Public Document Pack SCRUTINY BOARD (ADULTS,HEALTH & ACTIVE LIFESTYLES) Meeting to be held in Civic Hall, Leeds, LS1 1UR on Tuesday, 11th February, 2020 at 1.30 pm (A pre-meeting will take place for ALL Members of the Board at 1.00 p.m.) MEMBERSHIP Councillors C Anderson - Adel and Wharfedale; J Elliott - Morley South; N Harrington - Wetherby; H Hayden (Chair) - Temple Newsam; M Iqbal - Hunslet and Riverside; C Knight - Weetwood; G Latty - Guiseley and Rawdon; S Lay - Otley and Yeadon; D Ragan - Burmantofts and Richmond Hill; A Smart - Armley; P Truswell - Middleton Park; A Wenham - Roundhay; Co-opted Member (Non-voting) Dr J Beal - Healthwatch Leeds Please note: Certain or all items on this agenda may be recorded Principal Scrutiny Adviser: Steven Courtney Tel: (0113) 37 88666 Produced on Recycled Paper A A G E N D A Item Ward/Equal Item Not Page No Opportunities Open No 1 APPEALS AGAINST REFUSAL OF INSPECTION OF DOCUMENTS To consider any appeals in accordance with Procedure Rule 25* of the Access to Information Procedure Rules (in the event of an Appeal the press and public will be excluded). (* In accordance with Procedure Rule 25, notice of an appeal must be received in writing by the Head of Governance Services at least 24 hours before the meeting). 2 EXEMPT INFORMATION - POSSIBLE EXCLUSION OF THE PRESS AND PUBLIC 1. To highlight reports or appendices which officers have identified as containing exempt information, and where officers consider that the public interest in maintaining the exemption outweighs the public interest in disclosing the information, for the reasons outlined in the report. 2. To consider whether or not to accept the officers recommendation in respect of the above information. 3. If so, to formally pass the following resolution:- RESOLVED – That the press and public be excluded from the meeting during consideration of the following parts of the agenda designated as containing exempt information on the grounds that it is likely, in view of the nature of the business to be transacted or the nature of the proceedings, that if members of the press and public were present there would be disclosure to them of exempt information, as follows: No exempt items have been identified. B 3 LATE ITEMS To identify items which have been admitted to the agenda by the Chair for consideration. (The special circumstances shall be specified in the minutes.) 4 DECLARATION OF DISCLOSABLE PECUNIARY INTERESTS To disclose or draw attention to any disclosable pecuniary interests for the purposes of Section 31 of the Localism Act 2011 and paragraphs 13-16 of the Members’ Code of Conduct. 5 APOLOGIES FOR ABSENCE AND NOTIFICATION OF SUBSTITUTES To receive any apologies for absence and notification of substitutes. 6 MINUTES - 7 JANUARY 2020 7 - 14 To approve as a correct record the minutes of the meeting held on 7 January 2020. 7 MATERNITY AND NEONATAL SERVICES IN 15 - LEEDS - PROPOSED RECONFIGURATION OF 36 SERVICES To consider a report from the Head of Democratic Services introducing the proposed reconfiguration of maternity and neonatal services in Leeds; alongside details of the associated public consultation. 8 LEEDS TEACHING HOSPITALS NHS - ACCESS 37 - TO SERVICES 142 To consider a report from the Head of Democratic Services introducing a Leeds Teaching Hospitals NHS Trust report on access to services, particularly related to dermatology and spinal surgery services; alongside the latest Integrated Quality and Performance Report (January 2020) and an overview of the West Yorkshire Association of Acute Trusts (WYATT). C 9 CHAIR'S UPDATE 143 - 146 To receive an update from the Chair on scrutiny activity since the previous Board meeting, on matters not specifically included elsewhere on the agenda. 10 WORK SCHEDULE 147 - 172 To consider the Scrutiny Board’s work schedule for the 2018/19 municipal year. 11 DATE AND TIME OF NEXT MEETING The next meeting is scheduled for Tuesday, 31 March 2020 at 1:30pm (with a pre-meeting for all members of the Scrutiny Board at 1:00pm). To note the additional meetings scheduled for: 21 April 2020 19 May 2020 (Both meetings to be held on Tuesday at 1.30 pm. (With a pre-meeting for Board Members at 1.00 pm)) D THIRD PARTY RECORDING Recording of this meeting is allowed to enable those not present to see or hear the proceedings either as they take place (or later) and to enable the reporting of those proceedings. A copy of the recording protocol is available from the contacts on the front of this agenda. Use of Recordings by Third Parties – code of practice a) Any published recording should be accompanied by a statement of when and where the recording was made, the context of the discussion that took place, and a clear identification of the main speakers and their role or title. b) Those making recordings must not edit the recording in a way that could lead to misinterpretation or misrepresentation of the proceedings or comments made by attendees. In particular there should be no internal editing of published extracts; recordings may start at any point and end at any point but the material between those points must be complete. E This page is intentionally left blank Agenda Item 6 SCRUTINY BOARD (ADULTS,HEALTH & ACTIVE LIFESTYLES) TUESDAY, 7TH JANUARY, 2020 PRESENT: Councillor H Hayden in the Chair Councillors C Anderson, H Bithell, N Dawson, J Elliott, N Harrington, G Latty, S Lay, D Ragan, A Smart, P Truswell and A Wenham 70 Appeals Against Refusal of Inspection of Documents There were no appeals. 