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Agenda and minutes

Agenda and minutes

Venue: Meeting Room G.01/G02, Ground Floor, City Hall, 115 Charles Street, Leicester, LE1 1FZ

Contact: Graham Carey, Tel 0116 4546356 or Internal 376356 

Media

Items
No. Item

49.

APPOINTMENT OF CHAIR

Additional documents:

Minutes:

It was reported that the Chair Councillor Dempster would be arriving later in the meeting due to a previous Council engagement.

 

RESOLVED:-

 

That Councillor Singh Clair be appointed Chair of the meeting until such time as Councillor Dempster arrived at the meeting.  

50.

APOLOGIES FOR ABSENCE

Additional documents:

Minutes:

Apologies for Absence were received from:-

 

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

 

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

 

Kevan Liles                                 Chief Executive, Voluntary Action Leicester

 

Richard Mitchell                         Chief Executive, University Hospitals of Leicester NHS Trust

 

Kevin Routledge                        Strategic Sports Alliance Group

 

Chief Supt Jonny Starbuck      Head of Local Policing Directorate, Leicestershire Police

 

Martin Samuels                          Strategic Director of Social Care and Education

 

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

 

51.

DECLARATIONS OF INTEREST

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

 

Additional documents:

Minutes:

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

 

 

52.

MINUTES OF THE PREVIOUS MEETING pdf icon PDF 195 KB

The Minutes of the previous meeting of the Board held on 28 October 2021 are attached and the Board is asked to confirm them as a correct record.

Additional documents:

Minutes:

RESOLVED:

 

The Minutes of the previous meeting of the Board held on 28October 2021 be confirmed as a correct record.

53.

SPOTLIGHT ON CASE STUDY pdf icon PDF 207 KB

The Chair to introduce an anonymised case study of someone who was diagnosed with COPD and outlines his subsequent health issues.  

Additional documents:

Minutes:

Consideration of the item was deferred until the Chair had arrived at the meeting.

54.

THE LEICESTER HEALTH, CARE AND WELLBEING STRATEGY 2022-2027 pdf icon PDF 218 KB

Dr Katherine Packham, Consultant in Public Health, Leicester City Council will present the report.

 

The Board is asked to approve the final version of the overarching priority of the strategy outlined in the report  and to approve the Leicester Health, Care and Wellbeing Strategy 2022-2027 and commit to the action plan development process to develop an action plan for implementation of the strategy.

Additional documents:

Minutes:

Dr Katherine Packham, Consultant in Public Health, Leicester City Council presented the Leicester Health, Care and Wellbeing Strategy, 2022-2027 which had been updated since the Board considered the Draft Strategy on 28 October 2021.

 

The Board were asked to approve the final version of the overarching priority of the strategy outlined in the report  and to approve the Leicester Health, Care and Wellbeing Strategy 2022-2027 and commit to the action plan development process to develop an action plan for implementation of the strategy.

 

It was noted that:-

 

·         The Strategy combined the draft strategy together with the items which had emerged from the development sessions since then. 

·         The 19 priorities had been the subject of an online public engagement exercise from November 2021 to January 2022, as well as an extensive programme of discussion and engagement with a range of partnership boards and groups, and community groups and organisations.

·         The Strategy aimed to tackle the Inverse Care Law where those who needed health care the most are least likely to receive it.

·         It was intended to put all the priorities into the supporting Action Plan to form a list of issues which needed to be addressed during the 5-year period of the Strategy.  A smaller manageable number (4-6 priorities) would be identified to be addressed in the in short term with the others being put into lower priority categories to be developed so everyone gets services proportionate to existing needs and circumstances.   As the Action Plan progressed, and the initial priorities were achieved, the Action Plan would be reviewed and priorities in the lower priority groups would be re-assessed to determine which should be considered to be addressed next. In this way, the Action Plan would be responsive to the changing health needs and circumstances prevalent at that time.        

·         Staff were working with the communications and engagement staff in the CCG.

·         A rapid engagement group citizens panel had looked at the current wording of overarching priority of ‘Working together to enable everyone in Leicester to have an equal opportunity for good health and wellbeing’ and had preferred ‘fair’ to ‘same’ or ‘equal’ in relation to opportunity. 

