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From YouTube: Leeds City Council - AHAL Scrutiny Board - 13 June 2023
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A
Good
afternoon
welcome
to
today's
scrutiny
board
meeting
for
the
adults,
health
and
active
Lifestyles.
My
name
is
Andrew
Scapes
I'm,
a
councilor
for
Beason,
Albert,
Ward
and
I'm
the
new
chair
of
this
meeting.
If
you're
looking
for
a
council
Abigail
Marshall
tongue,
you
need
to
wait
about
a
week
and
a
half
to
her
scrutiny
board
is,
is
on
I'm
sure
it'll
be
on
YouTube
as
well.
Just
for
everyone's
knowledge.
This
is
a
public
meeting.
It's
also
stream
live
on
YouTube,
so
welcome
to
everyone
watching
online.
A
You
can
easily
find
the
papers
that
we
have
in
front
of
us
on
the
council's
website
or
put
into
a
good
search
engine
and
it'll
it'll
come
up
pretty
quickly,
I'm
going
to
start
with
some
introductions.
If
that's
okay,
so
as
I
said,
I'm
Andrew,
Scopes
I
was
I'm.
The
new
chair
of
this
board
I'm
really
really
excited
to
be
here.
We're
going
to
go
around
this
way.
Can
you
introduce
yourself
and
then
we'll
get
on?
Thank
you.
D
F
Good
afternoon
councilor
James,
Gibson
and
I
represent
Crossgates
and
winmore
award.
J
K
B
You
chair
under
agenda
item
number
one.
There
are
no
appeals
against
the
refusal
of
inspection
of
documents
under
agenda
item
number
two.
There
are
no
items
which
would
exclude
the
Press
of
the
public
under
item
number
three.
There
are
no
formal
late
items.
However,
there
has
been
supplementary
information
submitted
in
relation
to
item
number
11
innovation
in
the
Health
and
Care
sector
and
under
agenda
item
number
four
can
I
ask
members
to
declare
any
interests?
B
A
Thank
you
very
much.
Okay,
I'm
gonna
move
on
to
it
from
six
minutes.
The
last
meeting
I
wasn't
there,
but
those
who
were
there.
Are
you
happy
with
the
minutes?
Okay,
Angela
is
anything
in
a
minute
you
want
to
bring
up
at
this
point.
R
There's
no
particular
matters
arising,
I.
Guess
it's
under
the
work
schedule,
so
that'll
be
picked
up
as
part
of
today's
agenda.
Anyhow.
A
Thank
you
very
much.
Okay,
we're
gonna
move
on
to
agenda
item
seven,
so
this
is
around
Co-op
to
remember,
as
we
know
previously,
it's
been
Dr
John
Beale
from
lead
to
watch
and
leads
watch
haven't
again
nominated
Dr
John
McBeal.
Are
we
contenders
aboard
to
accept
him
as
a
copted
member?
A
A
Okay,
so
I'm
going
to
move
on
to
agenda
item
eight,
which
is
on
page
21
of
the
packs.
A
So
this
is
the
terms
of
reference
of
the
scrutiny
board.
I,
don't
think,
has
anyone
got
any
comments?
Hopefully,
you've
read
the
paper,
but
I
don't
think,
there's
anything!
That's
going
to
surprise.
Anyone,
and
also
the
four
Council
sets
the
terms
of
reference.
So
I
think
we
accept
them.
Okay,
any
comments
from
any
members
on
that.
A
No
okay,
I'm
going
to
move
on
to
agenda
item
nine,
which
is
on
page
39,
so
you've
seen
recommendations
right
to
start,
so
the
first
one
is
to
re-establish
the
health
service
developments
working
group,
which
is
just
means
that
we
can
have
working
groups
and
talk
about
substantive
items,
I'm
proposing
that
we
we
establish
it
as
per
the
terms
of
reference,
our
members
content,
to
do
that.
A
I
can
see
people
nodding
again,
okay,
so
we'll
do
that.
So
that's
a
and
then
B
in
terms
of
nominations,
for
just
which
is
the
joint
health
overview
and
scrutiny
committee,
which
is
a
western
Yorkshire
wide
body.
It's
currently
not
a
statutory
body,
but
it
does
and
get
consulted
on
things
that
affect
our
West
Yorkshire
and
often
they'll
come
here
if
they
affect
specifically
affect
us
and
we
think
it's
relevant.
A
A
A
So
this
is
sources
of
work
item,
and
so
each
year
we
have
a
conversation
to
start
here
about
what
we
want
to
talk
about
and
there's
a
number
of
sources
of
work
that
we
will
look
at
so
obviously
work.
That's
been
carried
forward
from
last
year.
Definitely
look
at
that.
A
We'll
talk
about
events
and
things
that
are
coming
up,
and
so
that's
also
really
important,
but
we've
also
got
a
really
good
set
of
guests
today,
and
so
what
I'm
going
to
ask
each
each
I'm
going
to
ask
a
number
of
people
to
just
give
an
overview
of
their
role
in
any
areas
that
they
want
us
to
look
at
I'm,
just
going
to
be
quite
strict
on
time,
so
I'm
going
to
give
each
person
five
minutes
to
talk
through
what
they
want
to
and
then
once
we've
done,
that
I'll
open
it
to
members
for
questions,
and
the
idea
is
we'll
get
a
broad
range
of
ideas
in
terms
of
what
work
we
want
to
look
at
and
then
we'll
start
populating
the
work
schedule,
if
that's
okay,
so
with
that,
can
I
start
by
inviting
Council
of
energy
to
speak.
J
You
so
where
this
support
overlaps
is
my
work.
It's
the
health
Partnerships
bit
of
my
job
title.
Children's
social
care
is
obviously
with
children's
scrutiny,
so
I'm
hearing
my
role
as
chairman
of
health
and
well-being
board
and
politically
leading
the
council's
interface
with
the
NHS.
So
this
sport
has
always
had
regular
updates
from
Tim
in
terms
of
the
development
of
the
new
structures
of
the
NHS
and
I.
Think
that
will
be
really
helpful
to
continue
that
in
terms
of
I,
think
you've
I
think
it's
quarterly
you've
been
visiting
this
board.
J
I
would
recommend
that
that
continues
in
terms
of
what
issues
come
up
the
most
from
the
public.
This
won't
be
a
surprise
to
anyone,
but
the
issues
we
probably
hear
about
the
most
and
talk
about
the
most
in
the
health
and
well-being
board
are
access
to
Primary,
Care
and
access
to
Dentistry.
We
had
a
scrutiny
inquiry
last
year
about
access
to
Dentistry,
which
included
some
really
harrowing
testimony
from
someone
who
came
to
support
with
lived
experience,
and
there
were
people
here
from
the
dental
school
and
from
various
parts
of
the
system.
J
Around
Dentistry
I
think
it
would
be
really
useful
to
revisit
that,
particularly
with
the
change
of
commissioning
in
dentistry
with
it
becoming
commissioned
by
the
ICS
at
a
regional
level.
My
other
two
suggestions
would
be
around
I.
Think
one
of
the
things
we're
really
proud
about
on
the
health
and
wellbeing
board
is
that
we
have
the
voices
of
people
who
are
in
the
state
of
Health
and
Care
Services
very
essential.
J
So
we
hear
from
people
who
lived
experience
at
every
single
meeting
and
we've
done
things
like
the
big
leads
chat
and
we
have
people's
the
people's
Voice
network.
I.
Don't
think
that's
quite
their
title.
Actually,
I
can't
remember
what
it's
something:
people's
voice,
something
so
I
think
having
I
think
I
think
that's
a
potential
inquiry
actually
is
how
people's
voices
are
heard
within
the
Health
and
Care
system
or
if
not
an
inquiry.
J
I
think
it
would
at
least
be
interesting
for
you
to
get
an
overview
of
all
the
different
ways
that
we
get
direct
feedback
from
people
who
live
in
Leeds
and
engage
with
Health
and
Care
Services,
and
my
final
suggestion.
This
is
a
piece
of
work.
I'm
really
proud
of
I.
Think
it'll
be
really
positive
for
you
to
hear
from
the
allyship
program.
So
this
is
the
program
that's
led
by
the
health
and
wellbeing
board
where
every
member
of
the
board
and
bearing
in
mind
it's
really
senior
people.
J
It's
like
you
know,
Caroline
service
to
das,
a
Tim's
Thurston
council
person
for
leads
the
chief
execs
of
all
the
trusts
attempt
each
member
of
the
board
is
paired
with
a
third
sector
organization
that
works
specifically
in
the
area
of
Health
inequalities,
and
this
came
out
of
a
presentation
by
the
solidarity
Network,
and
that
is
a
group
of
Charities
that
work
with
the
most
marginalized
people
in
Leeds.
So
it's
gate
who
work
with
Gypsy
and
travelers
basis.
J
He
worked
with
sex
workers
Lassen,
who
work
with
refugees
and
Simon
Seekers,
and
mismatch
who
who
work
with
the
lgbtq
community,
and
they
presented
at
Health
wellbeing
board
a
couple
of
years
ago
on
the
basis
that
if
we
can
get
health
outcomes
right
for
the
people
that
are
the
most
marginalized
will
get
the
right
for
everybody
and
I'm
paired
with
Gates,
as
as
part
of
the
ownership
program,
which
has
been
an
absolute
privilege
to
be
able
to
work
directly
with
Gibson,
traveler,
community
and
I.
Think
it'll
be
really
positive.
J
For
you
to
hear
from
the
Ally
from
some
of
the
Allies
I
know,
Council
arif's
been
working
with
Crossgate
good
neighbors,
it's
Crossgate
good
names.
Isn't
it
and
they've
launched
a
campaign
around
this
first
World's
people
with
the
mayor,
so
we've
we've
done
we've
been
able
to
the
idea
is
that
the
members
of
the
health
and
being
for
the
people
who
are
in
positions
of
power
and
influence
and
can
provide
advocacy
and
championship
for
the
people?
The
organizations
that
they're
working
with
so
we've
been
able
to
do
some
really
fantastic
work.
J
So
I
think
I'll
be
really
positive
item
to
hear
from
the
other
ship
program.
So
those
will
be
my
suggestions
to
thank
you.
K
Thank
you,
chair
just
to
Echo,
councilor
burner's
point
about
the
allyship
I
think
that's
really
important
work
and
I
certainly
found
it
quite
useful.
Being
part
of
the
allyship,
a
couple
of
suggestions
from
me
from
here
and
some
people
may
or
may
not
be
aware.
Yesterday
we
launched
to
become
a
marmot
City.
K
We
had
Sir
Michael
Marmot
visit
us
and
I
think
that's
a
really
important
piece
of
work,
particularly
looking
at
Health
inequalities
in
the
city
and
look
at
the
wide
determinants
and
that
we're
focusing
on
housing
and
best
start
so
I'd
I'd
be
really
really
Keen
for
that
work
to
carry
on
and
be
scrutinized
in
terms
of
active
leads.
This
has
we've
discussed
it
before.
K
But
if
you
look
at
the
statistics
in
Mobile
deprived
areas,
access
to
our
Leisure
facilities
are
not
where
they
need
to
be
and
looking
at
the
barriers
and
what
we
can
do
and
to
make
sure
that
those
activity
levels
are
up,
but
also
people
access
the
Leisure
Center.
So
those
are
two
of
my
suggestions
chair.
Thank
you.
E
Thank
you.
Thank
you,
chair,
so
very
much
support
these
sources
of
information
contained
in
the
paper
and
the
comments
that
have
been
made
by
Council
of
Anna
and
arith
I,
just
just
a
couple
more
to
add.
E
If
I
may,
the
what
one
of
the
statutory
duties
of
the
director
of
Public
Health
is
to
Pro
is
to
produce
and
publish
a
annual
report
on
the
the
health
of
this
city,
and
we
had
a
pause
in
that
annual
reporting
during
the
pandemic
and
which
we've
now,
we've
now
got
back
on
track
and
we're
about
to
take
the
the
first
director
of
Public,
Health
Report
since
2018
to
the
health
and
wellbeing
board
in
July,
so
that
that
will
be
an
annual
reporting
process.
E
What
we
normally
do
is
pick
a
different
theme
every
year
to
focus
on,
so
that
may
be
something
of
interest
to
the
to
the
board,
and
then
the
only
other
one
which
feels
helpful
to
think
about
is
another.
One
of
our
statutory
duties
is
to
have
a
a
health
protection
board
for
the
city,
which
has
local
priorities
across
the
system,
with
senior
leaders
across
the
system
really
looking
at
how
we
protect
our
population
and
from
harms
to
health.
E
So
obviously
that
includes
you
know
planning
for
any
future
pandemics
that
may
be
forthcoming,
but
but
kind
of
some
some
stuff.
That's
hitting
us
now
as
well,
so
the
board
does
produce
a
report
every
two
years
that
goes
to
health
and
wellbeing
boards,
so
that
might
be
something
that
the
the
scrutiny
board
wants
to
take
an
interest
in
as
well.
Thank
you.
H
Thank
you,
chair
just
to
add
to
kind
of
cancer
kind
of
comments
around,
obviously
the
barriers
to,
but
ultimately
further
than
that
in
terms
of
our
physical
activity.
H
So
and
then
in
terms
of
active
environments,
especially
around
active
travel
and
that
kind
of
work
that
we're
kind
of
doing
in
that
spear.
In
terms
of
the
DFT
kind
of
pilot
project
that
we've
got
going
in
Burma,
hair,
Hills,
commission
Hill
area,
as
well
in
terms
of
active
workplaces
that
we're
doing
a
lot
of
work.
In
this
current
time,
working
with
key
organizations
across
Leeds
and
to
increase
activity
levels
within
their
kind
of
business
areas
and
organizations
that
we're
kind
of
driving
into
as
well.
H
So
that's
the
kind
of
key
bit
of
work
that
we're
kind
of
continue
to
do
the
other
areas
around
health
programs
and
how
we
kind
of
utilize
our
skills
in
terms
of
physical
activity,
to
help
obviously
from
a
primary
kind
of
and
secondary
kind
of
care.
Point
of
view.
H
In
terms
of
preventative
measures
that
we
can
use
in
terms
of
trying
to
reduce
some
of
the
elements
in
terms
of
cancer
work
that
we're
kind
of
do
in
our
thoughts,
prevention,
kind
of
work
and
our
msk
kind
of
work
that
we're
kind
of
doing
as
well.
On
that
front,
just
to
kind
of
get
an
emphasis
of
how
important
that
is
as
part
of
that
preventative
the
kind
of
measures
in
terms
of
the
health
and
population
that
we're
kind
of
going
forward.
The
science
Pro
2
key
areas
for
us.
M
Thank
you
very
much.
So,
from
our
perspective,
around
adults
and
health
we've
got
a
couple
of
really
large
scale:
programs
of
work,
transformation,
programs
of
work
underway
alongside
our
partners
as
well.
M
So
we've
got
what
is
called
the
community
health
and
wellbeing
program,
and
that
is
really
changing
a
way
in
which
we
deliver
domicily
Care
Home,
Care
Services,
it's
working
with
our
external
Market
of
providers
and
what
we
want
to
do
is
completely
change
the
way
in
which
that
service
is
delivered
with
an
absolute
Focus,
around
well-being
for
our
citizens
to
ensure
that
they
are
helped
to
remain
living
independently
at
home.
The
work
involves
lch
Lee's,
Community
Health
as
our
partners,
and
also
our
third
sector
as
well.
