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From YouTube: Leeds City Council - Adults, Health and Active Lifestyles Scrutiny Board - 15th March 2022
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A
Under
my
chair,
the
scrutiny
board
for
adults,
health
and
active
lifestyle,
it's
good
to
see
each
and
every
one
of
you
again
and
the
sun
is
shining
we
couldn't
be
happier
and
just
to
also
let
you
know
that
this
meeting
will
be
webcast
on
the
council's
website,
so
that
interested
constituents
and
citizens
of
leads
who
would
like
to
know
what
we
do
on
the
scrutiny
board
can
join
us
virtually
and
observe
remotely.
A
I
would
like
everyone
now
to
introduce
themselves
and
please
once
you
have
done
so,
could
you
kindly
on
meet
yourself
after
you've
done
that?
In
fact,
I
have
learned
today
that
I
have
got
two
buttons
as
the
chair
and
the
second
button
is
to
mute
people.
How
great
is
that?
So,
if
you
keep
going
on
and
on
after
I've
said
to
you,
that's
enough,
I've
got
the
authority
to
mute
you.
So
how
could
we
kindly
start
the
introductions
with
councillor
taylor.
F
Apologize
senior
moment
good
afternoon,
I'm
councillor.
H
Thank
you
chair
in
relation
to
agenda
item
one.
There
are
no
appeals
against
refusal
of
inspection
of
documents
in
relation
to
item
two.
There
are
no
items
excluded
from
the
public
domain.
With
regard
to
item
three,
we
do
have
supplementary
information
that
was
provided
to
the
board
in
relation
to
agenda
item
nine.
This
is
the
summary
note
of
the
working
group
meeting
that
was
held
on
the
25th
of
february
regarding
access
to
local
nhs,
dental
services
and
item
four.
H
Can
I
please
ask
members
to
make
any
declarations
of
interest
at
this
point
and
I
will
take
silences.
None
thank
you
and
under
agenda
item
five.
We
have
no
apologies
to
chair.
However,
I've
been
notified
by
council
latte
and
councillor
anderson
that
they
will
be
attending,
but
just
slightly
later,.
A
Thank
you
very
much.
Okay
agenda
item
number
six
minutes
of
the
previous
meeting
held
on
the
11th
of
january
2022,
and
a
note
of
the
board's
consultative
meeting
held
on
the
8th
of
february
2022.
A
So
for
those
that
were
in
attendance
for
our
january
meeting,
can
I
ask
members
to
kindly
approve
the
minutes
of
the
meeting
held
on
the
11th
of
february
and
are
there
any
matters
arising
from
the
minutes?
Are
we
all
happy
with
that?
A
good
nod
will
be
nice
excellent.
Thank
you
very
much.
Any
issues
matters
arising
that
members
would
like
to
raise
for
our
meeting
for
the
8th
of
february.
A
Are
we
happy
with
that?
Yes,
that's,
very
good.
You've
all
had
some
fruits
and
cakes,
so
you
should
be.
I
could
I
need
that
head
to
not
so
that
I
know
that's
a
yes
excellent.
Thank
you
very
much
right.
Item
number.
Seven
leads
safeguarding
adults
board
progress
just
before
we
start
this.
I
would
like
to
say
a
very
huge
thank
you
to
richard.
A
I
So
this,
as
you
say,
is
the
forward
to
the
annual
report
for
2021.
So
what
I
said
was
in
the
last
12
months,
the
will
no
doubt
be
the
most
difficult.
The
many
people
practitioners
and
services
have
ever
experienced.
I
I
I
A
And
those
thanks
on
behalf
of
the
board
as
well
to
the
people
of
leeds
and
everyone
who
has
ensured
that
in
very
difficult
times,
have
done
and
gone
beyond
what
would
they
would
normally
do
to
ensure
that
we
keep
our
citizens
safe?
So
we
just
want
to
say.
Thank
you
very
much.
A
Okay,
so,
each
year
the
scrutiny
board
welcomes
an
opportunity
to
hear
directly
from
the
independent
chair
of
the
lead
safeguarding
board
within
the
agenda.
Pac
members
have
been
provided
with
a
progress
report
in
relation
to
the
safeguarding
adults
board,
which
draws
upon
its
annual
report
for
20
20
21
and
highlights
progress
made
against
its
strategic
plan
for
21
and
22,
as
well
as
sharing
some
early
thinking
about
its
ambitions
for
2022
and
2023.
A
So
I
would
now
again
invite
richard,
as
the
independent
chair
of
the
lead,
safeguarding
board,
to
introduce
this
report,
but
I
would
like
those
who
are
presenting
that
agenda
to
also
introduce
themselves,
so
I
will
start
with
kath.
A
I
Thank
you
very
much
chair,
so
it's
it's
really
great
to
be
back
in
lee's,
I
found
my
badge.
It
doesn't
open
the
door
anymore,
so
it
needs
an
upgrade,
but
it
is
two
years
since
I
I
I
had
the
opportunity
to
be
in
the
city
because
I
don't
live
in
leeds,
I'm
an
independent
chair
and
my
role
really
is
to
ensure
that
some
partners
across
the
city
are
ambitious
to
safeguard
citizens
and
that
we
challenge
one
another
to
do
the
very
best
we
can
to
ensure
that
people
are
effectively
safeguarded.
I
So
I
would
I
it's
a
great
pleasure
to
have
the
role
and
I
work
sitting
across
a
partnership
that
involves
a
whole
range
of
statutory
partners.
As
you
see
from
the
report,
third
sector
representation
and
actually
council
of
enemy
who's
joined
the
safeguard
lead
safeguard
in
adult
sport,
which
is
great
so
really.
What
I
want
to
do
is
to
give
you
the
time
to
ask
your
questions,
because
this
is
a
scrutiny
process,
but
I
was
going
to
do
three
things
and
you've.
I
You
actually
kind
of
got
in
front
of
the
third
thing
I
was
going
to
do,
but
I'm
still
going
to
I'll
still
do
that.
What
I
wanted
to
do
very
very
quickly,
because
we're
presenting
here
both
our
annual
report
from
2021
our
strategic
ambition
and
plan
for
20
for
this
year,
21
22
and
then
just
an
update
report
and
obviously
very
happy
to
take
anything
that
sits
within
any
of
those
documents.
But
three
things
I
just
wanted
to
do
quickly.
I
One
was
to
talk
briefly
about
the
impact
of
covid
and
what
I'd
want
to
say,
I
think,
is
that
what
we've
seen
across
leeds-
and
I
think
it's
what
we're
seeing
nationally
too,
is
that
we
have
an
increase
in
the
level
of
referrals
that
have
been
made.
I
think
that
is
a
good
thing,
because
I
think
it
demonstrates
that
people
are
understanding
when
it
is.
I
They
might
need
to
have
a
conversation
with
adults
and
health
with
city
council
as
the
lead
agency
we're
seeing
within
that
increase,
though
a
huge
fluctuation
in
demand
in
terms
of
peaks
and
troughs.
So
what
we've
seen
over
the
last
two
years,
as
lockdowns
have
been
imposed,
activity
has
fallen
away
to
a
degree
and
then,
as
lockdown
starts
on
as
we
start
to
unlock
ourselves,
and
I
can't
I've
lost
count.
I
think,
like
we've
done
at
least
three
times
activity
shoots
up
and
that's
again
an
experience.
I
I
think
colleagues
and
children
services
have
found
too
so
within
the
increase.
There
are
some
huge
fluctuations
and
I
think
that's
important
just
to
understand
in
terms
of
the
impact
that
has
on
frontline
services
we're
still
seeing
a
similar
number
of
inquiries
that
are
generated
from
those
referrals.
So
not
all
referrals
end
up
in
a
section
42,
which
is
part
of
the
care
act,
inquiry
some
do
and
in
leeds
we're
at
about
30
percent
that
convert
into
that
sort
of
rate.
I
What
I
think
we've
seen
over
the
period
chair
is
we've
seen
an
increase
in
several
things.
One
is:
we've
seen
an
increase
in
domestic
abuse.
I
think
we've
definitely
seen
an
increase
in
self-neglect
and
we've
seen
an
increase
in
some
of
the
kind
of
financial
abuse
that
goes
around
in
terms
of
scams
and
and
and
issues
of
that
sort
that
many
of
us,
as
kind
of
everyday
citizens
will
have
experience
too,
but
if
you're
vulnerable,
that
becomes
a
more
significant
challenge.
I
I
think
the
other
thing
we've
seen
is
because
people
have
not
had
access
to
some
of
the
services
that
they
would
normally
receive,
or
some
of
the
fantastic
community
supports
exist
in
the
city.
We
are
seen
and
have
seen
greater
degrees
of
complexity,
and
with
that
probably
we
have
to
acknowledge
that
in
some
circumstances,
possibly
because
a
housing
manager
has
not
been
on
an
estate
or
a
third
sector
organization,
just
hasn't
been
able
to
provide
the
support
somebody's
been
reliant
upon.
