Agenda item

To receive the report of the Chief Officer Health Partnerships to provide the Outer West Community Committee with an overview of the progress made in shaping the Leeds Health and Care Plan following the previous conversation at each Community Committee in Spring 2017.

(Report attached)

Head of the Leeds Health and Care Plan, Health Partnerships, Paul Bollom was at the Community Committee to present the report on Leeds Health and Care Plan: Inspiring Change through Better Conversations with Citizens.

Cllr. Josie Jarosz as the Community Committee Champion for Health, Wellbeing and Adult Social Care introduced the item. Cllr. Jarosz thanked the Chair for allowing Mr Lodge to ask his question at the end of the item.

Cllr. Jarosz said that this report tried to be open, honest and transparent in its approach on the Health and Care Plan for Leeds and how the city intended to spend money on services.

Hannah Howe, Director of Forum Centre as a third sector partner spoke to the presentation.

Ms Howe explained that the new plan joined up all health care services including those from the third sector giving them a voice in the plan for Leeds.

Ms Howe said that the Leeds Health and Care Plan was the city’s approach to closing the three gaps that had been nationally identified by health, care and civic leaders. It was noted that these gaps had been identified as being health inequalities, quality of services and financial sustainability. She went on to say that the plan provided an opportunity for the city to shape the future direction of health and to transition towards a community focused approach, which understood that good health was a function of wider factors such as housing, employment, environment, family and community.

The Committee heard that the main drain on the health service was not always medical but supportive intervention, this new plan recognised the need for support services that could be offered within the city.

Leeds want to focus on having great preventative services and were putting more resources into prevention and support services especially in relation to mental health.

A copy of the proposals to be addressed by the Health and Care Plan was tabled at the meeting. It focussed on the key areas of the plan as Prevention, Self-Management and Proactive Care, Optimising Secondary Care and Urgent Care and Rapid Response and set out key actions to be undertaken.

The Community Committee were informed that communities would be consulted as the Health and Care Plan evolved.

Dr Keene, a GP at West Leeds Family Practice and representing the Pudsey GP’s was at the meeting and addressed the Committee.

Dr Keene said that the success of the plan would be good communication across the services and agencies.  He explained that there were difficulties at present with the different services often spread across a location and using different systems. However, this was being addressed through the plan with partnerships forming and coming together as neighbourhood teams to form Hubs bringing better communication and consistency in approach by services and agencies.

Mr Lodge a resident of Pudsey at the discretion of the Chair had been given permission to ask a question at the end of the presentation.

Mr Lodge explained to the Committee that his wife had dementia and although a care plan had been put together by staff at St Mary’s Hospital there was an issue with carers not turning up through the day. He was of the view that better communication across services and agencies was still required.

Mr Lodge also queried the fact that if the report was to be as open, honest and transparent as possible why were there no figures on spending and savings within the report.

Paul Bollom responded saying that they were open about the figures involved however they were unable to enter this information into the report as this was a continual living issue and any information that could be used was set against historical information. It was noted that £700 million needed to be saved and that doing nothing was not an option. It was also noted that the Chancellor of the Exchequer was at the time of this meeting delivering his speech in relation to the Budget and that figures could change.

Mr Bollom also said that better self-management similar to those in Europe would provide better outcomes and services but this required more work. He also explained that information in relation to the Health and Care Plan, spending and savings were transparent through work at the Health and Wellbeing Board.

Members discussed the following points:-

·  The need to keep Councillors updated on the Health and Care Plan

·  Suggested a briefing session for a future meeting on Mental Health issues specifically in the work place

·  The boundaries covered by the Neighbourhood Teams

·  Keep conversations going with Elected Members and the community

·  To ensure that information is dealt with appropriately and understood by all parties.

·  Funding required for third sector to continue supporting work

·  For all staff in all the health services to be on board with the Health and Care Plan for the services to be able to work together

·  The third sector to be included in Neighbourhood Team meetings to discuss and address areas of work, support and funding issues

·  Inequalities to be addressed

·  For the third sector to talk and support all areas of the Council and communities as well as the Healthcare Partnerships.

·  Need to do more work around mental health issues as this is an increasing problem and Leeds wants to be seen as a compassionate city.

·  More work to be carried out in relation to health across departments such as housing, areas of the city and across other cities

The Chair said that he welcomed the Health and Care Plan and thanked the officers for the presentation. He hoped that Councillors would be kept up to date to assist them with their work in the communities that they serve.

RESOLVED – That the Community Committee:-

·  Support the updated Leeds Plan as a basis for conversation with citizens on the future of health and care.

·  Actively support widespread conversation and discussion of the Leeds Plan and narrative to encourage feedback and comment

·  Support the emerging model of Local Care Partnerships and actively engage with their development in their communities