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A
Really
to
our
guest,
it's
good
to
see
you
and
thank
you
for
making
the
time.
I
am
councilor,
Marshall,
katung
and
I
chair
the
scrutiny
board
for
adults,
Health
an
active
lifestyle,
as
you
can
see,
and
just
to
also
say
that
if
you've
not
had
a
drink
and
some
fruit,
you
need
fruit
to
keep
you
going.
Keep
your
sugar
levels
strong,
because
we've
got
a
very
lovely
agenda
today
with
all
of
you
to
hear.
A
So,
please
do
fill
up
your
bellies
just
to
let
you
know
that
this
meeting
has
been
webcast
on
the
council's
website
so
that
any
interested
members
of
the
public
or
other
stakeholders
who
are
unable
to
observe
in
person
can
still
observe
remotely.
So
this
meeting
recording
will
also
be
available
on
the
council's
website.
After
today's
meeting,
I
will
now
invite
members
of
the
board
to
kindly
introduce
themselves,
and
please
could
you
kindly
unmute
yourself
after
you
have
introduced
yourself
and
I
will
start
with
counselor
Anderson.
F
D
Good
afternoon
I'm
Luke
Farley
labor
representative
for
burmes
office.
A
E
Thank
you,
chair
under
agenda
item
number
one.
There
are
no
appeals
against
the
refusal
of
inspection
of
documents
under
item
number
two.
There
are
no
items
which
would
exclude
the
press
or
the
public
under
item
number
three
late
items,
so
there's
been
supplementary
information
that
has
been
provided
to
the
board
in
relation
to
item
agenda.
Item
number
11..
This
is
appendix
two
of
the
report,
which
is
a
summary
of
the
scrutiny
world's
working
group
meeting
held
on
the
9th
of
March
2023,
and
it's
regarding
the
Leeds
mental
health
strategy.
E
A
A
Could
we
approve
that
as
a
correct
records
of
the
minutes?
Is
that
a
nod
from
all
of
us?
Thank
you
very
much.
Okay
agenda
item
number
seven
and
that's
the
leads
Committee
of
the
West
Yorkshire
ICB
update.
So
since
July
of
2021,
this
scrutiny
board
has
been
actively
monitoring
the
ongoing
development
of
the
new
local
integrated
care
system
and
during
our
last
update
in
October
last
year,
we
agreed
that
today's
meeting
would
be
more
focused
on
the
key
priority
at
work.
Areas
of
the
ICB
in
Leeds,
linked
to
the
health
leads
plan.
A
Unfortunately,
team
cannot
be
with
us
today,
but
he
has
sent
his
able
Representatives,
who
would
be
speaking
and
giving
us
an
update
on
the
report
today.
So
I
will
now
invite
all
the
participants
on
this
agenda
to
kindly
introduce
themselves.
Please.
M
Hi
Tony
cook
chief
officer,
Health
Partnerships.
Thank
you.
A
Thank
you
all
for
coming,
I
will
now
call
on
Jenny
Jenny
I,
believe
you
will
be
giving
us
a
brief
report.
K
K
This
links
nicely
to
the
other
agenda
item,
because
this
is
the
healthy
leads
plan
is
effectively
the
Health
and
Care
Partnerships
response
to
the
health
and
well-being
strategy.
So
focusing
specifically
on
the
actions
that
the
Health
and
Care
partnership
can
take.
We,
the
original
healthy,
leads
plan
which
was
named
the
left
shift.
Blueprint
was
developed
a
number
of
years
ago
and
it
that
was
during
covert
as
well.
So
it
felt
really
timely
and
really
important
to
refresh
the
healthy
leads
plan
and
part
of
the
need
to
do.
K
The
refresh
was
was
to
be
much
more
specific
and
directive
around
a
core
number
of
strategic
indicators.
Some
of
the
feedback
we've
had
around
the
plan
today
is,
it
hasn't
always
allowed
us
to
effectively
prioritize
resource
and
prioritize
energy
in
the
city
and
so
and
although
we
haven't
completed
the
refresh,
we
wanted
to
provide
scrutiny
with
an
update
around
the
process
and
where
we
were
at
with
that
so
I'm
happy
to
answer
any
questions
around
that.
K
We've
also
included
within
the
pack
a
bit
of
an
update
around
how
we
deployed
the
health
inequalities
funding
in
2223.
So
nationally
there
was
money
available
to
icbs
across
the
country
around
the
core,
20
plus
five
framework,
which
is
a
national
framework
which
focuses
on
a
number
of
Key
conditions
for
those
in
the
20
most
deprived
in
the
country.
K
In
West
Yorkshire,
we
made
a
specific
Focus
that
that
actually
be
around
the
10
most
deprived,
because
that
represents
in
leads
26
of
the
population
so
much
more
targeted,
and
when
the
funding
was
announced
last
year
it
went
to
West
Yorkshire
and
then
West
Yorkshire
delegated
a
further
portion
to
Leeds,
and
that
was
equivalent
of
just
over
three
million
pounds
for
leads
at
the
time.