I
We
have
seen
often
high
levels
of
complexity,
but
people
who
are
perhaps
further
down
a
journey
in
terms
of
self
neglect
or
or
or
safeguarding
that
we
would
have
hoped
to
have
intervened
in
earlier.
If
the
world
had
been
like
it
normally
is,
and
that's
something
that
I
think
we're
going
to
have
to
work
on
hard
as
we
go
forward.
I
If
you
look
at
the
outcomes
that
are
being
achieved,
then
those
are
still
in
a
good
place.
What
you
see
nationally
is
a
is
a
reduction
in
in
the
ability
to
actually
fully
protect
people,
because,
as
the
lockdown
has
lockdowns
have
have
rolled
out,
people
have
often
had
to
go
back
to
situations
or
remain
in
situations
where
there
is
ongoing
risk.
I
I
think
the
other
thing
I
would
say-
and
it's
an
issue
I've
raised
before-
is
that
we've
still
got
a
lot
of
work
to
do
on
how
we
reach
the
complete
range
of
communities
across
the
city.
So
if
you
look
at
our
activity
levels,
then
we
are
still
not
seeing
the
level
of
referrals
from
black
asian
minority
ethnic
communities
that
we
would
anticipate
or
expect
to
see
vis-a-vis
the
the
proportion
the
population
they
comprise
of
and
we're
doing
some
work
actually
I'll.
Very
briefly
mention
about
that.
So
that
was
the
first
thing.
I
I
want
to
say
just
something
about
the
context
that
we're
working
in
what
what's
the
impact
being
and
we're
we're
kind
of
beginning
to
move
out
of
that,
but
that's
the
sort
of
trends
the
issues
we've
seen.
I
think
the
second
thing
I
would
say
is
the
board
has
continued
to
work
throughout
this
period.
We
spent
a
lot
of
time
thinking
about
some
assurance
in
terms
of
as
a
board,
getting
confidence
that
the
processes
and
the
procedures
that
we
we
we
we
promote,
are
being
adhered
to
and
delivered
against.
I
So
we
have
a
friends
of
the
board
network
who
are
telling
us
things
about
what
we
need
to
do
if
we're
going
to
improve
our
effectiveness,
we've
got
50
stories
from
citizens
about
their
experience
of
safeguarding
and
we've
got
now
350
people
as
part
of
a
virtual
network
who
are
just
wanting
to
engage
with
what
safeguarding
means
across
the
city.
I
So
I
think
we've
continued
to
deliver.
We've
we've
produced
and
published
two
safeguarding
adult
reviews
into
mr
and
mrs,
a
and
mr
b,
which
I'm
happy
to
talk
about.
We've
done.
Work
with
safer
leads
around
street-based
lives,
people
who've
who
who
have
died
as
a
result
of
living
a
street
based
life,
and
we
are
continuing
to
work
on
developing
our
response
to
people
whose
needs
don't
neatly
fall
into
any
category.
I
I
just
pay
tribute
to
shona
who's
led
work
around
our
exceptional
risk
forum,
which
provides
a
place
for
those
really
difficult
conversations
about
how
we
meet
some
of
the
most
complex
citizens
and
their
needs
in
the
city.
I
I
Only
as
good
as
the
people
around
you
aren't
you
and
you're
only
as
good
as
the
quality
of
the
relationships,
and
what
I
would
say
is
that
those
relationships
at
a
board
level
have
developed
and
possibly
because
of
the
challenge,
stepped
to
a
new
level
and
I'm
seeing
colleagues
around
the
board
table
taking
lead
roles,
whether
it
be
around
housing
partners,
diversity
and
inclusion
and
work
we're
doing.
Voluntary
action
leads
on
that.
Self-Neglect
learning
and
development
people
are
stepping
up
to
the
plate.
I
But
the
final
thing
I
just
wanted
to
say
was
to
pay
a
tribute
to
frontline
staff.
Now
they
could
be
social
work
staff
in
in
cass
directorate
they're,
going
to
be
district
nursing
staff
across
the
city
who
are
working
this
afternoon
with
all
sorts
of
different
people
in
vulnerable
situations,
they're
going
to
be
police
officers,
they're
going
to
be
people
who
work
in
housing,
they're
going
to
be
people
who
work
in
third
sector
partners
that
without
whom
we
couldn't
deliver.
I
So,
if
really,
the
final
comment
I
want
to
make
before
I
take
any
questions
is
just
to
pay
tribute
to
the
contribution
and
the
work
that
has
continued
to
be
done.
Notwithstanding
all
the
challenge
by
those
people
who,
at
this
moment
in
time
and
through
the
last
two
years
through
their
actions,
protect
people,
safeguard
people
and
enable
people,
hopefully
to
make
good
decisions
about
how
they
they
they
they
live,
a
safe,
effective
and
purposeful
life.
So
my
thanks
go
to
them
very
happy,
obviously,
to
take.
A
Thank
you
very
much
richard.
Definitely,
we
are
infinitely
grateful
to
that
group
of
people
and,
on
you
know
the
front
line
looking
after
everyone
so
now
over
to
board
members.
C
Thank
you
very
much,
chair
yeah
great
report.
Thank
you
very
much.
You
answered
quite
a
lot
of
my
questions
before
that
are
already
written
down
in
in
your
preamble.
So
that's
always
a
good
sign.
So
thank
you.
I
appreciate
I
especially
like
to
commend
point
6.1
the
ambition,
our
ambition,
one,
to
develop
a
citizen
that
approaches
safeguarding
as
well.
I
think
that's
great
that's
in
there
and
number
one
on
the
agenda
as
it
were.
C
As
I
mentioned,
you've
already
had
a
lot
of
asked
a
lot
of
questions
so
I'll
rephrase
or
reframe
one
of
them
you'd
mention.
So
there
is
a
breakdown
of
of
the
different
concerns
or
the
different
types
of
safeguarding
concerns
that
have
been
raised.
I
I
presumed
to
see
a
big
increase
in
neglect
and
the
figures
for
2021
is
at
32
of
all
safeguarding
referrals
or
neglect.
I
didn't
expect
you
to
say
abuse
and
financial
abuse.
My
question
was
going
to
be.
Are
we
going
to
see
now?
C
We've
we've
really
are
seeing
a
wider
reopening
of
society.
Are
we
likely
now
to
see
more
referrals
for
abuse
and
neglect,
as
it's
harder
for
you
know,
abusers
to
say
to
sort
of
hide
behind
covid
as
a
reason
for
the
vulnerable
person
not
accessing
services?
And,
of
course
we
know
that
frontline
services
all
day
services
or
whatever
tend
to
be
an
area
where
safeguarding
concerns
are
picked
up
because
they
know
they.
They
know
the
vulnerable
people
best
and
and
and
they're
able
to
tell
the
signs.
C
So
do
we
anticipate
a
spike
in
so
the
question
I
guess
is:
do
we
anticipate
a
further
increase
in
safeguarding
referrals
for
21,
22,
well,
22,
23,
say
and
also
do
we
expect
those
to
be
abuse
and
neglect.
I've
got
another
couple
of
questions,
but
I'll.
Let
you
answer
that
one.
First,
that's!
Okay!.
I
Thank
you
very
much
councillor
gibson,
so
I
I
we
will
see
an
increase
in
the
level
of
concerns
that
have
been
raised
by
the
end
of
this
year.
21
22
and
we
have
seen
that
and
and
shown
or
cath,
might
want
to
say
something,
but
we've
seen
that
kind
of
pattern
I
was
describing
earlier.
So
you
know
an
increase
kind
of
would
suggest
sort
of
steady,
a
steady
kind
of
aligned.
It's
not
like
that
at
all,
there's
been
some
huge
spikes
in
in
that
process.
I
I
think,
and
we
will
see
that,
as
as
things
return
to
whatever
the
new
normal
is
what
we
know,
and
we
are
we're
in
the
process
now
of
completing
a
review
of
five
circumstances
where
people
have
suffered
serious
self-neglect
that
have
led
to
their
deaths,
so
that
includes
fire
related
deaths
and
people
who
who
have
just
as
you,
I
think
you
were
putting
this
really
have
just
gone
under
the
radar.
I
Those
opportunities
which
is
what
the
partnership
and
the
board
is
really
about,
ensuring
that
it's
everybody's
business
as
they
enter
a
property,
for
instance,
and
that's
why
we've
done
some
fantastic
work
with
not
just
housing
leads,
but
the
the
huge
range
of
housing
partners
in
the
city
about
how
they
understand
their
responsibilities
and
their
and
their
duties,
because
it's
it's
it's
not
really
through
social
workers
or
district
nurses
or
professionals
of
that
sort
of
police
officers.
You,
those
professionals,
will
see
issues
of
concern,
but
it's
the
community
groups.
I
It's
neighbors,
it's
housing
offices,
as
I
say
who
have
that
more
regular
contact
with
people,
and
I
think
what
we've
seen
and
what
we
know
we're
experiencing,
particularly
in
the
reviews
that
we're
doing
at
the
moment
is
that
self
neglect
is
an
ongoing
challenge
for
us.
