorities for the year and was the refresh of the 23-25 two-year plan, previously signed off by the Board.

The following attended the meeting to present the item:

·  Caroline Baria – Director of Adults Health, Leeds City Council

The Board was provided with the following information:

·  On reflection of the submission of the previous year’s plan, NHSE had requested a review of the plan’s trajectories.

·  The refreshed plan for 2023-2025 had been submitted on the 10^th of June 2024.

·  Challenges were noted as, added pressure due to the ageing population within Leeds.

·  Plans were in place to support the Home First approach, to limit avoidable admissions to hospital and to discharge people safely and quickly

RESOLVED –

·  That the attached collaboratively authored and regionally reviewed BCF plan for the Leeds City, be noted.

·  That Leeds City in the delivery of the BCF goals detailed within the plan, be supported.

To note the date and time of the next meeting as Thursday the 14^th of November 2024 at 1:00pm

RESOLVED - To note the date and time of the next meeting as Tuesday the 14^th of November 2024 at 1:00pm.