71 Exempt Information - Possible Exclusion of the Press and Public There were no exempt items. 72 Late Items There were no formal late items. However, some supplementary information in relation to Item 13 (Work Schedule) was submitted and distributed to Members prior to the meeting (Minute 82 refers). 73 Declaration of Disclosable Pecuniary Interests There were no declarations of disclosable pecuniary interests; however in the interests of transparency the following personal interests were drawn to the attention of the Board: Councillor Ragan – a close family member was in receipt of a direct payment. Councillor Lay – employed by Harrogate and District NHS Foundation Trust. 74 Apologies for Absence and Notification of Substitutes Apologies were received from Councillors M Iqbal, C Knight and co-opted member Dr J Beal. Councillors N Dawson and H Bithell were in attendance as substitutes. 75 Minutes - 26 November 2019 RESOLVED – That the minutes of the meeting held 26 November 2019 be approved as an accurate record. 76 Performance update - Adult Social Care, Public Health and Active Lifestyles Draft minutes to be approved at the meeting to be held on Tuesday, 11th February, 2020 Page 7 The Director of Adults and Health and the Director of City Development submitted a report that provided an overview of outcomes and service performance related to the council priorities and services within the Board’s remit. The following documents were appended to the report: - 2018-19 Leeds Adult Social Care Outcomes Framework and Better Lives Strategy - Public Health Population Indicators The following were in attendance: - Councillor Rebecca Charlwood, Executive Member for Adults, Health and Active Travel - Cllr Mohammed Rafique, Executive Member for Environment and Active Lifestyles - Cath Roff, Director, Adults and Health - Dr Ian Cameron, Director of Public Health, Adults and Health - Peter Storrie, Head of Service (Performance Management and Improvement), Resources and Housing - Steven Baker, Active Leeds Business Manager, City Development The Director of Adults and Health introduced the headline performance issues, as detailed in the submitted report. While recognising positive performance across a number of areas, Members discussed a number of specific matters, including: Direct care payments. Members queried the approach taken to address the decline in the proportion of people who receive direct care payments, and were informed of a number of initiatives in place to encourage sign-up, such as a pre-payment card designed to reduce the amount of administration for carers to complete. Other initiatives included providing a support service to assist in the recruitment of personal assistants; and a personal assistants workforce development strategy. Members were also advised that the Council supports personal preference, which for some is to continue with a Council- managed budget. Delayed transfers of care. Members were informed that the delayed transfers of care from hospital indicator had been adapted to include mental health admissions, and that this was likely to have impacted the progress due to the challenging support needs of dementia patients. However, Members were assured that performance in acute delays across all admissions had improved. Population indicators. The Board requested that comparisons with other cities be included in future reports for indicators measured by population. Reablement and rehabilitation services. Members queried the decline in access to reablement and rehabilitation services, and were advised that the referral pathway into reablement was recently expanded, Draft minutes to be approved at the meeting to be held on Tuesday, 11th February, 2020 Page 8 however this had resulted in a large proportion of unsuitable referrals causing inefficiency within the service. Demand and workforce. Members were advised that demand and workforce remains a significant challenge, particularly for registered nurses in nursing homes. The Director also reported general pressures attracting prospective employees into the health and care sector, suggesting a social care minimum wage (higher than the national minimum wage) could help make the sector a more attractive prospect. Male suicide rates. Members were advised of a greater proportion of male to female deaths in Leeds compared to national trends. Members sought detail around projects focused on male wellbeing and suicide prevention, and were informed of a number of community groups supported to provide peer support, as well as the Annual Suicide Audit, which is published and then discussed at a large scale event with health partners, to understand challenges and support needs.