That's
not
just
the
leads
challenge,
but
it's
we're
here
responsible
for
these.
I
It's
a
real
issue
for
us
in
the
city
and
stepping
up
our
approach
to
how
we
support
colleagues
when
they're
incredibly
busy
to
stay
with
very
difficult
situations,
particularly
if
somebody's
saying
to
to
us
look.
This
is
my
choice.
I
don't
want
anything
to
do
with.
You
is
one
of
the
challenges
that
we've
probably
got
to
address
over
the
next
year
or
two.
C
It's
probably
my
my
long
rumble
so
are
we?
Are
we
going
to
see
a
further
uptick?
Do
we
do
we
anticipate
that?
And
if
that's
the
case,
what
are
we
doing
as
a
council
to
say,
safeguard
against
that?
Or
are
we
putting
further
resources
into
into
safeguard
into
the
safeguarding
teams?
Because
I'm
concerned
that
there
are
I'm
concerned
that
there'll
be
people
that
have
been
not
been
able
to
access
services,
it's
easy
for
people
to
say
and
and
for
their
abusers
to
say
that
they
can't
access
services
because
of
concerns
around
covert
19..
C
Now
that
there
isn't
that
excuse,
we
expect
there
will
be
more
pressure
for
them
to
return
to
services.
I'm
thinking
particularly
of
you
know,
people
with
learning
disabilities
say
in
autism,
they'll
return
to
services,
the
people
that
know
them
best
will
notice
that
something's
something's
a
mess
and,
as
a
result,
we'll
see
an
optic
and,
of
course,
they're
serious.
Safeguarding,
can
serious
safeguard
inquiries
and
probably
will
go
to
the
section
40s.
I
I'll
ask
kath
to
answer
the
question
about
just
what's
happening
at
the
moment,
because
that's
that's
in
her
neck
of
the
woods,
but
just
just
again
to
stress,
I
think.
Yes,
we
are
seeing
that
increase
and
that
will
continue
to
happen
as
people's
lives
start
to
kind
of
center
again
on
on,
however,
it
is
they're
going
to
live
their
life
going
forward,
but
kathy.
You
want
to
say
something.
G
In
terms
of
the
data
we
monitor
it
monthly,
we
have
a
report
on
it.
What
we
are
seeing
is
still
a
steady
inexorable
rise
in
safeguarding
concerns
and
inquiries.
G
The
conversion
rate
between
the
two
is
not
the
same.
So
if
I
was
to
use
old,
old-fashioned
language
concerns
of
referrals
and
inquiries
or
investigations
just
to
sort
of
it's
just
the
legislation
uses
the
language
of
concerns.
So
we
are
seeing
a
volume
of
referrals
that,
when
they're
triaged
there
is
something
that
needs
sorting.
G
They
need
a
social
work
intervention,
but
it
isn't
necessarily
safeguarding.
So
there
is
a
a
diversion
into
social
work
of
a
quite
high
proportion
of
those.
However,
we
still
ask
it
then,
seeing
the
need
to
do
section,
42
inquiries
they
are
going
up.
Those
services
have
been
open
for
some
time,
so
I
wouldn't
say
I
think
you
know
in
learning,
disability
services
we're
well
sighted
on
what's
been
going
on.
G
The
areas
that
concern
me
more
would
be
around
care
homes
which
fluctuate
as
to
how
open
they
are
depending
on
whether
or
not
there's
outbreaks,
and
we
all
know,
history
tells
us
that
closed
institutions
are
places
where
we
need
to
be
more
vigilant
and
have
eyes
on.
What's
going
on,
that's
not
to
say
that
I
think
a
closed
care
home
is
instantly
an
unsafe
place,
but
it's.
How
do
you
get
access?
G
I
think
the
other
area
of
concern
for
me,
which
will
grow,
is
with
the
cost
of
living
squeeze,
how
people
drift
into
financial,
abu
abuse
or
neglect
just
because
the
whole
family
might
be
very,
very
financially
challenged,
and
not
because
people
have
bad
thoughts
in
their
hearts,
but
life
is
hard
and
how
that
affects
a
whole
family,
where
perhaps
somebody
has
care
and
support
needs.
So
that's
the
area
that
I
think
we
need
to
be
sensitive
to
have
eyes
on
in
terms
of
managing
the
volume,
so
safeguarding
always
gets
the
priorities.
G
The
top
of
the
list
of
what
a
social
worker
will
do.
You
will
know
that
you're
a
practitioner
yourself
the
bit.
That
then
worries
me
about
that.
What
then
gets
squeezed
is
our
ability
to
do
planned
reviews
and
that
still
has
a
really
important
role
in
oversight
and
vigilance
about
somebody's
well-being.
G
E
Thank
you,
chair
thanks
team,
so
I'm
I'm
interested
to
ask
about
our
hard-to-reach
communities
and
my
thoughts
being
that
we
have
a
certain
demographics,
whether
it's
cultural,
ethnicity
or
sometimes
even
class,
where
sharing
concerns
can
be
viewed
as
a
negative
thing
for
the
local
communities
that
they
live
within.
So
I
just
wonder
how
how,
as
a
team,
you're
thinking
about
changing
that
kind
of
paradigm
shift,
so
that
people
could
feel
more
comfortable,
perhaps
about
raising
concerns
at
an
early
stage.
I
Thanks
cap
council
khan
name:
do
you
want
to
come
in
no
yeah
thanks?
So
I
think
you
know
one
of
our
second
key
priorities
to
raise
awareness
of
safeguarding
and
safeguarding
as
a
term
doesn't
really
work.
Does
it?
If
you
talk
to
your
neighbour
and
say
you
say:
look,
are
you
worried
about
safeguarding
that's
not
where
people
start
from
people
start
from
I'm
slightly,
I'm
concerned
about
the
lady
next
door
or
the
family
up
the
street.
They
don't
seem
to
be
coping.
I
She
seems
to
look
incredibly
timid
or
it
just
doesn't
look
well
so
so
I
think
we've
got
to
help
communities
develop
their
own
language
about
what
what
does
this
mean
for
them
and
we
we,
we
aren't
the
experts,
the
communities
have
to
be
the
experts,
so
we've
taken
a
priority,
so
we
so,
for
instance,
we're
working
with
a
group
of
organizations
in
leeds
some
of
whom
many
of
whom
represent
either
communities
of
interest.
You
know
the
deaf,
partially
hearing
community
but
b.
I
Equally
others
like
the
sikh
elders
are
representing
a
a
a
you
know,
an
ethnic
cultural
community.
So
what
we
are
doing
is
we
are,
and
what
we've
and
we've
managed
to
do
this
during
coving
is
to
continue
to
build
our
links
with
those
organizations
and
we're
working
with
voluntary
action
leads
at
the
moment
as
a
as
a
partner
to
think
about
how
for
some
of
those
communities
like
the
chinese
community
or
the
the
you
know,
whatever
the
community
happens
to
be,
how
do
we?
I
How
do
we
find
its
leaders
and
how
do
we
co
start
a
conversation
which
is
about?
We
need
you
to
help
us
rather
than
this
is
something
that
we've
got
sorted
and
can
you
deliver
it
for
us,
so
I
think
it's
an
ongoing
challenge
for
us.
I
It's
our
second
key
strategic
priority
as
a
board,
and
I
I
think
this
is
a
process
that
takes
time
and
it
has
to
be
done
respectfully
and
at
the
the
pace
and
in
the
with
the
language
and
with
the
with
the
way
in
which
a
particular
community
wants
to
work.
So
I
think
we
can
point
to
real
progress
around
some
of
our
work
with,
for
instance,
the
sikh
community,
but
I
think
equally,
we've
got
a
long
way
to
go.
I
We've
seen
it
as
a
key
priority
for
us
we're
investing
resource
and
capacity
into
it
and,
most
importantly,
we're
wanting
to
meet
where
communities
want
to
meet
us
and
start
a
conversation
about
how
do
we?
How
do
we
together
help
you,
as
a
community,
protect
the
people
that
are
in
your
community,
which
is
what
every
community
generally
wants
to
do?
So
it's
working
with
the
grain,
it's
working
with
opportunities
that
we
don't
see.
I
I
think,
unless
we
we
step
down
and
and
and
properly
engage-
and
we
have
to
do
it
not
just
on
the
safeguarding
front.
We
have
to
do
it
around
our
work
around
domestic
violence.
We
have
to
do
it
around.
I
work
with
on
mental
health,
disability,
etc.
So
I
think
it's
you
know.
It's
part.
It's
part.
It's
it's
got
to
be
part
of
the
way
in
which
public
services
work
differently
with
communities,
but
that's
some
of
the
work
council
cunningham
we
are
doing.
I
I
wouldn't
then
anyway
suggest
that
I
mean
this
is
a.
This
is
an
ongoing
strategy
that
doesn't
kind
of
have
an
end.
I
don't
think,
but
we've
got
a
way
to
go.
I
think.
E
That's
okay!
Thank
you.
