Agenda and minutes

Apologies for Absence were received from:-

Councillor Rita Patel            Assistant City Mayor Communities, Equalities and Special Projects, Leicester City Council.

Ivan Browne                         Director of Public Health, Leicester City Council.

Professor Azhar Farooqi     Co-Chair Leicester City Clinical Commissioning Group.

Andrew Fry                            College Director of Research, University of Leicester.

Angela Hillery                       Chief Executive, Leicestershire Partnership NHS Trust.

Haley Jackson                      Deputy Director of Strategic Transformation, NHS England and NHS Improvement.

Harsha Koteca                      Healthwatch Advisory Board, Leicester and Leicester.

Richard Lyne                        General Manager, Leicestershire, East Midland Ambulance Service NHS Trust.

Rupert Matthews                  Leicester, Leicestershire and Rutland, Police and Crime Commissioner.

John Macdonald                  Chair of University Hospitals of Leicester NHS Trust.

Oliver Newbould                  Director of Strategic Transformation, NHS England and NHS Improvement.

Dr Avi Prasad                       Co-Chair Leicester City Clinical Commissioning Group.

Kevin Routledge                  Strategic Sports Alliance.

Chief Supt Adam Streets    Head of Local Policing Directorate, Leicestershire Police.

Members are asked to declare any interests they may have in the business to be discussed at the meeting.

Members were asked to declare any interests they may have in the business to be discussed at the meeting.  No such declarations were received.

To note the membership of the Board for 2021/22 approved by the Council on 29 April 2020:-

City Councillors: (5 Places)

Councillor Vi Dempster, Assistant City Mayor, Health (Chair)

Councillor Piara Singh Clair, Deputy City Mayor, Culture, Leisure and Sport

Councillor Sarah Russell, Deputy City Mayor, Social Care and Anti-Poverty

Councillor Elly Cutkelvin, Assistant City Mayor, Education and Housing

Councillor Rita Patel, Assistant City Mayor, Communities, Equalities and Special Projects

City Council Officers: (4 Places)

Martin Samuels, Strategic Director of Social Care and Education

Ivan Browne, Director Public Health

Dr Katherine Packham, Public Health Consultant

1 Vacancy to be nominated by the Chief Operating Officer

NHS Representatives: (7 Places)

Chief Executive, University Hospitals of Leicester NHS Trust

Professor Azhar Farooqi, Co-Chair, Leicester City Clinical Commissioning Group

Angela Hillery, Chief Executive, Leicestershire Partnership NHS Trust

Oliver Newbould, Director of Strategic Transformation, NHS England & NHS Improvement – Midlands

Dr Avi Prasad, Co-Chair, Leicester City Clinical Commissioning Group

David Sissling, Independent Chair of the Integrated Care System for Leicester, Leicestershire and Rutland

Andy Williams, Chief Executive, Leicester, Leicestershire and Rutland Clinical

Commissioning Group

Healthwatch / Other Representatives: (8 Places)

Harsha Kotecha, Chair, Healthwatch Advisory Board, Leicester and Leicestershire

Andrew Brodie, Assistant Chief Fire Officer, Leicestershire Fire and Rescue Service

Rupert Harding, Leicester, Leicestershire and Rutland Police and Crime Commissioner

Kevan Liles, Chief Executive, Voluntary Action Leicester

Kevin Routledge, Strategic Sports Alliance Group

Mandip Rai, Director, Leicester & Leicestershire Enterprise Partnership

Chief Superintendent, Adam Streets, Head of Local Policing Directorate, Leicestershire Police

1 Unfilled Vacancy

STANDING INVITEE: (Not A Council Appointed Voting Board Member – Invited by the Chair of the Board. and no set number of places)

Cathy Ellis, Chair of Leicestershire Partnership NHS Trust

Professor Andrew Fry – College Director of Research, Leicester University

Richard Lyne, General Manager, Leicestershire, East Midlands Ambulance Service NHS Trust

