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From YouTube: Leeds City Council - Adults, Health and Active Lifestyles Scrutiny Board - 9 February 2021
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A
We
are
now
streaming
live
on
youtube:
okay,
welcome
everybody
to
scrutiny
board
for
adults,
health
and
active
lifestyles,
you're
all
very
welcome
and
welcome
to
members
of
the
public
who
may
be
watching
on
youtube
or
may
watch
later.
So
thank
you
very
much
for
for
joining
us.
I'm
helen
hayden,
I'm
chair
of
the
adults,
health
and
active
lifestyles,
scrutiny
board
and
I
am
counsellor
for
temple
newton,
so
we'll
introduce
the
board
members
first,
so
I'll
go
alphabetically
so
councillor
anderson.
Could
you
introduce
yourself
please.
B
Good
afternoon
it's
councillor
christine
knight
for
wheat,
woodward.
F
F
A
A
A
You're
not
upset
about
it.
That's
good,
last
button
by
no
means
least
at
all,
especially
as
you're
stepping
into
the
breach,
so
we'll
introduce
officers
as
we
go
through
the
agenda
items
but
you're.
All
very
welcome,
and
it's
lovely
to
see
you
here
today
so
we'll
start
with
the
agenda
and
also
stepping
into
the
breach
and
because
harriet
is
not
with
us.
Today
is
helen,
so
helen,
would
you
like
to
introduce
yourself
and
we'll
go
through
the
first
five
items?
A
Please
thank
you
chair,
I'm
helen,
grey
and
I'll
be
clarking
this
afternoon
in
respect
of
the
agenda
agenda
item
one
appeals:
there
are
no
appeals
against
refusal.
F
Thank
you
I'll.
Take
your
silences,
none
thank
you
and
finally,
just
apologies
and
apologies
from
councillor
igbel
and
we've
already
welcomed
councillor.
A
Ray
I
also
appreciate
this
afternoon.
Thank
you
so
much
helen.
So
going
on
to
agenda
item
six,
the
minutes
of
the
meeting
held
on
the
5th
of
january
2021
and
for
this
item
we
have
councillor
rafiq,
who
is
speaking
on
the
active
lifestyles,
budget
minutes
and
I'd
like
to
welcome.
How
have
we
got
her
in
the
meeting?
A
Oh
yeah
sure
she
is
there
councillor
vena,
who
is
exec
member
for
adult
social
care
at
the
moment
and
due
to
counselor
charwood
stepping
down,
and
so
thank
you
very
much
council
vena
for
being
here
and
for
stepping
into
this
role,
and-
and
thank
you
for
being
here
for
this
item.
We've
also
got
cass
roth
welcome
and
steve
hugh
john
crowther
and
phil
evans.
A
If
that's
so,
yes,
so
just
erase
a
point
of
correction
in
the
minutes
in
relation
to
minute,
61
initial
budget
proposals
for
2122,
where
references
made
to
the
annual
budget
for
neighborhood
network
services
being
around
2.5
million.
This
needs
to
be
corrected
to
3
million,
so
that
will
be
corrected
in
the
the
minutes
so
matches
arising.
A
A
This
report
is
published
on
the
council's
website
and
was
also
circulated
to
board
members
in
advance
of
today's
meeting.
We
have
representation
from
adults,
health
and
city
development.
Active
leads
to
be
able
to
briefly
confirm
the
current
position
particularly
highlight
any
proposals
or
significant
changes
that
being
made
since
the
board
considered
the
initial
budget
proposals
last
month,
and
then
the
scrutiny
board
will
then
be
asked
to
determine
whether
it
would
like
to
relay
any
additional
comments
to
the
executive
board
which
are
meetings
tomorrow.
A
F
Thank
you
I'll
just
stop
and
then
probably
let
phil
add
on
within
within
the
active
lifestyles.
There's
a
three.
F
Sort
of
made
three
members,
and,
and
indeed
the
members
of
the
public,
have
bad
concerns
and
we
had
a
very
long
and
lengthy
consultation
and
that's,
namely
on
the
sailing
and
activity
center,
the
chippendale
pool
and
the
john
charles
center
for
support.
F
What
we
are
going
to
do
is
carry
on
with
the
discussions
with
a
third
party,
as
opposed
to
kind
of
closing
the
two
centers
at
the
end
of
march,
but
we
will
carry
on
as
they
are,
with
a
hope
to
find
a
more
suitable
and
a
permanent
solution
in
conjunction
with
going
forward.
Chair,
elect,
failed
to
add
on
and
take
any
comments,
a
question
from
members.
K
Thank
you
class,
so
so
I'm
phil
evans,
the
chief
officer
for
operations
in
city
development
and
active
leads,
is
one
of
my
service
responsibilities.
A
colleague
of
mine,
natalie
kergenven,
is
on
the
core.
Natalie
has
actually
done
all
the
hard
work
associated
with
the
savings
proposals
and
the
public
consultations
and
natalie
may
well
be
able
to
answer
any
specific
questions
of
detail.
K
Realistically,
I'd,
probably
just
like
to
amplify
what
council
rafik
has
said
that
for
the
three
main
areas
of
significant
public
interest
in
relation
to
active
leads
and
the
savings
proposals,
we've
had
some
significant
responses
from
the
public
consultation.
The
public
consultations
have
all
told
us
how
valuable
the
facilities
are
each
each
of
them.
So
that's
the
chippendale
pool
leeds
sailing
and
activity
center
and
the
tennis
center
at
john
charles
center
for
sport.
K
During
the
conversations
that
we've
been
having
with
those
consultations,
we've
been
having
discussions
with
a
number
of
interested
third
parties,
so
as
well
as
the
general
sort
of
consultation
responses
from
members
of
the
public
and
organizations
that
use
the
facilities,
organizations
have
reached
out
to
us
in
terms
of
what
the
future
might
be
for
those,
and
so
where
we're
at
at
the
moment
is,
is
rather
than
progress.
K
Any
sort
of
decision
on
closure
or
service
withdraw.
What
we're
seeking
to
do
is
take
some
extra
time
just
to
work
through
matters
of
detail
with
those
potentially
interested
third
parties,
in
the
hope
that
we
can
get
to
a
better
solution
in
terms
of
the
longer
term,
deliverability
and
sustainability
of
those
that
avoids
closure
and
or
service
withdrawal.
I
have
to
say
those
discussions
are,
are
live
at
the
moment
and
are
ongoing.
K
So
I
don't
I'm
not
in
a
position
to
sort
of
furnish
the
the
scrutiny
board
with
a
potential
outcome
from
from
those
and
we're
progressing
those.
But
we
are
hopeful
that
we're
able
to
come
up
with
solutions
that
keep
those
facilities,
those
much
valued
facilities
operating
as
we
move
into
the
future
happy
to
take
questions
castle,
hayden.
H
Oh
yes,
thank
you
didn't
stay
for
very
long
today.
It's
not
really
a
question
really.
It
was
just
a
place
on
record
board
members
thanks
to
natalie
and
steve
baker,
in
particular
throughout
the
consultation,
we're
aware
that
they
have
done
an
excellent
job
in
supporting
the
community
in
making
their
representations
known.
A
number
of
community
groups
have
worked
with
them
and
they
have
kept
ward
members
up
to
date
with
with
the
proposals
and
consultation
at
every
step.
H
So
it
was
really
just
to
thank
natalie
in
a
public
forum
for
her
and
steve's
work
in
helping
to
resolve
this.
Thank
you
very
much.
A
Thank
you
councillor
because
I
echo
that,
from
from
I
didn't
realize
that
nasa
done
all
the
work.
So
that's
really
nice
to
acknowledge
nicely.
So
thank
you
very
much,
but
you
know,
phil
has
been
in
discussions
with
me
and
I
think
it's
been
a
really
good
piece
of
work
and
come
up
with
some
really
inventive
innovative
easy
for
me
to
say
solutions
to
keeping
these
in
the
public
in
in
you
know,
for
the
benefit
of
leads
people.
K
No
chair
no
chair.
Obviously
the
only
thing
I'd
say
is
that
we
will
come
back
to
the
scrutiny
board
when
those
conversations
and
discussions
have
continued
and
sort
of
report
back
a
substantive
outcome
and
we'll
we'll
obviously
do
that
in
consultation
in
conjunction
with
councillor
rafiq.
A
Fantastic,
thank
you
very
much,
and-
and
we
will
put
that
on
public
record
in
in
the
minutes
to
you
know
thank
the
officers
because
it
shows
what
can
really
be
done.
When
you
know,
ward
members
and
public
residents
are
really
consulted
with
in
a
meaningful
way.
So
thank
you
very
much.
A
Okay.
If
I've
got
no
other
questions
for
council
rafika
for
phil
evans,
I
shall
move
on
to.
I
invite
councillor
venna
and
catharth
and
steve
hume
and
to
introduce
themselves
and
on
the
current
position
with
adults
and
health,
and
we've
also
got
john
crowther
as
well.
I
don't
know
whether
lovely
to
see
you
john,
whether
you
want
to
speak
on
the
budget
as
well.
J
Okay,
thank
you
chair,
I'm
councillor,
fiona
vena,
I'm
the
executive
board,
member
for
children
and
families,
and
I'm
also
currently
also
covering
adults
and
health.
So
both
these
papers,
both
the
paper
on
winter
pressures
and
the
paper
and
vaccinations,
have
been
very
brief
papers.
J
For
what
might
happen
if
we
get
different,
depending
really
on
on
how
many
presentations
we
get
around
around
the
virus
and.
A
Sorry,
I
don't
want
to
cut
you
off.
Can
we
just
before
we
go
on?
Can
we
just
finish
the
minutes
item?
Oh.
J
A
It's
just
that
we
have
to
finalize
the
the
budget
minutes
and
for
the
statement
tomorrow
so
and
I
do
realize
that
you
weren't
involved
with
those
dis
except
on
the
exec
level
of
it,
seeing
all
the
minutes.
So
I
don't
think
there's
any
changes.
But
if
I
I
don't
know
if
the
cat
or
steve
want
to
talk
about
the
budget
and
so
that
we
can
just
finish
off
the
minutes
item
and
then
we
can
move
on
and
then
you
can
because
what
you
said
is
really
interesting.
So
sorry.
F
B
If
I
introduce
myself
good
afternoon,
catharth
director
of
adults
and
health,
we
have
just
some
small
amendments
on
the
budget
which
I'll
ask
actually
john
to
just
cover.
Briefly.
We
did
provide
a
note,
but
we
we
can
also
provide
a
verbal
update
now
and
I'll.
Just
invite
john
to
do.
G
That
thanks
kath
thanks
chair
yeah,
my
name's
john
crowley,
I'm
I'm
here
as
head
of
finance
support
in
adult
social
care
and
public
health.
There
have
been
a
number
of
changes,
but
we're
still
working
within
the
the
figure
that
was
originally
brought
forward
and
those
of
you
who
may
have
looked
in
detail.
G
We
break
the
plans
up
into
two
areas
in
adults
and
health,
those
of
service
reviews
and
those
as
business
as
usual,
and
some
of
the
changes
are
relatively
small
they're.
Just
figures
developed
and
firmed
up
as
we
went
through
the
process,
but
there
are
some
key
ones.
I
think
we
should-
or
I
should
highlight
for
you
in
the
original
proposals.
G
When
we
talked
about
care
home
fee
uplifts,
we
talked
about
some
difficult
decisions
about
whether
we
should
or
shouldn't
provide
uplifts
towards
pay
awards
for
people
not
on
national
living
wage.
We
talked
about
cpi
uplifts
for
non-pay
elements,
and
they
were
particularly
difficult
ones
for
us
to
work
with.
We
talked
to
the
sector.
I
said
we,
the
director,
had
talked
to
the
sector
and
realized
that
that
was
a
difficult
process
to
go
link
to
that
fortune
or
otherwise.
G
We've
made
a
provision
for
the
national
living
wage
uplift
and
that
national
national
living
wage
update
came
in
lower.
So
it's
allowed
the
directorate
to
pull
back
on
those
proposals
to
take
the
savings
on
the
care
home
fee.
Uplifts
discussions
on
the
care
home
fee
uplift
are
ongoing,
but
those
two
elements
have
now
been
stripped
from
the
proposal,
but
we've
been
able
to
manage
that
within
a
struggle
to
say
a
better
result
on
national
living
wage.
But
if
you
understand
what
I'm
talking
as
an
accountant,
it's
given
us
that
flexibility
we
have.
G
That
would
that's
about
a
thirty
three
thousand
pound
change.
We've
also
sort
of
together
keep
saying
we.
I
say
we
screwing
board
members,
because
I
am
sort
of
in
the
process
of
moving
from
being
working
in
finance
to
the
directorate,
so
I
keep
slipping
into
the
new
us,
so
we
had
originally
a
pros
proposed
charges
around
the
appointeeship
service
and
that
again,
we've
pulled
back
on
that.
We've
deferred
that
and
we'll
potentially
look
at
that
later
on,
but
we
put
take
it
away
from
the
proposals.
G
Those
latter
two
are
about
a
hundred
thousand
pounds
when
added
together,
but
they
will
be
met
by
likely
savings
in
a
contract
that
is
going
to
be
renewed
with
effect
from
april.
There's
also
another
thing
to
say
it's
just
basically.
G
So,
for
example,
we
had
talked
about
the
ethical
care
charter
and
taking
half
of
what
the
proposal
was.
That
is
still
there,
but
it
isn't
shown
under
the
savings.
It
is
just
netted
off
what
we,
what
we
still
plan
to
pay.
So
sorry,
if
I've
rattled
on
into
too
much
detail
in
there,
but
there
they
are
changes
which
I
think
members
of
scrutiny
should
should
hear,
are
probably
interested
to
hear
I'll
answer.
Any
questions
if
I
can,
but
I
may
have
to
defer
to
colleague
other
colleagues
for
something
more
specific.
I
I
Is
this
a
sensitive
way
of
reflecting
the
number
of
people
who,
sadly
and
tragically,
died
during
the
the
pandemic,
and
if
it
is,
how
variable
might
that
figure
prove
to
be
in
future
years,
because,
obviously,
we
still
live
in
an
aging
society?
I
B
So
if
I
respond
initially
you're
correct,
you
have
interpreted
it
in
that
way.
Very
sadly,
we
have
had
a
number
of
deaths,
that's
impacted
on
the
budget,
so
it's
not
spending
what
we
would
have
done,
otherwise
quite
how
to
forecast
that
going
forward.
It's
really
really
difficult.
B
We're
definitely
seeing
less
deaths
in
this
second
and
third
wave
of
covid,
which
is
really
good,
but
we're
also
seeing
a
customer
shift
away
from
choosing
care
home
carers
how
they
want
to
be
supported
in
their
lives,
we're
seeing
a
shift
to
more
intensive
home
care
packages.
Now,
whether
or
not
that
will
continue-
I
don't
know
so
we're
going
to
track
it
for
the
next
year
and
obviously
it
will
play
into
whatever
is
the
budget
adjustment
for
2022
going
forward.
A
Okay,
thank
you.
So
shall
we
take
the
minutes
as
a
a
true
record
and
yeah?
Are
we
okay
to
do
that?
Thank
you
very
much,
and
and
thank
you
and
those
matters
arising
will
be
reflected
in
the
minutes
and
and
as
well
as
our
thanks
for
the
consultation
on
the
active
lifestyle
reads.
A
Thank
you
very
much.
So
moving
on
to
item
number
seven,
which
is
the
winter
pressures
across
the
health
and
social
care,
including
and
during
covert
19..
So
the
purpose
of
this
item
is
to
receive
an
update
on
the
winter
pressures
across
the
health
and
care
system,
including
and
during
covert
19..
A
There
will
be
a
powerpoint
presentation
that
helen
lewis
will
yes,
I've
got
that
right
haven't
I
that
helen
lewis
will
share,
and
that
has
been
shared
with
the
board
previous
to
this,
and
I
like
to
apologize
to
councillor
venna,
but
if
you'd
like
to
introduce
this
item
on
the
winter
pressures.
No,
no!
No!
Thank
you.
It
was
it's!
It's
someone.
A
You
know
your
experience
as
chief
executive
of
a
fabulous
charity
that
deals
with
some
of
our
most
vulnerable
people
in
the
city
is
so
welcome
and
when
kind
of
this
discussing
and
these
pressures
that
we're
all
finding
ourselves
under
at
this
time.
So
thank
you
very
much.
So,
if
you'd
like
to
continue
and
I'm
so
sorry
for
interrupting,
you.
J
No,
it's
my
fault,
so
I
misunderstood.
I
thought
you
all
submitted
us
introducing
these
items.
So
sorry
for
interrupting
your
minutes,
where
I
got
to
was
saying
that
the
slides
look
at
different
scenarios
that
could
have
come
out
as
a
result
of
how
many
presentations
there
are.
