Agenda item

To consider a report of the Head of Scrutiny and Member Development providing information and guidance on potential sources of work and areas of priority within the Board’s terms of reference

(report attached)

To assist the Board in effectively managing its workload for the forthcoming Municipal Year, the Head of Scrutiny and Member Development submitted a report providing information and guidance on potential sources of work and areas of priority within the terms of reference. 

Appended to the report were copies of the following documents for the information/comment of the meeting:-

• Scrutiny Board (Health and Well-being and Adult Social Care) –Terms of Reference (Appendix 1 refers)
• Health and Wellbeing City Priority Plan 2011 to 2015 (Appendix 2 refers)
• Executive Board - Minutes of a Meeting held on 22^nd June 2011 (Appendix 3 refers)
• Forward Plan of Key Decisions relevant to Health and Wellbeing and Adult Social care Scrutiny Board – 1^st July 2011 - 31^st October 2011 (Appendix 4 refers)
• Fair Society, Healthy Lives – The Marmot Review – Executive Summary (Appendix 5 refers)
• Leeds Health Profile – 2011 (Appendix 6 refers)
• Leeds Smoking Profile (Appendix 7 refers)
• Overview of Leeds Health and Social Care Transformation Programme (Appendix 8 refers)

The following representatives were in attendance for this item:

·  Councillor Lucinda Yeadon – Executive Board Member for Adult Health and Social Care - Leeds City Council

·  Dennis Holmes (Deputy Director Strategic Commissioning) – Leeds City Council, Adult Social Services

·  Dr Ian Cameron (Joint Director of Public Health) – NHS Leeds / Leeds City Council

·  John Lawlor (Chief Executive) – NHS Leeds (attended from 11:00am (approx.))

·  Chris Butler, Chief Executive, Leeds Partnerships NHS Foundation Trust (invited to join the meeting from the public gallery at 11:15am (approx.)

For ease of reference, the Chair invited the above representatives to provide a brief introduction/overview outlining key issues and priorities relevant to the work of the Scrutiny Board. The main points identified were detailed below:

Councillor L Yeadon

• Adult Social Care and the challenges associated with continuing to provide service within a significantly financially constrained environment
• Important role for the Scrutiny Board, building on the work of the previous two Boards
• The role and aims of the Residential Care Strategy
• Community Support Service (Home Care)
• Mental Health Day Services
• Adult Social Care Consultation

Dennis Holmes

·  Adult Social Care Consultation and consideration of what defines best practice

·  Reducing hospital admissions and admissions into long-term care

·  Local implications of the Dilnot Commission report on Funding of Care and Support

  Dr Ian Cameron

·  Tobacco Control, with specific reference to the new Tobacco Control Strategy for Leeds.  There was some concern raised that performance (nationally and locally) had ‘flat lined’.

·  Public Health reforms – with local authority responsibilities likely to commence from 2013

·  Health Inequalities – with a potential focus on the Outcomes Frameworks for the NHS, Adult Social Care and Public Health

  John Lawlor

·  NHS structural changes and local implications

·  Work of the Health and Social Care Transformation Board – focusing on service delivery and re-design

·  Integration of service delivery  – health and social care services

  Chris Butler

·  Mental Health services – identified as one of the Government’s priorities through the publication of its new strategy  ‘No health without mental health: a cross-Government mental health outcomes strategy for people of all ages’. The strategy represented a major step forward in mainstreaming mental health and supporting the Government's aim of achieving parity of esteem between physical and mental health.

·  Learning Disability services

The Board discussed the area identified above and agreed that any work around smoking should not be limited to over 18s and should include other areas such as smoking during pregnancy and preventing smoking in young people under the age of 18.

In relation to the additional information provided by Councillor Illingworth, the Board considered that this should be included in the wider consideration of health inequalities, which in the first instance would focus on the outcome frameworks (as suggested) and how these may impact on the City Priorities.

The Board also discussed the need to establish a working group to consider  the future options for long term Residential and Day Care Services for Older People and the outcomes of the public consultation – due to end on 5 August 2011 - prior to the Executive Board considering proposals in September 2011

RESOLVED –

a)  That the contents of the report and appendices be noted.

b)  That the following areas of priority be identified for the Scrutiny Board over the forthcoming municipal year:

·  Reducing smoking (expanding on the Board's Terms of Reference agreed by Council);

·  Service Change and Commissioning in Adult Social Care (as detailed in the Board's Terms of Reference agreed by Council);

·  Reducing avoidable admissions to hospital and care homes (as detailed in the Board's Terms of Reference agreed by Council);

·  The transformation of Health and Social Care Services (as detailed in the Board's Terms of Reference agreed by Council);

·  Consultation (across adult social care and health);

·  Health inequalities; and,

·  Leeds Crisis Centre (follow-up on the work from the previous Adult Social Care Scrutiny Board).

It was agreed that, in discussion with the Chair, the Principal Scrutiny Adviser would produce a more detailed work schedule for consideration by the Board.

c)  That approval be given to establishing a working group, open to all Members of the Scrutiny Board, to consider the future options for long term Residential and Day Care Services for Older People and the outcomes of the public consultation – due to end on 5 August 2011 - prior to the Executive Board considering proposals in September 2011.