There
was
a
bit
of
uncertainty
about
whether
that
funding
would
be
made
recurrent
or
not.
K
So
there's
a
lot
of
enthusiasm
and
a
lot
of
ideas
about
how
this
funding
could
be
used
to
tackle
Health
inequalities
and
the
majority
of
those
projects
got
up
and
running
really
quickly
and
established.
Throughout
the
year
there
was
a
small
number
that
didn't
progress
as
planned,
and
that
was
largely
around
recruitment,
but
overall,
actually
considering
how
quickly
the
funding
was
issued.
Those
schemes
were
mobilize
really
really
quickly
provided
a
little
case.
K
Study
in
there
around
the
hypertension
project
is
just
an
example
of
how
a
small
amount
of
funding
with
some
really
targeted
effort
could
make
a
difference
to
quite
a
large
population,
and
we've
had
confirmation
that
that
funding
has
been
made
available
for
next
year
and
we're
just
we're
going
to
be
having
some
conversations
this
week
about
how
we
start
to
deploy
that
funding
in
a
more
recurrent
basis.
We
used
a
large
portion
of
the
funding
to
develop
a
community
grants,
response
or
working
with
very
small
third
sector
organizations
across
Leeds.
K
Actually,
that's
where
we've
seen
some
of
the
most
kind
of
exciting
and
intuitive
projects.
We
want
to
be
able
to
continue
that
so
just
a
bit
of
a
snapshot
around
Health
inequalities
funding
and
how
we
want
to
use
that
in
the
future
and
then
the
last
bit
from
me
was
just
around
the
Intermediate
Care
redesign
program.
So
this
has
been
a
really
significant
priority
program
of
work
for
the
city.
K
It
links
to
probably
lots
of
the
updates
you've
had
in
the
past
that
scrutiny
about
some
of
the
challenges
in
the
hospital
and
system
flow
and
the
need
to
to
tackle
that
in
a
much
more
strategic
and
long-term
way.
We
set
the
program
out
over
three
phases,
so
the
initial
the
initial
phase,
was
around
a
diagnostic.
So
do
we
really
understand
the
challenges
in
our
current
Intermediate
Care
provision
and
and
that
took
place
first
from
September
October
November
last
year?
K
We
then
recognizing
that
actually,
winter
December
January
would
be
quite
a
difficult
time
to
launch
a
significant
transformation
program.
We
had
phase
two,
which
was
about
quick
wins,
so
what
other
short-term
things
that
we
can
do
to
improve
floor
and
set
us
up
for
a
longer
term
transformation
and
they
included
some
really
great
projects
around
things
like
length
of
stay
in
our
community
beds,
already
driving
down
that
length
of
stay
and
improving
productivity,
to
get
people
home
quicker.
K
K
Moving
to
that
full
implementation
phase,
which
is
about
a
really
significant
redesign
of
our
Intermediate
Care
Services
across
Leeds,
which
will
happen
really
over
the
next
18
months-
and
that
includes
everything
from
that
kind
of
admissions
avoidance-
is
how
we
help
people
stay
well
at
home
and
avoid
crisis
and
avoid
going
into
hospital
to
how
we
once
somebody's
in
hospital,
that
we
make
transfer
of
care
decisions
really
quickly
and
support
people
to
get
home
and
the
re-able
and
offer
that
people
receive
when
they're
at
home
to
help
them
get
better
and
and
the
Community
Care
bed
offer
as
well.
K
So
what's
the
the
scope
and
scale
of
the
number
of
Community
Care
beds
that
we
have
in
Leeds,
part
of
our
diagnostic
told
us
that
we
have
an
over
Reliance
on
beds
and
high
number
of
Community
Care
beds,
and
actually
we
could
send
people
home
quicker
with
a
different
package
of
support.
So
it's
going
to
be
one
of
the
biggest
and
most
significant
transformation
programs
in
Leeds
and
we've
got
a
project
team
that
represents
the
full
partnership.
K
A
Thank
you
very
much
Jenny
just
before
other
contributors
coming
I
would
also
like
to
invite
our
executive
members,
who
would
also
be
supporting
this
agenda
to
kindly
introduce
themselves.
O
Sorry
about
that
good
afternoon,
everyone
I'm
councilor,
Fiona,
vener,
I'm,
the
executive
board
member
for
children
and
adult
social
care
and
health
Partnerships
and
I
chair
the
health
and
wellbeing
boards.
Thank
you.
L
Thank
you,
chair,
I'll,
move
on
to
cover
the
the
section
of
the
report
around
improving
access
to
general
practice,
so
it
both
understanding
and
improving
the
experience
of
people
accessing
General
practices,
one
of
the
key
priorities
for
the
ICB
and
we
discharged
that
via
a
primary
care
board.
L
I
just
wanted
to
share
some
headlines
with
you
this
afternoon
in
terms
of
things
that
are
included
in
the
report.
That
I
think
are
worth
throwing
to
your
attention.