J
I've
already
referred
to,
the
slides
also
refer
to
the
collaboration
with
leeds
university
in
some
of
the
modelling,
and
they
also
refer
to
the
impact
of
the
pandemic
on
other
parts
of
the
system
with
regard
to
both
physical
and
mental
health
services
and
treatment
pathways,
and
as
a
true
demonstration
of
the
the
partnerships
that
we
have
in
leeds,
the
presentation
is
going
to
be
delivered
by
helen
lewis
from
the
ccg
mike
harvey
from
ltht
and
shona
mcfarland
from
the
council.
J
So
the
fact
that
the
presentation's
been
put
together
by
three
different
partners
is
illustrative
of
the
way
that
we've
been
working
through
the
crisis.
So
thank
you,
chair.
L
Hi,
thank
you
thank
you,
so
much
and
just
to
let
people
know
that
sam
prince
is
also
in
attendance
and
she's.
Happy
she's
here,
I'm
just
here
for
vaccination,
but
she's
obviously
also
a
key
partner
in
this.
Absolutely
I'm
going
to
attempt
to
share
my
screen,
but
forgive
me
we're
a
team's
organization.
So
if
I
make
a
horrible
mess,
I'm
going
to
ask
to
rescue
me
so
just
give
me
30
seconds
and
see
if
it
does
what
it
should
do.
L
Yay
there
we
go.
That's
always
the
first
bit
deep
breath.
So
thank
you.
So
much
and
colleagues
will
remember.
Can
you
see
that.
L
I
said
colleagues
if
council
hayden
couldn't
see
it,
I'm
in
good
shape.
The
colleagues
will
remember
that
we
came,
I
think,
in
september,
to
talk
to
you
about
how
we
were
working
and
our
preparations
for
what
we
anticipated
would
be
a
difficult
winter.
I
think
none
of
us
anticipated
quite
how
difficult
a
winter
it
would
be
so
you'll
recall.
I
think
we
shared
this
slide
last
time.
Is
that
changed
or
not?
L
Yes,
it's
changed
right.
Yeah
great,
we
shared
a
set
of
system
operating
principles
and
thank
you
to
councillor
benefit
acknowledging,
but
I
think
it
really
is
true
that
we
have
been
much
clearer
about
being
a
multi-agency
system.
L
We've
worked
together
to
really
share
our
data
and
the
expertise
that
partners
have
worked
together
on
system
challenges.
We
have
really
worked
together
to
maximize
skills
and
capability
of
our
collective
resources,
and
only
yesterday
we
were
discussing
how
much
more
whether
there
were
other
mental
health
trained
colleagues
who
could
support
the
mental
health
trust.
It's
not
a
conversation.
L
I
think
we
would
have
had
two
or
three
years
ago,
respect
about
individual
organization,
but
also
working
clearly
together
to
to
address
what
we
need
to
do
and
communications
you'll
know,
because
you'll
all
have
seen
the
excellent
communications
throughout
the
last
three
or
four
or
six
months.
Nine
months.
However
long
it
is
making
sure
that
people
really
understand,
what's
going
on
and
really
good
communications
to
all
frontline
staff
from
adults
and
health
through
all
the
providers
and
a
really
great
primary
care
bulletin,
as
well
as
to
the
public.
L
So
I
won't
rehearse
the
details
of
the
governance
structure,
but
I'm
happy
to
answer
any
questions
about
that.
If
people
have
any
so
councillor,
venna
introduced
this,
and
when
we
were
talking
about
this
in
the
summer,
when
we
none
of
us
were
all
younger
and
less
wise,
I
think
we
talked
about
a
number
of
scenarios.
We
talked
about
our
best
case,
which
would
be
kind
of
normal
winter.
L
No
coved
and
no
patients
would
stay
a
long
time
in
hospital,
a
mid
case,
which
is
a
normal
winter
that
covered
might
go
up
and
down
a
bit
and
a
worst
case.
What
we
thought
was
the
worst
case,
which
was
the
usual
winter.
That
covid
would
be
similar
to
where
we
were
in
april
may
in
our
first
peak
and
that
our
long
length
of
stay
patience
would
would
reduce.
L
We've
worked
on
a
plan
for
the
worst
and
hope
for
the
best
scenario
and
we'll
talk
that
through
a
little
bit,
we
reckoned,
we
would
be
about
300
beds
short.
L
We
really
focused
on
admission
avoidance,
which
I've
touched
on,
but
I
will
pick
up
in
a
minute
reduction
in
length
of
stay,
particularly
for
those
patients
who
no
longer
need
acute
hospital
care
alternatives
to
continue
to
stay
in
hospital,
so
that
patients
have
a
safer
place
to
recover
reable,
ideally
in
their
own
homes,
but
we're
not
possible
in
other
settings
and
also
making
sure
that
we
really
understood
what
our
stepping
up
capacity
would
be
if
we
needed
more
beds
for
people
with
covered
and
cohorting
sorrow
release.
L
It's
a
terrible
piece
of
jargon,
cohorting
arrangements
enabling
people
where
their
copy
status
isn't
yet
known
to
have
a
place
to
wait
until
their
test
results
come
back
so
that
we're
as
far
as
possible,
not
moving
people
into
beds
and
then
discovering
their
status
afterwards.
L
L
So
we
identified
some
risks,
which
were
really
the
council
of
vendors
mentioned.
This
social
distancing
adds
to
reductions
in
available
beds.
If
you
don't
know
the
status
of
a
patient,
you
can't
put
them
into
the
right
bed
straight
away,
which
means
automatically
you're
creating
additional
moves
and
additional
delays.
Plus.
We
were
also
asked
to
remove
beds
to
make
sure
we
had
sufficient
distance
between
our
bed
spaces.
L
People
have
become
more
unwell
in
a
state
a
bit
longer.
We
knew
that
we
might
risk
staffing
shortages.
We
knew
that
covered
outbreaks
in
care
homes
would
impact
on
people
being
able
to
return
home
and
we've
seen
those
outbreaks
continue,
though
much
less
acutely.
As
we've
discussed
earlier
on
pressures
in
intensive
care
and
staffing
shortages,
we
anticipated
them.
I
don't
think
we
anticipated
quite
how
far
we
would
have
to
stretch
our
intensive
care
resources,
and
mike
will
speak
to
that
in
a
minute.
We
knew
that
covid
outbreaks.
L
Our
wards
in
the
same
way
as
we've
always
previously
had
norovirus
outbreaks
on
wards,
would
impact
on
our
ability
to
place
patients,
and
we
knew
that
we
were
likely
to
be
asked
potentially
to
provide
mutual
aid,
so
the
actions
that
we
took
and
have
continued
to
take.
This
is
just
a
very
brief
summary
of
a
very
long
list
of
actions
that
partners
have
taken,
postponing
and
prioritizing
our
non-non-urgent
surgery
on
our
non-urgent
outpatients,
in
line
with
national
guidance,
maximizing
therapy
and
social
work
staff
more
caring
beds.
L
I've
touched
on
briefly
and
sharna
will
pick
that
up
as
she
will,
with
the
personal
care
at
home,
we've
really
invested
and
really
planned
to
invest
in
in
care
outside
of
home,
because
this
is
part
of
our
wider
strategy
anyway,
around
home
first
and
enabling
people
to
go
home,
and
this
has
given
us
an
even
further
impetus
to
drive
those
changes,
really
great
support
from
third
sector
of
age,
uk
and
other
partners
to
support
patients
and
carers
at
home
and
the
support
from
volunteers
and
drivers
and
all
those
other
colleagues
been
really
valued.
L
Increased
use
of
a
virtual
award
lots
of
conversations
about
enhanced
care
at
home
and
being
more
flexible.
I
think,
and
more
creative
around
enabling
people
who
are
stable
but
perhaps
historically
would
have
stayed
in
hospital
to
go
home
a
little
earlier.
Some
really
great
work
between
primary
care
and
secondary
care,
with
primary
care.
Colleagues
supporting
secretary
care
coins
to
make
decisions
increasingly,
as
covetous
spread.
We
have
people
looking
after
medical
patients
who,
potentially
that's
not
their
most
recent
area
of
expertise.
L
So
you
know
an
ent
surgeon
will
be
probably
less
confident
than
they
would
have
been.
20
years
previously
so
support
from
primary
care
in
for
those
colleagues
or
tennessee,
and
they
have
talked
about
and
also
receiving
transfers
of
care.
So
those
are
some
of
the
risks
and
some
of
the
actions
I'm
gonna
hand
over
to
mike
he'll
talk
a
little
bit
about
how
we've
used
our
day-to-day
modeling.
Is
that
all
still
changing?
Fine?
Okay,
fine
mike
thank.
M
You
helen
thank
you
good
afternoon,
everybody.
My
name
is
mike
harvey.
I'm
deputy
chief
operating
officer
at
ltht
and
as
helen
has
alluded.
I
also
in
the
last
three
months,
have
started
to
chair
the
system,
resilience
and
oversight
group,
which
is
firstly,
a
real
privilege,
because
that's
a
group
of
really
operational
managers
who
are
managing
the
kind
of
day-to-day
flow
of
patients
within
the
city
across
all
of
our
partner
organisations,
many
of
which
are
represented
in
the
in
the
people
that
are
presenting
this
afternoon.
M
M
Just
just
if
we
could
just
go
back
a
little
bit,
then
this
is
really
just
the
next
three
slides
we'll
be
talking
to
to
members
about
how
we
went
into
winter.
Based
on
the
the
some
of
the
planning
assumptions
that
helen
does
the
best
mid
and
worst
case
scenarios
that
actually
were
developed
by
sage.
So
they
were,
they
came
from
from
government.
In
terms
of
you
know,
you
know
if
you,
if
you're
going
to
have
to
hang
your
hat
on
something.
M
These
would
be
the
three
best
kind
of
ways
to
potentially
plan
for
that,
so
we
went
with
planning
for
the
worst
and
hoping
for
the
best
as
helen
has
described,
and
what
we
do
on
a
week-to-week
basis.
Our
almost
daily
basis
actually
is
with
the
help
of
ian
raw
who's,
one
of
our
consultant
hepatologists,
but
also
works
at
the
university
of
leeds.
M
The
prevalence
and
case
rates
within
leads
our
rate
and
ability
to
discharge
patients
from
ltht
in
a
timely
manner
and
all
of
those
went
into
the
mix
to
produce
the
model
that
you
can
see
in
the
in
this
slide.
So
when
we
described
planning
for
the
worst,
our
worst
planning
was
that
we
would.
M
The
peak
that
we
would
hit
would
be
at
the
same
level
that
we
reached
in
april
and
may
of
last
year,
which
I
think
was
an
impatient
number
of
240,
and
you
will
see
in
that
that
peak
that
you'll
see
in
that
there.
M
We
went
beyond
that
up
to
320
and
I'll
come
on
to
that
in
a
bit
more
detail
on
the
next
slide
as
well,
and
but
what
this
allows
us
to
do
with
a
with
some
confidence
intervals,
which
you'll
see
on
the
right
hand,
side,
which
is
the
projection
over
the
next
seven
days,
gives
us
some
levels
of
confidence
around
the
likely
amount
of
inpatient
bed
capacity
that
we
would
need
that
we
then
manage
to,
and
we
always
want
to
be
one
step
ahead
of
the
virus
in
terms
of
the
amount
of
capacity
that
we
have
available
to
us.
M
So
we
will
go
into
any
any
given
day
hoping
to
have
at
least
20
available
beds,
because
on
certain
days
we
will
have
that
demand
coming
through
the
door.
So
we
need
to
be
prepared
for
that
helen.
Could
you
just
move
on?
Thank
you.
M
So
this
is
the
detail
behind
the
model
which
just
the
the
blue
section
at
the
top
reflects
the
case
rates
in
leads
and
is
obviously
dynamic
and
responsive
to
the
current
situation.
So
you
will
see
it
models
back.
M
We've
been
using
this
model
really
since
the
autumn,
so
this
doesn't
reflect
what
happened
in
the
first
back
in
april
and
may,
but
does
reflect
what
happened
through
the
autumn
and
then
up
to
the
present
day
and
you'll
see
the
initial
spike
that
we
saw
in
the
younger
age
groups
in
sort
of
the
back
end
of
september,
the
beginning
of
october,
which
in
reality
didn't
have
a
huge
impact
upon
lthc.
M
The
numbers
did
grow,
but
not
significantly,
and
then
they
dropped
down
but
didn't
drop
to
the
levels
that
we
would
have
hoped
to,
and
you
can
see
that
plateau
immediately
after
the
spike,
which
was
where
the
prevalence
rates
in
leeds
began
to
cut
across
numbers
of
a
number
of
different
age
groups,
and
you
can
see
the
corresponding
peak
in
the
in
the
green
graph
below.
M
I
know
this
is
quite
a
difficult
slide
to
follow,
but
the
corresponding
rise
in
the
numbers
in
the
graph
below
the
blue
section
reflects
the
increase
in
numbers
of
patients
that
we
had
in
our
bed
base
as
the
as
the
prevalence
in
leads
began
to
grow
and,
as
I've
said
earlier,
that
did
get
to
a
peak
of
324
just
before
the
end
of
november,
and
that
has
been
our
peak.
M
That's
been
the
maximum
number
of
inpatient
beds
that
we've
had
occupied
by
patients
with
corvid,
and
when
you
compare
that
to
the
situation
in
april,
I
think
we
we
topped
out
at
that
point
at
240.
M
So
this
was
almost
50
percent
increase
on
those
volumes,
and
you
can
imagine
that
that
you
know
that
the
impact
of
that
upon
our
ability
to
provide
all
the
other
services
that
we
have
to
provide
became
a
real
strain.
M
The
other
difference,
particularly
in
this
set
in
this
second
wave
in
november
and
ongoing
in
through
winter,
has
been.
We
have
continued
to
be
obliged-
and
quite
rightly
so,
to
provide
as
much
of
our
normal
activity
as
we
are
able
to
so,
whether
that's
providing
cancer
surgery
or
whether
that's
providing
outpatient
activity
to
support
people
in
the
community.
We've
we've
continued
to
do
that
through
the
second
and
third
wave,
which
again
was
different
to
what
happened.
M
When
we
initially
responded
in
air
problem
last
year
and
effectively,
we
were,
we
were
able
to
convert
a
lot
of
our
capacity
over
to
the
corvid
response,
and
that
has
been
different
this
time
around.
M
M
So
it
was
really
twofold.
The
the
point
of
this
slide
was
twofold,
one,
which
was
to
say
at
a
critical
care
level.
We
we
have
been
working
across
west
yorkshire
to
try
and
even
out
demand
and
support
each
other
in
terms
of
the
pressures
that
people
see
within
their
within
the
critical
care
networks
and
secondly,
just
to
to
make
everybody
aware
of
the
the
volume
increase
that
we've
had
in
managing
patients
through
critical
care.
So
you'll
see
on
the
the
extreme
left.
M
Actually,
I
think,
a
week
ago
today,
where
we
had
160
across
the
west,
yorkshire
association
of
acute
trusts
and
of
those
160
93
were
in
leads,
and
that
was
a
record
for
us
in
terms
of
the
number
of
patients
that
we've
had
within
our
bed
base
needing
critical
care
at
any
point
ever
so
so
you
can
see-
and
you
can
imagine
the
challenges
that
that
has
presented
to
in
terms
of
the
space
for
managing
those
patients
safely
and
the
staff
and
our
ability
to
work
to
safely
staff.
M
Those
areas
which
has
meant
that
we've
had
to
convert
a
number
of
operating
theaters
and
we've
had
to
gain
the
support
of
ward
staff
and
other
staff
members
to
come
in
and
support
critical
care
and
help
stabilize
that
position.
Thankfully,
today
we
are
under
80
patients
in
our
bed
base
within
critical
care,
but
if
you
can
imagine
that
is
still
25
to
30
above
our
normal
numbers,
so
the
pressure.
M
What
I
will
do
now
is
is
just
hand
over
to
shauna
who's,
going
to
talk
through
a
little
bit
more
about
how
the
system
has
worked
together
and
then
I'll
come
back
to
the
impact
of
those
things.
I've
just
talked
about
in
terms
of
the
patients
that
we
are
trying
to
treat
in
our
beds
at
the
moment.
So
shawna.
C
Thanks
mike
I'm
sherlock
mcfarlane,
I'm
the
deputy
director
for
adelson
health
and
this
slide's
really
talking
about
home
first,
which
is
an
initiative
that
sam
prince
and
I
have
been
leading
for
for
a
while
now.
So
some
of
the
actions
have
happened
recently
have
been
in
as
a
result
of
a
number
of
initiatives
that
we
have
been
working
on.
They've
been
supported
in
the
last
few
months
by
the
national
guidance
that
came
out
from
government
as
part
of
embedding
discharge
to
assess
principles
within
the
system.
C
So
we've
been
restructuring
the
way
a
social
work
service
operates.
