Agenda item

The report of the Head of Scrutiny and Member Development presented Members with an update against a number of the Board’s recommendations regarding the Transformation of Health and Social Care in Leeds.

The following were in attendance for this item:

• Councillor Lucinda Yeadon, Executive Member for Adult Social Care
• Dennis Holmes, Deputy Director, Adult Social Services
• Richard Clayton, Programme Manager – Leeds and York Partnership NHS Foundation Trust
• Michele Tynan, Chief Officer – Learning Disabilities, Adult Social Services
• Paul Morrin, Director of Integration – Leeds Community Healthcare NHS Trust
• Hilary Phillpot, Programme Manager – Commissioning Partnerships, NHS Airedale, Bradford and Leeds

Members discussed governance arrangements between the Council and health partners.  Issues highlighted included the following:

• The opportunity for social care and health partners to provide better outcomes through working together.
• The potential for savings to be made through joint working.
• The need to ensure and to be clear about relevant accountability for Elected Members.
• Complexity of the various organisations involved in the local healthcare system / economy. 
• Integration of teams and pooling of facilities and resources.
• Reference to a report that was considered at Executive Board in October 2012 which set out the legal position on how to manage arrangements as commissioners and providers.
• Sharing of data and compatibility between different IT systems.

Members discussed partnership arrangements between Adult Social Care and Leeds and York Partnership NHS Foundation Trust.  Issues highlighted included the following:

·  Provision of services for mental health patients – the social care needs for all mental health care would be met within Leeds but some hospital treatment would be provided elsewhere.

·  Equality Impact Assessments.

·  There had been more collaborative working between the organisations and a merging of roles and responsibilities.

·  Focusing on service user outcomes and how these can be improved.

·  Budget information – staffing budgets were not pooled.

·  The future relationship between the Scrutiny Board and the Health and Wellbeing Board.

·  Equality Impact Assessments

·  Staffing issues – processes for integrated working and protection of employment rights.

·  Mental Health Needs arising from Health Impact Assessments.

Members were informed about integrated health and social care teams and risk stratification.  It was reported that the integrated health and social care portfolio was focussed on older people and long term conditions with the provision of high quality care and the reduction of unnecessary hospital admissions and followed the following three strands:

·  Risk stratification – those likely to be needing health resources in the future

·  Introduction of health and social care teams and work with GP practices.

·  Supporting people to manage their conditions and retain independence.

Further discussion included the following:

·  Importance of risk stratification and how to identify those who need support – information provided from primary and secondary care systems and GP information.

·  Predicted future social care and health provision.

·  Co-location of NHS and Adult Social Care Staff – findings from demonstrator sites and roll out to more neighbourhoods.

·  Early evidence of impact – Leeds had been quoted as being in the top 3 nationally for provision of integrated care.

The Board was also informed of progress at Harry Booth House.  It was reported that building work had commenced and it was hoped that facilities would be open for use from April 2013.

RESOLVED – That the progress reported and subsequent discussion be noted.