Agenda and draft minutes

Co-opted Member present – Jonathan Phillips

To consider any appeals in accordance with Procedure Rule 25* of the Access to Information Procedure Rules (in the event of an Appeal the press and public will be excluded).

(* In accordance with Procedure Rule 25, notice of an appeal must be received in writing 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:

  No exempt items have been identified.

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 late items.

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

No declarations of interests were made at the meeting.

To receive any apologies for absence and notification of substitutes.

All Board Members were in attendance.

To approve as a correct record the minutes of the meeting held on 10^th September 2024.

RESOLVED - That the minutes of the meeting held on 10^th September 2024, be approved as an accurate record.

Minute 41 – The Board had held a Health Service Developments Working Group meeting on 3^rd October 2024 to consider proposed plans for Adult Mental Health High Intensity Rehabilitation Inpatient Services.  It was highlighted that a summary note of the working group’s discussion would be shared as part of the Board’s next formal meeting in November.

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Partnership on reviewing the local impact of national health related policy changes.

The Head of Democratic Services submitted a report which presented a briefing paper by the Leeds Health and Care Partnership on the implications of the pertinent Labour Manifesto Pledges, including the three policy shifts in relation to the NHS and Health & Care System, as well as acknowledging the focus on immediate financial and performance pressures.  Consideration was also given to the findings of the independent investigation of the NHS in England that was undertaken by Lord Darzi.  A summary of the findings set out in a letter from Lord Darzi to the Secretary of State for Health and Social Care was also appended for Members information.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Tim Ryley, ICB Accountable Officer (Leeds Place)

·  Phil Wood, Chief Executive of Leeds Teaching Hospitals NHS Trust (LTHT)

·  Sam Prince, Executive Director of Operations, Leeds Community Healthcare NHS Trust (LCH)

·  Alison Kenyon, Deputy Director of Service Development Leeds and York Partnership NHS Foundation Trust (LYPFT)

The Executive Member for Equality, Health and Wellbeing gave a brief introduction and then handed over to the ICB Accountable Officer (Leeds Place) to highlight key aspects of the report. In summary, the following points were made:

Ø  There are a number of national pledges that focus on neighbourhoods and communities with prevention as the focus of a new model of health.  This aligns with local ambitions set out in the Leeds Health & Wellbeing Strategy, with the neighbourhood and local care partnership work to date being a strong base from which to build a neighbourhood health model.

Ø  Further work on timeframes and policy detail are still to emerge in relation to the anticipated shifts “from treatment to prevention” and “from acute care to primary care”.

Ø  The Darzi review highlighted the under investment in public health, primary care, and prevention over a number of years and so it is unclear to date how and in what timeframe the ambition for a shift in resources will take place, especially against a background of long elective waiting lists and a very tight financial climate.

Ø  in Leeds there is a already strong focus on Public Health across all areas of the council and NHS work, with the recent Director of Public Health Annual Report and the Marmot City work shaping priorities and supporting ambitious change.

Ø  The commitment towards children’s health is a very welcome ambition and does align with the Leeds City Ambition.

Ø  Key pressures on the NHS continue to include Elective Waiting Times (still people waiting more than 18months not 18 weeks) and GP Access (despite record numbers of appointments).

Ø  The major themes identified as part of the independent investigation by Lord Darzi will also inform the government’s forthcoming 10-year health plan, which is expected  ...  view the full minutes text for item 50.

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Academy on workforce challenges impacting on health and care service delivery in Leeds and how partners are working to address these.

The Head of Democratic Services submitted a report which presented a briefing paper by the Leeds Health and Care Academy on workforce challenges impacting on health and care service delivery in Leeds and how partners are working to address these.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Sam Prince, Executive Director of Operations, Leeds Community Healthcare NHS Trust (LCH)

·  Alison Kenyon, Deputy Director of Service Development Leeds and York Partnership NHS Foundation Trust (LYPFT)

·  Kate O’Connell, Director of Leeds Health and Care Academy and Strategic Workforce

·  Jenny Lewis, Director of HR and Organisational Development, LTHT

The Chair invited the Executive Member for Equality, Health and Wellbeing to provide some introductory comments and then invited the Director of Leeds Health and Care Academy and Strategic Workforce to highlight key aspects of the report.  In summary, the following points were made:

Ø  The Darzi review recognises the importance of staff voice, multi-disciplinary teams, technology enhanced working and clearer, more stable management in improving outcomes and experiences for patients.

Ø  Despite the significant pressure on staff across all areas of the workforce, the last year has seen some important progress and longer-term improvements which come from closer partnership working.

Ø  Multi-agency and multi-professional teams are able to work in different care settings, access systems and communicate more efficiently, improving the experience of service users and reducing duplication.