We
had
a
large
hospital-based
social
work
team
and
what
we
identified
was
if
we
are
supporting
people
to
leave
hospital
really
quickly
to
go
to
another
setting
like
a
community
care
bed
or
into
our
skills,
reablement
service.
The
social
workers
really
needed
to
be
in
the
community,
not
in
the
hospital,
so
that
they
could
respond
to
people's
needs
once
they
had
finished
their
period
of
rehabilitation
or
recovery.
C
So
we've
been
working
for
the
last
few
months
and
restructuring
our
social
work
service.
What
we
have
found
as
a
result
of
covert
is
that,
in
fact,
the
pressures
haven't
moved
from
hospital
to
the
community.
They
have
stayed
both
in
hospital
and
in
community.
So
there's
been
significant
pressure
on
our
social
work.
Colleagues,
over
the
winter
we've
put
in
place
a
number
of
initiatives
working
very
flexibly.
C
I
think
the
systems
resilience
overview
group
that's
chaired
by
mike-
has
been
very
flexible
in
its
approach,
so
we've
started
to
develop
a
twice
daily,
a
multidisciplinary
meeting
which
has
got
occupational
therapists,
nurses,
social
workers
and
what
they
do
is
they
look
really
quickly
at
situations,
people
who,
on
on
the
first
look,
aren't
able
to
go
out
through
to
go
home
on
their
own
and
they
look
really
quickly
at
those
individuals
and
identify
the
best
resource
for
them
and
then
make
sure
that
they're
supported
to
leave
hospital
as
quickly
as
possible.
C
We've
had
some
real
success
this
year
in
the
way
in
which
the
skills
reenablement
service,
which
is
run
by
the
local
authority
and
leeds
community
healthcare's
neighbourhood
teams,
how
they
work
together,
they've
been
working
together
seamlessly.
So
if
somebody
goes
to
skills-
and
it's
found
that
perhaps
they
would
have
benefited
from
therapy
input,
then
there
is
a
seamless
approach
to
enabling
that
person
to
get
that
support,
that
they
need
so
working
on.
A
no
wrong
door
approach
helps
us
to
make
sure
that
people
are
helped
in
the
way
that
they
need
to
be.
C
This
year.
We
have
benefited
from
coveting
in
one
way,
probably,
which
is
that
home
care
capacity
has
increased
and,
as
was
mentioned
earlier
in
the
budget
section,
we
we've
had
a
reduction
of
people
in
residential
care,
but
more
people
wanted
to
stay
at
home.
So
it's
been
really
helpful
that
we've
had
capacity
within
the
home
care
sector,
which
has
enabled
us
to
move
people
out
of
hospital
and
onwards
from
community
beds
and
the
community
care
beds
home
without
a
delay
that
that
we're
used
to
having
of
waiting
for
for
home
care
provision.
C
Our
commissioning
colleagues
have
commissioned
additional
beds
as
well
in
response
to
demand
and
need,
and
those
have
been
in
ordinary,
residential
in
nursing
homes
and
they've,
been
commissioned
very
quickly
and
have
enabled
us
to
support
people
who
can't
go
home
straight
away.
But
do
you
need
to
be
out
of
hospital
to
go
somewhere,
that's
safe
for
them,
and
then
we
go
and
assess
them
in
those
situations.
C
So
that's
pretty
much
the
way
that
we're
working
across
the
city
and
I'll
hand
you
back
to
mike
now.
L
Thank
you.
Actually,
I
think
shirley,
I'm
just
going
to
pick
up
a
couple
more
and
then
mike
will
finish,
wanted
to
just
pick
up
the
importance
of
our
mental
health
services.
Colleagues-
and
I
know
that
all
the
counsellors
on
the
call
will
understand
that
this
is
not
just
a
physical
health
issue
and
that
the
impact
of
lockdown
and
other
things
have
exacerbated
the
pressure
on
our
mental
health
partners
too,
for
all
the
same
reasons
and
all
sorts
of
different
ones.
L
So
I
think
really
important
that
we
recognize
the
significant
demand
both
on
police
and
your
partnership,
trust,
but
also
what
our
third
sector,
colleagues,
who,
as
many
you
will
know,
provide
a
significant
proportion
of
our
direct
care
and
some
of
our
more
significantly
intensive
direct
care
as
well
than
in
other
cities,
so
increased
demand
and
some
work
that
we're
now
doing
with
public
health
colleagues
to
really
model
what
else
might
be
coming
through
the
what
we've
called
fourth
wave.
We
used
to
call
it
fourth
wave,
because
we
didn't
think
we're.
L
Gonna
have
three
waves,
but
the
the
ongoing
impact
of
coved
on
the
lives
of
our
citizens
going
forward.
We
have
seen
that
people
who
are
admitted
to
beds
are
more
acutely
unwell.
That's
partly,
I
think,
because
we've
worked
really
hard
to
support
people
in
their
own
homes.
As
long
as
we
can,
and
so
the
people
who
are
really
coming
in
are
even
more
unwell.
L
Our
acute
bed
bases
have
very
little
flexibility
and
in
the
same
way,
as
we
talked
about
the
hospital
having
to
kind
of
create
space
to
manage
people,
while
we
don't
know
what
their
status
is,
bearing
in
mind
the
relative
size
of
our
acute
admissions
areas,
that
has
increased
our
risks.
So
when
there
is
when
there
are
covered
outbreaks,
as
they
have
been,
that
increases
the
impact
on
our
acute
bed
bases,
it's
been
really
great
working.
I
think
councilor
vena
talked
about
the
system
working
in
leeds.
It's
also
really
important.
L
I
think
mike
has
just
reflected
it
that
the
system
working
across
west
yorkshire
has
also
been
really
helpful,
and
the
specialist
mental
health
providers
work
really
closely
together
as
well
to
try
and
support
one
another,
and
so,
as
far
as
possible,
patients
can
be
cared
for
as
near
as
possible
to
home.
We've
enhanced
our
intensive
home
treatment
teams
as
much
as
we
can
to
enable
people
to
stay
at
home,
but
recognizing
that
the
staffing
pressures
that
we've
talked
about
are
significant.
L
We've
had
to
prioritize
staffing
to
those
areas
under
greatest
pressure,
which
inevitably
means
that
those
patients
who
usually
in
our
very
specialist
services,
have
had
to
wait
longer,
while
we've
redeployed
staff
to
our
areas
of
greatest
need
really
great
system
working
again
about
how
to
use
all
our
colleagues
to
best
effect.
So
again.
L
Third
sector
partners
supporting
some
of
the
patients
on
the
community
mental
health
team
caseload
so
that
the
registered
staff
can
can
support
those
people
with
even
higher
level
needs
and
the
work
that
we've
been
doing
over
the
last
year
to
strengthen
primary
care.
Mental
health
support
really
embedded
through
the
pandemic
and
the
work
of
both
the
primary
care.
L
Mental
health
team
and
the
social
prescribers
in
supporting
patients
not
just
in
their
psychiatric
needs,
but
in
their
wider
mental
health
and
well-being
needs
between
have
been
so
important
to
colleagues
and
then
just
to
touch
again
on
the
kind
of
ongoing
focus
around
yeah.
L
As
for
one
one
and
our
community
responses
our
third
sector
responses,
so
that
every
part
of
the
system,
as
far
as
possible
is
working
together
to
reduce
the
need
for
patients
to
go
to
acute
settings,
we
know
that
when
people
go
to
acute
settings,
they're
closer
together,
they're
more
at
risk
of
infection,
so
I
think
mike
touched
on
it.
We've
really
tried
to
encourage
people
to
go
when
to
seek
care
when
they
need
it
and
to
seek
care
through
a
another
mechanism.
If
we
can
so
it's
that
balance
continues.
L
So
just
to
finish,
then-
and
I
think
there
is
this-
I'm
going
to
add
slip
some
good
news
in
because
I
feel
otherwise
it's
just
so
work.
Obviously
these
are
key
cross-cutting
actions
and
you're
going
to
hear
from
sam
and
victoria
afterwards.
So
I
won't
rehearse
most
of
these,
but
I
think
the
ongoing
work,
alongside
all
the
acute
work
on
infection
prevention
track
and
trace
staff
and
public
testing,
all
the
people
you've
heard
about
doing
the
direct
care
are
also
supporting
all
those
indirect
things
that
we
wouldn't
have
done
in
a
normal
winter.
L
We
haven't
had
flu
and
we
haven't
had
norovirus
and
I
think
when
we
were
doing
our
original
planning,
I
think
there
was
our
kind
of
our
normal
worst
winter
and
then
covered
on
top
the
things
that
we
would
normally
have
seen,
or
some
of
the
things
we
normally
have
seen
in
winter
have
not
happened
because
of
our
infection,
prevention
and
our
vaccine,
and
I'm
sure
that
victoria
would
add
to
that
vaccination.
L
I'm
not
going
to
talk
about,
because
colleagues
are
going
to
talk
about
it
afterwards
and
then
all
the
community
support
for
those
shielding
and
the
continuous
work
with
our
third
section
communities
of
interest
to
ensure
support.
So,
although
we've
kind
of
focused
today
on
our
resilience
in
our
kind
of
statutory
services,
I
don't
want
members
to
feel
that
we're
doing
that
in
isolation
from
our
wider
community
development
and
our
wider
community
engagement.
Those
partners
are
part
of
all
our
conversations,
both
at
bronze
silver
and
gold.
L
So
I
think
that
just
reflects
what
councillor
than
said
in
her
introduction,
I'm
just
going
to
hand
over
to
mike
just
to
finish,
because
I
think
just
a
couple
of
things
which
I
think
counselors
would
be
interested
in
in
terms
of
just
what
we've
called
previously
the
non-covered
work.
So
I'll
leave
that
to
mine
to
finish
off.
Thank
you.
M
Alan
yeah,
so
so
the
this
this
slide
picks
out
cancer
and
the
impact
have
covered
on
cancer
surgery
and
cancer
treatments
specifically,
but
clearly,
there's
a
we
recognize
and
we're
acutely
aware
of
the
impact
that
we've
seen
have
covered
on
all
sorts
of
urgent
and
long-term
conditions.
Helen
has
alluded
to.
You
know
trying
to
leave
with
it
with
a
some
optimism
for
the
future.
M
I
think
what
gives
me
a
little
bit
of
reason
to
be
optimistic
is
when
we
went
through
the
first
wave
of
of
covid
and
we
came
out
of
the
other
end
through
the
summer
months.
In
particular,
we
were
able
to
reinstate
significant
proportions
of
our
usual
capacity,
which
allowed
us
to
get
back
to
the
volumes
of
surgery
that
we
would
normally
undertake
of
about
80
to
85
percent.
M
That
was
with
the
help
of
our
partners,
particularly
in
the
independent
sector,
and
I
think
it's
worth
just
just
reflecting
on
the
fact
that
we've
had
huge
support
from
the
nuffield
hospital
and
from
the
spire
hospital
in
round
here,
as
well,
just
helping
us
and
effectively
converting
their
hospitals
over
to
nhs
facilities.
M
M
The
graph
on
the
left-hand
side
shows
the
the
the
backlog
of
patients
with
confirmed
unsuspected
cancer,
who
are
effectively
on
a
cancer
pathway,
yet
either
yet
to
be
diagnosed
or
to
be
told,
thankfully,
that
they
don't
have
cancer
or
that
they
have
cancer
and
need
to
be
treated
and
have
waited
longer
than
the
standard
waiting
time,
which
would
be
a
maximum
of
62
days,
and
you
can
see
that
up
until
the
7th
of
I
think
it
was
about
the
7th
of
march,
something
like
that.
M
We
were
making
significant
progress
in
reducing
the
numbers
of
patients
that
were
waiting
beyond
that
date,
and
actually,
I
think
it
was
on
the
19th
of
march.
We
got
it
down
to
the
lowest
number
we'd
ever
seen,
which
was
over
just
over
100
and
then
obviously
covered
hit,
and
that
is
the
huge
peak
that
you
can
see
there.
M
Where
effectively
for
about
six
weeks,
we
were
told
to
turn
all
of
our
attention
over
to
the
corvid
response,
and
unless
patients
were
clinically
urgent
or
cancer
patients,
we
were
doing
very
little
other
work
as
well
so
and
that
included
some
diagnostic
cancer
work
as
well.
So
you
can
see
that
that
that
caused
a
huge
spike
in
in
the
volumes
that
we've
seen.
M
This
continues
to
be
a
an
issue
that
is
very
live
and
it's
a
very
dynamic
situation
and
as
soon
as
we
begin
to
see
the
green
shoots
of
improvement
in
the
covered
numbers-
and
we
begin
to
have
confidence
that
the
covid
numbers
are
coming
down,
we
will
be
back
into
planning
our
recovery,
but
very
very
mindful
of
the
need
to
look
after
our
staff
as
well,
because
our
staff,
as
all
you
know,
all
organizations
in
the
city
will
have
seen
as
well,
are
extremely
tired
and
mentally
have
been
through.
M
You
know
a
really
difficult
period
in
their
careers,
and
we
need
to
understand
that
and
support
them
and
balance
that,
with
the
needs
to
support
patients
getting
back
into
the
system
and
getting
the
treatments
that
they
need.
As
helen
has,
the
concluding
slide
really
just
sums
up
everything
that
we've
been
talking
about
today.
But
you
know
we,
the
sustained
spikes
that
we've
seen
particularly
in
november,
but
it
carried
on
through
january,
continue
to
put
considerable
pressure
in
the
system,
and
I
think
just
to
give
an
example.
M
We
came
in
this
morning
to
22
patients.
I
think
in
the
emergency
department
needing
beds
and
that
you
know
that
in
itself
creates
a
pressure
within
the
organization,
because
we
want
those
patients
moved
out
and
be
safely
cared
for
in
wards
where
we
know
we
can
socially
distance
them
and
keep
them
keep
them
away
from
other
patients
effectively.
So
it
just
provides
this
is.
It
provides
an
example
of
this.
It
remains
a
very
real
and
significant
issue
going
into
the
end
of
february.
M
We
do
remain
open
and
that
message
is
really
clear
that
we,
you
know,
and
we
want
the
public
to
come
forward.
We've
seen
a
significant
return
to
normal
levels
of
our
urgent
outpatient
activity,
for
particularly
for
cancer
referrals
and
in
fact,
I
think,
we're
up
to
almost
100
percent
of
our
normal
levels
in
those
areas,
and
we
would
want
patients
to
continue
to
report
through
to
their
gps
and
be
referred
through
with
any
worrying
symptoms
that
they
have.
So
that
would
be
a
key
message.
M
Hopefully,
we
see
a
reduction
through
the
summer
and
we're
able
to
turn
our
attention
back
to
recovering
the
non-covered
work
as
well
and
then
finally
helen
just
again,
just
thank
you
to
all
our
staff
and
volunteers
and
voluntary
sector
for
their
ongoing
commitment
to
the
work
of
team
leads
in
in
everything
that
we've
seen
in
terms
of
the
covered
response
in
terms
of
the
vaccination
program
and
everything
you
know
that
it's
been
a
real
collaborative
effort
and
to
the
people
of
leeds
actually
and
the
surrounding
west
yorkshire
region,
where
we
know
that
their
efforts,
in
kind
of
all
of
the
things
that
we've
all
had
to
do
to
to
keep
on
top
of
the
of
the
the
virus,
has
helped
to
reduce
the
spread
and
reduce
the
urgent
demand
on
our
systems.
M
So
then,
I
think
that
says
done
happy
to
take
any
questions.
Thank
you.
A
Sorry
that
last
slide
is
just
that's
the
the
first
time
I
think
in
nearly
four
years.
I've
seen
a
slide
that
and
that
kind
of
thank
for
staff
and
for
the.
Why
do
people
leads
and
now
volunteers-
and
I
just
want
to
echo
that-
and
thank
you
yourselves-
it
really
has
made
me
quite
emotional
there
at
the
end.
A
I
know
I'm
over
emotional
anyway,
but
like
that
was
I
think,
that
presentation
it
so
detailed
and
comprehensive,
but
the
way
that
the
three
of
you
shona
helen
and
mike
gave
that
part
attention
it
just
epitomizes
how
you've
all
been
working
across
the
city
in
the
team
it
was,
you
should
be
on
stage
it
was
like
you
know
it
was
seamless
it
was.
It
was
just
brilliant.
A
Thank
you
so
so
much
and
can
I
have
them
on
record,
and
I
know
that
everybody
on
the
board
will
will
agree
with,
will
support
this,
but
just
to
yourselves
to
the
entire
team
of
80
18
000,
whatever
people
that
work
in
our
hospitals
across
leeds
and
volunteers
and
the
third
sector
just
pass
on
our
huge
thanks
for
everything.
They've
done,
I
know
from
family
and
friends
who
work
in
our
hospitals
just
how
difficult
it
is,
the
emotional
mental
physical
demands
on
on
them.