·         It was hoped to get the final Strategy and collaborative Action Plan to the Board’s next meeting.

 

Members of the Board commented that:-

 

·         The Strategy did not comment upon the primary determinants of health such as employment and housing etc. 

·         ‘Enable’ in the overarching statement could mean that the opportunity was their there but ‘fair’ could mean that if people don’t pick up the opportunity it was their fault.

·         ‘I statements’ were supported in the Strategy together with the extensive engagement that had been carried out.  Continued engagement could be addressed as part of the Action Plan.

 

Once the final version of the Strategy was available it would go through the Council’s process for approval and scrutiny.  The Strategy would also need to go to integrated boards and any other body or partners involved in the Strategy to get the Strategy into a wider audience  ...  view the full minutes text for item 54.

55.

COUNCILLOR DEMPSTER IN THE CHAIR

Additional documents:

Minutes:

Councillor Dempster arrived in the meeting and apologised for being delayed.  Councillor Dempster resumed her role as Chair for the remainder of the meeting    

56.

SPOTLIGHT ON CASE STUDY

Additional documents:

Minutes:

The Chair introduced an anonymised case study of someone who was diagnosed with COPD and outlined his subsequent health issues.

 

The Chair commented that it was important to come back to issues to focus on what was done by all involved to provide best possible services to meet people needs and to listen to concerns and to respond to them in a positive manner.  The Chair felt that the case study showed what good was done, but also showed those things that did not go right.  It was importance to address these issues and make sure they don’t happen again. 

 

Members of the Board commented that:-

 

·         The circumstances linked into the Health & Wellbeing Strategy.  The person was likely to have been a smoker and smoking services funding had been decreased.  If the person had lived in County, it was likely statistically that the COPD issues would have picked up earlier.  Once COPD was diagnosed it was less likely the person would have got services as there were less in the city and the person was less likely to have received flu jabs as there were lower rates of these in the City

·         This was a good study and it highlighted that the importance of wellbeing as well as care of wellbeing seemed to have fallen through the cracks.

·         It was felt that the patient was a bystander in their care, and it was important to make sure patients were actively part of their care package and pathway.

 

RESOLVED:-

 

That the Case Study be received and all partners on the Board ensure that the lessons learned are addressed and included in the future care of patients.

57.

PRIMARY CARE DEVELOPMENT pdf icon PDF 127 KB

Yasmin Sidyot, Deputy Director Integration & Transformation, Leicester City Council to give a presentation on primary care development plans in Leicester City which covers the context, key achievements, vision, focus areas and priorities. 

Additional documents:

Minutes:

Yasmin Sidyot, Deputy Director Integration & Transformation, Leicester City Council submitted a report on the Identification of Unregistered Patients Programme and gave a presentation on primary care development plans in Leicester City which covered the context, key achievements, vision, focus areas and priorities.

 

During the presentation it was noted that:-

 

·         The last 2 years had placed unprecedented demand on health and social care.

·          LLR Primary Care Networks and practices had collaboratively implemented a very successful Mass Covid Vaccination Programme, staffed by local primary care staff, wider health and social care teams and volunteers from local communities.

·         The pandemic had significantly impacted on staffing levels due to sickness, self-isolation and the opportunity to recruit into vacancies.

·         During the Covid period, practices had very quickly set up more telephony and virtual based contact with patients and this had been challenging for a number of reasons including the telephone systems that were in place were not equipped to deal with the call demands placed upon them.  Although most practices had upgraded their systems to move to cloud-based telephony it had required retraining staff in the use of the new technology and having the right technology infrastructure in place that could support it.

·         The aim to improve access to priority care included:-

o   Negating the need for patients to ring at 8.00am and ensure that same day access must be fit for purpose and needs based.

o   Where patients required additional services not offered by general practices, practices must have local services to book patients into where a GP is not appropriate for:-

§  1. Pharmacy

§  2. Optometrist

§  3. Therapy services

§  4. Mental health services

§  5. Urgent treatment Centres / minor injury services

·         Develop & implement service delivery models at neighbourhood / place level i.e. minor surgery etc.

·         An understanding of the variation in access, outcomes and service utilisation would be co designed and officers would work in partnership with practices and PCN’s to understand how variations can be reduced.