John MacDonald, Chair of University Hospitals of Leicester NHS Trust,

Professor Bertha Ochieng – Integrated Health and Social Care, De Montfort University

The Board noted it’s membership for 2021/22 approved by the Council on 29 April 2021 as follows:-

City Councillors: (5 Places)

Councillor Vi Dempster, Assistant City Mayor, Health (Chair)

Councillor Piara Singh Clair, Deputy City Mayor, Culture, Leisure and Sport

Councillor Sarah Russell, Deputy City Mayor, Social Care and Anti-Poverty

Councillor Elly Cutkelvin, Assistant City Mayor, Education and Housing

Councillor Rita Patel, Assistant City Mayor, Communities, Equalities and Special Projects

City Council Officers: (4 Places)

Martin Samuels, Strategic Director of Social Care and Education

Ivan Browne, Director Public Health

Dr Katherine Packham, Public Health Consultant

1 Vacancy to be nominated by the Chief Operating Officer

NHS Representatives: (7 Places)

Chief Executive, University Hospitals of Leicester NHS Trust

Professor Azhar Farooqi, Co-Chair, Leicester City Clinical Commissioning Group

Angela Hillery, Chief Executive, Leicestershire Partnership NHS Trust

Oliver Newbould, Director of Strategic Transformation, NHS England & NHS Improvement – Midlands

Dr Avi Prasad, Co-Chair, Leicester City Clinical Commissioning Group

David Sissling, Independent Chair of the Integrated Care System for Leicester, Leicestershire and Rutland

Andy Williams, Chief Executive, Leicester, Leicestershire and Rutland Clinical

Commissioning Group

Healthwatch / Other Representatives: (8 Places)

Harsha Kotecha, Chair, Healthwatch Advisory Board, Leicester and Leicestershire

Andrew Brodie, Assistant Chief Fire Officer, Leicestershire Fire and Rescue Service

Rupert Harding, Leicester, Leicestershire and Rutland Police and Crime Commissioner

Kevan Liles, Chief Executive, Voluntary Action Leicester

Kevin Routledge, Strategic Sports Alliance Group

Mandip Rai, Director, Leicester & Leicestershire Enterprise Partnership

Chief Superintendent, Adam Streets, Head of Local Policing Directorate, Leicestershire Police

1 Unfilled Vacancy

STANDING INVITEE: (Not A Council Appointed Voting Board Member – Invited by the Chair of the Board. and no set number of places)

Cathy Ellis, Chair of Leicestershire Partnership NHS Trust

Professor Andrew Fry – College Director of Research, Leicester University

Richard Lyne, General Manager, Leicestershire, East Midlands Ambulance Service NHS Trust

John MacDonald, Chair of University Hospitals of Leicester NHS Trust,

Professor Bertha Ochieng – Integrated Health and Social Care, De Montfort University

To note the Board’s Terms of Reference approved by the Annual Council on 29 April 2021.

The Board noted the Terms of Reference approved by the Annual Council on 29 April 2021.

The Minutes of the previous meeting of the Board held on 25 March 2021 are attached and the Board is asked to confirm them as a correct record.

RESOLVED:

The Minutes of the previous meeting of the Board held on 25 March 2021 be confirmed as a correct record.

To consider updates on good practice and innovation from organisations represented on the Board relating to a number of health and wellbeing issues.

Updates on good practice and innovation from organisations represented on the Board relating to a number of health and wellbeing issues were received.

These included:-

Leicester Partnership NHS Trust

·         Supporting people with long term cardio-respiratory conditions through the Covid-19 period, within restricted face to face contact due to IPC guidance in healthcare settings through providing Covid virtual wards for long term conditions management.

·         Divert as many patients as possible from A&E to increase their capacity to deal with the start of the Covid-19 pandemic by establishing and developing a urgent mental health care hub.

·         Improve the gap in the engagement of children and young people in reviewing and co-designing services through the application of ‘youth proofing services’ in the LPT Youth Advisory Board.