So
currently
based
on
our
most
recent
data,
and
we
can
count
that
we
have
over
20
000
car
general
practice
appointments
per
day
across
the
92
practices
in
our
city,
so
significant
significant
activity,
43
of
those
are
booked
on
the
same
day,
71
of
those
appointments
and
take
place
face
to
face
and
around
50
of
that
total
appointment
is
with
a
GP.
L
Alongside
those
those
appointments
offered
within
car
general
practice.
We
have
a
further
20
000
appointments
per
month,
delivered
through
the
enhanced
access
service,
which
is
offered
at
evenings
and
weekends,
and
a
further
3
000
appointments
per
month
via
the
same
day
response
service,
which
provides
an
opportunity
for
practices
to
offer
patients
appointments
when
they're
themselves
might
have
reached
capacity
in
the
practice,
and
also
providers
like
111,
can
book
directly
into
those
appointments
as
well.
L
So
within
the
report,
you'll
see
some
benchmarking
data
because
we
we
try
and
ever
increasingly
to
understand
access
and
people's
experience
of
access
and
also
to
Benchmark
across
West
Yorkshire
in
particular,
and
we've
got
a
particular
focus
on
growing
the
workforce
so
as
part
of
the
GP
contract
over
the
last
four
years,
there's
been
a
scheme
called
the
additional
roles
reimbursement
scheme
whereby
there's
a
menu
of
clinical
and
non-clinical
roles
that
practices
can
imply
and
receive
the
embarrassment
reimbursement
of
cost.
L
Far
so
by
the
end
of
next
year,
which
is
the
the
fifth
and
final
year
of
the
scheme,
we
will
have
had
the
opportunity
to
employ
over
500,
more
whole-time
equivalents
within
general
practice,
bringing
a
range
of
roles
like
pharmacists
care,
coordinators,
social
prescribers,
mental
health
workers
and
just
as
some
examples.
L
One
of
the
things
that's
really
important
to
us
is
our
work
with
them
with
healthwatch,
where
we
listen
very
carefully
to
the
Insight
gained
from
healthwatch
and
other
partners
in
the
city,
so,
as
I
say,
we're
getting
an
increase
in
understanding
of
people's
experience
of
access,
and
we
chose
to
focus
this
year,
an
optional
module
within
the
national
Quality
and
outcomes
framework.
We
chose
to
focus
that
quality,
improvement
and
module
on
access,
and
so
we've
been
we've
co-designed
that
piece
of
work
with
healthwatch,
and
it
includes
things
excuse
me
excuse
me.
L
Includes
where
we
are
in
terms
of
use
of
the
access
accessible
information
standards
as
an
example,
since
the
production
of
the
of
the
report
for
committee
today,
we've
had
publication
of
the
new
GP
contract
and
for
the
coming
year,
and
there
are
two
things
within
that
contract
that
would
like
to
draw
your
attention
to.
L
L
There
is
further
and
further
requirement
to
expand
the
online
access
to
GP
records
and
there'll
also
be
a
mandated
requirement
for
practices
to
introduce
cloud-based
telephone
systems,
which
will
include
functionality
for
call
queuing
and
callback,
and
that's
the
only
detail
I
have
of
that
at
this
moment
in
terms
of
what's
been
published
within
the
new
contract,
and
but
we
are
expecting
at
the
end
of
this
month
and
nationally
produced
general
practice
access
recovery
plan,
which
I'm
sure
will
have
more
details,
I
mean
in
terms
of
those
items
and
then
the
only
other
thing
I
wanted
to
draw
your
attention
to
and
from
the
report
is
from
July.
L
The
West
Yorkshire
ICB
will
take
responsibility
for
the
co-commissioning
of
Pharmacy
Optometry
and
dental
services
that
passes
to
the
icbs
from
July,
so
we'll
be
working
through
the
implications
of
what
that
means
in
terms
of
what
happens
at
West
Yorkshire
versus
what
are
the
opportunities
for
us
to
to
work
on
those
services
at
place.
L
A
G
Sorry
I
haven't
read
the
report
but
and
yeah
I
can't
remember
now
what
I
was
going
to
access
sorry,
yeah,
deploying
funding
to
the
community,
and
you
said
you
deployed
funding
with
third
sectors.
K
So,
just
to
frame
it
I
think
about
70
of
that
3.1
million
that
was
used
for
health
inequalities
went
to
third
sector
organizations
in
Leeds,
so
it
was
a
really
significant
proportion
of
that
Health
funding
went
to
the
third
sector,
that's
largely
because
of
a
belief
within
the
Health
and
Care
partnership
that
it
is
working
in
partnership
with
the
community
and
with
our
third
sector.
K
Organizations
is
how
we
really
tackle
Health
inequalities
rather
than
layering
on
additional
health
services,
and
that's
what
I
have
I
don't
have
the
full
list
of
organizations
and
I
could
probably
I
might
be
able
to
find
it
while
we're
talking
or
I'll
certainly
be
able
to
follow
up
with
you
afterwards
around
those,
your
particular
one
that
particular
area
I've
got
what
I
was
gonna.
K
Add
to
that
or
who
did
we
work?
