Agenda and minutes

Health and Wellbeing Board
Thursday, 28th February, 2019 10.00 am

Venue: Hillside Enterprise Centre, Beeston Road, Leeds, LS11 8ND

Contact: Harriet Speight  0113 37 89954

Items
No. Item

Representatives of Clinical Commissioning Group

 

Dr Gordon Sinclair – Chair of NHS Leeds Clinical Commissioning Group

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

 

Directors of Leeds City Council

 

Dr Ian Cameron – Director of Public Health

Cath Roff – Director of Adults and Health

Chris Dickinson – Head of Service (Commissioning and Marketing) Children and Families

 

Third Sector Representative

 

Karen Pearse – Director, Forum Central

 

Representatives of NHS providers

 

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

Yvette Oade – Chief Medical Officer, Leeds Teaching Hospitals NHS Trust

 

Representative of Leeds GP Confederation

 

Gaynor Connor – Director of Transformation, Leeds GP Confederation

 

 

53.

Welcome and introductions

Minutes:

The Chair welcomed all present and brief introductions were made.

 

The Chair asked the Board to note the joint appointment of Paul Money, Chief Officer for Safer Leeds, and Supt. Jackie Marsh as Safer Leeds Representatives to the Board.

 

The Chair also informed the Board that following the retirement of Moira Dumma, Anthony Kealy - Locality Director, NHS England North (Yorkshire & the Humber) would be appointed as representative of NHS England on the Board. Additionally, the Board were informed by Karen Pearse that Forum Central had undertaken an interview process to select a third sector representative to the Board, and had selected Alison Lowe, the Director of Touchstone. Both statutory appointments are to be formally agreed at Council on 27th March 2019.

 

The Chair provided a brief update regarding the recently published CQC Local System Review of Leeds: Action Plan, which included some positive messages for Leeds as well as opportunities to continue to build on the current system. The Chair also informed Members that she would be attending and speaking at the King’s Fund ‘Health and Care explained’ event.

 

 

54.

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.

 

 

55.

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:

There were no exempt items.

 

 

56.

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:

There were no late items.

 

 

57.

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 of disclosable pecuniary interests.

 

 

58.

Apologies for Absence

To receive any apologies for absence

Minutes:

Apologies for absence were received from Councillor E Taylor, Phil Corrigan, Steve Walker, Sara Munro, John Beal, Anthony Kealy, Thea Stein and Jim Barwick.

 

Gaynor Connor, Yvette Oade, Tim Ryley, Chris Dickinson, and Eddie Devine attended the meeting as substitutes. Karen Pearse was also in attendance, representing the third sector.

 

 

 

59.

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:

A member of the public, Dr John Puntis, congratulated the Board on achievements set out within the Annual Review report (Item 9).

 

Dr Puntis raised some concerns about the potential sharing of personal health data between the NHS and the Department for Work and Pensions (DWP) to inform benefit decisions, and wished to hear the Board’s views on the matter. In response, the Board recognised the risk associated with sharing personal data in this way, but were not aware of any policies or projects which would facilitate data sharing with the DWP and would seek more information.

 

In relation to the NHS Long Term Plan (Item 12), Dr Puntis also raised some concerns around the lack of accountability of Integrated Care Systems (ICSs) and the reduced role of the Local Authority. Mr Puntis also felt that some key issues were not addressed within the plan, including vacancies and increased private sector provision. In response, Mr Puntis was informed that the Council have been clear in ensuring that their voice is heard, and will do so through a number of forums such as the introduction of a number of partnership boards chaired by the Leader of the Council. Mr Puntis was also assured that the Leeds approach was to move away from outsourcing.

 

 

60.

Minutes 12 December 2018 pdf icon PDF 242 KB

To approve the minutes of the previous Health and Wellbeing Board meeting held 12th December 2018 as a correct record.

Minutes:

RESOLVED – That the minutes of the meeting held on 12th December 2018 be approved as a correct record.

 

 

61.