Police

·         Throughout Covid, there have been an increased demand on Emergency and Mental Health services, with often first-time presentation of a Mental Health illness, through the Police and Mental Health Proactive Triage Car to ensure the correct pathfinder / service.

·         Increase in Mental Health demand with limited referral pathways / reduction in face to face contact by other services during Covid-19 such as a transfer to telephone support.  The Proactive Vulnerability Engagement Team (PAVE), however continued to complete face to face visits were this was considered necessary.

·         PAVE jointly visited vulnerable residents with one of the local police neighbourhood officers to identify individuals that may require additional support and referrals to look at alternative way to reduce demand and resolve some of the key neighbourhood concerns expeditiously with multiagency approach.

University of Leicester

·         Identification of those who might be at greatest risk of infection or adverse outcomes, particularly among healthcare workers from black and minority ethnic backgrounds through :-

o   A project led by Prof Kamlesh Khunti (Director of Centre for Ethnic Health Research and member of SAGE) and Dr Manish Pareek (Associate Clinical Professor in Infectious Diseases).

o   Played pivotal role in bringing to light the disproportionate impact of COVID-19 on those from black, Asian and minority ethnic communities.

o   £2.1M government funding (UKRI and NIHR) for UK-REACH study into ethnicity and COVID-19 outcomes in healthcare workers.

o   Working with 30,000+ clinical and non-clinical members of NHS staff to determine their COVID risk based on analysis of health care records.

o   One of the outcomes was a new Risk Reduction Framework for NHS staff to better protect NHS workforce and maximise ability of NHS to deal with pandemic pressures.

o   Lack of easily accessible patient-focused information aimed at individuals who have had and were recovering from COVID-19 infection.  Need for clear advice on how to manage the physical, emotional and psychological effects through a on line

Voluntary Action Leicester

·         Enabling effective support for vulnerable service users with Learning Disability during Covid restrictions through providing Covid safe support in person and via online connections through.

·         Volunteer support for the Covid vaccination programme in recruiting 2,700 volunteers.  VAL continued to recruit, co-ordinate and deploy volunteers across 36 sites which was likely to be for the remainder  ...  view the full minutes text for item 32.

Sara Prema (Executive Director of Strategy and Planning for Leicester, Leicestershire and Rutland CCGs) to give a presentation.

Sarah Prema (Executive Director of Strategy and Planning for Leicester, Leicestershire and Rutland CCGs) gave a presentation on the Integrated Care System – Principles, Priorities and Purpose.

During the presentation it was noted that:-

·         Although Integrated Care was not new hand had been in existence for some time the responsibility for it would be put on a statutory footing from April 2022.

·         It would enable transformation of health and care through joining up and co-ordination of services with a proactive and preventative focus and be responsive to the needs of local populations.

·         Current guidance indicated that this would 80% for local determination and 20% mandated through legislation and government and national health bodies.

·         It was expected that the current parliamentary Bill would be discussed by the House of Lords after the summer recess.

·         Examples of what had already been done to integrate services was outlined the presentation. Co-locating social care and community services had been key in making improvements.

·         There was flexibility to add others to the Health and Partnership Group above the statutory requirements.

During discussion, members commented that:-

·         The proposals for memberships of the Health and Care Partnership Group to exclude elected members ahead of formal legislation being in place was unusual.  There was a need to recognise the key differences democratically of the lead political and officer leaderships in the various organisations involved.  The 3 lead Councils in the LLR were all different politically and were responsible for areas which had differing health needs and priorities and differing financial resources.

·         This would be an evolving long term strategy as one solution would not fit all needs and the involvement of the respective Health and Wellbeing Boards would generate questions about the future sustainability and development issues.

·         The Health & Wellbeing  Boards needed to be involved in defining the partnership arrangements from a local government led perspective and not an NHS led viewpoint.

·         The role and responsibilities of the Board and the officer led groups would need further discussion going forward to clarify priorities and feed in desired service provisions needs.  This could be addressed through a development session.

·         Though would need to be given on how the work and views of other interested groups such as the Safeguarding Children Partnership Boards and Learning Disability Boards etc are incorporated into the process for assessing service needs.