M
So
that's
one
area,
another
and
I'm
sure
my
NHS
colleagues
will
mention
as
well
that
we've
got
a
large-scale
Intermediate,
Care
redesign
program
underway
and
we're
working
with
Newton
Europe
on
an
implementation
of
a
new
design
to
improve
outcomes
for
people
who
go
into
Hospital,
making
sure
to
get
them
out
of
hospital
as
quickly
as
possible
and
back
home
with
improved
outcomes
rather
than
having
experiencing
all
sorts
of
delays.
M
So
a
system-wide
program,
and
then
the
only
other
that
I
would
mention
is
that
work
that
we
know
we've
got
to
do
more
around
support
of
our
unpaid
carers,
a
really
recognizing
the
value
that
they
bring
and
making
sure
that
our
offer
and
our
support
to
unpaid
carers
really
increases
as
much
as
possible.
Thank
you.
A
N
Three
areas
I
think
you
may
be
interested
in
so
the
first
one-
is
around
system
flow
and
picking
up
from
where
Caroline
left
off
around
the
home
first
program,
but
also
the
requirement
for
Community
Services
to
respond
within
two
hours
and
to
people
who
are
in
crisis
at
home
rather
than
going
into
hospital
as
part
of
that
as
well.
Looking
at
active
recovery
and
the
interface
between
the
NHS,
Intermediate,
Care,
Service
and
reaganment,
and
how
we
work
together.
N
Second
area
is
around
and
the
cost
of
living
situation
and
what
that
means
in
terms
of
access
for
patients
being
able
to
actually
get
to
appointments
and
and
how
we
could
do
that
differently
and
I
suppose
attached
to
that
would
be
our
General
Financial
environment
around
expecting
more
for
less
and
what
that
will
mean
in
terms
of
how
we
need
to
deliver
services
in
a
different
way
and
how
that
may
impact
particularly,
and
we
don't
want
to
increase
health
inequality
and
then
the
third
area
which
may
be
for
this
this
board
or
for
the
children.
N
Young
people
is
around
Child
and
Adolescent
Mental
Health
Services
in
its
totality,
but
particularly
picking
up
neurodiversity
and
access
to
assessment
for
autism
and
other
neurodevelopmental
conditions.
O
Thank
you
for
the
advantages
of
going
at
this
end
of
the
list.
It's
nearly
everything
I
was
going
to
say
has
been
said,
I
I,
suppose
I
just
want
to
perhaps
focus
on
on
a
couple
of
those
things.
One
I
think
there
is
a
real
issue
around
Health
inequalities,
the
mama
agenda,
poverty
and
particularly
from
an
NHS
how
the
NHS
is
engaging
within
those
those
and
within
that
agenda
and
with
that
agenda,
so
I
think
that
may
be
something
that
is
part
of
those
wider
discussions.
O
Colleagues
would
really
like
to
take
a
look
at
a
couple
of
other
areas:
yes,
I've,
absolutely
I,
think
general
practice
and
dental
access.
I
would
expect
you
to
want
to
look
at
those
one
of
the
things
around
the
dent.
How
this
is
how
these
will
be
managed
by
the
ICB
is
general
practice
will
continue
to
have
a
very
Leeds
level
Focus
to
the
support
we
give
to
GP
practices.
Dental
access
is
most
likely
and
dental
services
are
most
likely
to
be
managed
or
West
Yorkshire
level.
O
O
One
of
the
one
of
the
things
is
a
huge
number
of
people
visit
their
GP
every
month,
somewhere
between
a
quarter
and
a
third
of
the
population
equivalent,
and
therefore
the
numbers
that
you
hear
and
see
coming
through
to
you
are
perhaps
sometimes
reflected
for
that
I
think
that's
a
very
different
position
from
the
dental
position,
which
is
the
absolute
sparsity
of
access
for
the
majority
of
people.
O
So
there's
a
there's
a
couple
of
slightly
different
nuances
there
and
then
has
already
been
mentioned:
I'm
working
on
with
Partners
across
West
Yorkshire
by
we've,
just
coming
up
to
our
first
anniversary
rated
care
board
at
West
Yorkshire
level.
One
of
the
things
we
wanted
to
do
is
to
make
sure
that
we've
reviewed
our
operating
model
and
really
understand,
what's
working,
what's
not
working.
O
What
needs
to
improve
and
also
importantly,
make
sure
that
we're
strengthening
and
delivering
for
and
with
place
the
places
that
make
up
the
West
Yorkshire
partnership
so
that
works
underway,
I'm
I'm,
leading
that
on
behalf
of
West
Yorkshire.
On
top
of
that,
we've
also
been
given
a
30
reduction
in
what
we
call
running
costs
so
effectively
the
budget
for
the
staff
that
work
across
West
Yorkshire
ICB.
O
So
we're
really
effectively
doing
those
two
pieces
of
work
together
and,
as
we
go
through
the
year,
I
think
there'll
be
some
really
important,
but
not
perhaps
I
don't
want
to
overstate
it,
but
there'll
be
some.
Some
changes
that
will
have
a
implications
for
leads.
So
I
think
that
that
sort
of
perhaps
autumn
autumn
time
would
be
a
good
time
to
have
a
look
at
what
we're
doing
around
that
otherwise
I'd
Echo
things
have
already
been
mentioned.
A
Thanks
Tim
can
I
just
when
we
talked
last
week.
You
didn't
mentioned
about
children.
Neurodiversity
assessments
can
I
just
push
you
on
that
as
well.
Please.
O
Yeah
I
think
I'm
I'm
with
Sam
here
that
either
this
group,
or
and
or
children's
critically
would
want
to
look
at
that
there
are.
There
are
some
significant
challenges:
around
access
for
children,
young
people
to
mental
health,
neurodiversity
services
and
particularly
in
terms
of
mental
health.
It's
probably
more
access
to
services
and
treatment
in
terms
of
neurodiversity.
O
S
Yeah
thanks.
Thank
you.
Chair
hello.
My
name
is
Phil
Wood
I'm,
the
chief
executive
for
Leeds
teaching,
hospitals,
NHS
trust,
although
I've
been
in
the
trust
and
the
city
for
22
years,
so
I'm
very
familiar
with
with
where
we
are
so.
Thank
you
chair.
If
I
can
just
go
on
and
again
much
of
what
we're
involved
with
has
has
been
mentioned.
S
I
would
re-emphasize
our
focus
on
the
hope
and
first
program
with
City
Partners.
That's
a
key
part
of
our
work
for
this
year
in
terms
of
both
improving
patients
and
citizens,
experience
in
and
out
of
hospital,
but
also
because
it
allows
us
to
then
work
on
achieving
access
targets
for
patients
with
elective
and
emergency
demand
following
the
pandemic.
So
our
key
Focus
will
be
to
improve
our
Emergency
Care
performance
and
work
with
City
Partners
to
provide
an
alternative
offering
to
emergency
care
for
patients
who
need
urgent
assessment.
S
Although
we
are
making
good
progress
with
that
two
other
areas,
I
should
mention
I
think
one
is
that
we
will
be
working
again
with
City
Partners
around
reducing
Healthcare
Associated
infections,
which
is
a
challenge
in
the
city
and
certainly
a
challenge
for
us
in
Leeds
teaching,
hospitals,
we've
got
a
commit
on
staff
retention
and
that's
around
recognizing
again
working
with
City
Partners
in
the
the
one
Workforce
to
team
around
the
city's
pressure
on
our
Allied
and
other
health
professionals,
and
we
will
be
doing
internal
work
to
continue
to
try
to
improve
our
turnover
rates
and
during
the
year,
although
of
course
not
for
completion.
S
A
You
super,
thank
you
very
much,
so
the
other
person
we
would
would
have
liked
here
from
is
Sir
Monroe
is
he's
the
CEO
of
the
lease
York,
NHS,
trust
and
well
I
met
with
her
last
week
and
one
of
the
things
she
bought
out,
which
I'm
I'm
just
saying
now
for
the
minutes
and
for
the
board's
knowledge
was
the
Community
Mental
Health
Transformations
program
is
something
sort
of
continuing
our
work
on
that
as
well.
A
Q
Thank
you,
chair,
councilor
Sandy
lay
mentioned
something
I,
don't
know.
If
he's
a
formally
approached
the
children's
scrutily
about
looking
into
vaping
and
the
effect
that's
having
on
children
and
these
I
don't
know
what
you
call
them,
but
whatever
the
children
are
being
offered
buying
or
picking
up
illegally,
and
perhaps
maybe
we
could
do
a
joint
thing
with
them.
Q
A
Yes,
thank
you.
I
I've
been
in
contact
with
Council
La.
We
can
organize
a
a
meeting
with
myself
Angela
the
new
chair
of
the
children's
board
and
and
hopefully
Victoria
Eaton.
Interestingly,
I
raised
this
with
Victoria
Eaton
in
the
chairs
brief
around
the
smoking.
So
I'd
asked
her
to
bring
some
data
on
that
I.
Don't
know
if
you
wanted
that
when
we
get
to
the
paper
Victoria.
E
E
So
we
have
produced
sort
of
a
briefing
on
the
current
position
with
with
rates
and
leads,
and
then
what
we're,
what
we're
doing
about
it
so
far,
so
we're
more
than
happy
to
to
to
send
that
round
to
members
in
full
after
the
meeting,
if
that's
helpful-
and
we
have
been
approached
to
actually
provide
a
report
to
the
children
and
families
scrutiny
board
on
that
particular
issue,
so
that
works
in
progress.
A
Thank
you.
Thank
you.
It's
quite
I
thought
it's
quite
interesting
because
it's
a
piece
I'd
been
interested
anyway
and
then
councilor.
They
wrote
to
me
as
well,
so
that's
reinforcing
it
might
take
as
if
the
children's
screening
can
look
at
it.
In
the
first
instance,
let's
see
how
they
get
on
and
see
if
there's
anything
that
comes
out
of
that
that
they
refer
to
us,
but
I
certainly
have
a
proper
conversation
with
the
chair
and
the
two
screening
advantages.
A
Thanks
for
that,
and
if
you
Victor,
if
you
send
that
to
Andrew
Lynch,
we'll
circulate
that
around
the
whole
board
very
happy
to
keep
that
conversation
alive.
Thank
you,
okay,
John
Beale.
Please.
C
Thank
you
chair.
One
thing
which
I
don't
think
has
been
specifically
mentioned.
Mental
health
has
been
mentioned,
but
specifically
Crisis
Care
healthwatch
is
aware
that
there
are
still
issues
around
crisis
care
for
mental
health,
so
that
may
be
worth
looking
at
and
the
other
thing
mentioned
was
made
about
how
people's
voices
are
heard.
C
I
think
that
underlies
many
of
the
things
that
we've
been
listing
actually
listening
to
what
the
public,
what
the
patients
are
saying
and
and
not
just
listening
to
the
professions
and
the
managers
I
think
that's
important,
but
we
do
need
to
hear
what
the
people
out
there
are
experiencing.
A
I
think
that's
really
interesting.
I
was
talking
to
someone
from
Andy's
men's
club,
which
is
men's
mental
health
charity
and
they
were
talking
about
how
the
suicide
prevention
funding
has
been
cut
very
recently,
and
so
that's
a
really
important
moment
for
crisis.
Okay,
I'm
going
to
bring
in
councilor
Richie
next
and
I've
I've
seen
it
Council
Gibson.
I
Thanks
chair
and
everybody
is
going
to
be
a
busy
year.
I
can
see
it's
my
first
year
on
this
board,
but
I
do
want
to
throw
something
else
in
there
which
may
not
be
possible
to
cover,
but
I
think
it's
something
that
needs
to
be
on
the
forward
agenda
and
that's
the
proliferation
of
cannabis
use.
I
We
never
seem
to
talk
about
that
and
it
affects
so
many
areas
of
of
life,
but
we
don't
really
know
I,
don't
think
exactly
how
it
affects
people
directly
in
terms
of
Mental
Health
children
I
mean
now,
people
are
smoking
it
in
the
home.
It's
you
know.
It's
almost
like
to
me
it's
a
civil
subject:
we've
got
a
group
of
smoking
numbers
stats,
the
effects
and
so
on
big
Public
Health
campaign
and
make
great
progress.
I
We've
now
introduced
vaping,
which
I
agree
needs
to
be
looked
at,
but
cannabis
is
just
proliferated
in
the
last
few
years
everywhere
you
go
as
people
seem
to
be
smoking
cannabis
with
someone
in
Millennium
Square
yesterday
morning,
smoking
a
joint,
the
impact
it's
having
on
people's
housing,
because
it's
so
dense
and
it
seems
to
seep
through
walls,
is
a
big
impact.
So
I
think
we
need.
Maybe
it's
already
out
there.
I
don't
know,
but
I've
never
heard
how
many
figures
people
are
using
it.
I
What
impact
is
it
having
on
families
and
our
city
and
so
on?
So
I
think
that's
something
that
needs
to
be
investigated,
reported
on
and
looked
into.
A
Thanks
for
that,
Council,
Richie
and
I
I
think
there's
a
there's
a
wider
point
also
around
the
impact
on
young
people
in
terms
of
the
criminal
child
exploitation,
and
so
that's
one
of
my
biggest
concerns
about
the
Cannabis
smoking
in
in
my
area
in
Beeston.
Is
the
children
end
up
drug
running
and
then
that
draws
them
into
life?
A
crime
that
is
is
not
good
for
their
whole
well-being.
A
I,
don't
know
if
anyone
from
the
NHS
wants
to
comment
on
that
initially
or
or
Victoria
super.
Thank
you
very
much.
E
Board
members
may
know
that
we
do
have
a
drug
and
alcohol
board
for
the
city
which
I
do
chair.
So
we
can
certainly
take
that
back
to
colleagues
and
if
there
is
interest
in
a
report,
bring
something
to
this
board.
A
Thanks
Victor
I
think
what
we're
really
really
helpful
is
if
we
get
some
initial
information
to
Anglo
circulate
around
the
board
and
then
we
can
have
a
conversation,
maybe
have
a
conversation
with
Council
Richie
offline
about
whether
it
needs
to
be
a
formal
item
or
or
not.
But
no
thank
you
very
much
for
that.
Okay,
councilor
Gibson.
F
Thank
you,
chair,
I,
guess
then
John's
suggestions
in
in
my
time
on
the
panel,
which
has
been
three
years,
we've
never
actually
looked
at
as
far
as
I'm
I
can
remember
tertiary,
tertiary,
mental
health
services,
including
tertiary
Mental,
Health
Services
for
neurodiverse
people
and
people
with
learning
disabilities.
F
So
it's
it's
similar
to
to
what
John
had
said.
Dr
Bill
said
sorry,
John
and
I
think
it's
something
that
we
need
to
be
looked
at.
Please
panel
members
do
correct
me
if
I'm
wrong,
I
can't
remember
that
we
have
looked
at
that.
A
No
thanks
for
that
Council
Gibson
and
oh
yeah
yeah.
One
of
the
things
that's
on
my
list
is
the
waiting
time
for
children
in
particular,
to
get
on
to
sort
of
mental
health
support
and
if
you're
13
and
you
have
to
wait
two
or
three
years-
that's
a
lifetime,
and
so
for
us
as
older
people.
A
F
I
was
thinking
more
about
psychiatric
intensive
care
units,
in
particular.
Thank.
A
You
very
much
okay,
well,
I!
Guess
what
we're
doing
is
we'll
make
a
note
of
everything
and
then
we'll
take
it
away
and
say
all
right,
good!
No!
That's
good!
P
Yeah,
just
in
terms
I
was
going
to
bring.