Yes,
I
totally
agree
about
the
messaging
and
I
think
there's
also
something
in
there
about
class
cultures
as
well
as
ethnic
cultures.
Thank
you.
D
You
mentioned
in
the
report
a
number
of
organizations
and
groups
which
have
been
involved
in
one
way
or
another,
with
the
work
you've
been
doing
one
group
of
professionals
who
do
pick
up
people
who
have
been
abused,
whether
it's
physical
abuse,
whether
it's
neglect
or
gps
and
and
to
some
but
a
minor
or
a
much
less
extent.
D
I
Thanks,
dr
beale,
so
we
don't
have.
We
don't
have
direct
access
to
primary
care
professionals
like
gps
or
dentists
or
pharmacists,
but
through
our
I
mean
ccg
and
sorry,
peace,
primary
care.
It
sits
on
the
board.
So
we
have
two
colleagues
who
represent
primary
care
and
their
job
is
to
ensure,
as
it
is
the
job
of
every
board
member,
that
the
the
constituents
that
they
represent
understand
the
issues
that
they
need
to
understand.
I
They
have
the
training
and
the
access
to
the
information
they
need
to
be
able
to
effectively
safeguard
people.
We
have
had
gps
come
to
the
board
and
I've
been
out
to
gp
practices,
particularly
around
some
of
the
work.
That's
been
done
in
parts
of
the
city,
around
domestic
abuse,
in
particular,
where
there's
some
fantastic
work
going
on
to
ensure
that
people
when,
when
particularly
women,
are
attending
primary
care
appointments
that
people
are
actually
asking
a
question.
Is
there
anything
else?
That's
happening
in
your
life
that
you're
concerned
about
pl?
I
Please
don't
feel
you
have
to
answer
it,
but
I
I
want
to
ask
you
the
question
and
what
we've
seen
is
some
great
outcomes
from
that.
So
people
often
women,
then
in
a
position
to
say
actually
there
is
something
I
want
to
share
with
you.
What
we
know
is
that
there's
again
always
further
work
to
do
with
with
professionals,
particularly
around
sometimes
helping
them
understand.
I
They
don't
always
have
the
answers
so
so,
and
professional
that's
difficult
for
a
professional,
because
often
their
starting
point
is
I
have
the
answers
actually
and
I'm
the
expert.
So
a
lot
of
this
is
about
an
issue
that
we
we
come
across
time
and
time
again,
particularly
in
some
of
the
learning
we've
done,
which
is
around
professional
curiosity.
So
it's
asking
whether
you're
a
gp,
whether
you're
a
district
nurse,
a
pharmacist,
hang
on
a
minute
is:
is
there
something
else
happening
here
that
I
that
I
should
open
up?
I
Is
there
anything
else
you're
concerned
about?
So
so
what
I
would
say,
dr
bill,
is
we.
We,
though,
those
colleagues
are
critically
important
because
a
bit
like
the
housing
manager
or
whoever
else
they're
the
people
seeing
people
in
situations
where,
if
we
don't
use
those
as
the
opportunity
to
start
the
conversation,
we
are
missing
significant
chances
to
make
a
difference.
I
think
so
yeah.
A
Thank
you
very
much
councillor
dowson
and
then
councillor
gibson.
Yes,.
F
Sorry,
it's
going
back
to
very,
very
much
to
what
council
cunningham
was
asking.
So
apologies
for
that
councillor,
taylor
and
I
I
think,
are
two
of
the
luckiest
councillors
in
leeds
because
we
happen
to
represent
one
of
the
most
diverse
areas
of
the
city.
Chapel
island
includes
chapel
town.
I
think
we
have
every
faith
group
represented.
F
We
even
have
the
greek
orthodox
church
in
our
ward,
so
we're
very
well
versed
after
14
years,
plus
of
of
knowing
our
communities
and,
interestingly
enough,
I
came
to
this
meeting
from
a
meeting
with
a
ladies
group
in
in
our
area
where
there
was
a
police
officer
talking
about
domestic
abuse,
and
it
was
very
interesting
listening
to
the
response,
because
there
were
no
men
in
the
room
and
it
very
much
was
women
talking
to
women,
and
one
of
the
things
that
struck
me
is
that
one
woman
in
particular
was
talking
about
how
she
feared
the
authorities
because
of
what
they
could
do,
and
some
of
it
was
a
wives
tales.
F
You
know
the
council
can
take
your
children
off
you
about
the
fact.
Their
living
circumstances
were
such
that
you
know
reporting.
Anything
would
be
very
difficult
and,
and
so
on,
and
the
police
officer
quite
rightly
said.
Well,
you
know
the
question
was
asked
and
she
was
honest
and
said.
F
Well,
if
you
report
that
to
us
we
would
then
have
to
deal
with
it
and
she
said
well,
most
women
don't
want
that
in
our
they
want
it
dealing
with,
but
they
want
it
dealing
with
internally
within
the
community
and
we
sort
of
drill
down
on
that
a
little
bit.
F
And
then
it's
not
something
I'm
going
to
talk
about
here,
but
I
think
we've
got
to
bear
in
mind
that
in
some
communities,
even
when
people
are
suffering
really
bad
abuse,
they
see
us
not
as
their
friend
but
somebody
who
is
going
to
do
things
to
them
and
how
we
get
around
that
I
I
don't
know,
but
I
just
wanted
to
make
that
comment.
I
know
you
probably
can't
answer
it
at
this
particular
point,
but
I
just
wanted
to
point
that
out.
I
Oh,
I
mean,
I
think
I
think
that's
that's
a
really
fascinating
and
real
insight.
Isn't
it
to
what
to
an
experience
of
a
group
of
women
citizens
of
leeds,
for
whom
there
are
ongoing
issues,
probably
about
awareness,
but
definitely
around
around
confidence
and
trust.
So
am
I
confident
to
to
engage
with
public
service
organizations?
I
I
think
for
me,
I
I
what
I
would
point
to
is,
and
I
think
sometimes,
when
you're
part
of
a
place,
you
maybe
don't
see,
see
stuff,
but
I'm
not
part
of
lee's.
I
I
see
in
leeds
a
huge,
diverse,
rich
network
of
third
sector
community
organizations,
okay
being
impacted
by
a
pandemic,
probably
being
impacted
too
by
austerity,
but
the
that
it's
in
those
networks
where
those
kind
of
conversations
as
one
you
describe
can
take
place.
I
I
suppose
the
challenge
we've
got
is
how
do
we
support
you
as
councillors
to
because,
because
you
are
community
leaders,
how
do
we
support
you
as
as
partners
to
be
able
to
feel
confident
about
going
into
those
those
settings
and
talking
about
some
safeguarding?
So
there
might
well
be
something
we
should
be
doing
with
with
councils
and
leads
on
that.
I
On
that
basis,
I
don't
know,
but
it's
how
we
it's,
how
we
we
continue
to
use
forums
of
that
sort,
we're
out
meeting
with
people
and
we'll
increasingly
do
more
of
that.
That
ensures
that
you
can
have.
You
can
build
that
confidence
and
trust
before
somebody
needs
to
pick
up
the
phone
or
make
them
make
the
referral.
So
actually
there's
a
that
you
you're
building
a
bit
of
a
a
platform
on
which
people
can
feel
you
know
what
we
met.
Counselor
downs
and
she
seemed
to
be
okay
about
it.
I
That
police
officer
was
alright.
That
person
came
out
from
the
city
council
they're
all
saying
a
similar
sort
of
thing.
Let's
give
it
a
go,
but
I
mean
you're
absolutely
right:
it's
not
just
people
being
prevented
from
letting
people
know
about
what's
happening
in
their
lives.
It
is
you
know,
by
abusers
or
by
people
who
are
seeking
to
coerce
and
control
people.
Equally,
it's
it's
about
how
we
work
with
communities
where
yeah
we've
got
to
build,
that
confidence
and
and
and
and
the
ability
to
have
these
conversations.
I
F
I
think,
just
as
a
supplementary
and
again
don't
feel
you've,
you've
got
to
answer
it,
but
we're
bandy
around
communities
like
it's.
This
holistic
thing,
it's
it's
very
different
things
in
different
areas
and
how
you
engage
with
different
communities.
How
you
engage
with
the
chinese
community
is
going
to
be
very
different
from
somebody
else,
and
it's
also
who
you're
talking
to
in
those
communities
just
because
somebody
bans
themselves
a
community
leader
doesn't
necessarily
make
them
that
and
it
doesn't
make
them
that
for
the
people
you
want
to
engage
with.
A
Thank
you,
councillor
dalston,
councillor,
gibson
and
then
councillor
taylor.
Let's
try
and
keep
it
as
brief
as
we
can
so
that
we
can
move
on
to
the
next
agenda.
Thanks.
C
I'll
keep
it
brief.
It's
a
question
relating
to
it's
page.
3
new
report
is
page
33
in
the
pack.
It's
about
desired
outcomes
for
the
people
who
we
are
the
safeguarding
concern
pertains
to
so
for
2018-19,
for
example,
97
of
the
cases
either
fully
achieved
or
partly
achieved
the
desired
outcomes.