Since
last
march.
A
It's
it's
been
almost
intolerable,
but
they've
done
it
and
they
keep
doing
it.
And
it's
just
incredibly
impressive.
I'm
going
to
start
with
councillor
trustwell.
Then
councillor
lay
dr
beale
and
councillor
knight,
council
trustwell.
Please.
I
Yeah,
thank
you
chairman.
Could
I
start
by
echoing
everything
you
said
about
staff.
I
do
appreciate
that
these
presentations
have
really
focused
mainly
on
the
care
of
patients,
both
those
suffering
from
covid
and
those
suffering
from
non-coveted
conditions
and
also
the
recipients
of
adult
social
care.
So
I
was
really
pleased
that
in
one
sentence
at
the
end
of
the
presentation,
mike
did
make
reference
to
the
staff
and
obviously
you've
reinforced
that.
I
Rather
than
always
being
done
by
a
third
party
and
by
people
managing
the
services-
and
I
don't-
I
don't
say
that
in
any
pejorative
way
whatsoever,
I
just
wonder
if
we
could
get
some
insight
into
how
those
pressures
have
manifested
themselves
in
terms
of
sickness
rates,
effects
on
stress
and
mental
health
of
staff.
I
Whether
we've
carried
been
carrying
vacancies
that
have
also
added
to
the
difficulty
of
providing
services.
We
we
talk
about
a
medical
condition
called
long
curvy,
but
I
just
wonder
in
staffing
and
personal
terms,
what
the
long
covered
effects
are
going
to
be
in
terms
of
a
recovery,
not
just
in
revisiting
services
that
people
have
been
denied
because
of
the
pressures
of
going,
but
our
staff
are
being
assisted
to
recover
from
the
pressures
they've
been
under
for
the
last
11
months.
I
I'll
leave
it
there.
But
as
I
say,
I
think
it's
part
of
the
equation
that,
rather
than
just
applauding
them
I'd
like
to
know
what
the
impact
is
I'd
like
to
know
what
they
would
be
saying
to
us
in
terms
of
the
pressures
and
how
they
are
going
to
be
assisted,
individually
and
collectively,
to
recover
from
what
is
now
11
months
and
may
well
be
many
more
months
still
to
come
and
who
knows
what
the
future
holds,
because
they
are
such
a
precious
asset.
And
I
think
you
know
sympathetic.
Words
are
simply
not
enough.
J
I
just
wanted
to
make
a
brief
comment.
I
absolutely
agree
with
everything
counselor
trustworth
said.
I
just
wanted
to
say
something
specifically
about
staff
in
care
homes.
I
think
it
was
a
source
of
pain.
Really
we
talked
about
this
in
the
cabinet
through
the
pandemic,
that
I
mean
as
a
society.
J
We
don't
have
the
same
love
for
social
care
that
we
have
for
the
nhs,
and
I
think
it's
just
very
magnified
in
this
crisis,
when
people
were
going
to
hospital
wards
and
taking
chocolate
and
pizzas
and
cards-
and
there
was
none
of
that
for
care
home
stuff
and
council
hayden-
and
I've
spoken
about
this
before,
because
we've
both
worked
in
residential
care
and
when
care
home
staff
have
lost
residence,
that's
people
they
may
often
have
cared
for
for
years
and
who
they
love.
And
when
you
work
in
care
homes.
J
You
know
the
residents
become
like
your
extended
family
and
there
are
care
homes
where
not
nothing
leads
to
this
level,
but
there
are
care
homes
across
the
country
where
people
have
lost.
You
know
half
or
two-thirds
of
their
residents,
and
I
think
we
will
see
a
lot
of
care
home
staff
with
post-traumatic
stress
disorder
as
well
as
nhs
staff,
but
it's
because
of
the
lower
status
of
care
home
staff.
J
It's
really
important
that
they
don't
get
overlooked
when
we
are
looking
at
a
recovery
plan
for
the
health
and
social
care
workforce,
because
caregiver
and
staff
have
really
suffered
a
huge
amount
of
loss
and
trauma,
and
unlike
doctors
and
nurses,
who
are
working
as
patients
briefly,
that
that
will
sometimes
be
people
that
they've
they've
known
and
loved
it
for
years.
A
No
thank
you,
and
we
have
talked
about
this
before
and
it
it's
and
I
I
had
a
phone
call
before
christmas
from
a
mother
of
a
a
woman
who
works
in
a
care
home
in
one
of
our
care
homes,
actually
saying
that
very
point
that
we
we
need
to
value
or
find
a
way
of
valuing
and
our
care
home
staff
and
you're
absolutely
right
because
of
the
low
status
they
they
tend
to
get
overlooked
and
they
are
of
critical
importance
to
those
families
and
to
those
residents
and
and
they
become,
as
you
say,
become
like
family.
A
L
You
can,
I
suggest
that,
can
I
suggest
that
mike
picks
up
on
some
of
the
work
that
we've
been
doing
with
hospital
stuff?
Let's
like
sam,
to
talk
perhaps
about
the
communities.
I
just
time
go
first,
because
they've
heard
mike
go
ahead.
N
Okay,
so
so
I'd
just
like
to
talk
to
that
group
and
people
that
work
in
community
be
that
leads
me
to
healthcare
or
the
third
sector
or
in
social
care,
and
because
I
think
that
what
I
hear
from
staff
is
and
that
they
have
been
out
doing
lots
of
visits
and
normally
they
would
get
a
lot
of
their
psychological
support
from
going
back
at
lunchtime
having
a
cup
of
tea
with
their
team.
N
Getting
that
support,
we've
had
to
put
virtual
handovers
in
place
and
so
on,
and
I
think
they
have
missed
that
human
contact
with
the
team
there's.
Obviously,
contact
that's
going
on
with
families
and
so
on.
I'd
also
just
like
to
point
point
out
that
the
greatest
growth
in
demand
for
certainly
community
services,
has
been
around
end-of-life
care
and,
and
we
that's
also
impacted
because
we've
had
people
who've
been
redeployed,
so
people
who
aren't
perhaps
working
in
that
environment
so
might
have
been
working
in
physiotherapy
or
a
different
team.
N
They've
gone
to
join
the
neighborhood
teams
to
support
them
and
for
the
first
time,
they've
been
working
in
the
in
a
situation
where
they
have
been
seeing
death
on
a
daily
basis.
So
I
think
it's
across
the
whole
spectrum,
and
I
know
that
no
one
was
mean
to
include
anyone,
but
I
think
we
just
need
to
make
sure
that
we
think
about
all
all
our
staff.
M
Was
it
was
just
really
to
echo
everybody's
points?
I
think
it
is
something
that
we
are
you
know
we're
acutely
aware
of,
and
we
you
know
that
very
briefly
touched
upon
the
need
to
look
after
staff
in
terms
of
how
we
see
ourselves
going
forward
once
you
know,
once
the
numbers
have
covered,
patients
in
the
beds
does
reduce
to
a
level
where
we
can
hopefully
turn
our
attention
back
to
what
we
would
consider
our
normal
kind
of
business.
M
If
you
like,
we
have
been
acutely
aware,
as
we've
gone
through
the
pandemic,
the
the
psychological
impact
on
on
on
staff
groups,
particularly
in
areas
like
critical
care
and
respiratory
and
general
medicine,
where
those
those
staff
are
seeing
patients
who
suddenly
don't
recover
from
their
illnesses
in
in
numbers
that
you
wouldn't
normally
expect
as
a
nurse
on
a
ward
and
we've
put
in
additional
clinical
psychology
support
and
other
other
support
to
to
make
sure
that
staff
have
access
to
counselling
and
support.
M
You
know
whenever
they
need
it
effectively
as
much
as
we
are
possibly
able
to
so
there
is
that
that
kind
of
ongoing
sense
that
we
need
to
care
for
and
look
after
our
staff,
as
we
in
the
here
and
now,
but
also
as
we
as
we
move
forward.
M
The
the
the
the
important
thing,
I
think,
is
to
recognize
that
you
know
staff
will
continue
to
live
with
this
for
a
long
long
period
of
time
and
that
we
that
support
that
they
have
available
to
them
now
will
continue
through,
obviously
through
the
course
of
the
next
year
and
beyond,
because
that
we
know
that
the
long-term
impact
of
that
of
the
experiences
that
that
people
have
had
will
continue
for
a
long
period
of
time.
In
response
to
councillor
trustwells
specific
questions
around
sickness.
M
We
do
we
have
seen
sickness
rates
rise,
but
they
have
stabilized.
Thankfully,
we
also
have
staff
shielding,
as
everybody
else
has
done,
has
had
in
the
past,
and
we've
had
staff
having
to
isolate,
because
they
are
a
contact,
patient
or
a
person
with
covert
and
all
of
those
things
as
everybody
in
in
every
every
walk
of
life
has
had
to
manage.
We've
had
to
manage
as
well,
and
it's
just
meant.
M
I
mean
we
are
a
big
organization
that
gives
us
some
flexibility,
that
other
other
organizations
don't
have
and
we've
seen
that
this
week,
when
we
we
had
to
change
the
roles
of
quite
a
lot
of
our
theatre
staff
and
consultant
staff
and
therapy
staff
and
others
to
support
patients
in
critical
care
and
people
of
you
know.
If
people
were
to
come
to
to
to
scrutiny
and
from
the
staff
groups
and
say
what
does
it
feel
like?
I
think
people
would
say
they
remain.
M
You
know
the
challenges
remain
incredible
for
them.
I
think,
in
terms
of
you
know
this
constant
challenge
to
turn
ourselves
upside
down
and
inside
out
to
meet
the
challenges
of
covid.
I
think
people
would
feel
that
they're.
You
know
they
desperately
need
a
break,
but
I
think
our
staff
remain
resilient
on
the
hall
as
well
and
that
they're,
you
know
they
will
be
up
for
the
fight
for
the
longer
term,
but
I
think
we
all
as
everybody
does.
We
desperately
need
a
break
from
this
soon.
C
Just
from
a
council
perspective,
we
put
a
lot
of
support
in
from
from
staff
corporately.
One
of
the
things
that's
been
really
appreciated
over
the
last
few
months
is
a
weekly
bulletin
from
cath.
I
know
that
staff
read
it
and
really
take.
C
Take
notice
of
the
the
messages
in
there
and
and
castle
was
really
quick
to
thank
people,
including
a
weekly
spot
for
somebody
each
week
just
to
say
thank
you
to
them
as
individuals
which
goes
down
really
well
and
then
the
other
thing
just
a
quick
story
from
within
one
of
our
social
work
teams.
We've
got
well-being
champions
across
the
whole
of
service,
and
we've
got
one
who's
taken
extremely
seriously.
C
She
sends
out
everyday
emails
to
her
colleagues
with
little
quizzes
and
photographs
of
things
that
are
quirky
and
unusual,
and
she
just
basically
brings
a
bit
of
a
bit
of
a
smile
to
everybody's
face
on
the
morning.
So
her
sense
of
joy
in
being
the
well-being
champion
has
been
very
appreciated
by
her
her
teams
and
she's.
Somebody
would
like
to
duplicate
and
replicate
100
times.
I
think
so.
C
A
You
very
much
for
that
show
now.
That's
that's
really
good
to
know.
That's
really!
Nice
story
as
council
vendor
and
myself
know
just
that
echo
what
you
were
saying,
sam
about
social
work
staff
not
being
able
to
in
in
children's.
We
know
that
they
really
miss
going
back
to
the
office
and
having
those
chats
with
your
colleagues
and
and
not
just
that
five
minutes.
A
Apart
of
having
a
cup
of
tea-
and
you
know
getting
talking
through
something
in
that
informal
way
underestimate
how
and
I
know
from
being
a
teacher
how
precious
that
is
and
how
valuable
that
is.
So
it's
the
world
we're
living
in
council
trust.
Well,
did
you
want
to
come
back?
Oh.
A
A
It's
a
very,
very
big
issue.
Thank
you
very
much.
No,
it's
a
really
really
good
question.
Council
lay
please.
H
Thank
you
yeah
right,
so
I
was
going
to
ask
you
around
the
winter
pressures
really
so
winter.
Precious
obviously
is
around
mainly
flow
out
the
back
of
the
hospital
into
the
community
supporting
flow
into
the
front
of
the
hospital.
Can
I
ask
questions
mike
around
testing
for
patients
covert
testing
for
patients?
H
What
lth
are
doing?
Have
we
introduced
point
of
care
covert
testing?
Are
we
using
green
and
red
areas
or
hot
and
cold?
Whatever
terms
you
want
to
use
and
streaming
patients
to
the
appropriate
beds
as
quickly
as
we
can,
because
we've
got
the
patient
non-elective
testing
processes
right?
I
assume
it's
a
24
hour.
Seven
days
of
service
service,
my
own
hospital,
my
own
hospitals,
microbiology,
stops
at
ten
o'clock
eight
o'clock,
actually,
which
I
find
amazing.
You
know
pandemic,
but
there
you
go.
H
I
assume
leeds
is
big
enough
to
have
a
24-hour
testing
service
and
I
just
wondered
if
you
could
update
board
members
or
councillors.
Sorry
with
the
process
for
testing
patients
that
are
coming
in
non-electively.
M
Yeah
so
that,
like
you
said
this,
has
been
a
huge
challenge
from
the
outset
and
as
we've
gone
through
the
pandemic,
and
we've
learned
the
getting
the
status
of
the
patient
as
early
as
possible
in
the
pathways
vital
and
crucial
in
terms
of
how
we
safely
manage
patients
through
our
pathways
and
the
technology
has
improved,
as
we've
gone
through
the
last
11
months
to
support
that.
So,
if
I
was,
if
I
was
studying
well,
if
I
was
studying
a
year
ago
talking
about
this,
we
wouldn't
be
talking
about
anything.
M
But
if
I
was
stood
here
10
months
ago,
talking
about
it,
we'd
have
been
talking
around
samples
coming
from
ed
into
our
labs
and
turning
them
around
somewhere
in
the
region
of
18
hours.
Because
we
didn't
have
the
technology
available
to
us
and
we
were
developing
the
platforms
within
pathology
to
do
that.
M
And
we
we
gradually
improved
on
that
turnaround
time
in
labs
through
the
course
of
last
year
to
the
point
where
we
got
that
down
to
under
six
hours,
which
was
hugely
improved,
a
huge
improvement
on
where
we'd
been
but
wasn't
good
enough
either.
So
we
have
towards
the
end
of
november,
introduce
point
of
care
testing
in
our
eds
because
the
platforms
have
become
available
to
us.
M
So
all
patients
who
come
through
our
ed,
our
emergency
departments
have
point
of
care
testing,
which
means
that
we
find
out
the
status
of
those
patients
within
half
an
hour,
something
along
those
lines,
and
then
that
allows
us
with
some
confidence
to
then
place
them
into
a
red
area,
which
is
an
area
where
we
know
that
patients
are
confirmed
positive,
an
amber
area
where
we
know
that,
where
we
we
don't
yet
know,
the
status
of
those
patients
are
less
less
so
green
areas
where
we
are
absolutely
certain.
The
patient
doesn't
have
covered.
M
There's
there's
no
patients
really
that
come
through
the
non-elective
routes
that
go
into
those
that
green
area
and
then
our
testing
regime
from
there
on
in
is
we
test
every
patient
every
day
for
the
first
five
days,
so
that
if
there
is
any
ongoing
community
transmission,
that
they've
picked
up
that
we
are
aware
and
alive
to
that
on
a
daily
basis,
so
that
we
we
can
if
a
patient
is
in
the
wrong
environment,
and
we
pick
up
the
fact
that
they've
gone
on
to
become
a
positive
patient,
we
are
able
to
move
them
into
a
red
area
very
quickly
and
therefore
reduce
the
risk
of
nosocomial,
spread
elsewhere
or
spread
between
patients
in
hospitals,
and
we
reduce
that
risk.
M
As
things
stand
at
the
moment,
we've
got
nine
red
wards
available
to
us,
plus
all
of
our
intensive
care
beds
that
are
available,
which
is
capacity
for
about
320
patients.
I
think
it
is
and
that
number
we've
got
plans
that
develop
if
we
need
to
to
respond
to
the
increase
in
red
red
patients
as
they
come
through
the
door,
and
then
I
think
you
you
touched
upon
this.
M
M
Yeah,
so
we
have
them
on
both
we
have
well.
So,
in
terms
of
our
covered
designated
positive,
our
red
wards,
we
have
those
at
st
james's.
I
think
we've
got
six
at
st
james's
and
three
at
the
lgi
and
then
within
certain
specialties.
We
have
covered
positive
patients
as
well.
So
just
if
we
took
an
example,
we
might
have
a
neurosurgical
brain
injured.
Patient,
for
example,
whose
specialty
needs
around
neurosurgical
support
mean
that
that
is
their
overriding
concern
and
condition.