This
was
part
of
a
gender
item
12,
but
since
we're
looking
for
potential
sources
of
work
and
things
we
might
want
to
discuss,
I
was
going
through
the
statistics
of
where
we're
kind
of
I
won't
say
on
the
performance
that
can
make.
You
know
a
city
like
ours,
better
or
worse
than
for
any
one
particular
metric
than
any
other
area.
P
But
while
there
are
some
things
like
cardiovascular
and
cancer
mortality,
where
we're
doing
representatively
better
than
the
UK
and
has
to
be
celebrated,
I
did
pick
up
the
suicide
rates
in
Leeds
stubbornly
higher
they're,
a
third
higher
than
national
average,
and
are
clearly
that
cost
of
living
and
the
fact
that
we're
in
you
know
we've
got
large
we're
we're
a
City
ward,
I'm
sure
there
are
many
many
factors,
but
that
picks
up
on
some
of
the
things
that
other
other
members
of
this
board
have
just
mentioned
around.
P
You
know,
councilor
Gibson
was
saying
around
you
know
third
sector
and
Andy's
health
club
and
I.
Think
somebody
mentioned
that
some
of
the
funding
for
some
of
those
support
groups
and
I
think
that,
as
we
know,
there
is
a
large
sector
of
voluntary
and
kind
of
mental
health
and
how
how
us
as
a
city,
coordinate
and
work
to
get
best
practice
across
the
whole
system,
not
just
a
bit,
but
we
directly
control
I
think
we'll
be
quite
interesting.
A
No
thank
you
comment.
That's
all
very
interesting
and
Council
Gibson
Andrews
just
highlighted
we.
We
are
planning
to
look
at
some.
Some
work
on
the
mental
health
strategy
in
July,
so
I
think
there's
definitely
going
to
be
space
to
dig
down
into
that.
But
I
think
you
really.
Your
specific
point
is
really
really
valid
and
I.
Don't
know
if
we'll
have
time
to
get
all
the
data
for
that
specific
area,
but
we'll
do
our
best.
A
Okay,
in
terms
of
I,
can't
see
anyone
else
in
the
cane
at
the
moment.
So
just
some
of
the
other
things
that
I've
done
sort
of
jotted
down
so
I
think
there's
a
piece
of
work
which
the
the
predecessor
board
have
been
looking
at
around
Workforce
challenges
and
the
impacts
on
patients.
I
think
that's
something
that
we
might
want
to
look
at.
A
I
think
there's
a
there's,
a
piece
around
excess
deaths
in
hospitals,
which
I
think
would
be
really
interesting.
But
there's
a
there's
a
piece
of
work
around
how
we
support
and
Safeguard
people
on
Street
based
lifestyles
and
the
other
thing
I
thought
would
be
a
really
interesting
conversation,
but
probably
quite
a
difficult
one
is
looking
at
how
how
fun
the
funding
model
works.
So,
obviously
there's
a
the
the
partnership.
A
G
Okay,
thank
you,
chair
and,
and
welcome
to
adults,
health
just
just
to
just
follow
up
on
on
your
initial
point,
I
think
looking
at
the
workforce,
it
is
really
important
going
forwards
and
I
think
Professor
wood
made
reference
to
retention.
G
G
How
do
we
look
at
keeping
the
staff
that
we've
got
within
the
system,
so
I
I
would
like
to
see
more
information
on
on
efforts
to
recruit
staff
system-wide,
but
also
how
we're
keeping
those
people
within
the
system
if
they're
not
particularly
happy
working
in
a
particular
in
a
certain
area,
you
know,
are
we
trying
to
keep
them
within
within
the
local
NHS
I?
G
Think
one
of
the
one
of
the
other
key
elements
to
Workforce
is
around
staff
engagement
and
again,
we've
a
long
long
time
ago,
when
I
used
to
work
for
at
least
teaching-
and
there
was
a
program
called
the
Leeds
way,
which
is
is
around
the
values
of
the
organization.
G
Now
that
piece
of
work
is
approaching,
I
believe
a
decade
old.
So
the
question
really
for
for
all
of
the
NHS
organization
says:
what
are
you
doing
to
refresh
or
review
the
values
of
the
organization
and
keep
keep
staff
on
on
track
with
kind
of
what
what
you
know?
Why
you're
there?
What
is
it
that
that
makes
you
wake
up
in
the
morning
and
and
go
into
work,
see
I
just
leave
that
leave
that
there
something
to
chew
on.
A
Thanks
Council
Valley,
quite
interesting
in
my
previous
scrutiny,
chair
on
the
stretch
and
resources,
we
spent
a
lot
of
time
with
the
lead
city,
council,
HR
team,
doing
exactly
making
sure
they're
doing
exactly
what
you're
talking
about,
which
is
the
wider
one
of
the
benefits.
But
I
guess
it's.
If
we're
really
honest,
it's
really
difficult
when
there's
a
cost
of
living
crisis-
and
you
see
our
unions
better
to
to
strike
for
strike
action.
A
A
Okay,
so
are
there
any
other
comments
or
any
of
our
guests
want
to
comment
on
anything?
The
counselors
have
said
no
super
great.
So
what
I
think
we'll
do
is
we've
got
work
item
again,
but
it's
always
a
final
agenda
item
on
screen
board
meetings,
but
ultimately,
I'll
go,
go
away
and
sit
down
and
schedule
it
in
some
time
with
Angela
tomorrow,
in
fact
to
go
through
some
of
this
and
start
putting
together
a
work
program
which
we'll
we'll
bring
back
next
time.
A
If
that's,
okay
with
everyone,
okay,
good,
okay,
we're
gonna
move
on
to
item
11,
which
is
hopefully
hopefully
be
it
an
interesting
discussion.
A
Hopefully,
people
have
seen
the
additional
information
that
got
sent
round,
which
is
hopefully
just
gives
you
a
bit
more
context
of
this.
The
say
what
so
I'm
going
to
invite
Tony
to
give
an
introduction
and
I
think
we've
got
someone
extra
at
the
table.
If
you
want
to
introduce
yourself
as
well,
what
you
can
do
is
assume
we've
all
read
the
papers,
but
if
there's
anything
in
particular,
you
want
to
draw
out
feel
free.
Thank
you.
J
So
this
is
a
report
about
innovation
in
the
health
and
social
system,
and
it
particularly
focuses
on
the
work
of
the
Leeds
academic,
Health
Partnership,
which
is
a
really
important
collaborative
organization
that
very
much
capitalizes
on
the
fact
that
Leeds
is
both
a
big
university
city
and
has
a
teaching
hospitals
trust.
So
it's
green
together,
people
from
across
the
Health
and
Care
partnership
and
looking
at
how
we
can
develop
really
fantastic
solutions
to
health
challenges
that
people
are
facing
and
councilman
I
visited
the
Innovation
pop-up.
J
J
So,
just
to
give
one
example:
we
met
someone
from
a
Scandinavian
company,
who've
produced
some
sensors
that
people
can
use
in
their
own
homes
so
that
you
can
remotely
be
aware
of
when
someone's
moving
about,
and
it's
really
about
false
prevention
and
safety
and
I
was
just
thinking
how
much
easier
that
is
than
trying
to
persuade
someone
to
wear
a
pendant
which
they
never
seem
to
be
wearing,
but
they
actually
fall
over
or
I.
J
Remember
in
my
grandma's
house,
I
was
constantly
calling
for
help
by
accidentally
pulling
the
cord,
so
I
think
having
I
think
some
of
the
innovations
that
are
out
there
and
ways
that
you
can.
You
know,
monitor
your
own
diabetes.
You
can,
you
know
you
can
remotely
make
sure
someone's
keeping
hydrated
and
taking
their
blood
pressure
and
managing
their
own
health.
A
lot
of
the
tech
is
really
empowering,
and
also
as
someone
I'm
saying,
this
is
someone
who's
very
untecky,
very
accessible
and
user
friendly.
J
So
the
report
outlines
the
breadth
of
what
the
Leeds
academic,
Health
Partnership
is
coordinating
and
it
also
locates
the
work
within
the
wider
City
Ambitions
around
improving
Health
outcomes,
of
course,
but
also
our
aspirations
around
economic
success
and
around
becoming
carbon
neutral.
So
I'll
leave
my
comments
there
chair
and
then
hand
over
for
more
details,
introduction.
L
Thanks
councilor,
Bennett
and
and
thanks
everybody,
so
yeah,
I'm,
Tony
cup,
chief
officer,
Health,
Partnerships
so
responsible
for
the
officer
lead
on
the
health
and
well-being
strategy.
L
A
lot
of
the
partnership
working
in
the
city
and
I
work
really
closely
with
the
academic,
Health,
Partnership
and
and
my
role
over
the
last
few
years
has
been
to
ensure
that
all
the
stress,
their
strategic
plans
in
the
city
are
are
properly
aligned
and
part
of
that
is
bringing
the
universities
far
closer
to
things
like
the
city,
ambition,
the
health
and
well-being
strategy,
the
inclusive
growth
strategy
and
and
lots
of
the
other
work
as
well.
L
There
are
a
number
of
people
around
the
table.
Who've
also
been
involved
in
the
academic,
Health
Partnership,
so
Tim,
Phil
and
Victoria
are
all
but
all
board
members,
and
inevitably
all
the
organizations
in
the
city
have
had
some
some
engagement
through
a
number
of
groups
that
we've
set
up
over
the
years.
L
L
So,
for
example,
the
West
Yorkshire
combined
Authority,
some
of
the
third
sector
organizations
such
as
Yorkshire
cancer
research,
ST
gemma's,
which
is
a
teaching
Hospital
teaching
hospice
and
do
some
great
work
up
there,
and
also
the
private
sector
through
things
like
the
local
Enterprise
partnership
as
well
so
I
mean
Innovation
is,
is
something
everyone
thinks
is.
You
know
something
that's
important,
but
people
perceive
it
sort
of
quite
differently.
L
I
think,
and
what
we've
been
trying
to
do
over
the
last
few
years
is
just
to
make
it
a
bit
more
practical
and
to
come
up
with
and
design
things
that
are
really
beneficial
to
the
system,
so
I'm,
just
I'm,
just
going
to
mention
two
or
three
of
those
before
I
hand
over
to
to
Luanne
who's,
going
to
go
through
some
of
the
great
things
that
are
taking
place
at
the
moment.
L
So
probably
the
most,
the
most
well-known
is
probably
the
leads
Health
and
Care
Academy,
which
was
incubated
in
the
academic,
Health
Partnership
and
that's
responsible
for
for
things
like
the
joint
training
and
leadership
programs
across
the
57
000
staff
that
live
in
the
city.
But
more
recently
one
of
the
focuses
has
has
been
around
inequality.
So
it's
taken
the
I
think
this
this
meeting.
L
Certainly
some
people
around
the
table
will
be
familiar
with
the
the
work
of
the
targeted
health
and
Employment
Program
in
in
Lincoln
Green
that
the
council
and
ltht
have
been
responsible
for
so
that
was
a
targeted
program
on
those
Estates
looking
at
entry-level
roles
in
the
NHS
and
particularly
in
in
the
hospital
60
people
into
into
work
through
that
program,
and
the
academy
now
is
rolling
that
out
on
a
far
wider
footprint
across
the
city,
so
huge
impact
there
on
on
Workforce
and
some
some
desperate
that
we
needed
focus
on
the
inequality.
L
Part
of
that
agenda
too.
People
probably
also
picked
up
on
on
some
of
the
things
that
are
taking
place
through
a
thing
that
we
used
to
call
the
lead,
Center,
personalized,
medicine
and
health
and
particularly
I,
think
called
pinpoint,
which
is
It.
Ultimately,
an
early
identification
diagnostic
intervention
around
cancer
uses,
Ai
and
and
machine
learning
has
gone
through
a
whole
series
of
Trials
and
is
shortening
Pathways
and
having
a
real
potential
impact
on
on
a
certain
number
of
cancers,
including
breast
and
and
lung
cancer.
L
L
L
There
may
be
some
that
fall
by
the
wayside,
so
I'll
mention
one
example
of
of
one
that
again
people
might
be
familiar
with,
so
we
had
some
some
funding
from
from
Sam
Samsung
to
put
wearables
working
closely
with
social
care
on
older,
vulnerable
adults
to
to
prevent
them
either
needing
domiciliary
or
residential
care
or
going
into
hospital,
and
we
use
smart
watches
about
this
is
in
about
2017-18.
L
It
wasn't
very
user-led
and
it
wasn't
particularly
successful.
So
we
actually
ended
the
the
trial
and
the
project,
but
the
learning
from
that
about
being
user
focused
and
actually
speaking,
to
people
around
their
care
and
the
type
of
interventions.
They
need
helped
us
with
some
of
the
interventions
that
are
currently
under
discussion
at
the
moment,
particularly
digibeats,
which
Luanne
will
talk
about
which
was
very
much
user
friendly.
L
So
just
a
very
brief
intro
there
just
think
really
quickly
in
respect
to
the
the
funding
from
from
the
academic,
Health
Partnership.
So
much
of
the
partnership
working
in
Leeds
is
funded
from
a
thing
called.
The
fair
shares
agreement,
which
are
portions
across
the
system
across
the
NHS,
across
the
universities
and
across
the
council.
A
certain
share
for
some
of
the
things
that
we
know
need
to
be
done
collaboratively
the
cost
of
the
council.
The
net
cost
to
the
Council
of
this
work
is
about
about
70
000.
L
The
total
cost
is
is
just
shy
of
a
million
pounds,
but
some
of
the
funding
that's
been
brought
into
the
system
recently
far
outweighs
that.
So,
for
example,
we
currently
have
two
posts
working
on
employment,
health
and
the
anchor
institutions
program
funded
by
the
health
foundation,
and
that
was
funding
that
the
lab
really
enabled,
and
particularly
the
university.
So
that's
300
000
that
sits
in
the
council's
city,
development
budget
and
I'm
sure
other
partners
will
will
probably
have
examples
of
that
as
well.
L
So
I'm
just
going
to
hand
over
to
Luanne
who's
going
to
introduce
herself
and
she's
going
to
talk
through
the
current
lap
Innovation
program.
T
The
good
afternoon
committee,
my
name,
is
Luanne
Linton
Phillips,
I'm,
Innovation,
adoption
specialist
at
Belize,
academic,
Health
Partnership,
so
you've
already
been
explained
how
that
how
the
partnership
works.
We
have
Academia
the
Health
and
Care
Providers
and
economic
Partners
as
well
as
third
sector
organizations
involved,
and
my
role
is
I
work
with
Partners
to
identify
and
support
the
adult
development
and
Adoption
of
strategically
important
Innovations
for
the
city
and
as
well
as
that
in
order
to
fund
some
of
these
Innovations.
T
It's
also
I
bring
key
people
together
across
the
city
to
work
on
multi-million
pound
bids
from
the
public
sector,
so
from
funding
organizations
such
as
the
National
Institute
of
Health
and
Care
research,
and
it's
increasingly
evidence
is
being
required
to
show
multi-system
multi-partner
working.
So
that's
where
certainly
a
new
direction
of
the
lap
has
been
going
is
is
in
order
to
coordinate
these
key
people
together
around
these
bids.
T
So,
hopefully,
you've
had
a
chance
to
have
a
look
through
the
report
and
and
you'll
see
that
Leeds
has
got
a
really
diverse
and
thriving
research
and
Innovation
ecosystem.
We've
got
World
leading
Innovation
assets
through
such
Innovation
assets.
We
have
businesses,
particularly
in
the
digital
Health
sector,
that
are
really
starting
to
thrive
and
in
terms
of
going
forward
in
the
future.