How
did
we
work
so
we
we
have.
We
worked
through
a
number
of
different
forums
that
we
have
in
the
city.
So
one
is
we
work
really
closely
with
Forum
Central
as
a
coordinating
organization
who
help
us
engage
with
the
wider
third
sector
across
Leeds,
and
they
helped
ensure
that
we
were
to
get
messages
out
that
we
had
a
process
that
was
straightforward
so
that
people
could
apply
for
the
funding
in
a
hopefully
non-typical
NHS
way.
So
we
made
it
a
pretty
straightforward
process.
K
So
we
we
aim
to
and
the
evaluation
has
helped
kind
of
feedback
about
what
we
could
do
differently
next
time
around
process
as
well,
and
then
we
met
some
communities
of
interest
and
groups
as
well.
So
there's
a
forum
for
that
in
the
city
that
works
with
Health
Partners
and
lastly,
we
use
the
local
care
Partnerships
and
particularly
focused
around
those
areas
of
highest
deprivation,
because
that's
where
we
wanted
to
Target
the
funding.
K
G
Would
be
great
if
you
you
couldn't
inform
counselors
I
work
closely
with
the
employer.
We
know
that
you
are
doing
these
things
that
we
can
highlight
it
to
the
community,
because
I'm
not
saying
you
haven't,
but
I
haven't
seen
any
difference
in
my
world
I've
Just
Seen
sectors
doing
what
they
normally
do.
So
it
would
be
nice
for
counselors
to
know
that
you
are
funding
certain
projects.
Then
we
can
advertise
it
like.
The
community
know
that
you
are
doing
something
across
that
and
back
to
the
GP
contract.
G
I
can't
get
my
heads
around
GP
I
can't
get
my
head,
because
why
are
the
waiting
list
to
access
a
GP
with
an
appointment?
And
now
he
said
just
said:
they've
have
face-to-face
appointment.
I
know
individual.
This
morning,
I
was
on
a
meeting
I
had
to
leave
this
elderly
lady
was
ringing
the
GP
from
last
Thursday.
She
told
me
and
she
couldn't
get
through.
So
we
are
talking
about
phone
Communications.
Yes,
it's
okay
for
me
and
you,
but
what
about
the
less
able?
Who
can't
accept
this
thing?
L
Yeah,
thank
you.
We
do
know
that
there's
very
variable
experience
in
terms
of
people
being
able
to
access
general
practice
and
as
each
General
practices
is
an
independent
organization.
Often
the
systems
and
processes
they
use
can
be
different.
So
one
person's
experience
of
how
to
get
an
appointment
in
their
practice
can
be
very
different
to
somebody
else,
but
the
work
that
we've
been
doing
through
the
quality
improvement
module
is
to
get
each
practice
to
really
understand
what
it
feels
like
for
their
patients
and
to
book
an
appointment.
L
What
it
feels
like
to
be
on
the
receiving
end
of
like
say
trying
to
get
through
on
the
phone
or
using
online
systems,
I
think
the
changes
that
will
be
introduced
this
year
with
the
new
GP
contract,
where
there
will
be
it's
signaling,
an
end
to
the
ring
at
eight
o'clock,
and
if
you
don't
get
if
we've
got
no
appointments
left
by
the
time
you
get
through
ring
again
tomorrow,
because
what
the
new
contract
will
require
practices
to
do
is
to
provide
an
outcome
at
the
first
Contact.
L
L
You
know,
if
like
say,
if
an
appointment's
been
been
full
that
day,
but
one
of
the
things
that
we've
tried
to
do
through
commissioning
the
additional
activity
that
we've
done
through
the
same
day,
services
to
almost
give
an
overspill
for
practices,
so
that
once
they're
filled
because
once
their
appointments
are
filled
for
that
day,
and
it
is
a
finite
capacity,
there's
only
so
many
people
that
work
in
a
practice
that
can
only
offer
some
so
much
capacity
of
appointment,
and
so
what
we've
done
is
commission
a
service
that
sits
around
the
practices.
L
So
there
is
an
overflow.
So
if
somebody
really
does
need
to
be
seen
that
day,
there
is
an
opportunity
for
them
to
be
seen
that
day,
but
I
do
absolutely
accept
people's
experience
and
people
people's
perception
of
repeatedly
having
to
try
to
get
an
appointment.
G
G
L
So
some
of
the
things
that
they're
that
they're
catching
upon,
if
you
like,
are
some
of
the
long-term
condition
reviews
some
of
the
annual
health
checks
that
were
passed
during
the
pandemic.
So
nationally
there
was
a
you
know.
There
was
a
mandate
to
pause,
some
of
that
more
routine,
proactive
care
so,
like
I,
say
things
like
an
NHS
health
check,
for
example.
L
So
practices
are
returning
to
pick
up
some
of
that
activity
that
was
lost
whilst
also
balancing,
there's
an
increasing
needing
requirement
for
people
wanting
to
be
seen
on
the
same
day.