It's
about.
C
What's
the
metric
used
to
to
get
that
figure,
because
that
thing
is
very,
very
high
and
especially
when
we
consider
the
proportion
of
people
who
the
safeguarding
refers
to,
that
would
lack
capacity
and
therefore
wouldn't
be
able
to
express
a
desired
outcome.
I'm
sure
97
have
had
very
good
outcomes,
but
you
know
I'm
surely
there's
more
than
three
percent
that
that
can't
express
an
outcome
and
therefore
how
can
you
measure
whether
the
outcomes
either
been
partially
or
fully
achieved.
I
Yep,
so
I'm
just
hesitating
to
to
to
just
to
see
which
way
I
go
in
on
this.
I
think
the
first
thing
I'd
say,
and
it's
to
your
point,
not
everybody's,
going
to
be
able
to
define
for
themselves
an
outcome
so
some
so
some
of
this
will
represent
what
a
advocate
might
be
saying.
What
a
family
member
might
be
saying,
what
a
what
a
a
key
worker
or
a
care
worker
in
a
residential
setting
might
be
saying
about
the
the
individual.
I
So
some
of
this
will
be
proxy
to
because
the
individual
would
would
would
not
be
in
a
position
to
be
able
to
define
the
outcome.
So
some
of
these
are
proxy
measures.
Some
of
them
will
be
the
the
worker
who's
done.
The
investigation
potentially
thinking
you
know
what,
when
I
started
this
richard
was
saying
he
wanted
this,
and
I
think
we've
achieved
that.
I
I
can't
in
any
way
guarantee
that
this
all
drives
back
to
evidence
to
the
individual
and-
and
I
don't
think
anybody
would
want
to
dress
that
up
in
that
way.
Some
of
these
are
proxy
outcomes,
and
the
outcomes
are
going
to
be
somebody
feeling
safer
or
not
not
worried
about
being
physically
abused
by
the
person
in
the
next
room
to
them
if
it's
in
a
residential
care
setting.
I
So
I
think
this
is
a
it
gives
a
very
high
level,
but
that's
what
I'd
say
an
indication
of
as
a
result
of
an
an
of
an
intervention
are:
are
things
improving?
Do
we
feel
things
are
improving
and
I
think
we
have
to
say
sometimes
this
is
do
we
not
do
you.
C
So
the
the
point
is,
you
know,
it
says:
desired
outcomes
from
the
person.
Do
we
really
think
that
this
is
a
proper
reflection?
Is
it
useful
to
talk
in
terms
of
97
sort
of
success
rate?
Almost
it's
almost
like
we're
already
hitting
perfection.
Do
we
think
that
figures
useful
when
actually
it's
not
really
realistic
of
what's
of
the
person,
because
it
could?
How
could
it
ever
be,
as
you've
already
explained
the
reasons
why.
I
What
what
we
really
want
to
do-
and
this
is
about
our
scissors,
so
I
would
absolutely
say
this-
isn't
some.
This
isn't
something.
I
think
we
we're
required
to
capture
the
outcomes.
It's
in
that
part
of
a
national
data
set,
so
leads
captures
them
as
other
people
capture
them.
I
I
think
that
this
isn't
really
the
indication
that
you
that
that
drives
down
to
are
we
delivering?
What
drives
down
to
are.
We
delivering
is
the
work
we
did,
for
instance,
that's
referenced
in
here,
which
is
50
people's
stories
of
what
was
what
was
their
experience
and
what
would
make
a
difference?
I
It's
what
the
friends
of
the
board
network,
which
is
20
to
30
organizations,
told
us
at
a
development
forum
development
day
at
the
end
of
november,
about
if
you're
serious,
then
what
you
need
to
do
in
leads
is,
for
instance,
when
we
made
a
referral,
keep
us
informed,
let
us
know
what's
going
on,
because
we
don't
always
know,
what's
going
on,
come
back
and
ask
me:
did
it
work
or
didn't
it
work?
And
it's
it's
in
that
it's
in
those
narratives
that
I
think
I
is
the
independent
chair
get
assurance
less
so
from
this.
B
For
the
report
and
the
comments
so
far,
I
don't
know
if
mine
is
a
question
really,
but
just
something
to
clarify.
There's
a
lot
of
unknown
out.
There
was
being
abused,
so,
for
instance,
it's
happened
at
home.
It's
cultured.
B
I
know,
council
gives
m
oversight
finance,
but
finance
is
a
very
out
there
abuse
so,
for
instance,
those
unknown
abuse
or
being
abused
because
of
finance
culture.
My
charity
last
year
was
support
after
rape
and
sexual
violence,
and
when
you
hear
the
stories
from
the
patient
is
something
what
being
triggered
in
there,
where
they
were
scared
to
talk
and
they
accept
it
as
a
way
of
life.
B
How
do
you
challenge
those
and
how
do
you
reach
those
outreach
and
what
happened
when
you
reach
those
out
to
reach
people
because
they
are
not
going
to
talk,
but
I've
seen
something
that
I
think
not
right
and
report
it
to
you?
How
do
you
angle
that
situation.
I
It
could
it
could
well
be
that
shown
or
cath
want
to
say
something
about
sort
of
frontline
social
work
practice,
because
I
think
that's
that's
where
that's
where
these
really
difficult
engagements
and
conversations
happen
and-
and
they
are
difficult
because
we
know
that
people
who
are
subject,
for
instance,
to
coercion
and
control
are
going
to
struggle
to
to
speak
up.
I
We
know
it's
difficult,
sometimes
to
actually
find
a
safe
place
for
that
person.
So,
even
if
that
person
wanted
to
say
something
it's
quite
difficult
at
times,
if,
if
somebody's
seeking
to
control
them
to
find
a
safe
place
where
they
can
speak
up
and
and
this
and
it's
the
case,
isn't
it
with
all
the
learning
we've
done
around
domestic
violence
and
abuse
yeah.
So
I
I
think
I
think
these.
I
These
are
really
challenging
conversations
and
they're
conversations
that
social
workers
have
to
have
quite
quickly
this
piece
of
work
or
and
their
conversations
that
they
need
to
have
with
them.
Other
partners
and
other
people
who
know
the
individual
might
be
engaged
with
the
individual,
and
I
think
that's
where
the
challenge
comes,
because
there's
a
balance
that
you
just
heard.
Kath
talk
earlier
about
having
to
prioritize
work
because
there's
only
a
finance
finite
amount
of
resource
within
that
team
managers.
Social
workers,
frontline
workers
in
whatever
agency
are
having
to
do
that.
I
Can
I
go
back
when
my
when
my?
When
might
I
be
able
to
engage
with
the
individual
at
a
time
when
they
might
be
on
their
own,
for
instance?
So
I
think
it
requires
creativity.
It
requires
a
lot
of
guts.
I
It
requires
the
ability
to
have
difficult
conversations
and
to
stand
up
in
often
pretty
threatening
and
challenging
circumstances,
and
but
that's
what's
happening-
it's
happening
this
afternoon
out
in
the
city
and
it's
happening
with
staff
who
hopefully
feels
professionally
supported,
effectively
supervised
and
given
the
tools
to
have
those
difficult
conversations,
but
none
of
that
gets
to
possibly
your
particular
circumstance
or
that
individual,
because
you
know
it
might
well
be
that
those
opportunities
were
missed
and
that's
where
our
final
priorities
around
learning
development
development
is
so
critical
how
to
ensure
that
people
continue
to
go
back
ring
on
the
doorbell.
I
Have
that
difficult
conversation
and
and
in
some
of
the
reviews
we've
done
that
we've
published
in
the
last
year
and
a
half
you
know
you'll
see
two
national
experts
telling
us.
You
know
what
we're
seeing
people
at
least
do
that
we've
seen
people
go
above
and
beyond
and
yet
still
there
was
a
tragic
outcome,
because.
A
Can
I
come
in
here
richard
sorry,
I
do
like
that
question
from
councillor
taylor
and
caf.
I
would
like
to
ask
obviously
in
terms
of
those
had
to
reach
and
those
cohort
of
women
who
actually
feel
the.
I
can't
there's
no
need
saying
anything,
because
I'm
a
woman
and
I
have
accepted
it.
What
interventions
have
we
actually
give?
You
know,
give
us
some
examples,
because
I
think
working
with
third
sectors
might
be
able
to
help,
because
it's
all
about
the
confidence
and
reporting
that
some
people
feel
and
counselor
thousand
did
mention.
A
You
might
be
a
community
leader,
but
someone
might
not
feel
confident
to
go
to
you
to
report
so
people
choose
who
they
report
based
on
the
confidence
that
they
know
if
their
report,
if
it's
reported
an
outcome
will
come
out
of
it
and
they
will
be
protected.
So
in
terms
of
direct
interventions,
what
do
you
have
in
place.
G
Just
invite
shona
to
give
a
practice
example,
but
I
can
also
tell
you
a
little
bit
about
some
of
the
strategic
work
we're
doing
as
well.