We
need
to
start
thinking
about
how
skills
the
universities
can
be
brought
into
these
discussions
to
make
sure
that
people
in
the
city
have
got
the
skills
for
these
really
high
value
jobs.
T
Okay,
often
the
universities
can
be
perceived
as
sitting
in
their
their
Ivory
Towers
and
being
sort
of
divorced
from
the
realities
of
the
Health
and
Care
Providers,
but
in
the
University's
latest
strategy,
reducing
inequalities
and
the
social
impacts
of
their
research
is
that
is
really
explicitly
at
the
heart
of
that
strategy.
T
Partnership
takes
its
direction
as
well
from
City
Ambitions
and
set
out
through
through
the
the
councils,
and
we
bring
diverse
perspectives
really
around
common
goals.
That's
the
whole
purpose
of
it.
It's
to
try
and
maximize
the
resources
that
we
have
in
the
city,
so
you
haven't,
got
people
going
off
and
working
in
silos
and
I
suppose,
just
a
another
point
just
to
to
pick
out
is
that
Innovation,
particularly
with
the
people
that
I
work
with,
is
very
Tech
focused.
T
Usually
we
we've
got
some
wonderful
examples
in
this
reporter
of
Technology,
but
the
definition
of
innovation
that
the
lap
takes
is
much
broader
than
that
it's
around
pathway
redesign.
It
can
be
around
it,
taking
different
approaches
to
Workforce
challenges.
So
there's
a
good
example
through
the
how
fat
foundation
work
that
Tony
picked
up
on
there.
T
That
I
can
mention
as
well,
if
you're
interested
so
I
won't
labor
too
much
on
the
the
points
that
you
hopefully
sort
of
read
within
the
report
around
the
fact
that
we've
got
really
good
networks
within
the
city.
So
you
may
be
familiar
with
the
academic
health
science
networks,
so
they
provide
generalized
support
to
innovators.
T
So,
in
terms
of
the
the
examples
that
we've
included
in
the
report,
there's
some
they're
really
good
examples
of
how
the
systems
work
together.
I
suppose
so
things
like
digibe,
it
was
a
very
much
homegrown
Innovation.
T
It
was
a
parent
of
some
of
a
child
that
had
type
1
diabetes
and
they
could
see
a
niche
where
there
was
an
opportunity
for
people
to
self-manage
their
Diabetes
Care
and
through
a
partnership
working
with
Lee's
teaching,
Hospital
trust
and
also
bringing
in
the
expertise
of
the
academic,
Health,
Science
Network
Propel
programs
to
support
innovators
on
their
Journeys
they've
now
got
a
it's
an
app
that
people
are
young.
T
Another
example
that
Tony
picked
up
on
was
pinpoint
this
is
now
getting
National
Traction
in
in
terms
of
its
applications.
When
you
have
problems
such
as
the
waiting
list
backlogs,
these
are
the
types
of
innovations
that
we're
really
interested
in
looking
at.
How
can
we
sort
of
most
impact
on
that
this?
This
can
stratify
people's
risk
and
direct
them
down
different
Pathways,
so
it
can
reduce
the
backlog
of
people
trying
to
get
onto
those
two-week
weight
pathways.
T
It
very
much
harnessed
the
the
research
and
Innovation
Assets
in
the
city,
bringing
together
the
University
of
Leeds,
their
expertise
with
Nexus,
which
is
an
incubator
for
entrepreneurs
and
new
businesses
and
together
with
the
hospital
as
well
and
as
a
lap
we've
the
the
certain
challenges
now
that
a
lot
of
data-driven
Technologies
are
facing
around
information
governance
that
people
are
having
to
sort
of
do
individual.
What
are
called
dpias
Data
protection
impact
assessments
each
time
they
want
to
approach
a
new
site
to
do,
do
work,
and
so
this
is.
T
This
is
a
national
level
problem
for
any
innovator.
So
we
can
bring
that
using
our
government
Partners
through
the
Leeds
Health
and
Social
care
Hub
onto
the
agenda,
a
national
scale
as
well,
and
just
that
you'll
see
the
other
two
examples.
But
we
we're
very
much
supporting
the
social
care
Arena.
T
There
is
a
lot
of
innovation
happening
in
this
this
area
and
it's
just
making
sure
that
the
needs
are
really
clearly
articulated
around
these
problems
so
that
we
can
start
to
match
these
Innovations
up
and,
as
you
can
see
in
the
the
future
direction
for
for
our
work
and
the
lap
it's
working
more
closely
with
the
population
Health
boards
to
get
that
data
Insight
around
what
the
problems
really
are,
and
then
you
can
start
to
either
look
for
those
Innovations
or
co-develop
with
innovators
to
get
products
that
really
do
respond
to
the
needs
of
the
city.
A
Thanks
very
much
okay,
so
I'm
gonna
move
it
to
questions
from
counselors
if
anyone's
got
any
our
starters,
I've
just
seen
John
so
I
guess.
The
first
question
for
me
is
in
terms
of
in
terms
of
impact
I,
guess
in
terms
of
going
forwards,
so
you've
got
some
really
clear
examples
of
progress
and
what
we've
done.
So
that's
really
positive,
I!
Guess
if
you
were
to
come
back
in
sort
of
one
or
three
years
time.
What
would
we?
What
should
we
be
seeing
in
terms
of
the
impact
on
patients
and
leads.
T
So
you
not
only
need
to
have
that
infrastructure
so
that
you
that
information
can
flow
between
provider
organizations.
There's
also
the
data
in
sight
that
once
you've
collated
that
information
that
all
the
data
sources
that
you
hold
on
patients
that
you
can
start
to
start
mining,
that
data
to
start
working
out
where,
where
are
the
real
problems?
Where,
where
are
you
getting
people
that
have
got
three
or
four
comorbidities
that
are
utilizing,
the
the
you
know
a
e
Services?
How
can
they
be
better
managed
in
using
different
Pathways
of
support?
T
So
I
would
say:
I
I
am
you
know,
maybe
ambitious,
but
I
think
within
that
time
period
that
you've
reflected
we're
getting
to
that
point
now
where
the
data
is
connected,
and
it's
how
we
start
using
that
data
to
provide
the
insights
and
I
think
the
population
Health
boards
will
will
have
access
to
that
facility
to
start
really
picking
out.
Where
are
our
problem
areas
Within
in
each
of
those
with
each
of
those
boards
that
we
can
then
start
finding
the
right
Innovations
to
to
see
that
population.
A
Thank
you
very
much.
It
sort
of
leads
me
on
to
my
second
question,
which
was
around
I
guess:
are
there
a
wider
group
that
could
be
invited
into
the
lab
over
time
to
help
I
guess
with
funding
our
Innovation?
So
in
terms
of
data
there's
a
number
of
a
number
of
companies
that
do
Health,
Tech,
I,
guess.
T
Foreign,
so
yeah,
you
know
the
partnership
is
open
to
to
to
anybody
who
wants
to
work
with
Australia.
So
certainly
from
a
an
innovation
point
of
view.
The
idea
is
that
we
do
work
with
industry
partners
and
bring
those
into
the
discussions.
T
As
I
said
before,
the
the
region
has
a
really
healthy
digital
sector,
with
some
really
good
expertise
that
we
can
start
harnessing,
certainly
going
forward
so
yeah
any
we
identify
through
what
working
with
our
other
partners.
So
the
HSN
worked
very
closely
with
innovators
as
well,
so
I
I
sit
on
their
triage
board,
so
I
get
to
see
everything
that
comes
in
every
couple
of
weeks
and
then
it's
picking
what
what's
the
most
relevant
things
to
the
projects
that
the
lap
is
working
on
at
that
time.
T
So
you
know
with
these
big
large
scale
bids
as
well,
that
we're
looking
at
the
total,
probably
around
220
million
of
the
10
active
bids
that
we've
we're
involved
in
at
the
moment.
Most
of
those
have
some
sort
of
digital
component
to
them
to
to
health
component.
A
Thank
you
very
much.
Okay,
I'm
gonna
bring
in
Dr
jumbia.
C
Thank
you
chair.
There
are
several
mentions
of
digital
in
in
this
paper,
and
apologies
to
those
who've
heard
me
say
this
before,
but
it's
it's
one
of
the
things
that
does
concern
me
and
it's
it's
absolutely
important,
and
it's
really
great.
That
Leeds
is
in
the
Forefront
of
using
digital
to
help
in
in
all
sorts
of
ways.
C
In
the
pre-meeting
mention
was
made
by
a
colleague
about
patches
about
doctors.
Introducing
patches,
I
got
a
text
from
my
GPS
John.
Could.
A
You
just
clarify
what
patches.
C
Was
this
is
the
point
I'm
making
chair
I
got
I
got
a
a
text
saying
we
are
introducing
patches
what
is
patches.
There
was
nothing
in
the
text
which
told
me
what
it
was,
what
it
did,
how
you
use
it
now,
I'm,
not
always
kid
but
I'm
I'm,
also
not
a
total
technical
phobic,
so
I
then
went
and
looked
it
up,
but
I'm
sure
there
are
other
people
who
got
that
and
didn't
know
how
to
even
look
it
up
and
and
certainly
weren't
aware
of
how
you
would
use
it.
C
So
I
do
think
that
we
need
to
carry
people
with
us
and
make
sure
that
people
do
know
how
they
can
use
digital
to
improve
all
sorts
of
things
which
can
be
used
to
improve,
and
the
other
thing
is
those
who
can't
use
tech,
technical
apparatus
for
all
sorts
of
reasons.
I
mean
we
read
in
the
newspaper
about
the
number
of
people
who,
because
of
the
positive
poverty
crisis,
are
giving
up
using
Broadband.
C
If,
because
they
cannot
afford
their
Broadband
anymore,
how
do
we
carry
them
along
if
they
can't
use
digital
at
home,
and
then
there
are
others
who,
for
various
reasons,
can't
use
digital?
They
can't
afford
it.
They've
got
disabilities
learning
disabilities
may
be
physical
disabilities.
C
That
means
that
they
can't
use
digital
or
can't
use
certain
aspects
of
digital,
and
we
need
to
be
very
careful
that
what
we
are
not
doing
is
increasing
inequalities
by
converting
to
digital.
Only.
We
need
to
make
sure
that
we
carry
everyone
with
us
digital
far
as
possible,
but
not
everyone
can
do
it
and
we
need
to
look
after
those
who
can't
use
it.
L
Yeah
I
mean
I
completely
agree,
John,
one
of
the
key
things
that's
under
well,
it's
literally
in
the
process
of
being
signed
off
at
the
moment
is
the
digital
strategy,
and
any
digital
strategy
worthy
sold
obviously
has
to
have
a
large
focus
on
digital
inclusion,
and
particularly
around
you
know,
like
you
say,
for
for
either
older
people
or
people
who've
learned
in
disabilities,
who
may
have
some
digital
skills
but
might
not
be
able
to
use
it
for
the
things
that
we're
all
familiar
with
like
accessing.
L
L
That
also
has
that
focus
on
inequality,
and
that's
one
of
the
things
more
recently
we've
written
large
in
in
all
the
lap
documents,
which
was
maybe
not
as
strong
in
the
first
iteration
of
the
lab,
but
absolutely
partly
as
a
result
of
the
the
Marmot
conversations
and
partly
as
a
result
of
the
city's
Focus
on
inequality,
is
going
to
be
one
of
the
priorities
within
the
the
system
and
and
on
the
research
agenda
as
well.
L
T
Just
so,
this
is
a
a
system.
That's
been
implemented
at
a
western
Yorkshire
level,
so
it's
not
just
in
Leeds
and
it's
a
robotic
process,
automation,
triage
platform.
So
it's
supposed
to
be
that
they,
you
you
put
in
certain
symptoms.
It's
supposed
to
do
some
of
the
functions
of
the
the
sort
of
initial
approach
that
you
would
make
to
a
GP
and
it
allows
you
to
have
that
conversation
as
well.
So,
but
it's
it's
very
new
across
the
city,
I
was
speaking
to
some
GPS
recently
and
and
they're
they're
saying
they.
A
But
I
guess
the
point
Dr
John
is
making
is
there's
a
really
key
communication
aspect
here
which
is
fundamental
to
any
Tech
rollout
and
I?
Guess
the
other
thing
again,
I
think
Dr
Bill's.
Making
this
point
really
well
is
it
has
to
be
a
non-digital
option,
so
we
can
spend
all
this
time
on
reducing
digital
inequality,
but
there
will
always
be
a,
in
my
view,
a
small
subset
who
can't
or
won't
use
digital
and
if
we
don't
include,
make
an
option
for
them.
A
L
Yeah
absolutely
and
interesting
the
Samsung
project
that
I
mentioned
one
of
the
pieces
of
learning
from
that
was
rather
than
giving
older
and
vulnerable
people
how
to
use
a
small
minority
did,
but
what's
didn't.
Actually,
the
the
sensor
that
was
put
on
the
kettle
in
the
morning
was
a
far
more
effective
means
of
identifying
whether
people
were
upper
were
up
and
about
and
were
active,
so
yeah,
and
that's
something
that
obviously
went
by
a
via
social
care.
L
So
we
we
absolutely
do
need
those
non-digital
Solutions,
but
also
solutions
that
are
sort
of
part
digital,
but
perhaps
sometimes
bypass
people,
but
to
call
centers
and
things
like
that.
So
it's
a
I
guess
it's
a
range
of
different
interventions
and
and
the
bottom
line
behind
a
lot
of
it
is
face
to
face
and
home
visits
have
still
got
to
be
part
of
the
equation
too.
O
It's
slightly
broader,
but
it's
pretty
worth
coming
in
I
I.
Think
it's
really
important.
What
we're
saying
about
the
inclusion
we
are
in
danger,
sometimes
forgetting
that
and
at
the
same
time,
I
think
just
in
this
conversation
around
the
lap.
It's
important
to
remember
that
the
lapse
role
is
to
support
us
in
Innovation
and
adaption
and
Adoption
of
innovate.
O
Sorry,
adoption
of
innovation
and
actually
it's
those
of
us
that
have
the
responsibility
for
the
the
services
themselves
that
need
to
take
the
responsibility
of
how
best
to
introduce
that
Innovation,
the
innovators
innovate,
it's
those
of
us
with
the
services
and
then
and
then
the
second
thing
is
often
when
we
hear
of
digital.
A
lot
of
it
is
about
patient
or
public
facing
work.
O
A
lot
of
it
isn't
a
lot
of
it
is
enabling
professionals
and
clinicians
and
managers
to
do
their
job
more
efficiently,
effectively
to
identify
issues
more
quickly
and
in
that
sense
doesn't
come
anywhere
near
directly
patient
care.
I!
Don't
want
us
to
lose
that
I
think
some
of
the
work
that's
being
done
in
the
lab
is
is
in
that
territory
and
those
connections
so
just
a
modest
to
lose
that
whilst
I,
absolutely
agreeing
100
around
the
inclusion
piece.
P
Yeah
I
was
just
a
couple
of
quick
points.
I
think
we
need
to
be
careful
on
the
language
when
we
talk
about
digital,
because
I
think
we're
in
danger
of
giving
assuming
that
digital
is
just
about
user
interface.
It's
about
web
pages,
it's
not
I
mean
you
know
natural
speech
systems
that
can
you
can
talk
to
our
digital
Solutions,
but
for
me
I
think-
and
it
was
me
that
brought
up
the
patches
issues
having
dealt
with
it.
Firsthand
is
I.
Think
there
is
a
there
is
a
for
me.
P
The
Gap
is
between
those
people
who
are
happy
using
a
keyboard
and
expressing
their
symptoms
and
issues
via
attacks.