So
and
that's
why
I
say
we
at
the
minute
about
41
of
appointments
are
booked
on
the
same
day,
but
there's
then
an
ongoing
requirement
for,
for,
from
our
longer
term,
booked
appointments
to
do
some
of
that.
More
proactive,
planned
care.
K
I
think
just
to
add
as
well.
It's
not
what
was
in
across
the
Health
and
Care
system
really
over.
The
last
couple
of
years
is
an
overall
increase
in
demand,
so
there's
not
a
static
position
from
2019
to
where
we
are
now
so
for
a
whole
host
of
reasons.
Partly
things
like
you
know,
the
impact
of
lockdowns
on
Mental
Health
cost
of
living,
there's
increase
in
Frailty.
K
So
it's
actually,
the
level
of
demand
across
the
board
has
significantly
increased
in
above
and
beyond
what
you'd
expect
through
proportional
changes
in
in
population
growth
or
anything
else.
So
it's
not
just
about
a
backlog
but
actually
about
overall
Acuity
and
demand
increases
that
the
system
are
grappling
with
right
now
out.
A
I've
got
a
few
members
who
would
like
to
say
something
but
I'll
bring
in
Council
Council
venner
before
the
members.
O
Jenny's
just
largely
made
the
point:
I
was
going
to
make
actually-
which
is
it's
really
positive,
to
have
you
both
here,
especially
because
you're
leading
on
the
primary
care
work
Gainer,
because
we've
we've
talked
so
much
in
the
health
and
well-being
board
about
about
access
to
primary
care.
It's
the
issue
that
comes
up
the
most
for
people
using
Frontline
Services.
It
comes
through
in
all
the
health
watch
work
and
all
the
direct
contact
we
have
with
with
the
citizens
of
leads
that
that
and
Dentistry
they're.
O
Definitely
the
two
issues
that
get
brought
to
me,
the
most
personally
and
in
my
health,
related
casework
and
I.
Think
one
of
the
things
I
found
it
difficult
to
Grapple
with
myself
was
we
were
hearing
a
lot
that
people
are
struggling
to
access
access,
GPS,
but
also
hearing
that
GPS
have
never
worked
harder
and
thinking?
O
How
can
both
these
things
to
be
true
and
actually
Jenny
articulates
very
clearly
we've
seen
an
absolutely
massive
increase
in
demand
across
the
health
system,
and
also
the
workforce
is
really
really
tired
and
in
some
of
the
messaging
that's
coming
from
housewatch
or
come
through
other
consultation
with
people
using
Services,
I,
I
kind
of
wanted
to
be
I
felt
really
protective
about
how
that
messaging
is
related
back
to
primary
care,
because
we
know
that
GPS
are
facing
verbal
abuse
threats.
My
best
friend's
a
GP
she
they've
had
you
know,
damage
to
their
building.
O
You
know
had
to
have
police
surgeries
because
of
death
threats.
I
mean
it
was
some
of
what
GPS
are
facing
is
Extreme
in
terms
of
a
perception
out
there
that
they're
not
working
hard
enough,
because
people
are
are
not.
You
know,
struggling
to
access
struggling
to
access,
primary
care
and
I.
Think
we've
talked
about
this
as
well
in
the
health
and
wellbeing,
but
I
think
I.
O
O
It
doesn't
always
have
to
be
a
GP
and
and
also
I,
think
it's
really
good
to
convey
that
actually
GPS
are
doing
more
appointments
now
than
they
were
doing
pre-pandemic,
because
I
do
think
there
is
a
perception
out
there
that
GPS
aren't
doing
so
much
as
they
learn
and
they
aren't
that
they
and
that
they're
not
working
hard
enough.
You
know,
we've
heard
quite
a
lot.
Haven't
we
about
GPS
coming
out
from
a
really
long
shift
and,
having
a
note,
a
note
on
their
car
about?
Why?
O
Don't
you
get
to
work
and
just
it's
a
really
awful
situation
where
everybody's
struggling
both
the
people
that
want
to
access
GPS
and
staff
working
in
GP
practices?
And
you
know
it's
the
front
line
lease
paid
staff
that
are
taking
the
Flack
of
this.
You
know
it's
a
GP
receptionists
that
have
to
deal
with
I.
Think
the
most
most
of
the
frustration
that
patients
are
experiencing
so
I
think
the
communications
around.
O
It
is
really
important
about
how
what
people
can
access
through
Primary
Care
as
well
as
GPS,
and
also
conveying
that
actually
they
are
working
really
hard
and,
as
Jenny
said
in
a
in
a
context
of
increased
demand
and
increased
pressure
that
everybody's
under.
Thank
you.
G
To
understand,
cancel
finish,
I
do
need
pressure
that
baptism
because
I
think
I'll
say:
doctors
are
taken
away
from
doctors
and
being
like
managers
as
well.
So
they've
got
all
those
two
to
work
with
it's
really
hard
for
doctors,
I
100
agree,
but
also
we
have
to
think
of
us
as
a
patient
that
want
to
see
our
doctors.