J
J
J
People
might
say
that
she
puts
herself
in
that
position.
I
actually
think
that
she
struggles
to
protect
herself
in
that
position
and
she
goes
to
the
places
that
she
knows
not
just
physically
but
mentally
emotionally,
rather
than
the
place
that
we
would
like
her
to
go,
which
is
away
from
her
home
away
from
her
family
away
from
everything
that's
harming
her,
but
she
can't
do
that.
J
So
what
we've
we've
done
with
that
young
woman
over
the
last
18
months
is
worked
with
the
range
of
providers
people
in
the
third
sector.
She
uses
alcohol
to
harm
herself
as
a
way
of
retreating
from
where
she
is
so.
We've
got
forward
leads
involved.
There
is
a
housing
provider
that
she
lives
with
that
we
have
worked
with.
J
There
is
some
different
basis
that
gets
on
very
well
with
her,
who
has
helped
us
to
introduce
her
to
other
providers
other
professionals.
So
it's
been
about
working
the
last
18
months.
The
social
workers
got
right
alongside
her
has
spent
hours
getting
to
know.
Her
has
used
the
other
people
that
she
trusts
to
become
somebody
that
she
trusts
as
well.
That's
about
inching
your
way
forward,
that's
about,
as
richard
said,
finding
the
right
time
in
the
right
place.
We've
also
used
the
legislative
framework
that
we
have
our
just
say
our
fingertips.
J
Now.
That
might
not
be
a
specific
example
related
to
women
within
a
community
experience
in
domestic
abuse,
but
it
is
an
example
of
somebody
in
a
community
who
was
experienced
a
different
type
of
abuse
and
and
the
techniques
would
be
exactly
the
same.
Getting
alongside
somebody
getting
to
know
their
network
building
trust,
providing
support
that
might
be
paid
support.
Sometimes
it
might
be
just
getting
a
befriender
or
an
advocate
involved
and
and
working
with
that
individual
to
develop
their
confidence.
A
Okay,
thank
you
very
much
show
now
now
we're
still
going
to
continue
with
this
conversation
because
lots
of
the
other
agenda
that
we've
got
down
still
they're,
all
very
related,
so
don't
think
that
we're
not
going
to
give
you
the
opportunity
to
continue
the
discussion,
but
I
would
like
to
really
move
on
to
the
next
agenda.
Welcome
counselor,
lati
good
to
see
you
councillor,
anderson,
good,
to
see
you
councillor,
venna
good,
to
see
you
as
well
agenda
number
eight
is
better
life's
strategy,
I
believe
camel
you're
here.
A
L
Hi
everyone,
I'm
really
sorry.
I
was
late.
I
did
text
counselor
marshall
qatar
to
explain
why
yeah
so
I'm
councillor,
fiona
venna,
I'm
the
executive
board,
member
for
children
and
adults,
social
care
early
years
in
health
partnerships
I'll
just
make
a
couple
of
comments
about
the
better
life
strategy
and
then
I'll
hand
over
to
carmel
to
introduce
it
more
fully.
L
So
I
suppose
the
first
point
I'd
want
to
make
that
we
made
at
the
engagement
workshop
for
members
that
many
of
you
came
came
to
is
that
although
the
better
life
strategy
sits
in
adult
social
care,
it's
the
whole
council
strategy.
L
So
most
of
what
constitutes
a
good
life,
as
is
outlined
in
the
report,
isn't
provided
by
social
care.
It's
all
those
things
like
housing
and
green
space
and
having
friends
and
having
immunities
and
at
the
member
workshop
it
was.
The
member
workshop
was
great
because
of
the
kind
of
role
that
councils
have
within
our
communities.
I
think
that
gives
us
quite
a
good
sense
really
of
what
makes
a
good
life
for
the
people
that
we
can
live
and
work.
Amongst.
L
My
favorite
example
was
probably
based
by
councillor
anderson.
Actually,
which
was
about
the
need
for
assisted
bin
collections
to
be
more
consistent,
and
I
thought
that
was
such
a
great
example,
particularly
because
I've
got
a
constituent
at
the
moment
whose
assistive,
bing
collection
is
not
happening
properly,
and
it's
really
distressing.
It
makes
it
feel
really
out
of
control
and
in
a
way
it's
such
a
little
thing
when
it's
working
smoothly,
it's
a
little
thing
when
it's
not
making
working
smoothly,
it's
really
disruptive
to
someone's
life
and
their
sense
of
well-being.
L
So
thank
you
to
all
of
you
who
came
to
the
workshop
and
gave
us
those
kind
of
really
rich
details.
This
just.
She
does
link
with
other
strategies
in
the
council,
which
feels
really
important,
because,
obviously
we
want
to
make
sure
that
it's
not
happening
in
isolation.
So
there's
lots
of
reference
to
housing,
which
is
a
really
key
element
of
people's
well-being
and
having
a
good
life,
there's
also
a
housing
strategy,
that's
currently
being
refreshed.
L
So
it's
really
important
that,
what's
in
our
strategy,
reads
across
to
that,
and
we've
made
sure
that
it
does
and
the
better
life
strategy
will
be
overseen
by
the
better
leads
board,
which
I
co-chair
with
someone
who
identifies
as
a
service
user,
so
leads
involving
people
put
resource
into
the
better
lives
board,
so
that
kath
and
I
and
other
senior
officers
meet
really
regularly
with
a
large
number
of
people
who
are
using
adult
social
care
services.
L
K
So
thanks
very
much
council
event
just
to
add
some
detail
in
relation
to
the
consultation
and
engagement
activity
that
we
we
undertook
because
the
paper
sets
out.
We
approach
this
in
in
two
phases
so
in
in
that
first
phase
from
july
to
september
last
year,
we
we
surveyed
service
users,
health
and
care
professionals,
commission
providers.
K
We
undertook
one-to-one
interviews
with
with
key
staff,
both
in
the
council
in
adults
and
health
and
across
other
directorates,
to
give
us
that
deep
understanding
of
how
the
better
life
strategy
could
connect
in
the
way
that
councilwoman
has
outlined
across
to
those
other
core
council
strategies.
K
So
in
that
survey
and
those
interviews,
we
focused
on
on
the
six
areas
that
together
describe
good
person-centred
care.
So
those
those
areas
were
based
on
a
framework
that
was
developed
by
think
local
act,
personal,
which
is
a
national
partnership
of
over
50
organizations
that
are
committed
to
health
and
care
transformation.
K
So,
in
the
second
phase
of
the
consultation
involved,
as
as
council
of
events
alluded
to
a
series
of
workshops
and
one
of
those
was
with
elected
members,
and
we
also
had
a
further
workshop
that
involved.
The
chairs
of
community
committees,
as
well
as
workshops
with
service
users
in
the
general
public,
and
as
with
the
the
workshop
that
council
veto
described,
this
gave
us
the
opportunity
to
gather
really
rich
insights
into
what
matters
most
to
people.
So
we
focused
on
what's
working
well
what
we
need
to
improve.
K
We
also
presented
to
different
forums,
including
the
fresh
forum
and
the
deaf
forum,
to
invite
comments
from
from
members
of
those
groups.
And
finally,
we
we
looked
at
a
whole
range
of
data
from
wider
consultation
and
engagement
activity,
including
the
big
lease
chat
and
a
survey
of
over
125
people.
I
think
from
the
listening
projects
which
which
focused
on
members
of
bm
bame
communities.
So
from
that
feedback
we
developed
our
vision.
C
I've
only
got
one
question.
It's
very,
very
brief,
chair
promise,
honestly,
it
really
is:
how
does
the
ambition
to
become
a
mom,
marmot
city
tie-in
with
all
of
us.
K
Well,
I
think
it's
I
think
it's
quite
key
in
in
terms
of
linking
into
the
priority
around
poverty
in
any
court
attacking
property
inequality.
Also,
the
the
the
marmot
report
emphasizes
the
role
of
of
strong
connected
thriving
communities
in
relation
to
supporting
people's
health
and
well-being.
K
So
I
think
I
think
you
could
weave
we've
a
thread
across
our
ambitions
in
relation
to
into
in
relation
to
the
marmot
city
plans.
C
L
Feedback
on
that,
if
you,
if
you
like
chair
so
the
governance
of
marmot,
will
sit
with
the
health
and
well-being
board
which
I
chair
and
the
governance
of
the
of
the
better
life
strategy
will
be
the
better
lives
board
which,
as
I
said,
I
also
coach
her.
So
there's
kind
of
from
a
from
a
leadership
point
of
view.
Myself
and
kath
will
be
overseeing
both
pieces
of
work.
Marmot
sits
in
public
health
and
obviously,
we've
got
victoria
as
the
director
with
kath
as
the
director
for
the
whole
of
the
directorate.
L
So
there's
that
kind
of
governance
across
the
across
the
leadership
team,
but
also
and
the
health
and
well-being
board,
obviously
develops
a
health
and
well-being
strategy
which
sets
the
vision
for
health
and
well-being
and
leads,
and
the
better
life
strategy
is
part
of
that.
