Agenda and minutes

Apologies for absence were received from:-

John Adler                            Chief Executive, University Hospitals of Leicester NHS Trust.

Lord Willy Bach                    Leicester, Leicestershire and Rutland Police and Crime Commissioner.

Karen Chouhan                   Chair, Healthwatch Leicester.

Councillor Adam Clarke     Assistant City Mayor - Energy and Sustainability.

Andy Keeling                                    Chief Operating Officer, Leicester City Council.

Councillor Abdul Osman    Assistant City Mayor – Public Health.

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

Trish Thompson                   Locality Director Central NHS England – Midlands and East (Central England).

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 might have in the business to be discussed at the meeting.  No such declarations were received.

The Minutes of the previous meeting of the Board held on 10 October 2016 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 10 October 2016 be confirmed as a correct record.

Toby Sanders, Senior Responsible Officer for the Leicester, Leicestershire and Rutland Sustainability and Transformation Plan to submit the draft Sustainability and Transformation Plan that was released on 21 November 2016 and a report on the proposed governance role of Health and Wellbeing Boards in the process.

Toby Sanders, Senior Responsible Officer for the Leicester, Leicestershire and Rutland Sustainability and Transformation Plan submitted the draft Sustainability and Transformation Plan that was released on 21 November 2016 and a report on the proposed governance role of Health and Wellbeing Boards in the process.

It was noted that:-

a)         All 44 STPs in the country had now been published.  The LLR STP was now in the engagement phase to seek the views of partners on its contents.  Work was progressing with partners and the NHS with a view to engaging in formal public consultation in 2017 but this was dependent upon NHS England giving approval for the process to start.  The LLR STP included a number of capital projects necessary to deliver the plan and NHS England had recently indicated that their work on allocating capital resources nationally would be completed in early 2017.

b)         A number of public engagement events were planned ahead of the formal consultation process in Lutterworth, Coalville, Hinckley and Loughborough to seek the public’s views on the proposals for community hospitals.  It was not proposed to hold public meetings on the STP as a whole at this stage as that would effectively amount to undertaking consultation in the engagement period.   However, engagement events could take place where issues of specific concern had been expressed.

c)         Formal statutory consultation would take place on those areas of service configurations in the STP affecting:-

·         The reconfiguration of acute services onto two sites at the Leicester Royal Infirmary and Glenfield Hospital.

·         Remodelling maternity services to consolidate all services onto one site at the Royal Infirmary and, subject to preferences expressed during consultation, provide a midwife lead unit at the General Hospital.

·         Reconfiguring community hospitals to reduce the number of sites with inpatient beds from 8 to 6 and redesigning services in Lutterworth, Oakham and Hinckley.

Members of the Board stated that:-

a)         They were concerned that there were not any specific engagement events planned for the City and felt the people in Leicester would see the engagement events in the county as ‘consultation’ and have concerns that nothing was taking place in Leicester on issues which were of concern to the City.

b)         Healthwatch supported the view that the public perception of engagement would be seen as consultation and there would be confusion on how the distinction between the two was managed effectively.

c)         The Young People’s Council in Leicester had asked to be specifically involved in the engagement and consultation process.

d)         They had concerns that if there was not sufficient and meaningful public consultation upon the proposals, the STP would not gain the public support it would need for it to be successful.

e)         The integration of the health services and social care services within the STP was a particular challenge; given the uncertainty of funding for local authority social care services.  However, it was noteworthy that the current integration arrangements were working well and the City was one of the best performers in the  ...  view the full minutes text for item 40.

Yasmin Surti (Lead Commissioner Leaning Difficulties and Mental Health) and John Singh (Strategy & Implementation Manager, Leicester City Clinical Commissioning Group) to present the 2016 Autism Self-Assessment Framework which is designed to assess the progress made by the Local Authority and its partners over the last two years.

Steven Forbes, Strategic Director, Adult Social Care, presented the 2016 Autism Self-Assessment Framework which was designed to assess the progress made by the Local Authority and its partners over the last two years.

It was noted that it was difficult to make direct comparisons with the 2014 Assessment as the number of indicators had increased from 20 to 31.  The 2016 Assessment had resulted in 12 indicators showing Green, 16 showing Amber and 3 showing Red.  The 3 Red indicators all related to post diagnostic support for people with autism.  This issue had been considered by the Adult Social Care Scrutiny Commission on 12 December when it was reported that agreement had been reached in principle between the CCG and the LPT to introduce an improved post diagnostic service from April 2017.

There were still improvements required for data collection and further work was required in relation to improving the transition experience for young people in preparing for adulthood including employment.  Discussions had taken place with the Strategic Director Children’s Services to identify specific areas where improvements could be made and it was proposed to introduce these in 2017.

It was also noted that the 2016 Assessment had been submitted to the Joint Integrated Commissioning Board on 17 November 2016 as well as the Adult Social Care Scrutiny Commission earlier in the week.  The Autism Partnership Board had also discussed and agreed the outcomes at their last meeting.

RESOLVED:-

That the report and 2016 Assessment be received and the recommendations for future work to ensure the Council and partner agencies are able to meet their legal responsibilities and raises standards be noted.

To receive a briefing report that provides information about the risks, impacts and interventions for loneliness and social isolation, highlights the position in Leicester and informs discussion about options for further work.  The Board is requested to accept this briefing in order to inform multiagency discussion about isolation and loneliness in Leicester.