You
know
very
basically
by
our
keyboard
on
the
screen
and
those
who
want
to
talk
and
I.
Think
most
people
are
able
to
speak.
Not
all
people
are
able
to
express
themselves
eloquently
through.
You
know,
through
an
interface
and
again
picking
up
on
the
point,
I
think
when
we
talk
about
innovation
some
again
so
much
of
it
isn't
isn't
patient
facing.
P
You
know
it's
it's
machine
systems,
it's
it's
Diagnostics,
it's
analytic
analytical
stuff
and
it
was
actually
that
was
something.
I
was
going
to
ask
a
question
because
I
think
you
know,
what's
clear,
yeah
I
think
they
said:
there's
220
million
bid
money,
that's
been
leveraged
at
the
moment.
So
clearly,
this
lap
is,
from
a
fiscal
point
of
view,
is
a
wealth
multiplier
for
the
city
of
great
great
reputation.
Success
which
is
brilliant,
I,
guess
couple
of
questions
that
I've
got
is.
P
Obviously
you
know
when
you
talk
about
health,
centers
of
excellence,
the
sort
of
the
Cambridge
Oxford,
Corridor
kind
of
comes
up.
I
know
from
my
on
links
with
Edinburgh
that
they've
got
a
strong
Link
in
terms
of
genetic
research.
So
I
guess
a
couple
of
questions
that
I've
got
is:
where
is
the
leads
leads
or
Yorkshire
Corridor
recognized
as
being
excellent?
Where
is
our
special?
Where
is
our
specialty
and
I?
Guess?
P
The
other
thing
is
you
know,
given
that,
from
again
from
from
a
financial
and
from
a
health
output
perspective,
there
is
a
lot
to
go
out
here.
Is
there
anything
that,
as
a
city,
we
could
be
doing
more
to
strengthen
our
reputation
and
to
Aid?
You
know,
innovators,
whether
it
be
in-house
Innovation
or
as
acting
as
a
nest,
where
we
are
seen
as
a
a
welcome
recipient
yeah?
P
L
L
So
the
council
hosts
a
regular
meeting
of
senior
staff
across
Leeds,
University
and
Leeds
city
council,
we're
looking
to
expand
that
and
include
the
other
universities
as
well,
and
one
of
the
things
that
we
probably
want
as
a
USP
running
through
all
the
health
Tech
and
digital
work
is
the
focus
on
inequality.
L
None
of
the
other
areas
that
are
working
on
this
have
that
inequality
based
Focus,
so
one
things
we've
been
doing
more
recently,
has
been
having
a
lot
of
conversations
with
with
other
systems
around
this.
So
Tim
has
been
leading
some
work,
for
example
in
the
NHS
with
colleagues
in
a
part
of
New
York.
L
We've
just
had
a
conversation
with
with
colleagues
in
in
Bradford
about
their
work
on
a
thing
called
born
in
Bradford
and
an
accident
early,
which
has
been
really
successful
in
generating
data.
That
has
changed
a
lot
of
policy
in
Bradford
everything
from
the
school
year
for
June
and
July,
born
babies
through
to
how
they
deal
with
and
and
address
air
quality,
and
then
likewise,
there
are
conversations
with
wider
members
of
the
academic
world
through
the
Marmot
program
and
also
some
previous
conversations
with
with
organizations
like
York
University.
L
So
there's
a
lot
ongoing
in
that
I
think
we
probably
need
to
to
solidify
some
of
that
into
a
probably
a
clear,
a
clearer
City
research
strategy,
which
sounds
a
bit
academic,
but
it's
something
that
Bradford
have
got
that
Manchester
have
gotten
that
we
can
bring
out
somewhere
like
that
inequality
focus
more
clearly,
I
think,
but
in
in
terms
of
maybe
some
of
the
areas
we
could
probably
innovate
in
and
and
move
into,
I
think
Luanda.
You
want
to
come
in
on
on
that.
One.
T
And
so
so,
the
population
Health
Board
structure
that
we
have
in
Leeds
is
also
quite
unique.
So
having
that
and
and
the
ICS
at
West
Yorkshire
level
is
seen
as
one
of
the
most
developed
ICS
is
out
there.
So
we
have
that
as
a
real
Advantage
and
and
in
terms
of
the
offer
to
innovators.
T
Sometimes
they
they
get
a
really
fragmented
picture
of
a
city
when
they
approach
it.
But
the
one
thing
I
can
say
about
the
Leeds
ecosystem
is
that
it
is
very
well
connected,
so
we're
trying
to
get
to
a
point
where
there's
a
single
point
of
entry
for
innovators
to
come
into
the
region
and
then
the
network
of
connections
that
sit
beyond
that
should
smooth
the
process
for
innovators
and
and
so
that
we
can
get
to
a
point
where
it's
very
easy
to
do.
T
The
partnership
working
with
with
providers
we've
also
got
Health
Tech
corridors
that
have
been
referred
to
in
in
paper,
so
connections
to
Israel
the
nordics
there's
going
to
be
some
boot
camps
happening
in
the
states.
So
that's
not
only
for
for
us
to
bring
in
the
most
sort
of
relevant
Innovations
from
on
an
international
level
that
answer
our
needs
as
a
city.
It
gives
the
opportunity
for
innovators
within
the
city
to
export
out
as
well.
P
A
short
one
on
the
kind
of
innovation
and
I
guess:
there's
two
bits:
isn't
it
that's
kind
of
Applied
Innovation,
which
is
more
about
implementation
as
much
as
it
is
innovation
and
then
there's
kind
of?
Actually,
you
know
fundamental
research
where
you're
just
working
on
interesting
stuff-
and
you
may
not
always
know
what
it's
going
to
deliver.
It's
just
that
it's
it's
just
naturally,
The
Cutting,
Edge,
typically
funding's
I.
T
So
there's
some
really
exciting
developments
in
that
very
early
stage,
working
things
like
in
silico
Trials,
where
you,
the
the
idea,
is
that
you
won't
have
to
run
so
many
patient
Clinic
trials
in
the
future.
You
always
get
a
digital
twin
that
you
can
do
the
the
this
sort
of
experimental
medicine
on
that
that's
still
early
stages,
but
that's
certainly
an
area
of
work
that
the
universities
are
involved
in.
T
That's
really
exciting,
but
there's
different
funding
bodies
really
for
those
two
different
types
of
of
work
that
you've
mentioned
so
there's
the
more
applied
research
funders
that
we
go
to,
which
are
things
like
innovate,
UK,
the
engineering
and
physical
sciences,
research,
Council
and
and
the
nhr,
and
then
there's
other
funding
bodies
that
do
the
more
sort
of
experimental
science
that
that
you
know.
If,
if
there's
potential
for
Innovation
and
research
to
take
place,
then
we'll
be
involved
in
in
looking
at
what's
available.
For
that.
F
Thanks
chair
I,
just
want
on
your
honest
assessment
on
whether
or
not
there
is
enough
time
and
resources
being
allocated
to
utilize,
Innovative,
Technologies
and
and
social
care.
It's
you
know.
We
we
hear
so
much.
Don't
we
about
the
need
for
Health
and
Social
care
parity
between
between
the
two
and
sort
of
in
the
National
conversation
we
hear
so
much
about
health,
Health,
Tech
Innovation.
You
know
AI
for
Diagnostic
stuff
and
all
that
I
don't
hear
anything
about
about
social
care.
L
Yeah,
the
the
short
answer
is,
is
no
but,
to
be
perfectly
honest,
the
the
funding
councils
that
Luanne
mentioned
their
focus
traditionally
has
not
been
being
social
care.
There
is
some
some
change,
so
the
the
nihr,
which
is
a
National
Institute
of
Health
research,
has
recently
taken
social
care
as
a
priority.
L
So
there
is
likely
to
be
some
significant
funding,
but
there's
no
a
question:
there
would
be
some
real
low-hanging
fruit
from
proper
investment
in
research
in
in
Social
care,
so
that
the
lap
itself
as
as
broadened
some
of
those
conversations,
so
we've
had
conversations
with
a
number
of
people
in
adult
social
care
in
leads,
but
I
suspect
in
other
areas
where
adult
social
care
probably
isn't
as
as
proactive
they're,
not
as
forthcoming.
So
I
think
we're
in
a
good
position.
Should
there
be
funding
that
comes
for
social
care,
research,
social
care,
Innovation.
L
But
it's
been
very
much
sort
of
drip
feed
at
the
moment.
It's
not
as
significant
as
the
maybe
the
things
that
go
into
primary
care
and
acute
trusts
and
other
bits
of
the
the
health
system.
J
Yeah
I
just
wanted
to
respond
to
that,
because
when
we
were
at
The
Innovation
Hub,
some
of
the
technology
that
Council
iPhone
I
saw
was
actually
social
care
based
rather
than
house
based,
so
the
sensors
that
I
mentioned
were
that
was
about
how
you
can
monitor
people
either
in
a
care
home
starting
but
also
in
their
own
home.
And
similarly,
the
kettle
that
Tony
referred
to
or
being
able
to
monitor
your
own
blood
pressure
being
able
to
be
reminded
about
hydration
were
about
supporting
people
in
their
home.
J
I
also
just
wanted
to
add
to
the
point
to
me
that
I
thought
was
really
relevant
about
our
our
instincts.
Counselors
I
think
because
we
engaged
very
directly
with
the
community
is
to
think
about
this
in
terms
of
people
in
people
using
Tech,
but
actually
some
of
the
technology
that
we
saw
about
supporting
clinicians
to
do
their
work
was
incredible.
We
saw
some
modeling
that
enabled
surgeons
to
simulate
operations,
which
was
just
just
mind-blowing
and
has
demonstrated
they're
using
this
already
and
surgeons.
J
When
they're,
when
they're
doing
kind
of
preparation
for
operations
have
changed
dramatically,
sometimes
what
they're
doing
based
on
the
technology,
that's
enabled
them
to
do
a
kind
of
pre-simulation.
We
also
saw
some
digital
tracking
of
blood
samples,
which
means
they
never
ever
go
astray.
So
I
think
that's
a
really
important
point
that
a
lot
of
this
is
about
stuff.
We
won't
see
as
people
using
health
services,
but
it's
really
important
in
enabling
people
to
us
do
their
jobs
more
effectively
and
more
efficiently.
Thank
you.
Thank.
T
Here
I
was
just
saying
with
with
the
developers
in
new
hospitals
as
well.
The
intention
is
that
you'll
you'll
only
be
in
there
for
the
period
of
time
that
you
need
to
be
and
that
you'll
be
managed
in
the
community
more
going
forward.
So
the
the
Technologies
around
remote
monitoring,
which
will
also
impact
on
social
care,
is,
is
relevant
across
those
those
domains
as
well.
I
suppose
what
I
think
would
be
really
useful
is
is
sort
of
an
equivalent
to
The
Innovation
Hub
in
a
social
hair
setting.
T
That
would
be
a
great
thing
to
have
just
because
it's
very
it's
a
very
easy
pathway
for
technologies
that
fit
acute
care
settings,
because
you've
got
a
site
almost,
but
with
social
care
being
more
fragmented
in
terms
of
its
providers.
That's
a
little
bit
more
tricky
to
to
deliver,
but
there's
definitely
there's
been
showcasing.
Events
I've
been
to
recently
that
have
really
shown
the
breadth
of
Falls
prevention,
Technologies
and
so
there's
a
lot
of
activity
happening
in
the
social
care
space
and
relevant
relevant
innovations.
R
F
I
Thanks
chair
just
my
questions
around
there's
a
reference
to
21st
century
connectivity
and
infrastructure.
Are
we
confident
that
we
have
got
that
infrastructure
in
place
for
this
Progressive
use
of
Technology?
That's
been
developed
because
we've
all
been
on
I
know
it's
not
the
same
thing,
but
we've
all
been
on
Zoom
calls
where
somebody
has
to
turn
the
camera
off
or
we
lose
connectivity.
So
it
I
just
wondered
how
far
we
were
on
that
road
to
getting
21st
connectivity
and
infrastructure.
Secondly,
artificial
intelligence.
I
I
can
imagine
that
brightening
a
minority
but
a
boyciferous
minority
of
the
population.
We've
already
had
conspiracy
theories
from
the
vaccine
to
5G
as
early
20-minute,
neighborhoods,
so
I
imagine,
artificial
intelligence
will
be
the
next
conspiracy
theory
and
people
will
have
genuine
concerns
about
that
I'm,
not
belittling
people's
views,
but
just
wondered
how
we
might
manage
that
then
the
final
one.
T
Hackathon
one
person-
that's
the
easy
one,
so
the
we've
got
the
integrated
digital
service
in
the
that's
operating
with
the
in
Leeds
city
council
that
are
doing
some
fantastic
work
at
the
moment
and
they
the
hackathons,
are
you
bring
all
all
the
people
that
are
relevant
around
a
particular
problem
that
it's
specific
to
the
digital
spacing
in
their
context,
and
you
just
thrash
out
different
ideas
and
it's
a
really
open
platform.
Anybody
can
come
anybody
that
has
an
interest
in
those
in
in
that
particular
area.
T
They
put
out
invitations
to
quite
a
wide
group
of
people
so
that
it
can,
you
know,
really
reach
within
the
networks
and
and
they
come
and
they
discuss
potential
solutions
to
to
ideas.
So
it's
supposed
to
be
very
inclusive
in
in
in
involving
as
many
relevant
people
as
possible.
So
that's
the
hackathon
part
of
it
and
they
run
about
I.
Think
it's
about
two
to
three
per
year
around
different
themes.
L
I'll
have
a
stab
at
the
AI
one
I
mean.
Obviously
it's
something.
That's
that's
hugely
in
the
in
the
news
at
the
moment
and
inevitably
will
will
be
sort
of
increasingly
as
we
use
it
for
more
and
more
Technologies
and
more
and
more
systems.
But
one
thing:
that's
that's
worth
pointing
out
with
with
anything
that
the
universities
do.
L
There
has
to
be
an
ethical
approval
route
for
any
any
clinical
trial,
and
that
involves
patient
consents,
just
like
we
have
in
local
government
as
well,
and
it's
it's
important
to
I
think
to
to
make
that
that
point,
but
you're,
probably
right
about
about
the
conspiracy
theorists,
but
there
are
already
real
signs
that
AI
based
tools,
so
the
pinpoint
one
that
I
mentioned
uses
AI
the
search
for
antibiotics.
So
you
know,
if
you
look
at
say
something
like
like
leonorrhea
sexual
Health
in
sexual
health
World.
L
A
lot
of
the
Frontline
antibiotics
are
actually
no
longer
effective.
So
there's
a
use
of
AI
to
search
for
ones
that
may
eBay,
also
useful
and
I
think
will
increasingly
see
that
type
of
approach
across
conditions
as
well
and
then
just
on
sort
of
connectivity
and
and
infrastructure.
You'd
have
to
ask
a
digital
specialist,
a
little
bit
more
than
me
for
that
one,
but
I,
guess
again
all
these
Technologies.
L
So
in
the
council
we
had
Skype
initially
didn't
we
a
number
of
years
ago,
and
whilst
teams
and
zoom
might
fail
every
now
and
again,
Skype
sort
of
failed
all
the
time
didn't
it.
So,
as
every
year
passes,
we
we
we
refine
our
understanding
of
how
to
use
some
of
these
Technologies
the
key
and
which
is
why
it's
been
really
important.
L
I
think
to
come
here
is
to
keep
asking
those
questions
about
the
inequality
of
access
to
to
the
Technologies
and
indeed
making
sure
that
that
whatever
we
use
in
all
these
new
and
whizzy
things
that
absolutely
have
ethics
approves
approval
and
are
where
possible,
as
user-led
as
they
can
be.
