Agenda item

To receive a report from the Head of Democratic Services which presents a briefing paper by the Leeds Health and Care Partnership on the current issues and actions linked to the Leeds health and care system resilience and winter planning process.

The Head of Democratic Services submitted a report which presented the Board with a briefing paper by the Leeds Health and Care Partnership regarding the current issues and actions linked to the Leeds health and care system resilience and winter planning process. While each organisation in the System has its own winter resilience plans, decision management and assurance process, the Board were provided with an overview of approaches, plans, progress and risk with capacity plans overseen by the Health and Social Care System Resilience Co-ordination Group.

The following were in attendance for this item:

·  Councillor Fiona Venner, Executive Member for Adult and Children’s Social Care and Health Partnerships

·  Councillor Salma Arif, Executive Member for Public Health and Active Lifestyles

·  Victoria Eaton, Director of Public Health

·  Shona McFarlane, Deputy Director Social Work and Social Care Service

·  Helen Lewis, Director of Pathway Integration, NHS West Yorkshire Integrated Care Board

·  Sam Prince, Executive Director of Operations, Leeds Community Healthcare NHS Trust

·  Mark Dodd, Interim Deputy Director for Service Delivery, Leeds and York Partnership NHS Foundation Trust

The Director of Pathway Integration, NHS West Yorkshire Integrated Care Board introduced the report which highlighted the following key headings; Acute, primary care and community demand; Mental health services; Public health plan; Vaccination; Demand assumptions for winter; Creating additional capacity; National planning requirements and resilience response; Governance arrangements for the ICB; and Risks.  It was highlighted that the systems action plans are developed to mitigate risk and identify areas where demand and capacity may be significantly increased.

The following areas were also discussed during the Board’s consideration of the report:

·  The vaccination plan aimed to be more pro-active with information being provided over social media to increase vaccination numbers in areas with low uptake. Efforts to reduce fear of vaccines was underway, including community consultation and information points in hospitals and shopping centres.

·  It was confirmed that all Primary Care Networks were providing Covid-19 and flu vaccinations through an opt in process, some concern from the public regarding taking a joint vaccine was noted.

·  Mental health community projects working along with the mental health transformation programme will align services to one system and assist with a reduction in patients ending up at crisis point.

·  Bed capacity issues can result in patients being moved to different sites, the priority will be to provide care as close to home as possible and have regular contact with the outreach team if moved. There was also an increase in home care provision noted.

·  Patient self-management is a common procedure and evaluation through the enhanced recovery programme can assist with the journey back home while providing therapy at relevant points if necessary.

·  Third sector pathways will use case-based patient evaluation to determine needs which has led to earlier discharge rates. However, it was noted that admission prevention is always prioritised.

·  Greater support will be needed for frailer people to reduce harm within the pressures of the cost of living crisis which will affect people’s physical and mental health and may increase cold and damp in homes.

RESOLVED - That the contents of the report, along with Members comments, be noted.