Leeds Health and Wellbeing Board: Reviewing the Year 2018-19 pdf icon PDF 151 KB

To consider the report of the Chief Officer, Health Partnerships, the Chief Analyst, Leeds City Council and NHS Leeds CCG, and the Head of Service, Intelligence & Policy Service, Leeds City Council, introducing the attached report to be endorsed by the Board subject to the inclusion of images and formatting to be agreed by the Chair, which takes a look back over the last 12 months of Health and Wellbeing Board (HWB) and partnership activity as well as an update on the indicators of the Leeds Health and Wellbeing Strategy.

Additional documents:

Minutes:

The Chief Officer, Health Partnerships, the Chief Analyst, Leeds City Council and NHS Leeds CCG, and the Head of Service, Intelligence & Policy Service, Leeds City Council, submitted a report that introduced the attached report to be endorsed by the Board subject to the inclusion of images and formatting to be agreed by the Chair, which takes a look back over the last 12 months of Health and Wellbeing Board (HWB) and partnership activity as well as an update on the indicators of the Leeds Health and Wellbeing Strategy.

 

The following were in attendance:

 

-  Tony Cooke, Chief Officer for Health Partnerships

-  Frank Wood, Chief Analyst, Leeds City Council and NHS Leeds CCG

-  Peter Storrie, Head of Service, Intelligence & Policy Service, Leeds City Council

 

The Chief Officer for Health Partnership introduced the item and provided a PowerPoint presentation, providing some examples of key achievements throughout the year. Members were also provided with trends and changes in health data for Leeds, including the widening gap of deprivation and how this impacts health.

 

Members discussed a number of matters, including:

 

·  The over representation of children and young people in the population of those living in the most deprived areas in Leeds.

·  The need for deprivation data to be used to show differences between Local Care Partnership areas, and to form connections with the Neighbourhood Improvement Board to tackle deprivation issues.

·  The importance of the ‘avoidable years of life lost’ data and consideration of how this could be used to inform future work of the Board.

·  Some discussion around how far the Board’s responsibilities stretch, balanced with the need to tackle some of the wider determinants of health.

·  The need to build on an asset / strength based approach and evidence this within the annual reports, recognising the positive networks in place.

·  The Youth Council’s campaign to support better mental health, and the potential for their inclusion in future mental health work.

 

RESOLVED –

 

a)  To note the Board’s comments and suggestions in relation to the work plan, and the outcomes and priorities of the Leeds Health and Wellbeing Strategy.

b)  To agree the contents of the Leeds Health and Wellbeing Board: Reviewing the Year 2018-19 report, subject to the inclusion of images and formatting to be agreed by the Chair.

 

 

62.

Priority 7: Maximise the benefits from information and technology - Leeds City Digital Partnership Update pdf icon PDF 408 KB

To consider the report of the Chief Digital and Information Officer, Leeds City Digital Partnership, providing an update on the progress Leeds City Digital Partnership, the associated programme of work and the commitments set for 2019/20, all of which underpin the delivery of the Health and Wellbeing Strategy 2016-2021. The report also describes some of the challenges that can impede progress and how they could be resolved.

Additional documents:

Minutes:

The Chief Digital and Information Officer, Leeds City Digital Partnership, submitted a report that provided an update on the progress Leeds City Digital Partnership, the associated programme of work and the commitments set for 2019/20, all of which underpin the delivery of the Health and Wellbeing Strategy 2016-2021. The report also described some of the challenges that can impede progress and how they could be resolved.

 

Dylan Roberts, Chief Digital and Information Officer, Leeds City Digital Partnership, was in attendance and introduced the report. Members were provided with an update on the ‘one organisation’ approach taken towards the work progressed to date, along with detail around future programmes. The Chair also noted the importance of the joint up approach to new technologies, and the Board’s role in governing the Leeds City Digital Partnership.

 

Members discussed a number of matters, including:

 

·  It was noted that the Leeds GP Confederation had signed up to the Digital Partnership, which was not reflected in the report.

·  The challenge associated with the third sector’s inclusion in the partnership. Members heard that there was work being progressed to enable smaller third sector organisations to access technologies, and that an update would be provided at a later meeting.

·  The potential for technology to reinforce inequality, and the need for technology to serve the needs of the people rather than inhibit them. Members discussed how digital literacy could be available to all through well-targeted support and training.