·         Where practices were struggling, officers would jointly agree a plan to tackle the issues and then work together with each PCN to implement working jointly with the LMC co produce a framework to support a Quality Improvement approach.

·         Practice sustainability and business continuity plans would be part of the joint improvement programme at practice level, with support provided to practice managers / business managers to enable plans to be stress tested and regularly reviewed.

·         The improvements planned for service delivery models were outlined.

·         Workforce and leadership development proposals were explained in the presentation.

·         The planned Primary Care trajectories were:-

o   Return to 2019 appointment levels across all general practice

o   Benchmarking of Practice appointments against locally agreed standard of minimum 75 appointments per 1000 population

o   100% of completion of all Primary Care Backlog by Q3 2022/23

o   Improvement in prevalence targeted Long Term Conditions

o   50% of GP appointments are face to face

o   100% active participation of general practice in CPCS

o   Increase in FTE GPs

o   Balanced scorecard  ...  view the full minutes text for item 57.

58.

TOBACCO CONTROL STRATEGY pdf icon PDF 159 KB

Amy Endacott, Tobacco Control Lead, Public Health, Leicester City Council to give a presentation on the Tobacco Control Strategy.

Additional documents:

Minutes:

Amy Endacott, Tobacco Control Lead, Public Health, Leicester City Council gave a presentation on the Tobacco Control Strategy.

 

During the presentation it was noted that:-

 

·         In 2019 the Government laid out their ambition to achieve a smoke free generation (where prevalence of smoking is 5% or less) by 2030.

·         Smoking rates had been in decline both nationally and locally over the last 20 years and were currently at their lowest ever rates of 13.9% nationally, and 15.4% locally.

·         This trend has not translated across all groups, particularly those with mental health issues and those in routine and manual occupations, and smoking rates had remained unfairly high in these groups.

·         A Tobacco Control Strategy for Leicester City was published in March 2021 which outlined how the Council intended to work towards the Government’s 2030 ambition on a local level. It highlighted four key aims which will be integral to driving down smoking rates:

o   Partnership working to address tobacco control within Leicester City

o   Achieving a smoke free generation

o   Smoke free pregnancy for all

o   Reducing the inequality gap for those with mental ill-health

·         The interim target for a smoke free generation was to achieve 12% or less smoking and less than 3% of young people smoking and to reduce the levels of smoking in pregnancy before end of this year.  Work was progressing with UHL in relation to anti-smoking in pregnancy and mental health.

·         Smoking still a massive inequalities issues but reduced over last 20 year – smoke free generation by 2030 (less than 5% of pop smoke).

 

The Board were asked to:-

 

1.    Support the actions arising from the Tobacco Control Alliance (TCA) through: promotion, sharing key communications, partnership working to achieve the goals and encouragement of staff to attend relevant training.

2.   Provide representation on the TCA on an ongoing basis from the CCG, UHL and LPT.

3.   Support the development of a robust approach to helping smokers who have mental health conditions to quit which is empathetic to their unique needs:

    LPT had recruited a smoke free lead to progress this work within inpatient settings, but it was not funded to extend into the community

    Ask the CCG to consider investing in the work proposed for the community?

4. Embed tobacco control in COVID recovery work – protecting the most vulnerable in our society from the impacts of COVID, keeping people out of hospitals etc.

 

RESOLVED:-

 

That the Board support the four requested outlined above and partner organisations were requested to provide representatives on the Tobacco Control Alliance.

59.

HEALTHY START - FIRST 1001 CRITICAL DAYS OF LIFE pdf icon PDF 935 KB

Sue Welford (Principal Education Officer, Leicester City Council) Mel Thwaites (Head of Women’s and Children’s Transformation, CCG) and Clare Mills (Public Health Children’s Commissioner) to present a report and give a presentation on Healthy Start – First 1001 Critical Days of Life.

 

Additional documents:

Minutes:

Sue Welford (Principal Education Officer, Leicester City Council) Mel Thwaites (Head of Women’s and Children’s Transformation, CCG) and Clare Mills (Public Health Children’s Commissioner) presented a report and gave a

presentation on Healthy Start – First 1001 Critical Days of Life.

