The joint report submitted by
the Director of Adults and Health, the Director of Public Health
and the Director of City Development provided an overview of
outcomes and service performance related to the Council and city
priorities within the remit of the Adults Health and Active
Lifestyles Scrutiny Board.
The following were in
Councillor Fiona Venner - Executive Member for Children’s
Social Care and Health Partnerships
Councillor Salma Arif - Executive Member for Adults Social Care,
Public Health and Active Lifestyles
Caroline Baria - Interim Director of Adults and Health
Victoria Eaton - Director of Public Health
Tim Fielding - Deputy Director of Public Health
Tony Cooke - Chief Officer Health Partnerships
Steve Baker - Head of Active Leeds
Rob Wood – Intelligence and Policy Manager, Adults and
Shona McFarlane – Deputy Director of Adults and Health
In considering the performance details
presented, the Board discussed a number
of matters in more detail, across Adult Social Care, Public
Health and Active Lifestyles, including the following:
- Commentaries of the health
inequality data had not been included in the report as publication
from the Office for National Statistics data had been delayed until
- Life expectancy data for men and
women remained stable, public health services continued to perform
well, including access to NHS public health checks. Indicators will
remain under review in line with the Marmot City work to support
the strategic aims for Leeds, where ‘people who are
the poorest improve their health the
- The report covered a broad scope and
a previous submission of this data had been reviewed to be clearer
in content. The key indicators to provide an overview of long-term
public health and service delivery measures and inequalities will
be brought back to the Board every 6 months, supplemented with
practical short-term actions.
- Data regarding vaping was noted to
be emerging and although not included in this report, it was
highlighted that analysis of this data will be conducted and can be
brought back to the Board as part of future update reports.
- The Chair made
reference to the data indicating a rise in obesity levels
for younger people and highlighted his intention to bring this to
the attention of the Chair of the Children’s and Families
- Members noted that for data sets
that show a significant change on previous data, it would be of use
to have greater analysis of causation and corelation to understand
- Processes for shorter term funding
bids for obesity reduction initiatives raised some concern as
funding levels often do not meet the scale of certain projects.
Positives were noted for longer term projects for tackling
childhood obesity issues and successes in Local Care Partnerships
can be learnt from and become more integrated within Public Health
and NHS work.
- The report provided an overview of
the latest figures and measures of adult social care and activity
levels, including adult social care outcomes framework and relevant
figures for the Best City Ambition, Better Lives Strategy and Care
Quality Commission (CQC) assessment framework.
- The gathering and reporting process
for data collection was noted to be in a period of revision
in order to provide performance measures
in line with the national changes to the CQC framework for 2023/24.
This was outlined as a positive to the service for better analysis
of topics such as the success of third sector commissioning and
data will be live to provide better performance indicators to
better inform strategies.
- Demand for adult social care
services had risen, however, funding was below that of pre-pandemic
level, with a fall in workforce capacity. During 2022/23 Adults
Social Care had provided long term care to more than 10,500
- Data for Leeds when compared to key
national measures was noted to be positive, with 11 out of 16
measures improving from the previous year, including increased
levels of service users and carers noting better support.
- In response to a question regarding
the Tele Care installation figures, at page 126 of the report, an
increase was expected for the municipal year, with changes to
marketing and service delivery to provide a broader range of
options to service users.
- The sustained trend in increased
safeguarding concern figures was perceived to be due to an increase
in referrals, with awareness campaigns likely influencing this, as
well as increased West Yorkshire Police and the Ambulance Service
- Safeguarding referrals do not always
require a section 42 enquiry but referrals will be signposted to
appropriate bodies for the required care and support. Safeguarding
inquiry levels had remained similar to
the previous year.
- Relative to population demographics,
data showed fewer safeguarding referrals from culturally diverse
communities. Voluntary Access Leeds had been commissioned to
understand whether this was due to access or communication issues
and the efforts had led to some increase in reporting from these
- The inactivity rate
of the population had significantly fallen, since its sharp rise
during the Covid-19 pandemic and there are now more people active
than that recorded in the original survey of 2016.
- The figures noted a
better activity result that the national and regional averages,
however, greater levels of inactivity were recorded in areas with
higher deprivation rates.
- The Physical Activity
Ambition and Get Set Leeds initiatives were working to increase
activity levels in areas of deprivation; the Get Set Leeds
programme had secured funding for two further years through Sports
- Data had been
gathered from Sports England, which is reported annually and
consists of surveys from 2000 people in Leeds and categorises three
scaled levels of activity.
- There was revision to
the process for gathering data outlined, to increase the scope of
participation and gather more social or demographic information
with the Council, in liaison with Sports England.
- Positives for the
department were noted as, increased numbers of people taking
swimming classes and gym memberships at leisure centres and
longer-term funding secured to test service initiatives and
understand the needs of different communities.
- Long waiting lists,
particularly for swimming lessons at leisure centres, were noted,
although funding, space and workforce capacity issues may impact
this, there were 1500 more children signed up than pre-pandemic
- Healthy holiday
activities were planned over the summer, providing free swimming
lessons for children, including equipment provision.
- 90% of schools in
Leeds were somewhat engaged with leisure centre
- Interim targets for
the service were outlined as a 1% reduction every year for
inactivity rates; this was to be reviewed with reference to the
Health and Wellbeing strategy.
The Board extended their thanks to Executive Members and Officers for
their ongoing work.
That the contents of the report, along with Members
comments, be noted.