 

RESOLVED -

a)  To note the progress made to date through the Leeds City Digital Partnership.

b)  To endorse the 2019/20 Commitments detailed in Appendix 2.

c)  To note the main issues described in this report and be an advocate for the Place First Digital approach.

d)  To endorse and advocate that all organisations adhere to the MOA and engage with the Leeds City Digital Partnership Team with regards to all IT investments and projects that relate to the Leeds Plan or integrated care.

e)  To endorse and if necessary provide support to the Leeds City Digital Partnership Team approach with National organisations and policy.

f)  To support in principle the continued use of Better Care Fund Capital, subject to its governance processes and also access other capital funds e.g. Local Authority Capital subject to business cases.

g)  To support activity to get more business and clinical stakeholders involved in digital, actively understand the digital opportunities for transforming health and care, help prioritise investment decisions and provide active sponsorship for the process changes required to deliver tangible health and care benefits.

 

 

63.

Leeds Health and Care Plan: Continuing the Conversation pdf icon PDF 258 KB

To consider the report of the Leeds Health and Care Partnership Executive Group (PEG) providing an overview of progress to date in reviewing the current Leeds Health and Care Plan.

Minutes:

The Leeds Health and Care Partnership Executive Group (PEG) submitted a report providing an overview of progress to date in reviewing the current Leeds Health and Care Plan.

 

Paul Bollom, Head of the Leeds Health and Care Plan, Health Partnerships was in attendance and introduced the report, providing more detail on some of the completed actions and priorities, and the areas of opportunity for further review. Members were also informed of a recent consultation process that had been undertaken with a variety of stakeholders and a summary of the feedback.

 

Members discussed a number of matters, including:

 

·  Support for the Mental Health Strategy being incorporated into the plan when it is developed and published, to demonstrate parity of esteem between mental and physical health.

·  Some queries around the elements of the plan that would be open to review. Members heard that the ‘obsessions’ may be subject to change.

 

RESOLVED –

 

a)  To note the contents of the report, along with the Board’s comments and suggestions.

b)  To agree the approach to identifying priorities for the future of health and care and process to review the Leeds Plan to ensure it continues to meet the needs of the changing health and care landscape.

 

 

64.

Overview of the NHS Long Term Plan pdf icon PDF 280 KB

To consider the report of the Chief Officer, Health Partnerships, providing an overview of the NHS Long Term Plan (LTP) and some of the initial implications for Leeds and the region.

Minutes:

The Chief Officer, Health Partnerships, submitted a report that provided an overview of the NHS Long Term Plan (LTP) and some of the initial implications for Leeds and the region.

 

Tony Cooke, the Chief Officer, Health Partnership was in attendance and introduced the report, providing a summary of some of the key elements of the plan and how they relate to the Leeds approach.

 

Members discussed a number of matters, including:

 

·  Members commented on flexibility of the plan, which allows for, and endorses, the Leeds approach.

·  The opportunity to link up with the recently published GP new contract deal.

·  The absence of recognition of the family system, and the impact this can have on all groups of people.

·  The need for communication and engagement with staff to go beyond the approach set out in the plan.

 

RESOLVED – To note the contents of the report, along with the Board’s comments and suggestions.

 

 

65.

For Information: BCF Quarter 3 2018/19 Return Performance Monitoring pdf icon PDF 220 KB

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 3 which were previously submitted nationally following circulation to members for comment.

Additional documents:

Minutes:

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 3 which were previously submitted nationally following circulation to members for comment.

 

RESOLVED – To note the contents of the report.

 

 

66.

For Information: Leeds Health and Care Quarterly Financial Reporting pdf icon PDF 395 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 Board received, for information, 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.

 

RESOLVED – That the contents of the report be noted.

 

 

67.

Any Other Business

Minutes:

No matters were raised on this occasion.

 

 

68.

Date and Time of Next Meeting

25th April 2019 at 10am. Venue to be confirmed.

 

 

Minutes:

RESOLVED – To note the date and time of the next meeting as Thursday 25th April 2019 at 10am (with a pre-meeting for Board members at 9:30am)