So
does
that
make?
Does
that
give
you
a
bit
more
clarity.
D
Thank
you
chair.
I
want
to
pick
up
on
one
of
the
six
priority
areas
on
page
100.
102
knows
101
of
our
bundle
number
four
using
digital
tools
and
technology.
We
will
continue
to
support
people
who
use
digital
tools,
technology
and
so
on.
D
I
think
we
also
need
to
recognize
that
there
are
those
people
who
are
unable
to
use
technology
for
a
whole
variety
of
different
reasons.
It
may
be
financial,
it
may
be
that
they
have
learning
disabilities
or
other
sensory
issues.
It
may
be
because
of
age
very,
very
young
children
and
can't
use
it,
although
of
course
we
are
constantly
surprised
on
how
quickly
children
do
get
used
to
using
technology.
D
D
They
may
have
memory
loss,
they
may
have
other
health
conditions
like
arthritis,
which
makes
using
some
technology
more
difficult,
and
so
we
need
to
think.
I
think
very
carefully
about
how
we
use
technology
and
how
we
can
support
those
who
can't
so.
I
would
like
to
see
it
saying,
in
addition
to
continuing
to
support
people
who
use
digital
tools,
technology,
etc.
G
So
it
does
actually
say
we
will
support
people
to
access
technology
to
live
as
independently
as
possible,
and
that
includes
people
who
aren't
currently
using
it.
I
accept
your
challenge
around
this,
but
digital
technology
is
innovating
all
the
time,
so
there
there
are
new
developments
happening
that
people,
perhaps
who
couldn't
use
it
will
start
to
be
able
to
use
it.
I
think
the
challenge
for
us
is
to
be
on
the
front
foot
about
that.
G
We
have
schemes
like
100
digital
in
the
city,
where
we
sit
alongside
that
ambition-
and
you
know,
one
of
the
things
you'll
see
is
the
key
role
our
libraries
have
played
in
terms
of
accessing
computers,
in
particular
lending
tablets
across
carers
leads,
so,
I
think,
take
the
challenge
away.
G
I
hope
we
properly
and
fairly
reflect
the
ambition
within
the
chapter,
but
we
will
have
a
look
again
at
the
wording,
but
one
of
the
things
that
I
will
be
bringing
forward
is
actually
a
digital
strategy
for
adult
social
care,
because
it's
just
so
significant
with
not
it's
how
you
practice,
how
you
talk
to
your
stakeholders,
how
we
share
personal
information,
but
also
just
the
innovations
that
are
happening
in
health
and
care
tech.
It's
quite
mind-blowing
we're
not
quite
there
with
care
robots
yet,
but
I
think
that
will
come.
D
A
So
I
think
it's
more
with
the
wording
as
well
on
that
one
cat,
so
you
will
just
yeah
if
we
could
just
make
and
keep
it
more
simple
as
well
for
everyone
to
understand.
Yes,
counselor
latte.
D
Thank
you,
madam
chairman,
just
carrying
on
from
that.
How
are
we
finding
this
business
about?
There
are
people
who
can't
cope
with
technology
and,
yes,
there
are
quite
a
lot
of
people,
but
they
must
be
getting
less
as
time
goes
on,
because
generations
are
being
exposed
to
it
at
an
earlier
age
and
have
been
for
a
long
time.
So
surely
this
is
phasing
out,
as
you
might
say,
you
know.
Are
we
are
we
working
against
the
tide
so
to
speak?.
G
I
think
there
will
be
a
generational
aspect,
but
dr
bill
does
make
a
very
valid
point
about
dexterity.
You
do
need
a
certain
amount
of
manual
dexterity
to
work,
your
smartphone
and
your
ipad.
Yes,
there
are
voice
activated,
apps
and
things
that
can
override
that.
So
I
suspect
the
technology
will
continue
to
enable
and
empower.
L
Yeah,
thank
you.
Councillor
benner,
I
think,
given
I
chair,
the
child
poverty
strategy
group
I'd
feel
remiss
if
I
didn't
also
refer
to
the
fact
that
there's
huge
inequality
and
access-
and
I
think
that
came
out
really
strongly
during
the
pandemic-
that
we
may
all
have
assumed
that
all
children
had
access
to
technology
and
they're
all
tech.
You
know
they're
all
technologically
literate,
and
actually
it
was
really
really
magnified.
L
The
children
didn't
have
access
to
wood
and
children
who
were
digitally
excluded,
even
though
they
may
have
the
aptitude
to
pick
it
up
more
quickly
than
we
would
many
children
were
digitally
excluded
due
to
poverty,
partly
because
of
access
to
devices,
but
also
access
to
wi-fi.
So
we
had
situations
where
children
services
were
having
to
support
families
to
get
wi-fi
installed
because
they
couldn't
access
online
learning.
L
So,
although,
although
of
course,
there
is
generational
divide
in
terms
of
people
that
are
born
in
the
digital
age
as
opposed
to
people
that
weren't
but
access
isn't
equitable
amongst
children.
Thank
you.
A
Honestly,
it's
just
amazing
to
see
that
and
for
me
I
would
say
that
you
know
the
digital
divide
and
seeing
our
elderly
cohort
of
popular
of
people
actually
getting
onto
devices
and
zooming
and-
and
even
my
mom
knows
teams.
Now
it's
just
amazing.
A
Now
she
has
no
time
for
maybe
she's
got
a
zone
meeting
with
her
friends,
so
yeah
it's
it's
it's
good
to
see
that,
but
definitely
poverty
plays
a
huge
part
in
in
the
disparity
that
we
have
seen
in
terms
of
digital
divide
and
we're
hoping,
as
we
come
out
of
the
pandemic,
that
as
you
work
on
this
strategy,
you
continue
to
work
and
breach
the
the
gap
and
the
divide
between
the
rich
and
the
poor,
especially
when
it
comes
to
communication
and
reaching
the
rest
of
the
world.
A
H
Thank
you
chair.
So
the
purpose
of
this
item
is
to
share
the
summary
of
the
main
issues
that
were
raised
during
the
scrutiny
board's
working
group
meeting.
It
was
held
on
the
25th
of
february
regarding
access
to
local
nhs
dental
services.
The
summary
note,
the
working
group
suite
note
was
published
and
circulated
last
week
as
part
of
the
supplementary
agenda
pack,
as
well
as
acknowledging
the
main
issues
raised
during
this
working
group
meeting.
H
The
board
is
also
asked
to
consider
and
approve
the
proposed
recommendations
that
are
also
set
out
within
the
summary
note,
just
as
a
way
of
further
introduction,
so
the
scrutiny
board
had
expressed
a
wish
to
undertake
this
further
work
surrounding
access
to
local
nhs
dental
services,
and
it
was
from
the
perspective
of
primary
community
and
secondary
care
services,
including
urgent
dental
care.
So,
as
I
mentioned,
there
was
a
working
group
meeting
that
was
held
on
the
25th
of
february,
to
which
all
board
members
were
invited
to
attend.
H
Invitations
are
also
extended
to
representatives
from
nhs,
england
and
ahs
improvement
leeds
community
healthcare,
nhs
trust,
the
leeds
dental
institute
and
healthwatch
leads
and,
as
part
of
the
submarine
art
section,
1.3
actually
indicates
those
that
were
in
attendance.
H
So
if
I
can
just
just
go
straight
to
the
recommendations
chair,
which
again
is
reflective
of
the
key
points
that
have
hopefully
have
been
identified,
the
key
points
of
is
during
the
meeting
so
for
the
board's
consideration
and
agreement.
H
H
Many
of
the
issues
linked
back
to
a
recognized
need
to
make
improvements
around
providing
clearer,
more
accessible
and
up-to-date
information
and
guidance
to
the
public.
So
the
recommendation
there
is
to
directed
to
nhs,
england
and
nhs
improvement
to
work
with
local
practices,
to
highlight
the
importance
of
the
relevant
nationally
hosted
nhs
websites
and
for
local
dental
practice.
Patient
information
to
be
clearer,
accessible
and
up-to-date,
primarily
acknowledging
that
this
is
mandated
contractually
for
newly
commissioned
dental
services
as
well.
H
Linked
to
this
as
well,
what
we
heard
from
healthwatch
leads
in
particular
the
felt
that
was
greater
clarity
needed
on
the
role
of
healthwatch
when
the
public
do
contact
them
and
also
about
processes
procedures
in
place
by
nhs,
england
and
nhs
improvement
for
the
public
to
raise
a
concern
and
make
a
complaint
directly
to
them
regarding
dental
services.
H
So
the
recommendation
there
is
for
the
chair
to
actually
write
to
the
national
team.
So
even
though
there
were
local
concerns,
he's
flagging
this
with
the
national
team
regarding
those
nationally
hosted
nhs
websites
to
again
provide
that
the
clarity
needed
there
was
also
a
recommendation
and
acknowledgement
there
for
nhs.
England
and
nhs
improvement
to
work
with
healthwatch
leads
to
find
an
appropriate
individual
to
represent
the
dental
sector
on
a
city-wide
initiative
that
they
have
called
inclusion
for
all
action
hub.