M
That
means
that,
even
if
they
do
develop
covid,
we
would
manage
them
within
a
side
room,
but
within
a
specialty
area
as
well.
So
that
does
mean
that
we
like
we
have
patients
with
corvid
at
both
st
james's
and
the
lgi,
and
occasionally
at
chapel
halleton
as
well,
but
but
rarely
so
to
be
honest,
and
then
we
have
with
the
support
of
villa
care
who
have
supported
our
outflow
as
well.
We
have
covered
positive
awards
in
beckett
wing
as
well
to
support
our
floor.
M
M
Well,
via
the
no,
we
don't,
ordinarily,
we
don't
ordinarily,
but
where
we
do,
we
will
move.
I
think
we
had
that
situation
last
week
or
the
week
before,
where
we
we
patients
became
covered
positive
and
we
moved
them
back
to
the
main
sites.
A
You
speak.
Thank
you
councillor.
Could
I
ask
dr
beale
and
then
it's
counselor
knight
and
councillor
wendom,
dr
beale,
please.
D
Thank
you,
chair
in
endorsing
what
everyone
has
said
about
thanking
all
those
people
who've
been
involved.
Can
we
ask
the
officers
who
are
with
us
today
to
relay
our
thanks
back
to
those
frontline
staff
through
news,
letters
or
whatever
method
they
have,
because
they
are
the
people
who
need
to
hear
our
thanks?
D
My
question
is
for
shona.
As
expected,
more
people
are
choosing
home
care
with
support
rather
than
going
into
care
homes,
and
that
was
that
was
happening
pre-covered
but
has
has
increased.
Since
then,
we
have
looked
at
the
care
quality
commission
ratings
for
the
home
care
support
services
in
the
past,
and
they
have
been
a
bit
patchy.
They
haven't
always
been
meeting
the
very
best
standards
and
we
have
from
time
to
time
indeed
said
you
know,
what
are
we
doing
about
making
sure
that
the
standards
improve?
D
C
Thank
you,
councillor
kath
may
have
slightly
more
recent
information
than
I
have
on
this,
but
I
know
that
our
commissioning
colleagues
work
very
hard
with
our
home
care
providers
to
ensure
that
they
understand
the
standards
that
they
are
meeting
and
to
enable
them
to
do
that.
So
there's
a
really
close
eye
kept
on
the
provision
of
home
care
in
the
city.
C
We
have,
in
addition
to
that,
we're
working
on
a
pilot
with
home
care
providers
which
sees
us
working
much
more
closely
than
we
have
in
the
past
between
social
work,
commissioners
and
providers,
and
that
means
that
we're
we're
developing
systems
and
processes
which
mean
that
we've
got
a
really
close
insight
into
the
experience
that
people
have
in
their
home
care.
Setting
and
we've
had,
I
think,
very
few
problems
or
concerns
in
the
last
year
with
our
home
care
providers.
C
B
There
was
a
point
in
time
when
we
signed
on
who
took
on
our
new
framework
providers
where
they
took
a
bit
of
a
dip
in
performance,
but
then
improved
I'd
have
to
look
it
up,
but
I'm
fairly
sure
all
our
current
framework
providers
are
rated
good.
That
being
said,
we
still
use
quite
a
range
of
companies
on
a
spot
purchase
basis
and
I'd
have
to
look
at
the
cqc
reports
to
see
what
the
current
situation
is.
B
It
is
the
little
silver
lining
in
the
cloud
that
is
covered.
So,
while
we
have,
even
though
there
is
some
star
sickness
in
home
care,
it's
not
of
a
percentage
that
would
give
me
cause
for
concern.
So
there
is
actually
much
more
resilience
to
be
able
to
provide
continuity
of
care,
but
we're
never
complacent.
A
Thank
you,
dr
bill.
Did
you
want
to
come
back.
B
You
my
question
is
fairly
quick
and
straightforward.
I
think
in
the
report
you
referred
to
improved
flu
vaccinations
and
I
just
wondered
whether
the
improvement
is
in
relation
to
the
vaccination
itself
or
whether
there's
been
an
increase
in
the
uptake
of
the
flu
vaccination
during
this
last
winter
compared
to
previous
years,
and
if
that
is
the
case,
if
it's
just,
if
it's
that
there's
been
an
increase
in
the
uptake
this
year,
to
what
extent
has
that
has
there
been
an
increase?
Please
thank
you.
L
Victoria,
do
you
want
to
to
pick
that
up
yeah
there
definitely
has
been
an
increase.
I
don't
have
the
the
data
to
hand,
but
we
can
certainly
share
that.
I
think,
certainly
in
our
older
stage
group,
it
has
been
significantly
higher
and
earlier
than
previously
victoria
did
you
want.
Do
you
have
anything
to
do.
A
P
Thanks
councillor
hayden,
yes,
councillor
knight
just
to
comment:
there
has
been
an
increase
in
the
the
uptake
of
the
flu
vaccination
this
year,
we're
monitored
across
different
groups
and
the
uptake
has
been
higher
in
all
of
those
groups.
Although,
as
helen
said,
it's
been
that
the
the
most
high
in
the
older
people's
group,
which
is
which
has
helped
us
the
most-
it's
been
the
lowest
in
the
pregnant
women
group
and
so
but
we're
more
than
happy.
We
can
certainly
share
the
latest
data
on
that.
P
It's
also
monitored
across
all
wards
across
the
city
and
for
the
local
picture.
So
we
you
and
we
are
aware
of
which
wards
and
which
parts
of
the
city
we
need
to
do
more
work
on
encouraging
uptake
of
flu
vaccination
so
happy
to
happy
to
share
that.
So
I
think
overall,
there's
been
the
the
double
effect
of
the
increase
in
the
flu.
Vaccination
plus
all
the
all
the
with
all
of
the
restrictions.
P
A
A
A
P
F
A
Thank
you,
I'm
sorry.
I
missed
quite
a
bit
of
that
because
my
not
only
myself
but
my
internet
is
unstable
at
the
moment.
A
P
Thank
you.
We
we
do
have
some
data
on
ethnicity,
it's
not
as
good
as
we
would
want
it
to
be,
but
we
can
we'll
include
that
in
the
the
update
councillor
wenham
right.
A
A
No
okay,
so
we
shall
move
on
to
item
eight.
Thank
you
so
much
for
that
it
was.
There
was
a
lot
there
as
we
would
expect,
and
thankfully
the
restrictions
have
like
paid
down
flu
and
I'm
assuming
people
falling
with
slips
and
breaking
bones
in
the
ice
and
snow.
Is
that
or
maybe
people
going
out
for
their
walk
in
the
snow,
so
I'm
kind
of
like
assuming
that's
less
than
it
would
have
been
normally
okay,
so
we're
moving
on
to
item
eight
padding.
A
Oh
dear,
is
that
why
you're
so
tired
after
a
night
shift,
and
but
no
thank
you
to
everyone,
so
we're
moving
on
to
overview
of
the
vaccination?
It's
item
now,
so
I'm
wondering
I
mean
absolutely
welcome
to
stay
but
helen
and
mike.
If
you
did
want
to
leave
the
meeting
you're
absolutely
welcome
to
do
so.
Are
you
welcome
to
stay
it's
entirely
up
to
you
and
sam
you're?
Staying
for
this
item?
Aren't
you
the
your
main
item?
A
So
overview
of
the
leads
covered,
19
vaccination
programme
and
again
we've
got
another
presentation,
so
I'll
invite
council
venna
to
introduce
this
item
as
well
and
anybody
else.
If
you
want
to
invite
some
prince
tony
cook
cathart,
you
know
whoever
you
want
to
invite
to
to
speak
on
it.
Thank
you.
J
Thank
you.
I
just
wanted
to
highlight
a
couple
of
points
really.
The
slides
and
the
report
quite
rightly
highlight
the
health
inequalities
that
the
pandemic
has
magnified
and
on
the
need
to
do
work
around
vaccine
hesitancy
in
particular
communities
and-
and
the
report
also
highlights
the
hundreds
of
staff
and
volunteers
that
have
been
involved
in
the
vaccine
programme
and
that
feels
like
another
really
positive
example
of
team
leads.
J
I
went
to
a
meeting
my
wood
councillor
role
with
the
vice
chancellor
of
leads
back
at
university
recently,
and
he
was
saying
hundreds
of
their
students
have
been
volunteering,
and
I
told
someone
that
yesterday,
who
complained
to
me
about
students
because
having
a
having
a
ward
with
a
lot
of
students,
I
get
lots
of
complaints
about
naughty
students.
J
So
it's
very
positive
to
be
able
to
say
this
is
an
example
of
all
the
community
work
students
do
when
they're,
when
they're
in
our
city,
it's
great
to
see
dr
beal
on
this
board
in
terms
of
the
role
of
health
watch,
because
it's
very
it's
very
important
in
terms
of
the
the
leads
ethos
that
people's
lived
experience
is
very
central
to
what
we
do
around
health
and
social
care
and
the
the
work
that
health
watch
has
done
throughout
this
crisis
in
terms
of
the
regular
service.
J
They're
doing
are
of
crucial
importance
in
informing
the
way
that
we're
we're
delivering
services
and
we're
handling
the
pandemics.
So
it's
really
positive
to
see
that
highlighted
in
the
report,
and
my
final
comment
was
that
it
was
great
to
see
ellen
droid
on
the
news
last
night
on
the
national
news
and
nothing
to
do
with
football.
It
was
a
another
milestone
that
ellen
road
was
open
for
the
public
to
come
for
their
vaccinations,
as
of
yesterday,
so
having
initially
started
as
just
a
center
for
health
and
social
care
staff.
J
A
Right,
no,
it's
great
that
ellen
rhodes,
online
and
I've
been
getting
some
queries
about.
Why
isn't
ellen
road
and
it
is,
but
you
know
so
that
was
a
really
really
good
milestone
and
it
seems
like
a
great
operation.
So
should
we
go
to
oh?
Can
I
in
can
I
say
hello
to
shaq
chat,
rafiq,
lovely,
to
see
you-
and
I
I
didn't
mention
you
earlier
so
and
so
it's
great
I'm
hoping
is
it.
I
can
see
his
name.
A
You're
very
you're
very
welcome,
and
I
know
that
you've
been
doing
a
lot
of
work
on
the
communications
around
this,
so
yeah.
Thank
you
for
everything.
You've
done.
Okay,
we're
starting
with
sam,
then
welcome
sam
lovely.
Thank
you
very.
N
Much
so
I
think
andrea's
going
to
share
some
slides
for
me.
That's
okay
and
so
I'll
crack
on.
N
If
you
could
just
move
to
the
the
next
one,
please
and
then
the
next
one
you
so
I'm
going
to
start
by
echoing
what
has
already
been
said
about
team
leads
and-
and
I
want
to
start
with
saying-
a
thank
you
to
every
organization
and
everyone
in
leeds
for
the
support
that
they
have
given
me
in
leading
this
programme,
and
it
has
been
an
absolute
pleasure
and
to
lead
this
program.
It's
been
challenging.
N
So
the
three
nhs
trusts
have
worked
really
closely
together.
We
haven't
had
situations
where
we've
had
vaccinators
in
one
organization
saying
I
need
to
work
with
my
organization.
Everybody's
worked
together
and
the
all
the
council
teams
have
worked
really
hard
to
support
us
and
all
departments
departments
that
I
didn't
even
know
existed
before.
I
did
this,
the
third
sector
have
been
absolutely
fantastic
and
it
both
in
bringing
clients
to
the
vaccination
centers,
but
also
just
working
alongside
us
as
partners
and
and
I'll
talk
about
that
as
well.
N
Just
want
to
finish
this
bit
by
saying:
aren't
we
lucky
to
work
in
a
place
where
we
all
work
together
and
we're
not
at
odds
with
each
other
and
believe
me,
that's
not
that's
not
the
case
across
the
country
and
I'm
still
so
lucky
to
work
in
leeds
I'll
move
on
to
the
the
main
presentation.
I've
got
the
next
slide.
Please,
and
so
I
we've
called
this
slide,
leads
making
history,
because
I
think
we
are
doing
this
all
the
time
we
were
in
right
at
the
beginning.
N
We
were
one
of
the
first
cities
to
start
vaccinating
and
we're
one
of
the
first
50
hospital
hubs
and-
and
we
opened
the
thacker
museum
on
the
saint
james
site
on
the
8th
of
december
and
and
what
a
lovely
place
to
start
vaccinating
leads
making
history
of
the
museum
and
so
on,
and
then
from
the
15th
of
december.
We
started
to
bring
our
primary
care
colleagues
online
and
we
now
have
19
pcns
that
are
vaccinating.
N
Have
the
next
slide,
please,
and
and
just
some
pictures
here
of
the
sometimes
humble,
sometimes
very
sophisticated
environments
in
which
we
are
vaccinating.
So
we've
got
the
next
slide,
and
so
how
did
we
arrange
ourselves?
N
So
back
in
november,
I
kind
of
stuck
my
hand
up
and
sit
and
volunteered
to
to
put
the
program
together
and
approach
all
the
different
organizations
asking
people
to
come
forward
and
people
willingly
did
that
and-
and
this
is
a
really
good
time
to
say
it's
not
just
about
the
people
on
the
front
line,
the
vaccinators
and
the
volunteers
and
the
people
taking
consent
and
so
on.
Who
are
all
doing
a
fantastic
job.
N
Everybody
has
played
a
part
in
this,
so
we
divided
the
work
up
into
subgroups
so
that
we
could
make
sure
that
different
people
would
accountable
for
different
things,
and
I
think
that's
what's
brought
it
together
so
so
successfully
and
healthwatch
leads
have
played
a
significant
part
and
the
work
that
they
have
been
doing
to
give
us
feedback
on
how
we
might
approach
our
messaging
and
how
we
might
encourage
people
to
come
and
take.
The
vaccine
has
been
fantastic.
N
N
So
the
next
side
please
do.
Where
are
we
now,
and
so
we
have
the
hospital
hubs
of
the
sacrament
and
we
also
have
a
hospital
hub
at
the
mount
which
is
on
the
leads
in
europe:
partnership
foundation,
trust
estate
and
they're,
focusing
on
vaccinating
staff
within
their
own
organization
and
but
also
vaccinating
service
users
and
they're.
N
At
the
point
now,
where
they're
going
to
stop
being
a
fixed
hub
and
are
going
to
go
out
as
a
roving
team
to
pick
up
service
users
who
don't
feel
comfortable
coming
to
to
that
site
in
terms
of
our
local
vaccine
services,
we've
now
got
19
primary
care
networks
in
leeds
and
three
pharmacy
sites.
So
this
is
quite
a
dynamic
program
with
things
coming
online
all
the
time
and
we
have
three
pharmacies,
one
in
the
marion
center
and
two
that
are
using
hotels
within
leeds.
N
So
the
two
village,
hotels
that
we
have
in
the
south
and
in
headingly
are
being
used
as
sites
that
the
the
community
pharmacies
are
using,
as
has
already
been
heralded.
We
have
the
ellen
road
and
three
weeks
ago
we
opened
that
as
a
site
where
health
and
social
care
staff
could
be
vaccinated
and
as
councillor
venice
said
yesterday,
it
was
a
very
important
day
for
us
because
we
started
to
welcome
the
public
into
that
site.
N
I've
touched
a
little
bit
on
the
roving
team
in
terms
of
the
the
team
at
the
mount
moving
into
that
area,
but
we've
done
lots
of
work
on
health
inequalities
and
looking
at
how
we
can
get
the
vaccine
out
to
people
rather
than
always
expecting.
I
can
also
expect
them
to
come
to
us,
and
so
we've
looked
at
roving
team,
we've
looked
at
pop-up
venues
and
so
on
and
again
I'll
talk
a
little
bit
more
about
that.
N
But
on
the
next
slide,
you'll
see
some
photographs
of
ellen
road,
and
so
I
thought
it
was
quite
clever
putting
this
photographs
in
at
the
time.
But
actually
you
have
all
seen
it
on
the
news
last
night
and
it's
a
really
impressive
sight
and
we
have
10
pods.
So
we
have
20
vaccinators
at
any
one
time,
and
if
we
were
at
full
capacity
we
could
vaccinate
around
20
000
people
a
week
on
that
on
that
site.
N
N
A
N
Okay,
I'll
talk
about
the
next
style,
it
is
testing
the
the
video
up.
So
at
the
moment
we
are
prioritizing
for
priority
groups
we'll
come
back
to
the
slide
angel.
If
that's
okay,
if
you
just
work
on
it
in
the
background
and
but
we're
working
on
four
priority
groups,
so
care
home
staff
and
residents
and
patients
and
age
17
above
now,
and
frontline
health
and
social
care
staff
and
people
are
clinically
extremely
vulnerable
and
there's
a
lot
of
pressure
from
our
primary
care
networks.