You
know,
but
I
just
think
central
government
need
to
look
again
the
pressure
what
they
are
put
in
and
to
doctors
with
managers,
work
and
finance,
and
things
like
that.
G
L
Thank
you,
I'm,
just
speaking
upon
them,
Council
Venice,
point
I,
think
the
communication
and
and
What
patients
can
expect
from
a
from
a
practice.
I
think
is
really
key.
L
There
was
changes
introduced
during
the
pandemic,
which
I
think
were
introduced
as
a
result
of
the
pandemic
and
sort
of
you
know
more
quickly
than
we
we've
had
time
to
really
take
people
with
us.
So
the
use
of
digital
tools
that
are
not
not
right
for
everybody
but
can
be,
can
be
very
useful
to
to
lots
of
people
in
the
population
and
also
that
this
notion
of
that
expanded
work
for
us
in
a
practice.
L
I
think
we
were
in
the
early
days
of
introducing
those
additional
roles
and
being
really
clear
about
the
the
added
value
that
they
could
bring
and
then
I
think
obviously
we've
been
in
in
in
the
pandemic
and
then
post
pandemic,
so
that
conversation
I
think
with
the
public
around
some
of
those
expectations
hasn't
hasn't
been
there
and
I.
Think
the
point
made
around
sort
of
you
know
finances
I,
think
my
GP
colleagues
in
the
city
would
say
probably
a
couple
of
things
in
relation
to
that.
L
They
are
unhappy
with
the
settlement
in
this
in
the
next
year's
GP
contract
and
obviously
like
lots
of
people
in
the
public
sector
are
thinking
about
what
action
they
might
wish
to
take
in
in
relation
to
that
and
General
practices
are
whilst
they
deliver.
Nhs
services
are
in
effect,
small
businesses.
So
all
of
the
costs
of
living
crisis
that
we
know
that
is
affecting
you
know
third
sector
on
small
businesses
is
there
from
a
from
a
GP
practice
perspective
as
well.
L
A
Okay,
thank
you
very
much.
I
will
come
back
to
you
in
terms
of
GPS.
I've
got
one
question,
but
I'll
take
I've
got
Dr
Bill
councilor
Brooke
was
it
yourself
and
then
I've
got
councilor
Harrington,
so
we'll
take
the
three
and
then
you
respond.
If
that's
all
right.
Thank
you.
C
Thank
you
chair
two
two
points.
If
I
may
one
is
the
question
and
then
I'll
come
up
to
the
other
point:
I'd
like
to
dig
a
little
bit
deeper
at
the
bar
charts
on
page
28.
C
and
in
particular
the
one
on
the
right
hand,
side
of
the
page-
and
it
tells
us
above
similar
rate
per
hun
per
1000
patients
of
GP
appointments
and,
and
that's
fine
at
least
four
of
them
are
very
similar.
Kirkles
is
a
bit
lower,
but
but
okay,
but
significantly
lower
rate
per
1000
patients
for
other
practice
staff.
There
are
a
number
of
possible
reasons
why
that
might
be
so
one
would
be
that
the
healthcare
needs
of
the
leads
population
is
less
than
the
rest
of
West.
C
Yorkshire
I
doubt
it,
but
that
might
be
the
reason.
C
A
second
possible
reason
might
be
the
the
that
the
GPS
themselves
are
doing
all
that's
necessary
and
they're,
not
passing
on
to
other
practice
staff,
so
they're
just
seeing
a
GP,
whereas
it
may
be
in
the
other
four
areas
that
they're
seeing
the
GP
who's
then
referring
it
on
to
another
member
of
the
the
practice
that
is
possibly
a
good
thing,
not
necessarily
if
they're
just
prescribing
drugs,
for
instance,
rather
than
but
doing
other
things
or,
if
you
add
the
two
together
leads,
is
considerably
less
of
per
rate
per
thousand,
who
say
either
a
doctor
or
another
clinician
in
the
practice,
which
one
is
it,
and
why
and
the
second
brief
question
is:
we've
heard
mention
of
social
prescribing,
and
it's
mentioned
in
the
document
as
well.
C
Chair
might
I
suggest.
I
know
this
is
the
last
Board
of
this
Council
year,
but
on
the
possible
agenda
for
the
next
scrutiny
board
that
there
might
be
a
sort
of
deeper
dive
into
social
prescribing.
Exactly
what
is
it?
How
many
practices
do
it?
What
do
they
do?
What
stuff
have
they
got
to
do
it,
and
what
is
the
evidence
that
it
is
the
right
thing
to
be
doing?
D
Thank
you
chair
just
say:
I
completely
agree
with
Dr
Beale
around
social
prescribing,
but
the
question
there's
two
of
them
that
I
wanted
to
ask
is
about
the
home
first
model
of
Intermediate
Care.
It
sounds
fantastic.
Doesn't
it
and
I'm
sure
everybody
would
want
that,
but
my
experience
of
the
reality
is
there's
real
implications
with
that,
so
people
are
delayed
airfinding
care
packages
that
are
suitable,
particularly
for
complex
needs.