I
Just
to
come
back
I
guess
what
I
was
asking
is:
are
they
the
academics
and
other
partners
they're
not
getting
frustrated
because
they
would
be
able
to
do
something
with
actually
I?
Don't
know
if
it's
I'll
say
a
bandwidth?
It's
probably
not
that.
But
you
know
what
I
mean
that's
what
I
was
asking
really
any
frustrations
come
to
light
because,
and
the
rule
out
is
perhaps
too
slow.
There's.
T
Well,
there's
the
Leeds
office
for
data
analytics
that
are
kind
of
taking
this
in
hand
and
and
through
the
recent
publication
of
the
digital
strategy.
It
really
outlines
what
the
processes
are,
that
they're
going
to
go
through
to
achieve
this,
and
it's
well
underway.
I
can
tell
you
that
so
but,
as
you
say,
I
think
you
need
somebody
from
from
them
here
to
represent
what
they're
doing
in
terms
of
that
work.
G
Thank
you
chair,
so
yeah
I've
got
I've,
got
three
questions.
The
picking
up
on
a
few
of
the
themes
that
have
been
been
raised
throughout
this
I
think
I.
Think
Tim
made
a
very
good
point
with
regards
to
a
lot
of
this
technology,
focusing
on
on
behind
the
scenes,
as
you
will
kind
of
yeah,
how
can
we?
How
can
we
improve
the
processes
for
Steph?
How
can
we
look
at
you
know
the
systems
that
we're
using
so
I
I
suppose.
G
My
first
question
is:
how
are
how
are
staff
on
the
front
line
being
engaged
on
on
this
greater
use
of
Technology
on
this
great
use
of
digital?
G
Clearly,
there
are
improvements
that
can
be
made,
and
you
know
some
of
them
may
be
more
apparent
than
others,
and
this
then,
then,
leads
me
on
to
the
second
question
brown
color.
What
does
what
does
Tech
and
digital
integration
look
like
and
that's
that's
both
within
the
context
as
as
we
now
we
have
the
the
ics's
and
quite
a
lot
of
government
and
political
policy
making
is
looking
towards
greater
integration
between
Health
and
Social
care.
G
G
You
know
where
you
might
find
you
know
and
yeah
just
you
know,
perhaps
a
bit
of
a
silly
example,
but
you
might
find
like
Windows
XP
running
in
some
parts
of
of
the
NHS
and
then
finally,
and
again,
this
is
sort
of
like
really
future
facing
what
what
difference
do
we
anticipate
that
this
is
going
to
make
to
the
future
of
the
NHS
and
social
care?
G
You
know
5
10,
25,
50
years
down
the
line
I
mean
I'm,
not
not
anticipating
sort
of
like
playing
flying
ambulances
or
anything
like
that,
but
you
know
what
what
will
be
the?
How
will
we,
how
will
we
recognize
this
program,
is
doing
what
it's
supposed
to
be
doing?
L
Very
good
question
lots
of
points
in
there
and
I
think
you
ultimately
I
guess
you're
asking
about
the
the
case
for
integration
and
where
it
may
or
may
not
lead,
and
you
know
it
is
at
the
moment,
I
think
the
the
only
game
in
town,
because
whenever
you
speak
to
any
people
on
the
ground,
whether
it's
in
primary
care,
whether
it's
in
the
hospital,
whether
it's
your
friends
and
family,
they
don't
want
to
be
assessed
over
and
over
again.
L
They
don't
want
digital
systems
or
indeed,
to
see
a
a
whole
different
number
of
of
clinicians
and
and
people.
They
want
the
care
as
responsive
as
possible
as
early
as
possible
and
as
close
to
home
as
possible,
and
whilst
you
know
delivering,
that
is
absolutely
a
a
major
challenge.
There's
no
question,
particularly
at
the
moment,
with
some
of
the
funding
challenges
that
we've
got
in
the
system
and
the
sheer
level
of
demand.
That's
out
there,
which
was
there
to
be
honest
before
the
pandemic
and
has
since
been
exacerbated.
L
There's
no
question
that
pulling
together.
You
know
all
our
our
digital
processes,
our
analytics,
we're
actually
how
we
we
manage
some
of
the
teams
on
the
ground
as
well.
So
you
know,
there's
been
a
lot
of
integration.
We've
got
Caroline,
we
we've
got.
Obviously
we
we've
got
the
hospital
team.
We've
we
feel
here,
and
a
number
of
of
joints,
Innovations
and
and
projects
already
that
are
beginning
to
to
deliver,
will
increasingly
see
more
of
those
and
and
ultimately
the
plan
to
keep
people
out
of
hospital
and
keep
care
close
to
home.
L
Looking
at
what
the
data
is
telling
us
and
designing
interventions
on
on
the
back
of
this
I
think
we're
a
long
way
to
go
before
we
get
it
all
right.
There's
no
question,
but
but
we're
on
a
on
the
road,
so
I
think
a
better
future
across
the
Health
and
Care
system,
because
we're
increasingly
doing
things
collectively
in
Leeds
and
we
are
ahead
of
other
areas
in
terms
of
our
integration
getting
everyone
around
the
table.
We've
had
Healthcare
and
lch
and
lypft
in
the
hospital
together
for
ages.
L
Bringing
the
universities
really
into
the
heart
system
is
really
going
to
help
us
it
already
is
doing,
but
but
it
will
do
increasingly
over
future
years.
T
Just
just
to
add
to
that
as
well
in
terms
of
there's
the
Leeds
Health
and
Care
Academy,
who
who
deal
with
the
workforce
issues
across
the
city
and
it's
the
plan,
is
to
do
sort
of
innovation,
training
courses
with
them
with
the
staffs,
because
over
the
over
the
last
few
years
with
the
pandemic,
the
staff
are
exhausted.
And
you
know
the
idea
of
then
having
to
take
on
new
systems
and
and
new
processes.
T
It
is
a
difficult
change
in
cultural
mindset
so
by
running
these
sorts
of
courses,
sorry,
and
that
that's
going
to
be
one
of
one
of
the
ways
of
just
trying
to
change
that
mindset
in
that
Innovation
is
probably
the
only
way
to
deal
with
some
of
these
challenges
that
the
Health
and
Care
system
are
facing
at
the
moment.
O
Yeah,
thank
you.
I
just
wanted
to
respond
to
the
question
around
integration
really,
and
it
is
important
in
this
Innovation
space
to
remember
the
degrees
of
integration
we
have
already
got
and
the
direction
we
want
to
travel.
O
You
know
if
we
just
mentioned
the
Lisa
that
leads
work
for
Workforce
Academy
and
potentially
there's
Innovation
around
Workforce
that
can
play
through
and
that's
that's
a
you
know:
NHS
local
Authority,
third
sector,
real
collaboration,
we'll
be
talking
about
the
integrated
digital
service.
It
is
NHS
and
local
Authority.
O
That
is
seen
as
really
quite
Innovative,
and
we
see
people
from
all
over
the
country
trying
to
coming
along
to
see
how
on
Earth,
we've
done
what
we've
done
already
and
within
that
is
the
Lee's
office
of
data
analytics,
which
brings
together
Health
Data
social
care
data,
potentially
things
like
housing
and
education,
and
that
becomes
hugely
incredibly
useful
for
for
research.
O
It's
it's
quite
I,
think
it's
quite
profound
in
reality.
What
what
we
might
be
able
to
do
in
that
that
respect
so
I,
don't
want
us
to
see
that
integration
is
entirely
something
new.
It
is
more
how
we
bring
that
Innovation
into
alongside
that
integration
that
we're
already
doing
and
help
it's
to
to
be
taken
forward.
So
I
didn't
want
to
say
much
more
than
that,
but
it's
just
let's,
let's
not
see
Innovation
as
the
answer
for
integration.
O
M
Thank
you.
Some
of
what
I
was
going
to
say
has
already
been
covered,
but
just
in
addition
to
that,
you
know
we
have
to
recognize
that
social
care
has
been
a
bit
late
coming
to
the
party
on
this,
but
every
bit
of
work
that
we're
doing
currently
within
adult
social
care,
where
we're
looking
at
transformation
and
service
development,
we're
doing
with
an
eye
to
how
technology
and
Innovation
can
be
incorporated.
M
We
have
huge
numbers
of
providers
of
services
across
leads
little
social
care
providers,
large,
so
large-scale
social
care
providers,
national
and
local,
and
all
they
are
also
looking
at
how
they
can
incorporate
technology
in
in
the
services
that
they
provide
and
where
that
that
might
also
add
value.
So
all
of
our
transformation
programs-
they
all
have
a
view
to
and
where
could
we
as
local
Authority
as
NHS,
but
also
those
I'll,
provide
the
market
benefit
from
Innovation
and
and
available
technology?
So
it's
a
it's.
G
Okay,
thank
you.
Thank
you
for
all
those
points,
I
mean
yeah
I,
do
not
I,
don't
disagree.
Kind
of
innovation
and
integration.
Do
this
go
hand
in
hand
I
suppose.
My
question
was
more
around
the
fact
that
we
have
got
in
many
cases,
quite
a
fragmented
system
and
different
different
ways
of
working
already
taken
place
and
as
we
as
we
as
we
innovate,
how's
that
yeah
how's
that
going
alongside
the
integration
process
just
want
to
speak
up
on
on
one
of
the
points
that
was
made
around
around
staff.
G
Do
we
have
any
any
concerns
around
what
I'll
describe
as
around
change
fatigue,
especially
in
the
case
of
the
NHS,
because
you
know
over
the
past
13
years,
there's
been
a
number
of
changes,
not
all
of
them,
particularly
brilliant
or
well
thought
out,
but
this
has
had
an
impact
on
on
staff
at
every
level,
so
I,
I,
suppose
my
question
is
coming:
how
we?
G
How
are
we
considering,
like
you,
said,
the
staff
are
a
bit
burned
out
a
bit
a
bit
fragged
after
after
covid-19,
but
on
top
of
all
of
the
other
changes
and
the
workforce,
issues
and
I
suppose
really
can
I
is?
Is
there
is
there
a
current
engagement
plan
and
does
this
incorporate?
You
know,
end
user
testing
for
the
systems
that
have
been
looked
at?
Thank
you.
T
Yes,
I
suppose
you
you've
got
to
demonstrate
the
benefit
to
them
of
implementing
The
Innovation.
So
through
doing
the
pilots
and
the
validation
studies
using
Innovations,
you
know
they're
not
just
automatically
put
into
to
use.
T
You
know
you
get
that
opportunity
to
show
them
how
this
could
benefit
their
practice,
and
if
you
can,
you
know,
reduce
their
workload,
but
it
will.
It
will
require
a
change
of
mindset
towards
certain
certain
of
these
Technologies,
because
it
is
a
totally
different
way
of
of
doing
things
and
change
is
always
difficult,
but
yeah
it's
demonstrating
what
that
benefit
can
be
I.
Think.
A
Foreign
okay,
thank
you
very
much.
Everyone
I
think
that's
really
interesting
discussion
and,
to
paraphrase
Tim
here,
let
the
innovators
innovate,
but
going
back
to
the
start.
We
also
as
a
wider
I
guess.
Tim
in
particular,
commissioning
angle
needs
to
make
sure
we
keep
inclusivity
in
mind,
making
sure
everyone's
involved
and
that
we
keep
their
health
inequalities,
it's
as
small
and
shrinking
as
possible.
A
So
thank
you.
Everyone
for
that
debate,
so
we're
going
to
move
on
to
a
gender
item
12
in
just
a
minute,
but
I
think
so.
There's
a
bit
of
a
move
around
here,
so
I'm
just
going
to
suggest
we
have
a
five
minute
recess
as
we
as
we
move.
A
A
Okay,
thank
you.
Everyone
welcome
back
to
the
meeting
we're
back
on
on
stream.
So
the
next
item
on
the
agenda
is
item
12,
which
is
the
usual
performance
item.
Sorry
Chet.
Can
we
have
one.
A
Thank
you,
councilor
Farley.
You
clearly
have
a
more
assertive
voice
to
me
when
you
want
to
try
and
softly
softly
approach,
but
I
make
notes
on
a
more
forceful
tones
of
voice
okay.
So
this
is
item
12,
we're
back
in
back
in
the
room.
We've
got
a
few
new
people
on
at
the
table,
so
I'm
going
to
just
start
with
asking
those
who
are
new
to
the
table
to
introduce
themselves.
So
please
go
ahead.
A
Super
thank
you.
So
this
is
the
usual
performance
update.
What
I
was
thinking
would
be
useful
just
to
go
to
them
in
three
sections.
If
that's
okay,
so
we've
got
we'll
start
with
public
health,
which
is
Page
103
and
then
we'll
move
to
adult
social
care,
which
is
page
one
two
one
and
then
we'll
move
to
active
Lifestyles,
which
is
page
one,
two:
seven,
if
that's
okay,
so
starting
at
the
start,
I,
don't
know
if
you
want
to
introduce
this
Council
Arif
and
then,
if
Victoria
wants
to
say
anything
as
well.
K
Yes,
chair.
Thank
you
very
much.
So
the
this
report
summarizes
how
well
we
are
doing
as
a
city
to
improve
People's
Health.
It
shows
our
progress
across
a
range
of
Health
outcome
measures
and
includes
an
overview
of
the
performance
of
key
Public
Health
Services
chair
that
this
time
around
the
paper
does
not
include
updated
commentary
on
health
inequalities,
and
this
is
because
publication
of
office
for
National
statistics
data
has
been
delayed
until
autumn.
K
In
this
report,
though,
we
can
see
that
life
expectancy
for
both
males
and
female
remains
stable
and
that
our
Public
Health
Services
continue
to
perform.
Well,
particularly,
the
number
of
public
people
accessing
the
NHS
health
checks
and
indicators
in
this
report
will
be
kept
under
review.
Alongside
the
ongoing
work
towards
leads
becoming
a
marmot
City.
This
will
ensure
that
we
continue
to
review
our
local
progress
towards
improving
the
health
of
the
poorest
of
Estes.
Thank
you.
E
Thank
you,
chair,
just
to
add
a
couple
of
introductory
points,
mindful
of
new
colleagues
to
the
board.
Just
in
terms
of
what
this
report
tries
to
do,
because
it
it
does,
it
does
kind
of
cover
a
pretty
broad
scope.
So
we
want
to
do
everything
we
can
to
make
it
as
accessible
and
clear
as
possible.
E
So
for
those
people
who
received
this
report
six
months
ago
on
the
board,
we
have
actually
taken
the
report
away
and
tried
to
do
quite
a
lot
of
work
to
to
make
it
kind
of
clearer
and
more
more
succinct
in
its
content.
So
I
hope
for
those
of
you
who
saw
it
before
and
see
it
now
you
you
should
hopefully
you've
noticed
that,
and
you
might
have
always
also
noticed
that
last
time
we
had
lots
of
different
data
sets
in
it.
E
So
we
bring
this
report
six
monthly
and
what
we
try
to
do
is
use
it
as
an
opportunity
Unity
to
really
look
at
a
handful
of
some
really
key
indicators,
a
small
number
of
key
indicators
that
show
us
some
of
the
kind
of
the
the
big
picture
kind
of
measures
of
how
we're
doing
in
terms
of
health
across
the
city.
E
So
as
and
when
the
data
comes
available,
we
look
at
death
rates.
We
look
at
the
Gap
around
life
expectancy.
We
look
at
you
know
the
things
you
can
see
in
here,
which
are
the
the
sort
of
key
long-term
Public
Health
measures.