N
N
We
can
have
a
discussion
about
that,
but
currently
they're,
not
in
the
jcvi
priority
groups
and
very
recently,
we've
extended
the
clinically
extremely
vulnerable,
and
we
have
set
up
specific
clinics
for
people
who
are
about
to
enter
treatment
programs,
which
would
mean
that
they
will
become
extremely
vulnerable,
so
people
who
are
pre-transplant
or
pre-chemotherapy
and
so
on,
and
so
we
have
already
brought
those
in
they're
working
with
rachel
loftus
in
the
council.
N
Of
course,
people
can
make
choices
or
there
may
be
reasons
why
they
can't
be
vaccinated,
but
that
that's
our
our
target
that
we're
working
to
in
terms
of
the
over
80s
all
have
been
offered
and
we've
had
uptake
of
91
and
that's
the
same
for
care
home
residents
all
have
been
offered
and
we've
had
around
91
uptake
as
well.
As
I
say,
the
over
70s
and
clinically
extremely
vulnerable
is
increasing
all
the
time
because
that's
the
recent
recent
group
at
the
end
of
last
week
we
had
around
60
and
vaccinated.
N
I'm
expecting
that,
as
I
say,
to
be
100
offered
by
the
end
of
this
week.
Okay
just
go
back
and
see
if
we've
had
any
success
with
the.
A
A
No,
it
doesn't
what
a
shame
don't
worry,
it
is,
but
we
have
received
it
so
we
can
watch
it
and
listen
to
it.
But
it's
a
shame
and
thank
you
angela
for
all
you
know
doing
all
the
technical
things.
It
is
very
difficult,
but
yeah
we
have,
we
have
received
it,
so
we
can
okay.
N
So
if
we
could
go
on
to
the
slides
and
the
next
one
please
so
I
thought
it
was
worth
it
just
reminding
people
what
the
order
of
vaccine
delivery
is,
and
once
we
have
completed
those
first
four
top
cohorts.
We
can
move
on
to
the
next
one
and
it
will
be
interesting
to
see
if
there
is
any
change
in
the
advice
in
the
coming
weeks,
because
the
we
were
obviously
working
to
a
middle
of
february
deadline
for
those
four
cohorts.
N
There
may
be
changes
next
week.
I'm
not
I'm
not
sure
it
was
worth
pointing
out
that
when
we
look
at
the
group,
that's
clinically
extremely
vulnerable
and
we
have
also
included
the
carers
of
those
people,
and
we
thought
very
carefully
about
how
to
invite
people,
because
we
do
need
to
stick
to
this
guidance
but
felt
it
was
appropriate
to
offer
a
vaccination
to
them.
N
And
then,
when
we
go
into
the
the
next
cohort,
we
can
then
start
to
look
at
carers
of
people
who
are
clinically
vulnerable,
as
opposed
to
clinically
extremely
vulnerable.
So
we
are
getting
there,
we
will
get
there
and
if
we
could
move
on
to
the
next
slide,
this
is
a
little
bit
about
some
information
about
how
we
have
tried
to
prioritize
the
workforce
and
because
our
our
priority
is
obviously
people
that
are
working
on
the
front
line
and
we
have
worked
through
a
new
organization
how
we
would
prioritize
those
so
clinically
extremely
vulnerable
staff.
N
Moving
on
to
frontline
facing
roles
in
the
different
age
bands,
so
there's
some
prioritization
there
as
well.
On
this
slide,
I
wanted
to
point
out
that
I
talked
at
the
beginning
about
how
fantastic
the
third
sector
had
been
in
working
with
us,
and
we
took
a
very
broad
view
of
workforce
when
we
started
this
program
and
it's
my
view
that
people
work
in
the
third
sector
are
health
and
social
care
workers,
just
as
those
first
working
statutory
statutory
sector
are,
and
so
they
have
been
invited
in
the
same
way
through
this
prioritization.
N
N
We
have
so
many
people
coming
forward
and
people
want
to
volunteer
for
and
unpaid
work
as
well
as
paid
work,
and
I
know
that
in
organizations
people
who
have
full-time
jobs
are
giving
up
their
time
because
they
really
want
to
be
part
of
this
process
and
want
to
do
an
extra
shift
and
so
on.
So
that's
been
great.
So
I
really
don't
see
staffing
as
a
limiting
factor
for
this
for
this
program
at
all.
O
O
Yeah
so
so
everyone's
been
referencing,
the
importance
of
team
leads
and,
and
inevitably
I'm
I'm
going
to
start
by
by
doing
absolutely
the
same
and
the
beauty
of
the
vaccine
program.
How
we've
pulled
everyone
together
is,
is
it's
had
to
be
so
wide?
The
conversations
have
had
to
be
so
deep
that
we've
really
needed
in
some
ways
to
broaden
the
the
health
and
care
team
even
further.
Really
so
you
know
there's
a
lot
of
unsung
heroes
in
in
the
vaccination
program.
O
You
know
everything
from
the
people
who
are
running
the
gritters.
You
know
who've
been
vaccinating
when
it's
been
cold,
you
know
it's
been,
absolutely
freezing
hasn't
it.
Last
few
days
outside
the
pcn
sites
outside
the
community
center
vaccination
sites,
there's
been
the
people
putting
up
the
signage
to
to
ellen
road
at
the
drop
of
a
hat.
O
Actually,
our
colleagues
in
the
combined
authority
around
bus
routes
and
clarity-
and
you
know
these
this
stuff,
but
but
also
literally
dozens
of
people.
You
know
working
in
our
community
hubs
in
our
communities
team
and
a
lot
of
people
also
behind
the
scenes
in
things
like
hr
and
and
comes
so
it
generally
is
a
huge
effort.
Really
so
you
know
that's,
that's
all
the
really
all
the
really
positive
stuff.
O
You
know
we
won't
be
able
to
get
too
surprised
that
you
know
we
have
seen
some
some
quite
significant
inequality
issues
in
the
in
the
pandemic,
more
broadly,
but
also
in
the
in
the
vaccination
programme.
So
one
example
I'm
going
to
mention
is
obviously
you
know
everyone's
really
clear
about
how
important
care
homes
are.
There's
no
question,
but
obviously
many
people
in
in
in
care
homes
are
either
low
paid
and
have
struggled
to
to
access
some
of
the
some
of
the
provision.
O
So
you
know,
there's
been
a
real
variation
in
care
home
vaccine
uptake.
There's
been
some.
It
has
to
be
said,
primarily
the
council
ones,
where
nearly
every
care
home
member
of
staff
has
been
vaccinated,
but
there
have
been
others
where
we
struggled
a
little
bit.
So
what
we've
had
to
do
is
be
really
creative
and
look
at
some
of
those
inequality
issues
and
when
we
dug
deep
deep.
Actually
it
wasn't
always
about
vaccine
hesitancy.
It
was
sometimes
around
income
and
the
ability
to
export
to
things
like
ellen
road
and
the
fact
right.
O
So
we've
been
able
to
do
things
like
you
know,
support
does
get
taxes
in
place
and
have
manager
conversations
and
each
of
those
care
homes
now
has
a
separate
plan
to
improve
uptake,
and
even
though
we
were,
we
were
struggling
a
little
bit
with
that.
A
couple
of
weeks
ago,
there's
been
a
quite
a
rapid
increase
in
the
number
of
staff
who've
been
vaccinated
over
the
last
couple
of
weeks.
O
So
what
we've
had
to
do
is
is
to
look
basically
case
by
case
each
area
that
we're
working
with
and
bring
together
that
local
partnership
and
we're
having
some
real
impact
and,
as
some
says
you
know,
we've
got
through
those
first
four
priority
groups
at
fair
rates
of
knots,
and
it
is
the
basis
you
know,
of
having
our
third
sector
partners
having
our
community
champions
and
having
everyone
around
around
the
table
as
well,
and
just
a
quick
nod
as
well
to
colleagues
within
the
university
system,
who
have
also
helped
us
via
the
academic
health
partnership,
with
some
of
the
evidence
and
some
of
the
insights
and
some
of
the
best
practice
and
that's
informed.
O
Some
of
the
conversations,
as
also
fair
to
say,
we've
got
some
excellent
best
practice
from
our
local
flu
teams
and
from
people
working
in
public
health
team
who
have
been
really
insightful
and
supportive
throughout
this
process.
More
on
that
in
a
second
next
slide.
Please.
O
So
the
the
comms
stuff
has
been
been
really
important
and,
and
it's
a
little
bit
of
a
shame
match
of
the
video,
isn't
working,
because
we've
got
one
a
little
bit
later
on
which
actually
I'm
I'm
gonna
have
to
list
these
things
bullet
by
bullet.
O
Now
I
was
hoping
not
to
just
to
play
the
video
what's
nice
to
say:
we've
got
a
whole
load
of
comms
products
in
place
and
a
serious
nod
when
I
was
listening
to
all
the
hard
work
that
he's
done,
including
working
weekends
on
some
of
this
I'm
getting
some
of
these
products
hours.
O
O
O
And
these
are,
these
are
some
of
the
products
that
are
listed.
As
I
say,
these
were
these
were
on
the
video
and
we've
used
everything
from
your
newsletters
for
different
communities,
a
whole
host
of
web
resources,
a
lot
of
blogs
by
key
people
from
faith
communities.
There's
one
mentioned
there
that
we're
going
to
play
plus
a
whole
load
of
conversations
with
key
people
as
well,
and
only
last
week
we
were
given
the
nod
that
you
know
the
leeds
playhouse
was
interested
in
helping
with
us.
O
So
they've
come
up
with
some
ideas
as
well
about
how
to
get
to
younger
people
and
how,
to
you
know,
inspire
confidence
in
in
the
vaccine
program
as
well.
So
that's
that's!
That's!
That's
a
quick
run
through
one
of
the
the
things
that
we've
got
is
is
a
a
health
inequalities
group
and
don
bailey
in
public
health
has
been
leading
that
and
has
done
a
brilliant
job
of
pulling
together
a
whole
host
of
different
programs
that
sit
under
that.
O
So
that's
everything
from
targeted
work
in
particular
communities,
particularly
working
with
gp
surgeries
in
in
particular
areas,
but
also
galvanizing,
a
whole
host
of
of
community
groups
as
well,
and
I'm
you
know
I'll
lead
by
saying
elected
members
have
been
absolutely
central
to
to
a
number
of
conversations
as
well,
and
we've
tried
to
briefly
elected
members
as
as
often
as
possible
and
and
and
having
you
know,
all
use
as
key
voices
in
communities
has
been
really
important.
O
So
just
an
example
I
wanted
to
share
with
you
from
this
morning
actually
is
that
a
couple
of
elected
members
contacted
me
and
and
said
that
they
were
aware
of
a
constituent
who
was
really
struggling.
She
was
a
care
home
worker
to
access
the
vaccination
program
for
a
variety
of
different
reasons,
so
we
put
that
person
in
touch
with
ltht
and
they
responded
quickly
and
so
that
person's
now
got
an
appointment.
In
fact,
they've
probably
had
the
appointment.
O
It
was
for
two
o'clock
today
and
that's
just
sometimes
how
we
can
work
just
to
ease
the
system
a
little
bit
by
by
having
those
strong
partnerships
in
place.
So
we
were
going
to
close
by
playing
the
the
video.
I
don't
think
that's
that's
really
there.
So
just
to
move
on
to
a
couple
of
pictures
on
the
last
slide.
A
We
could
try
again
and
see
if
anything.
F
Apologies
chair.
I
can
actually
hear
it
so
I'm
going
to
unuse
and
see
if
everybody
relates
to
everybody
as
well.
A
O
F
F
F
F
F
F
F
F
F
O
Thanks,
I'm
I'm
not
quite
sure
how
clear
that
was
for
everybody,
but
I
think
you
absolutely
got
a
taste
of
that
chair
and-
and
it's
also
fair
to
say
that
there's
a
whole
host
of
other
resources
that
shaq
and
his
colleagues
have
done
a
fantastic
job
of
pulling
together.
Obviously,
there's
one
video
with
the
lord
mayor:
we've
had
facebook
live
sessions,
we've
done
youtubes
and
there's
debates
about
doing
things
like
tick
tock,
which
apparently
are
you
know
particularly
good
at
targeting
teenagers.
O
I
should
know
that
with
my
teenage
daughters,
but
we're
literally
using
every
single
method
possible
just
to
have
those
conversations
and
get
those
messages
out
there
in
in
communities,
and
that
includes
peer-to-peer
conversations
as
well
as
obviously
trusted
professionals
as
well,
so
I'll
leave
it
there
and
and
open
it
up
for
questions
chair
thanks
thanks
a
lot.
A
Thank
you
very
much
and
thank
you
angela
for
persisting
with
that
and
I'd
be
totally
up
for
him
mortifying
my
daughter
on
tick-tock.
A
But
yes,
I
think
just
that
last
video
of
showing
the
different
you
know
people
involved
and
and
the
way
they
smile
at
the
end
of
their
their
input.
Just
it
was
just
you
know.
They
obviously
really
wanted
to
do
that
so
and
thank
you
to
shaq
for
everything
you've
done
in
terms
of
communications,
I'm
going
to
start
with
councillor
knight,
please
and
then
we've
got
councillor
reagan
and
dr
beale
thank.
B
B
B
And
my
second
question
is:
we
know
that
there
are
some
people
who
are
reluctant
for
various
reasons
and
resistant
to
having
the
vaccine
and
and
whatever,
we
think
about
those
reasons.
Our
approach
needs
to
dealing
with.
B
That
needs
to
be
an
ethical
one,
and
I'm
just
wondering
if
there
have
been
any
reports
of
employers,
for
example
care
providers
or
any
other
employer
taking
the
view,
and
especially
care
works
out
actually
because
they're
in
such
a
vulnerable
position
in
there
in
terms
of
their
employment
rights,
but
employers
taking
the
view,
no
job,
no
job
and
and
if
we
have
what
has
the
response
our
response
been
to
to
that
place.
Thank
you.
A
Thank
you,
I'm
not
sure
who
wants
to
answer
that.
A
N
You
sam,
so
I
first
like
to
say
that
identifying
who's,
a
health
and
social
care
worker
has
been
one
of
the
challenges
of
the
program
so
nationally
we
were
given
a
figure
of
around
42
000
health
and
social
care
workers
in
leeds,
and
we
keep
finding
people
because
there
are
lots
of
independents
and
people
who
haven't
been
included,
so
we
think
it's
closer
to
sixty
thousand.
N
So
once
we
know
about
people
with
the
the
invite
goes
out
through
their
employer.
So,
for
example,
if
you
work
in
nhs
trust,
it's
it's
it's
fairly
easy.
We've
got
a
workforce
team.
The
invite
goes
out.
Similarly
with
the
council,
then
colleagues
in
the
council
have
been
working
with
us
to
identify
third
sector
organizations
or
home
care
organizations,
and
so
on,
so
that
we
can
send
the
link
directly
to
them
and
initially
it
was.
N
N
So
we've
tried
all
sorts
of
ways
to
try
and
get
them
booked
in
and
there
are
a
number
of
places
where
there's
just
a
hub
where
you
can
go
and
you
can
either
phone
someone
or
you
can
someone
will
help
you
through
with
the
booking
and
so
and
any
ideas
about
that
very
much
welcomed,
because
we
really
want
everyone
to
be
vaccinated
and
the
issue
about
employers.
So
from
a
statutory
organization
point
of
view,
nhs
employers,
which
is
a
national
body,
did
have
a
debate
right
at
the
beginning.
N
As
to
whether
this
should
be
a
mandatory.
Vaccination
agreed
that
it
shouldn't
people
should
have
the
choice.
We
should
encourage
people
as
much
as
possible,
but
it
shouldn't
be
a
requirement.
I
haven't
heard
personally
that
there
has
been
an
any
organization
that
has
basically
said
you
have
to
have
the
vaccination.
N
I
think,
certainly
at
this
point
for
me,
it's
it's
trying
to
work
with
organizations
where
they've
got
low
uptake,
trying
to
understand
why
that
is
and
try
and
encourage
people
to
understand
the
evidence
and
the
importance
of
the
vaccine.
P
Thanks
and
kath
may
want
to
add
from
her
perspective
too.
So
likewise,
I'm
not
aware
of
any
employers
who
are
mandating
the
vaccine,
and
I
am
aware
of
a
a
a
national
conversation
about
whether
or
not
that's
something
that
might
be
explored
at
some
point.
But
but
that's
that's
my
understanding
that
you
know
there's
a
debate
about
that,
particularly
within
the
the
care
sector,
but
cath
might
want
to
comment
on
on
that.
B
B
Otherwise,
as
I
said,
I
certainly
know
dhsc
is
there
are
discussions
going
on
about
whether
or
not
it's
mandatory
for-
and
I
don't
know
whether
or
not
they'd
narrow
it
down
to
just
care
home
workers
or
or
wider,
but
it's
been
debated,
but
nobody
to
my
knowledge
in
leads
has
made
it
a
requirement.
