Agenda item

To consider a report from the Director of Adults and Health that provides an overview of the NHS Long Term Plan and some of the initial implications for Leeds and the region.

The Director of Adults and Health submitted a report that provided an overview of the NHS Long Term Plan (the Plan) and some of the initial implications for Leeds and the region.

Tony Cooke, Chief Officer, Health Partnerships, attended the meeting and in presenting the report, highlighted the following key elements of focus in the Plan for the Boards consideration:

·  The Plan presented a real commitment to person centred care through the integration of health and care provision and a focus on care closer to a patient’s home.

·  The Plan indicated a shift away from competition in the provision of services – with an emphasis on collaboration and partnership working.

·  The uplift in NHS funding indicated in the Plan was welcomed; however the need to recognise the social and economic wider determinants of health as key drivers for a lifetime of good health was also acknowledged.

·  The Plan reflected the approach being adopted in Leeds; with a number of measures already in place to support health and care in the city, many of which were stronger and more established than those suggested in the Plan, such as the Neighbourhood Networks and strength based approach to social care.

·  Although the Plan referenced health inequalities, further focus on mental health and learning disabilities would be welcomed.

Members discussed a number of matters including:

Inequality – The need to retain focus on the links between health, housing and finance and inequality was not emphasised within the Plan.

Green Paper on Adult Social Care (ASC) - Publication of the Government’s Green Paper was still awaited. Concerns remained over the long-term and sustainable funding of ASC and associated governance arrangements

Local Care Partnerships – Discussion focussed on the level of consultation and engagement undertaken with Councillors so far and how their comments could inform the emerging LCPs. Additionally, Members requested details of the proposed governance arrangements and level of Member involvement in LCPs. The intention to present a report on arrangements for Local Care Partnerships to a future Executive Board meeting was noted.

Funding for Rough Sleepers – It was felt that the £30m national allocation was insufficient to meet nationwide needs.

Mental Health Crisis Point of Access – Noting the national target for provision by 2023/24, the Board highlighted the need for earlier provision in Leeds.

Consultation and engagement – The Board emphasised the importance of meaningful consultation with residents and patients in developing improvements in health and care provision.

Nursing and residential home care placements – A comment regarding patients receiving care in nursing and residential home care settings rather than at home highlighted that such placements were not referenced within the Plan.

RESOLVED -

a)  That the contents of the report providing an overview of the NHS Long Term Plan and the discussions at the meeting be noted.

b)  That it be noted that the Leeds Health and Wellbeing Board will continue to provide strategic leadership for the Leeds Health and Care Plan and as part of its refresh influence the development of the WYH HCP five year strategy.

c)  That the matters identified during discussions be used to inform the ongoing development of the future Scrutiny Board’s work programme for 2019/20 and beyond.