E
What
we
also
do
is
put
in
some
Service
delivery
measures
and
some
shorter
term
operational
measures.
So
so
it's
not
all
long-term
kind
of
death
rates
and
and
bigger
picture
stuff,
but
there's
some
practical,
short-term
measures
in
there
as
well,
and
it
is
a
handful
of
measures
that
that
intends
to
show
that
the
broad
picture
of
the
health
of
the
population
underneath
each
of
those
measures
are
hundreds,
if
not
thousands,
of
measures
that
we
can
drill
down
for
any
particular
area.
Should
you
wish?
E
So
you
know
we're
more
than
happy
to
to
have
conversations
that
get
into
more
detail.
You
know,
after
the
board,
the
the
headlight.
What
we
also
try
and
do
is
make
the
commentary
as
clear
as
possible,
so
on
page
98
up
until
page
99,
what
we've
tried
to
do
and
we've
again
we've
tried
to
improve
at
this
time.
It's
really
summarizing
section,
five.
E
What
the
overall
position
is-
and
this
includes
data-
that's
new
for
this
report,
but
kind
of
a
reminder
as
well
of
where
we
are
as
a
city.
So
we've
we've
got
those
kind
of
big
picture
sort
of
headlines
of
of
some
of
the
things
that
we
would
be
interested
in
and
then
section
six
really
tries
to
pull
out
from
the
data
that
we've
received
this
time,
the
new
data.
E
What
are
the
things
that
show
an
improved
picture
in
Broad
terms?
So
with
those
bullet
points
summarize
that
and
then
at
section
seven
really
looks
at
where
the
the
challenges
are
from
the
data
that
we've
got
this
time
and
then
in
appendix
1A,
and
what
we've
done
is
for
every
single
indicator.
E
There
is
a
really
short
summary,
hopefully
in
sort
of
plain
English,
about
whether
this
is
going
in
the
right
direction,
the
wrong
direction,
so
that
that
gives
a
sort
of
clear
overview
of
performance
across
the
across
public
health
for
the
board.
So
I
shall
leave
it
there
without
going
into
any
detail
about
the
content.
But
hopefully
that's
helpful
chair.
A
Thank
you
very
much
Victoria
and
just
worth
noting,
because
the
earlier
question
about
vaping
this
obviously
smoke
is
in
here,
but
that
doesn't
include
vaping
when
we
did
chairs
beef
just
set
out
why
that
was
the
case.
Could
you
just
explain
that
to
the
board
as
well?
Please
Victoria.
A
E
Sorry,
sorry,
so
how
we
bring
this
together
is
we
we
look
at
sort
of
the
main
areas
of
Public,
Health
and
think
you
know
what
might
be
the
one
or
two
indicators
that
would
be
helpful
to
get
a
sense
of
whether
it's
going
the
wrong
right
direction
or
not.
So
historically,
these
are
things
that,
as
a
public
health,
Team
we've
we've
thought
would
be
the
best
kind
of
bundle
of
indicators
that
give
a
decent
picture
of
the
health
of
the
city,
because
you
know
we
can't
report
in
everything.
E
Otherwise
the
report
will
be
a
thousand
pages
long,
so
as
as
we
get
often
kind
of
new
and
emerging
public
health
challenges,
and
they
think
this
could
be
an
example
of
that
we
we
wish,
we
would
always
kind
of
review.
Have
we
got?
Have
we
got
the
content
right?
Are
there
things
missing,
so
I
think
the
vaping
one
is
a
really
good
example,
and
it's
really
helpful
that
you've
raised
that,
so
we
can
go
back
and
look
at
you
know.
E
A
You
very
much
Victoria
are
the
questions
from
counselors.
Please
one
thing
I
just
wanted
to
highlight
was
on
page
113
and
year,
six
prevalence
of
obesity
increasing
and
with
the
broad
commission
I'd
like
to
refer
that
to
the
children's
and
family
screening
boards.
Unless
there's
objections,
I'm
going
to
click
on
and
do
that,
no
okay,
good
I
can't
see
any
other
questions.
So
oh
councilor
hartbook.
P
I
think
this
is
a
really
good
report
and
there's
so
much
data
in
here
and
it's
very
accessible
in
terms
of
to
see
what's
going
on,
I
think
what
would
be
interesting
was
because
I'm
very
interested
in
the
difference
between
sort
of
causation
and
correlation.
So
just
because
some
things,
you
know
something
you
can
see.
P
Everything
is
that
what's
driving
you
know,
what's
driving
that
I,
don't
know
whether,
as
part
of
this
for
some
of
the
key
areas,
you
know
I
mean
when
I'm,
just
looking
at
here,
I
mentioned
about
the
suicide
rates
earlier
on,
but
that
there
was
a
there's.
An
interesting
thing
on
best
starts
number
of
under
twos
taken
into
care,
which
is
down
appreciably
over
the
last
decade,
which
is
on
page
118.
P
and
again.
Is
that?
Because
you
know
that
could
be
because
of
capacity
rather
than
because
of
other
interventions.
So
I
think
for
things
like
this,
whether
where
there
is
a
significant
deviation
at
the
reports
or
downwards,
just
one
or
two
words
or
a
summary
of
some
of
the
key,
so
some
of
the
key
trends
as
to
what's
driving
some
of
the
changes.
That
would
be
appreciated
or
I
guess
as
members.
We
can
ask
that
in
this
in
this
scrutinic,
which
is
what
we're
here
for.
E
Yeah
no
thank
you
for
the
point
I
completely
agree
and
and
for
example,
on
on
page
98,
when
we
talk
about
the
overall
position
in
the
reduction
of
deaths
from
stroke,
heart
disease
and
Cancers
and
respiratory
that
that
may
be
very
positive
news
in
itself,
but
it
may
be
an
impact
of
deaths
from
covid-19
in
the
pandemic
and
and
and
and
and
there
is
the
question
there
about
the
the
excess
winter
death
rate
is
doing
some
very
strange
things
at
the
moment,
and
we
need
to
understand
that
properly
so
you're
absolutely
right
to
raise
it
I
think
some
of
these
things
we
have
highlighted
as
this.
E
This
looks
interesting.
We
need
to
keep
an
eye
on
it.
We
might
not
know
the
answer
yet,
but
really
happy
to
get
into
those
conversations.
Thank
you.
I
Yeah,
thank
you.
Just
on
the
obesity
theme,
I
sit
on
two
lcps
that
cover
sort
of
Bramley,
Bramley
worker
Middleton
and
Leeds
West
LCP
and
they've
got
an
initiative
around
obesity.
Three-Pronged
approach
grow
cook
a
move
to
capture
sort
of
a
holistic
journey.
I
I
suppose
one
of
the
problems
with
such
initiatives
is
you'll
all
be
aware
of,
but
it's
that
short-term
funding
they're
having
to
bid
for
money
the
successful
and
then
obviously,
then
we
need
to
evaluate
it,
and
it's
that
process
that
evaluation
and
then
you
know
putting
it
out
there
across
the
city.
Really
that's
one
of
the
challenges.
I
E
So
yeah,
thank
you
for
the
the
comments
councilor
Richie
I
am
into
I,
mean
there's
a
there's,
an
overall
challenge,
around
levels
of
funding
generally
for
the
the
scale
of
work.
We
need
to
do
around
some
of
our
major
public
health
challenges,
which
obviously
include
people
who
are
living
with
obesity
and
how
we
kind
of
support
healthy
way
and
and
support
people,
and
so
there's
a
there
is
a
there
is
a
there's,
a
there's,
a
challenge
generally
around
funding
for
prevention
and
inequalities,
which
we're
all
we're
all
part
of
I.
E
Think
that
one
of
the
things
you
might
remember
that
before
the
pandemic,
Leeds
was
in
the
headlines
very
positive
reasons,
because
we
managed
to
narrow
the
Gap
around
children's
obesity
and
particularly
reduce
rates
in
more
deprived
areas
of
the
city
we
have
and
and
and
the
story
The
Narrative
around.
That
was
partly
because
we
didn't
do
lots
of
short-term
projects.
E
We
kind
of
held
our
nerve
on
investment
in
kind
of
the
children's
kind
of
system
across
the
city
and
all
of
that,
those
preventative
kind
of
services
and
as
well
as
some
more
specific
public
health
programs
like
the
Henry
program,
so
I
think
we
can
tell
a
really
good
story
around
why
it
matters
to
hold
your
nerve
around
funding
for
the
longer
term
and
certainly
in
terms
of
Public
Health
funding
across
the
city.
E
In
terms
of
the
the
children's
obesity
work,
that
you
know
that
we
don't
work
on
a
short-term
funding
basis,
because
we
know
that
that's
not
the
answer,
but
we're
aware
of
kind
of
lots
of
other
pots
of
money
that
are
more
short
term.
So
I
I
do
particularly
point
I,
think
that
we
are
in
a
position
of
needing
to
make
the
case
for
this
going
forward
as
finances
get
even
tighter
across
the
public
sector
and
just
in
terms
of
where
we
are
now
in
terms
of
children's
obesity.
E
We
did
see
you'll
see
from
the
report.
We
did
see
this
unprecedented
jump
in
reception,
age
children,
particularly
the
independent
communities,
just
after
covid.
What's
more
positive.
Now
is
that
that
sort
of
settled
down
to
more
or
less
where
it
was,
but
obviously
is
still
much
too
high
and
and
moving
in
the
wrong
direction.
So
we
we,
but
we
know
that
as
a
city,
we
have
more
children
living
in
areas
of
poverty
than
most
places,
but
our
rate
of
childhood
obesity
is
pretty
much
national
average.
E
So
we
we
are
doing
better
than
our
demographics
suggests.
We
shouldn't
be
in
these
areas,
so
we
we
just
have
to
keep
kind
of
doing
what
we
know
works
best
and
making
the
case
in
this
kind
of
challenging
Financial
world
at
the
moment.
So
but
yeah,
thank
you
for
your
comments.
I
Yeah,
so
just
to
come
back,
so
some
of
these
have
been,
as
you
said,
been
funded
by
the
NHS
that
they're
bidding
for
I'm,
not
convinced
have
not
well
I've
got
some
data
that
the
uptake
saying
Henry
is
not
the
same
as
when
we
run
them
from
our
children's
centers,
so
I
don't
know
how
we
can
and
they're
doing
all
the
best
that
they
can
do.
You
know
I've
looked
at
the
the
comms
and
what
have
you
I?
I
Don't
know
whether
it's
the
times
the
venues,
the
fact
that
they're
working
across
Ward
boundaries,
sometimes
it's
led
by
the
patient-
address
no
sorry,
the
GP
surgery.
Isn't
it
rather
than
you
know,
whereas
a
lot
of
that
stuff
is
world-based,
isn't
it
so
it's
I
guess
how
can
we
learn
from
success
of
our
Henry's,
for
what
was
one
example
and
make
sure
that
the
LCP
Health
paid
for
provision
is
as
successful
because
it's
definitely
a
lower
uptake
on
these
latest
courses?
E
W
And
chair,
if
I
could
also
just
add,
I
was
just
going
to
come
on
in
also
in
that
broader
point
and
not
to
touch
on
the
funding
which
Victoria's
obviously
covered.
But
the
broader
point
about
you
asked
about
whether
in
your
original
question,
We
join
up
and
have
those
conversations
across
the
board
and
I
suppose
just
to
give
you
some
reassurance
that,
although
the
two
does
tend
to
be
sort
of
what
specialist
teams
work
on
things
like
the
Obesity
or
the
children's
work.
W
Actually
we
do
have
a
localities
and
Primary
Care
team
who
do
work
with
the
lcps
really
closely
and
do
make
sure
that
we
work
in
a
very
integrated
way.
So
so
there
is
a
good
join
up
across
between
the
the
Public
Health,
but
also
the
wider
colleagues
between
that.
But,
as
Victoria
said,
I
could
take
that
back,
but
just
to
assure
you
that
that
is
joined
up
recently.
Well,.
A
K
To
back
to
me
chair,
so
the
report
presents
an
update
on
adult
social
care
activity
levels
and
the
latest
latest
position
on
measures
included
in
the
adult
social
care
outcomes,
framework
ascoff,
as
well
as
additional
metrics,
where
relevant
to
the
best
city,
ambition,
better
live
strategy
or
Care,
Quality,
commission
CQC
Assurance
framework,
so
the
framework
within
which
adult
social
care
data
is
collected
and
reported
nationally
is
is
in
a
period
of
transition.
K
This
means
that
there
are
going
to
be
some
changes
to
how
the
data
is
collected
and
changes
to
the
way
data
is
reported
and
used.
There
will
be
a
revised
ask
off
framework
from
2324,
including
amended
Suite
of
performance
measures.
In
addition,
this
data
will
be
used
as
a
key
part
of
the
evidence-based
use
to
support
the
new
care
called
to
commission
Assurance
regime
and
during
2022
2023
adult
social
care
and
leads
providing
long-term
support
to
over
10
500
people.
This
figure
is
an
increase
compared
to
2021
and
2022,
but
remains
below
pre-pandemic
levels.
K
K
Now,
despite
these
challenges,
the
overall
picture
in
relation
to
key
National
performance
measures
is
positive,
with
11
out
of
16
improving
compared
to
20,
21
and
2022,
including
increasing
levels
of
service
users
receiving
self-directed
support
and
more
care
is
being
supported
in
the
city
and,
however,
challenges
remain
and
around
the
ability
of
the
service
to
carry
out
annual
reviews,
and
we
continue
to
see
a
rise
in
the
number
of
safeguarding
concerns.
That's
all.
Thank
you.
M
Thank
you
very
much
and
just
just
to
add
that
we
really
welcome
the
changes
that
are
being
made
around
the
reporting
requirements
and
we've
known
for
far
too
long
that
they
really
don't
capture
everything
that
we
do
for
our
citizens.
For
example,
we
don't
measure
how
we
are
successfully
preventing
people
needing
paid
for
care
and
support
services.
So
the
whole
prevention,
early
intervention
and
I'd
I'd
say
that
in
Leeds
we
do
a
really
good
job.
M
We've
got
really
good
relationships
and
commissioning
of
third
sector
Partners
to
deliver
services
that
keep
people
safe
and
well
at
home.
They
don't
get
captured
at
all.
So
what
we
are
reporting
nationally
is
probably
a
limited
set
of
people,
the
10
000
or
so
people
that
councilor
Arif
has
just
referred
to,
who
are
receiving
short-term
and
long-term
care
that
meets
Care.
Act
eligibility
doesn't
count
the
huge
amount
that
we
also
do.
M
So
it's
really
welcome
that
we're
going
to
get
a
change
in
the
reporting
requirements
and
the
measures
and-
and
the
other
thing
is
that
also
it's
going
to
be
live
data.
So
we're
not
going
to
be
working
to
the
data
that
is
out
of
date.
As
soon
as
it's
published,
it
will
be
data
accessed,
which
will
give
us
a
little
bit
better
of
a
sense
of
informing.
What's
working
in
our
investment
strategies.
What's
not
working
where
we
need
to
do
more
and
the
only
other
thing
I
would
add
again.
M
On
on
what
council
RF
has
already
said.
We
know
that
we
are
probably
not
doing
as
well
as
we
can,
partly
due
to
our
Workforce
capacity
and
Workforce
challenges,
and
that
goes
across
the
you
know:
a
country
really
a
lot
of
areas
struggling
with
social
work
capacity
resulting
in
people
having
to
wait,
wait
for
an
assessment
and
then
wait
also
for
services.