Ø  Over the last year, the Leeds Learning Portal and the Leeds Talent Hub have been key enablers for partners to increase engagement in training and development and supporting future workforce to secure and succeed in their chosen education and employment.  A particular case study example was shared with the Scrutiny Board.

Ø  The Career Compass Leeds is a digital careers platform to inform, inspire and open doors to the diversity of health and social care careers in Leeds. The platform has been developed in partnership with Leeds health and care employers, careers advisors, colleges, universities and schools and was launched in September 2024 www.careercompassleeds.co.uk.

Ø  There remains a collective focus on carers and the Third Sector workforce, with key Third Sector representatives already active members of the Partnership Leadership Team.

During the Board’s discussions, the following issues were also raised:

Ø  Narrowing inequalities – Members were advised that the Talent Hub supports individuals to achieve their potential through bespoke navigation and tailored interventions based on their ambition and personal circumstances. The service also aims to contribute towards narrowing inequalities by engaging with and recruiting from the most disadvantaged areas, as well as ensuring that the diversity of the Leeds health and care workforce better reflects the people it serves.

Ø  Generating greater awareness – While over 5000 employees from all parts of the sector and from 180 different organisations have  ...  view the full minutes text for item 51.

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Partnership on the current issues and actions linked to the Leeds health and care system resilience and winter planning process.

The Head of Democratic Services submitted a report which presented a briefing paper by the Leeds Health and Care Partnership on the current issues and actions linked to the Leeds health and care system resilience and winter planning process.

The following were in attendance:

·  Councillor Fiona Venner, Executive Member for Equality, Health and Wellbeing

·  Councillor Salma Arif, Executive Member for Adult Social Care, Active Lifestyles and Culture

·  Caroline Baria, Director of Adults and Health

·  Victoria Eaton, Director of Public Health

·  Dawn Bailey, Chief Officer /Consultant in Public Health (Health Protection and Sexual Health)

·  Hannah Sowerbutts, Head of Public Health (Health Protection)

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Sam Prince, Executive Director of Operations, Leeds Community Healthcare NHS Trust (LCH)

·  Alison Kenyon, Deputy Director of Service Development Leeds and York Partnership NHS Foundation Trust (LYPFT)

·  Helen Lewis, Director of System and Pathway Integration, Leeds Health and Care Partnership

·  Helen Smith, Programme Director, Same Day Response, Urgent and Intermediate Care, Leeds Health and Care Partnership

The Chair invited the Executive Member for Equality, Health and Wellbeing to provide some introductory comments and then invited the Director of System and Pathway Integration to highlight key aspects of the report. In summary, the following points were made:

Ø  Each organisation in the System has its own winter and resilience plans, decision management tools and its own assurance and governance structure.

Ø  The system reporting suite supports leaders in the system to understand where the pressure is in the system daily and work collaboratively to address issues.

Ø  During the winter months, it is expected there will be an increase in demand for primary care, home based services, community beds, mental health services, VCSE services as well as access to specialist equipment.

Ø  The briefing paper provided by the Leeds Health and Care Partnership provides the Scrutiny Board with an overview of the issues and actions at a system level, as well as an update on plans to support prevention of health issues and increase capacity in the System in the coming months.

Ø  Vaccinations are an important element of the prevention agenda and this year will also include the rollout of the Respiratory Syncytial Virus (RSV) vaccine which will be routinely offered for the first time for those aged 75 - 79 and pregnant women (from 28 weeks).

Ø  Focussed work to improve uptake across both Covid and Flu vaccine programmes is underway to address low uptake across all cohort groups and areas of sustained low uptake.

During the Board’s discussions, the following issues were also raised:

Ø  Mental Health Services – Members sought assurance that those people accessing ‘out of area’ mental health hospital care, there is a rigorous monitoring system in place when managing their care needs. 

Ø  Improving the take-up of vaccinations – It was reported that while the uptake achievement for 2023-24 was good, there are still areas for improvement in key cohorts for this year. This included pregnant women and frontline health and social care  ...  view the full minutes text for item 52.

To consider the Scrutiny Board’s work schedule for the 2024/25 municipal year.

The Head of Democratic Services submitted a report that presented the Board’s latest work schedule for the forthcoming municipal year.

RESOLVED – That the Scrutiny Board’s work schedule for the 2024/25 municipal year be noted.

Tuesday, 12^th November 2024 at 1:30pm (pre-meeting for all Board Members at 1:00pm)

RESOLVED – To note the next meeting of the Adults, Health and Active Lifestyles Scrutiny Board is scheduled for Tuesday, 12^th November 2024 at 1:30pm (pre-meeting for all Board Members at 1.00 pm)