So
if
you've
got
a
complex
care
package,
quite
often
there
isn't
the
the
resource
there.
D
So
what
steps,
because
I
completely
agree
with
all
your
objectives,
but
what
steps
are
you
taking
to
make
that
a
reality
is?
Is
the
first
one
and
the
other
one
is
reading
through
this
I
mean
it's
a
great
document?
Isn't
it,
but
so
is
there
health
and
and
well-being
strategy
and
there's
lots
of
synergy
and
overlap
between
the
two?
At
one
point,
you
do
recognize
and
you
document
that
you
can't
deliver
at
all.
So
my
second
question
is:
how
are
you
working
closely?
D
I
Thank
you
chair
my
questions
about
the
ppgs
elsewhere.
We
said
that
there's
92
practices
in
Leeds
I'd
like
to
know
how
many
have
actually
got
ppgs
up
and
running,
because
I
know
that
in
my
particular
practice
we
haven't
had
a
PPG
meeting
since
before
covid,
so
I'm
sure
that
we
can't
be
the
only
practice.
So
I
would
actually
really
like
to
know
how
many
practices
are
operating
ppgs
and
how
many
have
been
having
meetings
and
how
is
there
any
prescribe
prescription
about
how
often
PPG
should
meet.
Thank.
K
So
I'll
go
first
on
the
Intermediate
Care
and
the
planning
piece
so
so
you're
absolutely
right.
The
the
reason.
This
is
the
biggest
priority
and
probably
going
to
be
one
of
the
biggest
transformational
programs.
That
Leeds
has
done
and
will
do
for
for
a
for.
A
time
is
because
we
know
that
at
the
moment
we
haven't
got
it
right
and
that
people
spend
too
long
in
the
wrong
setting
and
that
isn't
just
about
system
flow
and
cost
as
real
impacts
on
on
people.
K
And
we
know
that
people
who
spend
longer
in
a
bed
than
they
need
to
spend
a
particularly
hospital
bed
and
much
more
likely
to
decondition,
take
longer
to
recover
and
then
require
longer
and
more
expensive
care
packages
for
the
long
term
as
well
and
so
part
of
the
Intermediate
Care
Program.
One
I
think
the
first
one
of
the
things
to
note
is
that
it
is
a
joint
program.
K
Work
between
Health
and
Social
care,
so
the
the
whole
redesign
is
from
is
includes
the
impact
and
knock-on
effect
and
how
we
look
at
Social
care
packages
and
those
complex
packages
in
a
different
way
as
well
and
working
really
closely
with
Caroline
barrier
around
this
program
of
work
and
the
team
and
we've
structured
the
program
to
have
a
number
of
program
of
programs
of
work
to
do
to
do
the
redesign
to
really
do
that,
but
recognizing
that
they
all
Interlink
as
well.
K
So
there's
a
as
I
said:
there's
a
work
stream
which
is
around
getting
the
the
transfer
of
care
model
right
so
how
decisions
are
made?
That's
not
just
the
bit
that
happens
in
hospital.
That's
transfer
of
care
across
the
whole
system.
There's
a
piece
of
work
around
what
our
neighborhood
offer
is.
So
how
does
re-ablement
need
to
look
different
in
the
future?
What's
the
what's
the
future,
the
skills
and
reimbursement
services,
and
actually
we've
been
starting
to
test
out
some
of
those
principles.
K
Redesign
principles
and
I've
been
really
impressed
that
all
Partners
in
leads
are
ready
to
be
pretty
bold,
with
them
model
of
care
redesign.
So
we're
not
talking
about
another
three
month,
tweak
around
the
edges
of
services
to
try
and
get
them
a
bit
more
efficient.
But
actually
fundamentally,
we've
got
different
T.
K
When
you
look
at
the
map
of
current
Services,
it's
it's
pretty
complex,
there's
layers
upon
layers
upon
layers
upon
layers
and
actually
it's
a
real
appetite
to
strip
that
back
and
and
start
again
and
that's
not
just
from
management,
that's
from
the
staff
and
the
teams
themselves.
So
our
diagnostic
involved
lots
of
feedback
from
the
staff
working
in
the
services.
Who
said
we
can
do
this
different
and
we
can
do
this
better
and
so
there's
real
ambition
around
that,
and
likewise
with
the
Community
Care
bed
redesign
as
well.
K
So
the
program
of
work
will
look
to
address.
All
of
that
with
the
evaluation
and
the
kind
of
economic
benefit
analysis
will
has
included
a
set
of
benefits,
a
route
that
we'll
monitor
around
a
whole
range
of
things
from
bed
days
in
hospital
to
bed
days
into
Community
Care
to
our
spend
on
home
care
packages
as
well.
So
we're
not
just
looking
at
the
NHS
impact
of
the
change,
but
actually
how
that
translates
across
Health
and
Social
care.
K
So
yeah
I
completely
agree
that
at
the
moment
it
doesn't,
it
doesn't
work
as
well
as
we
should,
but
really
actually
super
excited
about.
This
piece
of
work
like
we've,
got
real
buy-in
across
the
system.