M
Some
of
that
is
now
improving
because
of
different
measures
that
we're
putting
in
place
and
different
work
that
we're
doing
so
I'm
pleased
to
say
that
I'm
we're
hoping
that
we're
going
to
be
on
an
upward
sort
of
projectile
going
forward.
Thank
you.
A
Thank
you.
Thank
you
very
much,
just
a
question
for
me
around
so
I'm.
On
page
one,
two
five
really
helpful
table
the
comparator
I
think
it
says
compared
to
nationally
agreed
group
of
Las
for
comparing
outcomes.
I'm
just
wondering
who
are
those
nationally
agreed
com
competitors.
U
Yeah,
so
the
compile
group
are
compiled
by
sip.
First,
the
child
Institute
of
Art,
exact
acronym,
but
Financial
assurance,
and
that
is
a
group
of
15
local
authorities
are
most
similar
to
us
in
terms
of
demographic
makeup.
U
Each
in
individual
offer
has
its
own
individual
group
15.
Ours
includes
people
like
Bristol,
Bradford,
Sheffield,
Liverpool
and
they're
they're
outdated
each
year
as
to
who
that
group
is.
C
C
If
you
look
at
the
figures,
it
was
just
over
4
000
in
1920,
and
then
it
fell
back,
which
I
assume
was
because
of
covid,
went
up
to
4,
200
plus
a
bit
and
then
fell
back
a
bit
in
2022-23
and
I.
Just
wondered
why
it
was
falling
back
down
the
game.
M
V
Thank
you
Dr
veal.
This
this
measure
does
change
year
by
year,
but
we're
definitely
hoping
that
this
year,
we'll
see
an
increase,
we've
put
in
place
a
marketing
strategy
and
we've
changed
the
model
of
Service
delivery.
So
there's
more
Choice
available
to
people
to
enable
them
to
pick
the
level
of
Telecare
that
they
need
from
very
basic.
V
If
I
fall,
I've
got
the
pendant
that
was
mentioned
earlier
through
to
if
I
fall
and
I
don't
have
any
with
available,
then
somebody
will
come
so
we've
got
a
measured
range
of
services
that
are
available
and
we're
marketing
them
very
broadly
to
the
people
of
Leeds,
including
people
who
previously
might
not
have
come
to
us
because
they're
self-payers,
so
we've
we've
broadened
the
range
and
I'm
hoping
that
we
will
see
this
year.
V
U
A
F
V
You
councilor
Gibson,
we
have
noticed
a
sustained
Trend
in
referrals
from
our
partners.
There
has
been
partly
as
a
result
of
an
awareness
raising
campaign
that
safeguarding
adult
sport
has
undertaken,
which
has
reached
a
different
range
of
communities
than
we
might
have
done
previously.
We're
also
seeing
a
significant
number
of
referrals
coming
from
our
partners:
West
Yorkshire
police
and
Yorkshire
Ambulance
Service.
We
work
with
them
on
a
weekly
basis
to
support
them
to
understand
the
thresholds
for
safeguarding.
V
Quite
often
what
they
will
refer
is
a
situation
that
requires
a
response,
so
that
might
need
a
social
worker.
It
might
need
somebody
to
be
signed
posted
some
information,
but
it's
not
what
you
would
call
safeguarding
because
there's
no
harm
involved.
So
we
spend
quite
a
lot
of
time.
Triaging
screening,
those
referrals
and
we
end
up,
then
only
undertaking
safeguarding
activity
with
the
ones
that
meet
the
section
42
requirement,
somebody
who
has
or
appears
to
have
a
need
for
care
and
support
and
who
has
been
harmed
or
is
at
risk
of
harm.
V
Those
are
the
ones
that
we
look
at.
However,
the
difference
in
numbers
this
year
indicates
that
the
referrals
have
gone
up,
but
the
number
of
inquiries
have
stayed
the
same,
so
we're
looking
at
the
decision
making
that
we're
employing
when
we're
saying
this
isn't
safeguarding.
So
we're
checking
a
number
of
not
safeguarding
activities
to
make
sure
that
our
decision
making
has
been
accurate.
There
we've
done
it
quite
frequently
these
audits,
into
where
we've
made
a
decision
that
something
isn't
safeguarding
just
to
check
that
we're
getting
our
decision
making
right
on
that.
V
So
we're
doing
that
at
the
moment,
I
think
fundamentally,
the
increase
in
referrals,
though,
is
Partners,
who
perhaps
refer
things
that
aren't
quite
safeguarding.
We
take
a
neurong
door
approach.
If
they
do
that,
we
will
pick
a
safeguard.
We
will
pick
up
either
a
signposting
or
a
social
care
assessment
when
that
referral
comes
through
to
us.
Okay,.
M
And
if
it's
okay
I'll
come
in
as
well
well,
and
we
do
look
at
the
data
regularly
we've
drilled
down
in
terms
of
where
are
the
referrals
coming
from,
but
which
communities
which
communities
of
Interest,
which
service
user
groups
and
last
year,
when
we
did
this,
we
we
saw
that
we
were
not
getting
many
referrals
around
safeguarding
from
our
culturally
diverse
communities
in
Leeds
relative
to
the
the
population
makeup.
So
we
commissioned
Val.
M
Voluntary
action
leads
to
do
a
little
bit
of
work
for
us
to
talk
to
our
different
Community
groups
from
different
ethnic,
diverse
backgrounds,
and
we
wanted
to
understand.
Was
it
some,
you
know?
Was
our
communication?
Not
very
good
was:
was
our
accessibility
not
very
good?
M
How
could
we
ensure
that
all
of
our
citizens
understand,
and
also
the
community
organizations
that
work
with
our
citizens
understand
what
would
make
a
relevant
and
appropriate
safeguarding
inquiry,
so
that
might
also
have
impacted
on
increased
numbers
of
referrals
and,
to
some
extent,
we're
not
worried
about
that?
The
point
that
Shona
makes
just
to
reinforce
that.
What
we
want
to
get
to
is
that
people
that
we
make
the
decisions
appropriately
around
well.
Yes,
this
is
absolutely
a
safeguarding
good,
there's,
good
awareness
about
it.
M
F
Commend
you
for
that
for
doing
that
work.
You
know
with
them
with
stretch
budgets
and
things.
It
would
be
easy
not
to
to
focus
on
actually
essentially
trying
to
make
sure
that
there
are
safeguarding
referrals
and
thank
you
Shona
for
what
you
said
as
well,
about
making
sure
that
you,
you
you're
doing
the
necessary
checks
to
make
sure
that
you
know
people
that,
just
because
they're
on
there
aren't
as
many
sections
42
inquiries
that
those
that
don't
reach
that
threshold
actually
are
appropriately
not
reaching
that
threshold.
A
Super.
Thank
you
very
much.
Okay,
I'm
going
to
move
on
to
next
section,
which
is
active,
Lifestyles
and
they're,
being
counselor
Harrison
again.
K
It's
me
again,
Chad,
so,
finally,
on
active
leads,
our
inactivity
has
significantly
Fallen
since
the
rise
during
the
pandemic.
There
are
more
people
active
now
than
the
first
server
back
in
2015-16,
which
are
Testament
to
the
work,
an
investment
that
has
gone
into
physical
activity,
opportunities
across
the
city,
inactivity
levels
and
the
lower
than
the
national,
which
is
25.8
and
Regional
27.2
and
core
cities
at
25
average.
K
So
that's
really
good
news
numbers
are
still
down
compared
to
the
pre-pandemic,
and
it
has
also
been
most
acute
across
disadvantaged
groups
and
across
areas
of
high
deprivation
and
that
are
not
recurring
as
quickly.
We
are
tackling
this
through
the
development
of
the
physical
activity,
ambition
for
leads,
which
is
being
led
by
active,
leads
and
public
health
together
with
Partners
across
the
city.
K
The
get
set
leads
local
program
has
also
received
a
further
two
years
of
funding
from
England
to
enable
active
leads
to
continue
this
excellent
work
in
our
priority
localities,
where
co-production
and
asset
and
place-based
approaches
are
delivering
some
fantastic
work
on
the
ground.
That's
also
thank
you.
H
Just
in
terms
of
the
data
itself,
just
for
the
new
members
of
the
board,
this
comes
from
sport
England,
which
is
on
an
annual
basis.
It
used
to
be
reported
every
six
months,
but
now
it
is
an
annual
kind
of
record
of.
H
H
The
second
category
is
fairly
active,
which
is
between
30
and
149
minutes
and
then
in
terms
of
active
they
class
as
doing
the
recommended
amount
of
150
minutes
per
week
of
activity.
So
that's
how
they
categorize
those
different
areas
and
then
they
they
kind
of
compare
those
nationally
across
the
board.
Support
England
versus
some
of
the
social
kind
of
information
are
currently
reviewing
the
kind
of
survey
and
the
data
and
how
they
collect
that
data.
H
So
we
are
feeding
into
that
moving
forward,
but
they
are
kind
of
looking
at
accessing,
whether
for,
for
example,
the
survey
amount
and
the
number
of
people
they
they
do.
Survey
needs
to
increase
or
decrease
in
certain
areas
where
they've
got
high
deprivations
or
particularly
where
they
are
working
with
key
organizations
like
ourselves
in
areas
where
they
need
to
focus
a
bit
more
attention
on
that
front.
So
I'll
keep
everyone
a
breath
of
that
kind
of
development,
but
we
are
engaged
in
that
front
in
terms
of
activity
levels.
H
H
From
our
point
of
view
that
we
can
really
make
sure
that
we
are
impacting
because
it
does
take
a
long
period
of
time,
especially
when
you're
working
in
these
locality
areas,
where
you're
working
with
communities
to
understand
and
develop
themselves
to
deliver
activities
as
well.
So
from
that
point
of
view,
that
funding
is
much
welcomed
and
hopefully
can
make
some
bigger
impacts
as
we
go
forward.
Thank
you.
Chip.
A
Okay,
thank
you
very
much.
Steve
open
up
to
questions,
but
I'll
start
as
I
can't
see
anyone
else.
So
I
guess.
Firstly,
in
terms
of
reducing
inactivity
levels,
do
we
have
any
sort
of
targets
for
that
sort
of
interim
so
like
in
a
year's
time
we're
aiming
for
whatever
the
the
next
question?
Another
question
I
have
is
just
in
terms
of
fully
agree
with
what
you're
saying
lots
of
good
stuff
happening
in
our
Leisure
centers.
A
My
guess,
I
would
say
there
are
still
long
wait
lists
for
things
like
swimming
and
Diving
at
our
big
big
Leisure
centers,
and
whether
that's
we're
fully
utilizing
them
to
the
maximum.
Thank
you
also
just
cut
a
comment.
I
think
to
get
the
get
set.
Local
stuff
is
really
good
and
where
we've
empowered
local
people
to
run
groups,
that's
been
really
really
positive.
H
Thank
you,
chair
yeah
I
mean
in
terms
of
the
guess
at
least
stuff
that
you
know
there's
loads
of
examples
that
we
kind
of
share
and
that's
social
proof
inside
of
things,
is
really
key
to
kind
of
make
sure
that
communities
themselves
can
know
that
that
they
are
able
and
can
kind
of
take
part
in
activities
about
getting
them
moving
more
in
terms
of
waiting
list.
H
Yes,
we
do
have
waiting
lists
across
the
board
in
terms
of
our
swimming
lessons
side
of
things
more
so
we
have
increased
those
pre-pandemics,
so
we've
got
now
1500
more
children
learning
to
swim
than
what
we
had
pre-pandemic,
so
that
has
recovered
massively,
but
we
do
have
more
and
more
obviously
the
backlog
of
that
during
covid,
where
people
weren't
able
to
get
into
a
pool
and
like
we're
just
trying
to
catch
up
on
that
front.
H
At
this
particular
time
there
are
some
Workforce
kind
of
side
of
things
which
kind
of
prohibits
that
a
little
bit,
because
we
just
don't
have
the
volume
as
swimming
teachers
coming
through
to
enable
us
to
grow
capacities
there.
But
we
have
definitely
made
some
big
improvements
over
that
period
of
time,
so
we
are
now
training
up
a
lot
more
swim
teachers
across
the
board
every
kind
of
month
we're
kind
of
getting
those
through
we're,
also
getting
a
more
diverse
kind
of
Workforce
coming
through
as
well
from
our
side
of
things.
H
So
our
targeted
work
in
terms
of
communities
and
the
work
that
we're
kind
of
doing
on
that
front
is
to
broaden
that
perspective
that
our
Workforce
as
well.
H
So
from
that
side
of
things,
there
are
some
challenges
still
on
it,
but
we
are
kind
of
starting
to
make
some
Headway
in
terms
of
some
of
the
waiting
lists
and
that
will
continue
to
grow
as
we
develop.
We
also
do
healthy
holiday
activities
during
the
summer
and
half
terms
and
likes
as
well,
where
we
provide
free
swimming
lessons
to
Children
through
kind
of
on
free
School
meals
and
the
likes
that
is
really
targeted,
work
that
we
kind
of
provide.
H
So
we
are
working
with
a
number
of
different
providers
on
that
front
to
enable
them
to
donate
equipment,
and
then
we
can
pass
that
on,
but
also
through
this
kind
of
funding
for
the
healthy
holiday
stuff,
we
do
give
out
swimming
costumes,
goggles
and
then
some
free
passes
after
that
as
well.
So
we
are
trying
to
catch
up
School
swimming
wise
again,
we've
got
more
schools
swimming
than
we've
had
before
so
we've
got
about.
90
of
the
schools
actually
use
our
kind
of
low
centers
as
well.
H
We
are
pretty
much
at
capacity
with
that.
Why?
Because
there's
only
a
number
of
pools
that
we
can
provide
during
the
day
so,
but
the
other
10
tend
to
be
at
their
own
kind
of
private
pools
that
schools
might
have
or
over
venues
as
well.
So
the
vast
majority
of
schools
are
actually
using
that
side
of
things
now
as
well,
and
forgive
me
there's
another
comment
as
well.
A
Yeah,
just
I
asked
about
interim
targets.
H
Yes,
in
terms
of
the
interim
targets,
what
we've
always
had
is
about
a
roughly
one
percent
reduction
every
year
in
terms
of
inactivity
rates.
H
We
are
currently
working
to
kind
of
review
that
as
we
go
forward
and
obviously
during
covert,
we
kind
of
reduce
that
quite
dramatically
and
during
that
period
of
time,
but
I
think
we
kind
of
developed
that
forward
and
we
do
kind
of
work
on
that.
One
percent
reduction.
Each
time
we
are
working
with
in
terms
of
the
health
and
well-being
strategy
as
well
to
kind
of
put
in
those
targets-
Associated
not
only
in
activity
but
activity
as
well.
H
A
Super
thank
you
very
much.
I
can't
see
anyone
else
indicating
so
we'll
move
on.
Thank
you
very
much
for
that.
I
think
that
that's
really
helpful
report
I
enjoyed
reading
it.
Okay,
so
moving
on
to
item
13,
which
is
the
work
schedule,
I,
don't
think,
there's
anything
particularly
controversial
in
here.
Obviously,
we
talked
about
the
what's
program
earlier.
A
G
G
A
I'm
starting
to
take
that
away,
I
think
certainly
the
October
discussion
has
to
include
learning
outcomes
from
last
year
for
a
start,
but
but
get
happy
to
take
that
away
and
think
about
it.
Anything
else,
no,
okay,
super!
So
thank
you.
Everyone
very
much
for
coming
I've
enjoyed
myself
even
if
no
one
else
has
so.
Thank
you
and
I'll
see
you
next
time.