John Mair-Jenkins, Speciality Registrar, Public Health will attend the meeting.  

John Mair-Jenkins, Speciality Registrar, Public Health introduced a briefing report that provided information about the risks, impacts and interventions for loneliness and social isolation, highlighting the position in Leicester and informing discussion about options for further work.  A presentation was also made to the Board.

 The following comments were made during the presentation:-

a)         Various factors affected loneliness and could intervene in multiple areas of a person’s life.  These factors could relate to a person’s individual circumstances, the local community where the person lived and how the individual integrated with, or was affected by, the local environment, and those factors which affected society at large.

b)         It was estimated that 30,000 residents in Leicester felt excluded, lonely or alone all the time.  This represented approximately 10% of the population and this had been a stable trend over the last 60 years.

c)         The risks for loneliness were not universal and there were variations between different ethnic and age groups.  There were established links between loneliness and health inequalities.  People experiencing loneliness all the time could have increased odds of death of 30% and they were also more likely to access GP and hospital services and enter residential care. 

d)         It was estimated that the cost of loneliness could cost £24 million in Leicester and that effective intervention could save a potential of £1.5 to £5.1 million per year.  There was no real consensus on what represented the best forms of intervention; but it was recognised that the issue of loneliness could not be tackled in isolation by any one single organisation.

e)         Existing initiatives included, reablement services, independent living support, grant funded luncheon clubs, First Contact , Leicester Dial A Ride, RVS Hospital to home scheme, care navigators, Braunstone Blues, as well as a range of voluntary sector services providing wellbeing support groups and telephone befriending.  The current challenges were seen as providing services in a time of austerity and building vibrant communities where people could feel connected.

Members also referred to the impact of social isolation arising from both teenage pregnancy and those teenagers who experienced difficulties in integrating with their peers or who felt social isolation arising from their parent’s separating or divorcing.

A representative of Age UK stated that they currently had a programme to address isolation through identifying vulnerable people through GP services.  The programme had £3 million of funding over two years and it provided support to 3,000 people.  However there was a challenge in engaging with GPs in the east of the City.

Toby Sanders commented that the CCG supported a range of services including befriending services for patient support through voluntary and community organisations.  He stated that he would discuss ways of helping Age UK to improve engagement with GPs in the east of the City with the Managing Director of the Leicester City CCG.

The Chair welcomed the report and presentation in raising the issues with the Board.  He felt that it would be possible to identify pilot areas of the City  ...  view the full minutes text for item 42.

To receive the Leicester Safeguarding Children Board Annual Report 2015-2016.  The Board is requested to note the content of the report, disseminate key messages to staff, discuss the report in team meetings and service briefings and provide assurances that the above activity has been undertaken.

Steven Gauntley, Head of Service Children’s Safeguarding Unit and Janet Russel, Interim Leicester Safeguarding Children Board Manager will attend the meeting.

The Board received the Leicester Safeguarding Children Board Annual Report 2015-2016.  The Board was requested to note the content of the report, disseminate key messages to staff, discuss the report in team meetings and service briefings and provide assurances that the above activity has been undertaken.

Steven Gauntley, Head of Service Children’s Safeguarding Unit and Janet Russel, Interim Leicester Safeguarding Children Board Manager introduced the report and made the following comments:-

a)         The Annual Report was required to be presented through the Council’s scrutiny arrangements and shared with other strategic partnerships.

b)         The Council were inspected in January and February 2015 by OFSTED in relation to its services for children in need of help and protection, children looked after and care leavers.  OFSTED also reviewed the effectiveness of the Local Safeguarding Children Board (LSCB).  Both the Council and LSCB had received an overall assessment of inadequate.

c)         The current report was the second Annual Report since the inspection, and it outlined the ongoing developments relating to the core business and priorities identified from the outcomes of the OFSTED inspection.  The report also detailed the improvements that had been made since the OFSTED inspection.

The business priorities for 2016-17 for the LSCB, in addition to the core functions and responsibilities, were:-

a)         The LSCB to be assured that there is evidence to consistently demonstrate that children and young people are effectively safeguarded.

b)         To be assured that Early Help services are accessed and delivered             effectively and thresholds are understood and applied consistently.

c)         The LSCB to be assured that there is a culture of continuous system of single and multi-agency learning and improvement.

d)         The LSCB is to continue to improve its governance, performance and quality assurance process and to assured of the effectiveness of the LSCB.

The Assistant City Mayor Children, Young People and Schools commented that report was dated and there had been significant improvements since it was written.  Numerous reports were commenting on the importance of the contribution of the multi agencies and the assumption that the local authority should always be the lead authority, which was not always the case.    

It was noted that there would be a further inspection in 2017 and it was important to build upon the improvements that had been achieved to date.

AGREED:

1.         That the report be received and noted and the key messages be disseminated to staff and that a priority is given to discuss the Annual Report in Team Meetings and service briefings in order to raise the profile of the LSCB and ensure its role is understood.

2.         That the partner members of the Board provide assurances to the LSCB that the steps above have been undertaken.    

The Chair to invite questions from members of the public.

There were no questions from members of the public.

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

Monday 6th February 2017 – 3.00pm

Monday 3rd April 2017 – 2.00pm

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

It was noted that future meetings of the Board would be held on the following dates:-

Monday 6th February 2017 – 3.00pm

Monday 3rd April 2017 – 2.00pm

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

There were no items of Any Other Urgent Business.

The Chair declared the meeting closed at 6.55 pm.