H
H
Then
there
was
a
particular
discussion
about
water
fluoridation
and
having
a
greater
understanding
really
about
what
the
renewed
focus
and
legislative
development
with
the
new
health
and
care
bill
is
surrounding
water
fluoridation
schemes.
The
potential
impact
for
leads.
So
the
recommendation
is
for
our
director
of
public
health
to
explore
this
further
and
to
come
back
with
a
report
to
a
future
meeting
of
this
group
neighborhood
in
due
course,
then
it
was
about
maintaining
and
watching
brief
on
the
local
dental
needs
assessment.
H
So
this
will
be
the
evidence
base
for
identifying
those
are
at
high
risk
of
poor
oral
health,
and
the
data
will
also
aid
commissioners
and
providers
in
determining
how
best
to
maximize
resources
and
about
adopting
a
whole
system
approach
in
meeting
the
identified
needs.
So
the
recommendation
is
obviously
that
scrutiny
is
kept
informed
of
progress
around
this
about
completion
of
the
assessment,
but
also
any
subsequent
strategy.
Development.
A
L
I'm
really
pleased
to
have
to
hear
about
this
because
it's
an
it's
an
era.
I
got
a
lot
of
complaints
about
in
terms
of
access,
even
with
looked
after
children
who
have
a
statutory
right
to
dental
care.
I've
had
cases
over
the
last
two
years
where
foster
families
haven't
been
able
to
get
children
to
dentists.
My
main
question,
though
angela
was
whether
the
report
references
the
change
in
commissioning
because
dentistry
isn't
going
to
be
commissioned
by
nhs
england
is
it
from
april
it's
going
to
be
commissioned
regionally
or
july.
L
L
H
Yeah
I
appreciate
that
this
was
just
sent
out
last
week,
paragraph
2.39,
so
this
links
into
a
discussion
that
was
had
at
the
working
black
group
primarily
about
strengthening
links
between
dentists
and
gps.
So
it
was
actually
recognized,
then
that
from
april
there's
greater
opportunity
around
that,
where
the
commissioning
responsibility
will
fall
with
the
ics.
H
But
in
the
meantime,
board
members
were
also
assured
by
nhs,
england
and
nhs
improvement
that
they
continue
to
promote
the
collaborative
working
between
dental
practices
and
primary
care
networks
in
particular,
and
and
it's
through
the
leeds
dental
network
that
that's
currently
being
supported
as
well.
So
yeah.
It's
reflected
in
that.
Thank
you.
B
Thank
you
chair
and
thanks
for
the
report,
just
to
say
very
happy
with
the
recommendation,
including
the
one.
Obviously,
that
is
my
responsibility
to
take
away,
and
I
just
wanted
to
it
echoes
council
of
venice
point
just
to
some
degree-
and
I
know
colleagues
many
colleagues
will
be
very
familiar
with
what
I'm
about
to
say,
but
just
just
in
terms
of
the
complexity
of
the
arrangements
around
both
dental
provision,
but
also
dental
public
health.
B
Since
2013,
when
public
health
came
over
to
the
council,
the
bit
that
didn't
come
with
us
is
dental
public
health.
It
used
to
be
under
the
responsibility
of
the
director
of
public
health
up
until
2013
and
then
has
gone
to
nhs
england.
So
we
there
was
earlier
reference
in
an
earlier
version
of
the
paper
to
the
the
lead
city
council
oral
health
team.
B
Now
we
don't
have
elite
city
council
oral
health
team,
because
we
lost
that
responsibility
and
capacity
in
2013
we
have
a
small
amount
of
of
one
person's
post
within
the
children's
public
health
team,
who
still
continues
to
do
some
work
in
terms
of
good
oral
health
in
best
start
programs
and
as
part
of
the
healthy
school
work.
But
our
our
capacity
in
terms
of
what
we
have
within
the
council
is
very
much
reduced.
B
It
doesn't
mean
that
we
can't
take
this
piece
of
work
away,
but
I
will
need
to
work
with
the
colleagues
within
nhs
england
who,
who
do
have
consultants
in
dental
public,
health
and
teams
to
support
us
to
do
the
work
so
very,
very
happy
to
take
that
away,
but
just
wanting
to
feedback.
But,
as
you
know,
from
the
working
group,
this
is
a
very
complex
system
and
very
fragmented
that
we
absolutely
have
to
make
work
for
the
people
of
leeds.
B
So
we'll
do
what
we'll
do
everything
we
can
to
join
that
up
and
bring
that
back
here
chair.
Thank
you.
A
Thank
you
very
much
victoria.
I
mean
we.
We
are
aware
it
can
be
very
complex,
but
one
thing
I
know
is
you're
very
capable,
so
I
know
you
can
and
just
also
say
thank
you
very
much
for
taking
on
the
responsibility
for
the
water
fluoridation.
A
That
really
means
a
lot
to
this
board
in
terms
of
wanting
us
us
wanting
to
see
this
go
forward
and
actually
happen
in
our
city
to
help
especially
little
children
to
stop
having
rotten
teeth
from
while
they're
still
very
little,
and
we
will
hopefully
be
speaking
with
their
parents
to
also
help
their
little
teeth
from
getting
rotten
as
well.
So
thank
you
very
much
for
that.
So
we're
down
to
item
agenda
number
nine!
D
Yes,
please
chair:
can
I
first
of
all
just
expand
slightly
on
what
council
avenue
said,
she's,
absolutely
right
that
from
the
1st
of
july,
the
responsibility
for
dental
commissioning
or
commissioning
of
primary
dental
care
services
will
pass
in
our
case
to
the
west
yorkshire
integrated
care
board.
What
we
don't
know
is
whether
that
board
is
is
adopting
a
policy.
We
know
it's
adopting
a
policy
of
delegating
most
of
the
commissioning,
much
of
the
commissioning
to
the
five
place
committees.
D
What
we
don't
know
is
whether
they
will
delegate
that
to
leeds
committee
and
the
the
other
four
local
committees.
It
might
be
helpful
at
some
stage
if
this
body
could
give
some
guidance,
because
both
the
victorian
and
I
sit
on
the
the
current
shadow
leads
committee.
So
it
would
be
quite
useful
to
know
what
leeds
thinks
and
whether
it
it
feels
that
it
should
receive
the
delegated
responsibility.
D
D
H
Thank
you,
dr
phil.
Yes,
so
paragraph
2.9
has
obviously
referenced
that
we
did
have
that
broader
discussion
around
workforce
in
particular,
and
I
guess
then
it's
probably
similar
to
the
recommendation
that
was
made
about
the
chair
writing
to
the
national
team,
where
we're
saying
there
were
local
concerns,
but
they
very
much
relate
to
something
that
has.
That
is
a
national
issue.
So
if,
if
the
board's
happy,
I
can
include
a
recommendation
on
those
lines
as
well.
A
Board
is
that
a
nod
and
a
smile?
I
can't
see
the
smile
excellent,
that's
very
good,
okay,
so
we
take
that
you're
all
happy
with
the
recommendations.
Then
yeah
excellent,
angela
back
to
you
for
the
work
schedule.
H
Thank
you
chair,
so
this
report
relates
to
the
board's
work
schedule.
The
latest
version
as
usual,
set
out
in
appendix
one
as
it
currently
stands.
Today's
meeting
is
the
board's
last
formal
public
meeting
of
this
municipal
year.
However,
as
we
agreed
last
month,
the
board
will
be
holding
a
remote
consultative
meeting
in
april,
which
will
be
focused
on
the
ongoing
development
of
the
new
integrated
care
system
in
particular,
and
a
date
for
the
board's
active
leads
visit
is
also
to
be
confirmed,
but
the
intent.
H
A
A
So
it's
not
that
she's
leaving
the
council
on
behalf
of
the
board
we're
she's
going
to
be
here
for
our
april's
meeting
about
april's
meeting
is
a
remote
meeting
so
physically,
where
this
is
the
last
time
angela
is
going
to
be
with
this
board.
So
we
just
want
to
use
this
time
to
say.
Thank
you
very
much
for
all
your
hard
work,
dedication
to
detail
and
just
always
been
there.
A
I
hate,
saying
goodbyes,
I
love
to
say
welcome,
but
my
mom
says:
if
you
don't
want
to
say
goodbye,
never
say
welcome
so
yeah.
Thank
you
so
much
for
everything
and
it's
not
goodbye,
but
it's
see
you
later
yeah.
So
please
can
we
give
her
a
hand
of
applause.
A
Thank
you
very
much
so
date
and
time
of
our
next
meeting
will
be
the
26th
of
april,
and
that
will
be
a
remote
meeting.
So
you
all
don't
need
to
drive
here.
You
just
need
to
sit
in
your
homes
and
put
your
laptops
on.
So
thank
you
all
so
much
for
coming.
Thank
you.
Shona
victoria
councillor,
venna,
carmel,
katz,
left
us
and
now
rich
has
left
us
for
all
of
you.
We
just
want
to
say
huge.