Yet
I
think
because
they
don't
want
to
be
the
first
test
case,
but
we
shall
see.
O
Yeah,
just
just
on
the
hesitancy
point,
it's
a
really
important
point,
which
is
you
know.
We
understand
that
you
know,
whilst
lots
and
lots
of
people
were
really
keen
to
to
get
the
vaccine.
There
were
some
who,
whilst
they're
not
in
the
in
opposition
to
it,
we're
waiting
to
see
what
happened
with
their
friends
and
family
and
people
that
they
knew
so
key
part
of
the
program
is,
you
know,
is
to
do
that.
O
Regular
follow-up
and
regular
chasing,
but
also
to
you
know,
to
have
sensitive
conversations
in
communities
just
to
make
people
aware
of
some
of
the
facts
and
increasingly
to
counter
some
of
the
myths
as
well,
and
we're
aware
that
that's
been
really
important,
particularly
in
in
some
areas
and
in
some
gp
practices,
there's
almost
been
a
bit
of
a
head
of
steam.
Really
so
it's
it's
regularly
going
back,
contacting
people
calling
people,
and
even
now
you
know,
you
know
they'll
be
a
bit
of
a
long
tail.
O
To
be
perfectly
honest,
you
know
we
know,
we've
not
captured.
You
know
once
we,
you
know
at
nine
out
of
ten
in
most
of
the
priority
groups,
there
will
still
be
some
that
come
in
over
coming
weeks
and
we'll
still
need
to
be
having
those
conversations
with
the
organizations
that
are
working
with
them
and
all
the
people's
groups
and
groups
in
communities.
O
So
we're
not
just
saying
it's
a
one-time
offer
we're
saying
it's
a
long-term
offer
and
a
long-term
program,
and
obviously
likewise
you
know
people
will
need
probably
boosters
at
some
point
in
the
day.
So
this
is
a
a
program
that
that's
with
us,
the
for
the
foreseeable
and
hopefully,
that
hesitant
will
come
on
board,
even
if
that
slowly.
Q
Just
shout
at
me
yeah,
I
just
want
to
pick
up
on
the
sort
of
hesitancy
issue
around
our
own
online
stuff
and
one
of
the
ways
we're
looking
to
overcome.
This
is
encouraging
peer-to-peer
communication
so
when,
let's
say
a
care
professional,
regardless
of
what
role
they're
in
gets
vaccinated
in
it,
you
know
we're
encouraging
them
to
use
their
social
networks
to
share
that
message,
they're
being
vaccinated,
so
you
know
it's
safe
and
if
I
can
have
it
done,
why
can't
you
so?
I
just
want
to
drop
that
in
as
well.
A
I
I
don't
know
whether
it's
just
my
area
but
and
an
awful
lot
of
I
I've
not
only
seen
on
facebook,
some
kind
of
hesitancy,
I've
not
heard
of
anybody
in
kind
of
my
ward,
that
has
you
know,
voiced
any
kind
of
header,
certainly
back
every
elderly
person
that
I
spoke
to,
who
was
getting
the
vaccine,
it's
just
so
incredibly
grateful
and
so
which
is
really
really
and
astonished
about
how
quickly
they
got
their
appointment
and
how
efficient
it
was,
and
so
but
counselor-
and
I
did
they
answer
your
questions
or
it.
B
Did
no,
there
were
very
good,
comprehensive
answers.
Thank
you
very
much
for
that.
Yeah
thanks
yeah
and
thank
you.
I
think
it's
more
in
the
younger
age
group
helen
rather
than
the
the
older
people,
it's
more
the
younger
and
you
see
it
a
lot
on
facebook
as
well,
and
you
know,
particularly
in
your
community
groups,
and
there
are
a
lot
of
myths
spreading
around
and
and
it's
important
for
us
to
to
deal
with
them.
But
I'm
just
concerned
that
we
deal
with
them
in
in
the
right
way,
yeah
and
I'm
sure
we
will.
E
Reagan,
yeah
it's
just
following
on
from
councillor
knights
issue.
I've
got
two
particular
questions,
but
the
one
that
that
follows
on
from
councillor
knight
is,
you
know,
like
we've,
had
with
marcus
rashford,
promoting
the
free
school
meals
and
that's
a
celebrity
that
young
people
can
can
can
adhere
to
and
look
up
to
and
like
we've
got
the
the
workings
of.
E
Jamie
jones
buchanan
wanting
to
do
some
working
around
domestic
violence
issues.
I
think
we
need
to
or
you
need
to
identify
a
local
celebrity
from
each
of
the
ranges
that
are
accessing
the
vaccine.
So
for
young
people
it
would
be
definitely
some
some
superstar
sports
hero
that
they
can.
They
can
relate
to
and
to
promote
that,
and
likewise,
with
other
with
other
groups,
you
know
someday
within
the
within
the
older
age
group
that
they
look
up
to
that
they
can
promote
that
taking
up
on
the
vaccine.
E
And
the
second
point
is
yes:
we're
getting
through
these
really
well
groups
of
the
four
top
groups
of
vaccinations.
E
But
you
know
I've
got
a
real
fear
of
our
frontline
staff
as
in
police
force,
as
in
our
shop
workers,
as
in
all
our
other
frontline
workers
that
are
in
those
top
categories
and
where
we've
got
some
flexibility
or
you
say,
we've
got
some
flexibility.
E
A
Thank
you.
I
just
want
to
alert
people
to
the
chat
because
shaq
has
put
in
that
there's
and
I
have
shared
it
on
facebook.
Actually,
there's
facebook
live
session
on
saturday,
the
20th
of
february,
discussing
the
the
vaccination
and
and
and
it's
kind
of
a
partnership
run
by
the
partnership,
elite
council
and
ccg
and
nhs
and
and
things
so.
Thank
you
for
that
chef
who
would
like
to
answer
the
question
about
council
reagan's
questions.
N
Make
a
start
so
we're
trying
to
identify
influential
people
in
different
communities
and
consider
a
little
bit
about
what
we
have
done
so
far.
This
is
fine
balance
at
the
moment
because
of
the
cohorts
we
can't
start
going
down
into
the
lower
cohorts.
We
don't
want
to
be
identifying
the
25
year
old,
who's
very
influential
to
young
people
just
yet,
but
we're
trying
to
get
them
in
the
pipeline
so
that
we'll
be
there
when
it's
when
it's
time-
and
I
I
have
some
sympathy
with
what
you're
saying
about
frontline
workers.
N
Unfortunately,
we
are
tied
to
the
jcpi
guidelines,
but
there's
lots
of
lobbying
going
on
nationally
and
that
may
or
may
not
change
things
so
I'll
pass
to
victoria
just
to
comment
on
the
jcvi
and
then,
if
she
can
pick
up
on
the
celebrities
and
what
we're
doing
with
that.
That
would
be
great
thanks.
Victoria.
P
Thanks
sam
so
just
to
comment
on
the
the
the
the
sort
of
working
flexibilities
that
we
have
around
the
guidance
that
comes
down
to
us
councillor
reagan,
the
the
the
the
bit
that
we've
got
influence
around
is
how
we
operationalize
those
get
that
guidance.
P
So
I
think
some
of
the
examples
that
sam
gave
earlier
around
the
fact
that
leeds
went
right
from
the
beginning
to
include
third
sector
colleagues
in
the
definition
of
social
care
and
was
something
that
we
were
really
very
keen
to
do
and
to
broaden
that
as
much
as
possible.
P
So
we
could
still,
you
know,
be
very
clear
that
people
were
providing
personal
care
and
support
to
clinically
vulnerable
people,
but
they
may
work
for
a
voluntary
or
community
organization
and,
as
sam's
just
described
with,
we've,
we've
taken
the
view
to
extend
that
to
unpaid
carers
too.
So
I
think,
generally,
what
we're
trying
to
do
is
to
flex
as
much
as
we
possibly
can
the
kind
of
boundaries
of
that
which
hopefully
is
helpful
and
we'll
continue
to
do
that.
P
All
of
the
way
the
the
nhs
have
been
really
clear
that
they're
not
legally
licensed
to
take
anybody
outside
those
groups.
So
you
know
we
might
have
a
view
that
we
want
to
include
xyz
but
they'll
turn
up
and
they
won't
be
vaccinated.
P
So
I
think
that
we're
just
having
to
work
within
those
rules,
but
I
I
can
only
say
that
I
think,
with
the
spirit
that's
been
shared
so
far,
that
those
conversations
feel
incredibly
constructive
and
we're
all
doing
everything
we
can
to
stay
within
the
rules
to
flex
as
much
as
possible.
P
And
I
think,
as
some
said,
it's
it's
it's
often
quite
tense
in
some
other
areas,
because
those
conversations
often
break
down
and
are
not,
you
know
quite
difficult,
and
so
I
think
we've
managed
to
keep
everybody
on
board
with
the
principles
and
and
again
I
suppose
I
I
always
sort
of
remind
people
that,
what's
underneath
those
principles
is
for
us
to
save
as
many
lives
as
soon
as
we
can
as
quickly
as
possible,
because
they're
the
categories
are
based
on
the
people
who
who
suddenly
died
or
were
seriously
ill
in
the
first
wave.
P
And
if
we
get
through
all
nine
that
that
accounts
for
more
than
99
of
deaths
in
the
in
the
first
wave
I'll
I'll
just
add
to
say
that
we
are
really
closely
connected
to
the
national
conversations
that
the
joint
committee
on
vaccination
and
immunizations
is
is
having,
because
there
is
this
push
to
extend
the
categories
so
and
it
may
be,
as
sam
said,
that
we
do
get
a
little
bit
more
flexibility
as
we
work
down
the
list
and
we'll
be
ready,
we'll
be
ready
to
to
make
that
work
for
leeds.
But
yeah.
A
Thank
you,
victoria
shaq
did
you
want
to
come
in?
I
saw
I
see
that
you've
written
the
we've
got
nicola
adams
on
board.
Q
Yeah
so
nicole
adams
visited
woodhouse
medical
practice
as
part
of
the,
dare
I
say,
the
sun's
vaccination
volunteering
army
efforts,
so
she
came
to
do
a
stint
of
volunteering
at
woodhouse
medical
practice
in
terms
of
the
approach
involving
I'm
not
going
to
use.
The
word
celebrity
because
I
think
that's
we're
probably
looking
at
in
a
way
that
doesn't
quite
always
resonate
and
align
with
the
insight.
Q
So
the
insight
tells
us
that
while
celebrities
will
be
important
to
get
the
message
out,
people
don't
actually
feel
that
the
the
right
people
to
share
medical
information-
and
I
encourage
people
to
come,
come
in
for
a
job
so
well.
We'll
certainly
look
for
opportunities
to
involve
people
like
nikola
adams,
but
actually
the
work
we're
doing
involves
some
of
the
community
influences.
We've
got
in
in
leads
so,
for
example,
arthur
france,
mr
carnival
himself
has
had
his
vaccination
really
pleased
to
support
the
work.
Q
We're
doing
and
he's
he'll
be
doing
a
video
for
us
very
shortly.
We've
got
videos
from
karyasim
a
local,
imam
who's
who's,
also
on
the
national
and
international
stage,
so
he's,
for
example,
recorded
videos
in
english
and
urdu,
and
one
of
the
ones
he
did
has
been
played
on
one
of
the
asian
channels,
and
I
think
that's
really
important.
We
need
to
understand.
Sometimes
the
people
we're
trying
to
reach,
aren't
consumers
of
the
the
traditional
english-speaking
news
channels.
Q
So
how
do
we
access
some
of
those
communities
through
through
channels
they're
using
and
we've
got
a
really
comprehensive
community
program
where
we're
developing
and
and
using
those
community
influencers
to
get
our
message
out
there?
So
that's
just
some
of
the
examples
of
some
of
the
people's
robot.
The
lord
mayor,
as
as
tony
mentioned
earlier,
has
done.
Videos
counselor
marshall
katung
has
done
a
video
in
her
guys
as
lead
member
for
for
bam
communities.
Q
So
there's
a
lot
of
activity
and
I
don't
think
I'd.
Do
it
justice
just
just
trying
to
cover
it
all
right
now,
and
also
I
just
if,
if
you
don't
mind,
I
also
wanted
to
say
thank
you
to
all
my
colleagues
in
the
city,
because
I
know
a
lot
of
people
are
talking
about
me,
but
it's
not.
If
I
was
doing
this
by
myself,
I
I
I
wouldn't
have
achieved
not
even
10
of
what
we've
achieved
so
it
is
about.
I
was
working
collectively
and
I
really
wanted
that
to
go
on
record.
A
Yes
and
pass
on
our
thanks
to
the
team
across,
I
know
you
got
very
little
break
over
christmas
if
any
at
all
and-
and
that
goes
out
to
the
whole
team
in
a
huge
sense,
it
just
sounds
like
an
awful
lot
of
work,
as
has
been
done
and
thanks
to
all
those
community
people
and
that
for
getting
involved
in
supporting
you
know,
leads
in
in
its
vaccination
program.
Anybody
else
want
to
say
anything
and
council
reagan.
Did
that
answer
your
questions,
brilliant!
Thank
you
very
much.
A
D
You
yeah
thanks.
Sir.
I've
got
a
couple
of
quick
questions
for
victoria,
but
before
I
ask
those
just
an
observation
before
the
vaccination
started,
I
was
one
of
the
people
who
said:
don't
forget
that
dentists
are
competent
to
give
injections
usually
in
the
mouth,
but
sometimes
they
give
intramuscular
antibiotics,
and
I
know
that
some
dentists-
I
don't
know
about
whether
in
leads
but
some
dentists
have
been
involved.
Healthwatch
is
becoming
inundated
with
people
phoning
out,
saying.
D
Perhaps
we
ought
to
get
the
dentist
back
into
the
dental
surgery
providing
dental
treatment
for
patients
with
dental
problems.
My
two
questions
to
victoria
are
very
recently
there's
been
a
lot
of
publicity
about
the
astro
seneca
vaccination
being
less
effective
in
against
this
south
african
variant.
D
Although
it
it
seems
to
work
well
in
preventing
the
more
severe
symptoms
of
kovid,
but
not
necessarily
the
mild
ones,
is
there
any
similar
information
about
the
pfizer
vaccination
or
haven't
they
done
that
work
yet
and
the
other
is
it's
been
suggested
in
the
media
and
of
course,
I
think
everyone
agrees
that
we're
gonna
need
continuing
vaccination
for
the
covid
virus
for
some
time
being
suggested
that
it
might
be
combined
with
the
flu
vaccination.
D
Obviously,
if
it
is,
it's
got
to
go
through
the
appropriate
approval
process,
but
is
there
any
theoretical
reason
why
the
two
vaccinations
against
flu
and
covet
couldn't
be
delivered
in
one
dose.
P
Okay
thanks
dr
beale,
so
in
terms
of
the
the
recent
study
on
the
oxford
astrazeneca
vaccine,
I
don't
know
whether
people
may
have
heard
the
interview
earlier
today
on
national
media
with
the
the
company
that
I
mean
it
is
a
very
small
study.
They
would
say
it's
it's
not
yet
been
peer,
reviewed
and
all
the
rest
of
it.
So
I
think
I
I
think
the
findings
need
to
be
taken
within
that
context.
P
Astrazeneca
would
also
say
that
they,
because
of
the
ethos
of
their
organization,
they
are
incredibly
open
and
transparent
about
every
study
that
takes
place
published
or
not,
and
so,
and
sometimes
you
know
that
you
know
things.
You
know
that
they're
there
there's
more
of
that
information
out
there.
So
so
I
think
that's
just
useful
to
point
out.
I'm
not
aware
that
there's
been
a
similar
study
them
for
pfizer.
Colleagues
may
want
to
to
add
if
they
are
aware
of
such
a
study.
P
I
think
the
important
message
for
us
clearly
locally-
and
it
echoes
what
jonathan
van
tan
was
saying
yesterday-
is
that
the
the
the
all
the
vaccines
that
we're
well
both
vaccines,
that
we're
running
with
at
the
moment
are
incredibly
protective.
P
Given
the
the
strains
of
the
the
virus
that
are
dominant
in
the
uk
at
the
moment.
So
we
do
have
relatively
small
numbers
of
the
south
african
variant
and
that's
been
incredibly
closely
watched,
as
you
know,
by
government
to
look
at
those
numbers
not
getting
much
bigger
than
they
are
because
we're
less
kind
of
confident
around
the
the
protection
against
mild
disease
as
you've
said
we're
less
confident
about
it.
P
But
there's
no
evidence
that
the
south
african
strain
will
become
more
dominant
because
it's
it's
it's
not
likely
to
when.
I
think
the
technical
language,
it's
not
likely
to
win
in
a
fight
against
the
kent
variant.