·         The processes involved would need to constantly grow and evolve to respond to what was considered unsatisfactory, what needed ot be tackled next and what issues were still unresolved.

·         One of the strengths of the Board is considering the wider determinants of health and wellbeing including education and housing etc and these are represented on the Board whereas the present system partnership group is predominately health and social care body and thought needs to be given to how the system partnership board does not end up being narrower in focus than the Health and Wellbeing Boards which are place.  Police, Fire and Rescue and Universities footprints also need ot be incorporated.

·         The new  ...  view the full minutes text for item 33.

Sara Prema (Executive Director of Strategy and Planning for Leicester, Leicestershire and Rutland CCGs) and Katherine Packham (Public Health Consultant, Leicester City Council) to give a presentation outlining of the Health and Wellbeing Board at Place and the role of place within the integrated Care System.  It also sets out the approach and options for rewriting /revising the Joint Health and Wellbeing Strategy and the delivery of place delivery plans and timelines.

Sara Prema (Executive Director of Strategy and Planning for Leicester, Leicestershire and Rutland CCGs) and Katherine Packham (Public Health Consultant, Leicester City Council) gave a presentation outlining the Health and Wellbeing Board at Place and the role of place within the integrated Care System.  It also set out the approach and options for rewriting /revising the Joint Health and Wellbeing Strategy and the delivery of place delivery plans and timelines.

The current Leicester Health & Wellbeing Strategy published in 2019 set out a strategy until 2024 and there was now a need to look at how this would fit into the arrangements being proposed for the Integrated Care System in the future.

The core themes of the 2019 strategy (Healthy Places, Healthy Minds,

Healthy Start, Healthy Lives, Healthy Ageing) were still relevant and the Coronavirus pandemic had accentuated pre-existing inequalities.

Three options for the current strategy were outlined together with their advantages and disadvantages:-

·         Option 1: Keep existing Health and Wellbeing strategy.

·         Option 2: Full rewrite of Health and Wellbeing Strategy.

·         Option 3: Minor refresh of the current Health and Wellbeing

·         Strategy.

The preference was for Option 3 to enable a small revision to update for Covid impact and mortality inequalities affecting communities and ethnic background etc by January 2022.  It was proposed keep the existing strategy until 2024 and then refresh the whole plan.  It would be a collaborative plan to do at ‘place’ with concordance rather than compliance on a strength-based approach to look at community-based assets.  The suggested outline was contained in the presentation to be deliver through annual action plans.

It was suggested that the working group take into account the work of the Climate Emergency and Anti-Poverty Policies that would be in place by the time the strategy was revised and to take these into account. 

RESOLVED:-            Officers were thanked for the presentation and update and the Board supported the review of the strategy as outlined in Option 3 and asked officers to consider extending the strategy timeline from 2024 to 2030.

The Chair to invite questions from members of the public.

No questions from members of the public had been received.

The Chair announced that the Council’s Director of Public Health, Ivan Browne, had been honoured by receiving an Honorary Degree from Loughborough University in recognition of the outstanding contribution he had made throughout the Covid-19 pandemic to the City and the region in what had been one of the most challenging times in living memory.  The Board congratulated Mr Browne for his achievements.

To note that future meetings of the Board will be held on the following dates:-

Thursday 28 October 2021 – 9.30 am

Thursday 27 January 2022 – 9.30am

Thursday 28 April 2022 – 9.30 am

Meetings of the Board are scheduled to be held in Meeting Rooms G01 and 2 at City Hall unless stated otherwise on the agenda for the meeting.

The Board noted that the Annual Council on 29 April 2021 had approved future meetings of the Board would be held on the following dates:-

Thursday 28 October 2021 – 9.30 am

Thursday 27 January 2022 – 9.30am

Thursday 28 April 2022 – 9.30 am

Meetings of the Board were scheduled to be held in Meeting Rooms G01 and 2 at City Hall unless stated otherwise on the agenda for the meeting.