 

During the presentation the following was noted:-

 

·         Leicester was a deprived city and 31% of children were in low-income families compared with 19% nationally.

·         There were high numbers of homeless, or at risk of homelessness, families requiring protection.

·         There were high levels of obesity in early pregnancy.

·         The City had areas with high under-18 conception rates.

·         Over a fifth of under 25-year-old mothers were smokers at the time of delivery.

·         The breastfeeding prevalence at 6 to 8 weeks varies across the city

·         Infant mortality rates were a significant concern; there were approximately 28 infant deaths (under 12 months) per year in Leicester and 5.9 deaths per 1,000 live births which was significantly higher than England (3.9).

·         There were low MMR immunisation rates for 2 year olds

·         Depravation leads to difficult engagement and outcomes for children.

·         Asian heritage women were twice as likely to die in maternity, mixed heritage were 3 times more likely and black women were 4 times as likely compared to women of white heritage.  Officers were working with health services to look at this.

·         Postnatal depression affects the child’s response at high levels for long periods and has an impact on its developing brain.

·         New services commissioned by Public Health were:-

o   Building Communication Skills to support a reduction in the number of children who have below expected language levels at the 2 – 2 ½ year developmental review, and increasing children’s school readiness.

o    Improving the mental and physical wellbeing of parents with vulnerabilities In addition to mums and babies, the service also targets fathers, male carers, and LGBT+ parents, ensuring their voices and needs are not overlooked.

·         Schools were reporting children starting school were further behind following covid than before.

·         The next steps for action were:-

o   A Start for Life offer, delivery plan and impact framework would be co-produced with families and created in partnership across health, education, social care, and the voluntary/community sector through the Readiness for School Steering Group by Autumn 2022.

o   A stakeholder engagement strategy – including a one-day workshop – would be held to shape the Equity and Equality work.

o   Following on from a successful online workforce development event held on 10th November 2021 on the importance of the First 1001 Critical Days, further engagement opportunities would be held in 2022 to encourage understanding and engagement with the Start for Life offer.

o   The development of Family Hubs and the Start for Life offer would be taken forward through funds from the Family Hubs and Start for Life programme from the Department for Education and Department for Health and Social Care (announced 2nd April 2022). Key learning exchange and impact frameworks would be developed with local, regional and national partners including the National Centre for Family Hubs,  ...  view the full minutes text for item 59.

60.

PHARMACEUTICAL NEEDS ASSESSMENT pdf icon PDF 127 KB

To receive a report for noting on the Pharmaceutical Needs Assessment which needs to be prepared and published by 1 October 2022.

 

The Board is asked to note the report and to approve the interagency LLR wide reference group and to receive further reports to future meetings.

Additional documents:

Minutes:

The Board received a report for noting on the Pharmaceutical Needs Assessment which needed to be prepared and published by 1 October 2022.

The Board was asked to note the report and to approve the interagency LLR wide reference group and to receive further reports to future meetings.

 

RESOLVED:-

 

                        That the Pharmaceutical Needs Assessment be noted.

61.

BETTER CARE FUND 2021-22 pdf icon PDF 435 KB

To note the Better Care Fund 2021-22 spending outline.

Additional documents:

Minutes:

The Better Care Fund 2021-22 spending outline was submitted to the Board for noting.

 

RESOLVED:-

 

                        That the Better Care Fund 2021-22 spending outline be noted.

62.

QUESTIONS FROM MEMBERS OF THE PUBLIC

The Chair to invite questions from members of the public.

Additional documents:

Minutes:

No questions from members of the public had been received.

63.

DATES OF FUTURE MEETINGS

To note that the dates of future meetings of the Board will be agreed at the Annual Council Meeting on 19 May 2022and will be published soon afterwards.

 

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.

Additional documents:

Minutes:

The Board noted that future meetings of the Board would be agreed at the Annual Council Meeting on 19 May 2022 and would be published soon afterwards.

 

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.

64.

ANY OTHER URGENT BUSINESS

Additional documents:

Minutes:

There were no items of Any Other Business to be discussed.

65.

CLOSE OF MEETING

Additional documents:

Minutes:

The Chair declared the meeting closed at 11.52 am.