At
the
moment,
I
think
they're
a
little
bit
more
worried
about
some
of
the
other
overseas
strains
which,
which
may
be
likely
to
to
win
against
the
ken
variant,
but
but
certainly
with
south
africa,
there's
no
suggestion
that
it
will
surge
in
the
way
that
the
kent
variant
has
surged.
P
Therefore,
it
feels
really
important
to
give
that
message
that,
with
the
the
biggest
threat
that
we're
facing
at
the
moment
is
the
uk
variant
of
the
of
the
virus.
We
know
in
leeds
it's
around
80
percent
of
our
leads
cases
at
the
moment
for
the
uk,
kemp
variant
and
astrazeneca
oxford
works.
You
know
incredibly
well
against
that
variant,
which
is
our
current
threat.
P
So
obviously,
if
we
need
to
reformulate
vaccines,
as
we
are
very
likely
to
for
next
winter-
and
you
know
we
can
deal
with
that,
but
but
for
now
you
know,
I
think
we
just
need
to
you
know
have
that
strong
message
of
confidence
in
in
in
the
two
vaccines
that
we're
using.
P
I,
I
I'm
I'm
not
aware
of
any
plans
to
combine
covid
vaccine
next
winter
in
the
same
process
as
flu
vaccine
again.
Other
colleagues,
please
contribute,
if
you
are,
my
understanding
is
that
they
would
run
alongside
each
other.
So
well,
but
let's
see
what
the
virologists
come
up
with.
P
I
think
there's,
obviously
the
very
live
studies
that
are
happening
at
the
moment
nationally
on
whether
or
not
you
can
combine
a
second
dose
of
a
different
covid
vaccine
than
the
first
dose
you
have,
which
obviously
makes
things
practically
easier
when
it
comes
to
second
dosing,
but
we're
waiting
on
that
national
study
at
the
moment,
and
can
I
just
say
dr
beale,
and
thank
you
in
terms
of
the
insight
that
we
we're
getting
from
communities
on
uptake
of
the
vaccine.
P
The
health
watch
work
is
absolutely
invaluable
across
the
city,
so
just
to
add
that
in
at
the
end,
thank
you.
A
Thank
you
victoria
is
that
okay,
dr
beale
and.
D
That's
fine
and
I'm
sure
that
they,
it
will
have
been
heard
that
if
we
don't
need
dentists
to
do
the
vaccine,
perhaps
we
can
get
them
back
into
the.
I
haven't
checked
that
with
any
dentists,
but
it
just
from
the
healthwatch
point
of
view.
It
might
help
some
of
the
patients
who
are
having
trouble.
A
Thank
you,
we've
councillor
lay
has
gone
to
get
some
well-earned
sleep
and
councillor
latte,
I'm
going
to
bring
you
your
next
and
I'm
bringing
you
in
for
your
question.
Please
thank.
D
F
M
M
F
Coming
back
again
to
me
that
means
you're
gonna
have
double.
N
Can
I
just
say
to
dr
bale
that
we
have
about
ten
dentists
that
are
working
the
odd
shift,
rather
than
people
that
are
being
there
permanently,
so
that
it's
not
it's
not
particularly
affecting
capacity
anyway?
To
answer
your
question
counselor
latte,
so
we
have
been
thinking
very
carefully
about
how
we
plan
for
the
the
effective
double
running
and
we
have
areas
where
we've
got
capacity
coming
on
stream
at
that
time.
So
at
the
moment
we
have
four
to
six.
N
N
We've
got
some
additional
capacity,
and
the
other
point
I
would
make
is
that
when
we
started
and
right
back
at
the
beginning
and
we
went,
we
went
slowly
because
we
wanted
it
to
be
as
safe
as
it
could
be
until
we
learned
what
we
were
doing
and
we
we
have
been
increasing
our
numbers
all
the
time,
so
we
do
have
that
capacity.
So
I'd
like
to
give
that
assurance,
did
you
want
to
come
in
tony.
O
Yeah,
it's
just
worth
pointing
out,
funnily
enough
that
probably
the
only
group
that
we've
been
working
with
and
we
haven't
given
a
nut
to
so
far.
It's
probably
our
colleagues
working
in
and
around
health
intelligence
and
modelling
and
they've
done
an
absolutely
fantastic
job
of
looking
at
this
issue.
For
us
and
looking
at
likely
throughput
and
as
sam
says,
you
know,
modelling
the
impact
of
putting
on
additional
pods
an
additional
workforce.
O
So
a
big
shout
to
out
to
colleagues
in
health
intelligence
as
well
and
actually
just
to
to
also
mention
one
of
the
reasons
why
we've
got
really
solid
data
about
communities
and
about
inequalities
and
around
ethnicity
is
because
our
colleagues
working
on
the
health
intelligence
agenda
have
done
their
own.
Basically,
we've
created
our
own
leads
model
and
that's
got
a
number
of
workarounds
from
some
of
the
national
models
which
have
been
quite
difficult.
O
So,
as
a
result
of
you
know,
people
in
the
ccg
people
in
the
council
and
all
these
people
we've
got
really
strong
intelligence
on
this
program
and
where
we
need
to
to
target
our
efforts
in
coming
weeks
as
well.
Most
areas
don't
have
this
so
yeah,
a
big
shout
out
to
frank
wood
and
his
team.
A
Thank
you
and
you
need
to
leave
now.
So
thank
you
very
much
for
being
here
this
afternoon.
I
really
appreciate
it
yeah.
We
always
do
it
better
in
leeds.
Don't
we
thank
goodness,
that's
brilliant
councillor
trustwell.
Thank
you
for
waiting.
I
No,
no
thank
you
chair.
It's
been
an
interesting
discussion,
I'm
going
to
start
off
by
saying
something
that
no
one's
said
yet,
but
needs
to
be
said
that
what
we've
been
discussing
and
hearing
today
really
does
demonstrate
the
value
of
a
local
public
sector
driven
partnership
which
is
clearly
delivering
admirably
compared
and
to
contrast-
and
obviously
I
don't
expect
the
officers
to
comment
on
this
with
the
sort
of
failed
national
top-down,
private
company,
driven
initiatives
in
areas
like
test
and
trace,
ppe,
three
school
meals,
but
my
two
questions.
Well,
I
have
several
questions.
I
Some
of
them
have
been
answered,
but
what
I
wanted
to
ask
you
about
was
going
back
to
this
point
about
dose
spacing
now
we
started
off
two
or
three
weeks
and
we
all
know
the
logic,
the
life-saving
logic
behind
going
to
12
weeks.
Are
we
confident
that
we're
going
to
be
able
to
deliver
that?
Or
is
that
going
to
drift?
I
Now
I
understand,
that's
not
happened,
but
are
we
getting
sufficient
supply
because
it
strikes
me
from
what
we've
been
told
today
that
we
are
developing
enormous
capacity
to
to
progress
the
role
out
and
the
second
doses,
if
only
we
get
the
supply.
So
where
are
we
with
that
particular
element
of
the.
F
N
And
I
don't
see
any
reason
and
why
we
would
drift
from
the
second
dosing
at
all.
I
think
we've
got
the
plans
in
place
and-
and
I'm
not
seeing
any
problem
with
that.
In
fact
we've
been
talking
just
this
week
about
how
we
start
to
schedule
that
and
perhaps
even
bring
people
forward
a
week,
so
that
we've
got
a
bit
of
slack
in
the
system
in
terms
of
supply,
and
I
think
there
was
a
bit
of
mischievous
reporting.
N
If
I'm
perfectly
honest,
so
I
think
that
if
we
look
at
what
the
maximum
capacity
could
have
been
and
we
didn't
get
that
supply,
but
we
got
all
that
we
needed
in
terms
of
the
people
booked
in
and,
as
you
can
see,
we
have
been
and
vaccinating
all
the
cohorts.
So
I'm
not
sure
that
was
represented
as
as
appropriate
as
it
could
have
been.
A
Okay,
did
anyone
want
to
come
in
on
the
other
questions,
so.
O
N
N
Oh,
so
I
was
going
to
say
that
at
the
moment
we,
as
I
said
we
have
sufficient
capacity
sufficient
supply
for
the
groups
that
we're
allowed
to
vaccinate.
N
I
think
when
we
here
next
week
which
what
the
next
cohort
will
be
and
how
big
that
will
be,
then
we'll
need
to
take
stock
again,
as
I
understand
it,
and
the
there'll
be
a
step
changing
supply
as
well.
By
the
time
we
get
to
mid
end
of
march.
So
as
of
now,
I'm
not
planning
to
have
to
cut
back
in
any
way,
and
I
think
next
week
when
we
hear
what
the
cohorts
will
be
with
their
need
to
match
it
with
supply.
N
P
Well,
well,
only
if
it's
helpful,
I
think
strategically
it.
It
feels
like
we've
been
on
a
bit
of
a
journey
with
this.
P
So
as
some
were
saying
at
the
beginning
of
the
process
and
in
the
first
couple
of
weeks
it
felt
as
if
you
know,
supply
was
being
talked
about,
as
that
rate
limiting
factor,
so
you
know
not
getting
not
getting
the
vaccines
as
and
when
we
want
to
need
them
was
obviously
something
that
we
were
incredibly
concerned
about,
and
people
worked
really
hard
around
and
it
it
feels
now
that
we're
in
a
different
place
where
the
the
supply
seems
to
be
much
more
positive.
P
I'm
not
saying
there's
still
not
challenges
in
you
know
the
the
logistics
of
the
detail
around
that,
but
generally
and
it's,
and
it
feels
like
the
the
biggest
challenge
which
hence
the
conversation
we've
just
had
that
the
almost
the
rate
limiting
factor
is
encouraging
confidence
and
uptake
in
all
the
communities
that
we
want
to
take
up
the
vaccine
that
we
have,
and
so
it's
almost
kind
of
moved
on
to
a
different
challenge.
P
And
so
just
generally,
I
wanted
to
make
that
point.
Councillor
trusts
well
and,
if
I
might
just
just
add
as
well,
I
think
that,
because
that
now
feels
like
our
biggest
challenge
around
high
levels
of
community
confidence
right
across
the
city,
I
suppose
I
know
the
point
has
been
made,
but
just
to
to
to
double
stress
the
point
that
that
the
the
importance
that
is
going
on
our
addressing
hesitancy,
increasing
uptake
work
is
is,
is
really
at
the
center
of
of
much
of
we're.
P
Doing
that
we're
doing
at
the
moment-
and
I
think
it's
important
to
to
just
highlight
too-
that
we
don't
want
to
over
simplify
the
issues
around
uptake
across
communities.
P
The
the
intelligence
that
we
have,
which
tony's
just
allude
to,
does
give
leeds
a
really
really
rich
picture
of
different
groups
across
the
city,
different
parts
of
the
city
and
and
how
our
uptake's
looking.
So
we
we
we've,
got
a
pretty
good
understanding
of
those
challenges
and
that's
put
together
with
the
soft
intelligence
and
all
of
the
insight
from
communities
and
just
to
share
with
with
the
scrutiny
board
that,
even
though
we
do
have
slightly
lower
uptake
in
some
of
our
groups,
so
over
80s
over
75s.
P
So,
even
though
the
work
that
we're
doing
around
particular
minority
ethnic
groups
is
incredibly
important
and
we're
being
quite
specific
about
which
groups
we
we're
working,
particularly
with
because
it's
not
everybody,
I
think
it's
important
to
stress
that
there
are
many
other
factors
that
that,
where
we
need
to
work
with
alongside
that,
so
I
just
wanted
to
add
that
I
think
that
that's
become
the
major
challenge.
Councillor
trusts
well,
rather
than
the
initial
issues
around
supply.
A
Thank
you,
and
it
was
really
interesting
to
hear,
though,
when
tony
was
talking
about
overcoming
some
of
those
barriers
that
it's
not
head
of
certificate.
But
how
do
I
get
dwell
on
the
road?
So
you
know,
and
sometimes
what
we
can
assume
is
a
problem
might
not
be
a
problem.
Is
that
okay
council
trusts?
Well,
that's.
B
Thank
you
chair
a
couple
of
points
from
me
all
the
work's,
absolutely
fantastic,
totally
concur
with
everything
that
everybody
said
across
all
the
sectors.
It's
absolutely
amazing.
The
work
that's
been
going
on
two
areas
that
just
want
to
clarify.
Really
as
far
as
ward
figures
are
concerned.
B
People
on
this
board
will
know
I'll,
always
ask
a
question
about
prisons,
but
we
have
two
establishments
and
that
actually
kind
of
as
far
as
people
are
concerned,
skews
the
figures
slightly,
because
if
we
have
an
outbreak
within
the
in
the
prison
or
the
young
fender
institute,
then
that
pushes
the
numbers
up
in
that
postcode
area.
A
Thank
you,
council
harrington,
you
always
remember
our
president
and-
and
I
really
appreciate
that,
because
I
really
enjoyed
doing
our
scrutiny
report
on
when
we
visited
hmp
leeds
and
wilston
and
the
health
of
our
our
prisoners.
So
thank
you
for
that.
I
I
don't
know
who
is
is
that
sam
is
that
sam,
probably
yeah
yeah.
N
We
have
looked
at
so
so
that's
that
almost
takes
care
of
the
the
yy,
because
most
of
them
are
under
18.
and
for
the
two
prisons,
we're
looking
at
who's
over
65
and
who
is
clinically
extremely
vulnerable
and
looking
at
a
way
that
a
roving
team
will
go
in
and
vaccinate
them.
So
I
don't
think
that's
actually
happened
yet
unless
victoria
tells
me
it
has
happened
this
week,
but
it's
in
hand.
N
Okay,
thank
you,
numerous
people,
so
the
the
york
street
practice
is
part
of
the
berman
toss,
hills
and
richmond
pcn,
and
there
has
been
a
decision
already
taken
to
vaccinate.
I
think
there's
50
homeless
people
who
have
been
vaccinated
already
and
the
gps
felt
that
they
were
vulnerable
people
that
needed
a
prioritization
and-
and
we
continue
to
work
with
them,
to
look
at
how
we
vaccinate
anyone
else.
N
A
That's
great,
thank
you,
sam,
that's
and
hopefully
the
prisoners
will
be
done
as
soon
as
possible,
but
they've
been
identified.
So
that's
that's
really
great.
A
I'm
not
seeing
any
more
hands
up,
so
it's
been
fascinating
and
just
the
sheer
amount
of
work
that's
going
on.
I
mean
all
really
am
so
thank
you
to
all
of
you
for
being
here
this
afternoon,
for
being
patient
with
us
and
and
answering
all
the
questions
and
being
as
comprehensive
and
detailed
as
you
always
are.
It's
been
really
quite
an
honor
throughout
the
pandemic
to
the
the
way
that
we
that
scrutiny
is
being
respected
by
all
partners
across
the
city.
A
We've
never
had
anyone
say
no
we're
not
going
to
come
and
tell
you
or
you
know-
and
I
really
do
appreciate
it
as
as
chair,
but
I
know
that
the
board
does
as
well
that
you've
given
up
your
time
to
you
know.
A
I
know
it's
part
of
your
role
and
you
have
to
do
it,
but
you
know:
there's
never
been
any
resistance
and
the
time
and
the
effort
that
you
put
into
reports
in
the
middle
you
know
in
a
pandemic
where
there's
is
just
brilliant,
so
huge
thanks
to
all
of
you
and
if
you
could
pass
on
our
thanks
to
all
the
teams-
and
you
don't
have
to
stay
for
our
work
schedule
item
and
thank
you
to
councillor
vena
for
your
first
adults
and
health
scrutiny
meeting.
So
you
were
brilliant.
J
A
F
A
Right:
okay,
so
yes,
angela,
if
we
go
on
to
the
final
item,
which
item
number
nine
and
the
word
schedule,
please
thank
you.
F
Again
asked
the
board
to
consider
its
work
schedule
for
the
remainder
of
this
municipal
year.
The
latest
version
of
the
workshop
I
set
out
an
appendix
one
for
members
consideration
and,
as
agreed
earlier
in
the
municipal
year,
the
board's
march
meeting
will
be
focusing
on
women's
health
in
leeds.
Looking
at
how
covered
19
is
particularly
impacted
on
women's
health.
L
Also,
responding
to
recent
requests.
L
A
No
it
looks.
The
march
meeting
looks
a
really
inter
I
mean
that
was
very
interesting
and
very
involved
and
the
women's
health
one
in
march,
and
it's
been
a
while
since
endometriosis
was,
you
know
the
kind
of
reproductive
health.
Obviously,
we've
had
the
pandemic.
You
know
we
last
year's
meeting
was
cancelled,
but
it's
been
only
two
years
since
the
women's
health
report
was
brought
out.
A
So
I'm
you
know
really
looking
forward
to
that
meeting
and
and
discussing
women's
health
in
depth
and
as
well
as
that
and
we'll
have
the
item
on
the
hearing
and
imbalance.