We've
got
proper
resource
and
a
team
to
do
it
and
a
real
plan
to
do
it
as
well,
and
then,
on
that
broader
planning,
point
I
guess
in
reference
to
the
to
the
healthy
leads
plan.
K
Part
of
the
refresh
of
this
plan
is
to
be
much
more
specific
about
the
NHS
bit,
so
we
can
be
clear
and
not
look
to
duplicate
and
not
kind
of
all,
be
at
the
same
bits
and
not
working
in
a
really
giant
way.
One
of
the
bits
of
infrastructure
that
we've
got
to
help
deliver.
K
The
healthy
leads
plan
is
our
kind
of
program
board
structure
across
the
city
which-
and
you
might
have
heard
they're
referred
to
in
the
past,
as
population
and
Care
delivery
boards
and
they're
effectively
groups
of
system
partners
that
come
together
in
a
very
strategic
place
to
look
at
how
they
improve
care
for
different
populations,
so
that
might
be
children,
young
people,
people
living
with
frailty
the
end
of
life
population
and
that
has
every
all
of
the
lead.
K
Health
and
Care
Partners
are
represented
in
that
forum
and
their
role
is
to
effectively
improve
the
outcomes,
drive
better
value
and
improve
experience
and
that's
a
relatively
new
infrastructure.
So
it's
been
running
for
about
the
last
12
to
18
months.
A
lot
of
that
first
task
was
often
meeting.
People
from
the
other
organizations
and,
like
oh
you've,
got
got
a
children's
planner.
We've
got
a
children's
plan
and
they've
got
children's
plan.
K
M
So
using
primary
care
is,
is
probably
the
the
best
example,
one
of
the
things
that
we've
done
under
the
auspices
of
of
the
health
and
well-being,
but
is
have
a
look
at
Key
areas
that
try
and
take
pressure
off
primary
care.
So
people
don't
go
to
see
the
the
doctor
you
know
for
for
one
or
two
health
related
reasons.
There's
work
issues,
there's
family
issues,
there's
education
as
we
know
so,
a
number
of
years
ago
we
we
sort
of
sort
of
treading
quite
gently.
We
put
housing
support
into
some
local
care.
Partnerships.
M
We've
also
got
some
pilots
in
place
around
employment
support,
which
is
really
really
key,
because
you
know
you'll
all
have
seen
in
the
news
about
the
challenges
of
of
over
50s
leaving
the
workforce.
Those
people
tend
to
to
go
to
their
GP
quite
quite
regularly.
So
if
there's
some
support
placed
in
Primary
Care,
there's
a
good
chance
of
getting
them
back
into
work
and
taking
some
of
that
that
pressure
off
practice
stuff
as
well.
M
So
rest
assured,
we
are
working
these
strategies
really
well,
but
there's
lots
more
to
do
and
and
I
guess
some
of
the
things
I'll
outline
in
the
next
conversation
we'll
go
through
a
few
more
examples
on
that
as
well.
A
L
Am
I
okay
to
pick
those
up
now,
thank
you
so
yeah,
just
coming
to
yeah
coming
to
Dr
field,
just
in
terms
of
the
first
questions,
Dr
Bill
around
the
around
the
graphs.
So
this
GP
access
data
has
been
fairly
new,
newly
published
National
Data.
It
only
started
coming
out
towards
the
end
of
last
year.
L
So
it's
given
us
a
lot
more
information
than
we've
had
and
has
given
us
the
opportunity
to
Benchmark
so
you're
right
to
pick
up
that
variation.
So
we're
doing
a
number
of
things
really
in
terms
of
this
is
that
is
looking
at
this
data
to
make
sure
that
the
quality
of
its
right
and
that
we're
not
missing
we're,
not
missing
anything
or
we're,
not
double
counting
anything
or
that
we
are.
L
We
have
got
our
practices
recording
in
the
right
way
and
we're
collecting
that
that
data
in
order
to
report
on
it,
I
think
you're
right
to
suggest
a
couple
of
hypotheses
in
terms
of
well.
Is
it
that
our
GPS
are
doing
more
or
is
it
that,
like
I,
said
that
the
counter
and
the
counter
to
that
we
know
like
I,
said
overall,
we've
got
that
sort
of
about
500
appointments
per
thousand
patients
being
offered,
but
we
do
have
significant
variation
in
that
as
well.
L
Just
within
leads
and
again
part
of
the
access
work
that
we're
doing
is
to
really
is
to
really
understand
that
and
really
engage
with
practices
in
doing
that
work,
and
let
me
do
it
doing
that
work
collectively.
L
So
I
can't
answer
the
the
question
directly
in
terms
of
yes,
it's
this
I'll
know
it's
that,
but
rest
assured,
it
is
work
that
we
are
doing
now
that
we
have
access
to
this
particular
data
set
in
terms
of
social
prescribing
again
I.
Don't
have
any
figures
in
front
of
me
now
it's
the
fact.
I
can
provide
information
by
way
of
a
follow-up,
but
obviously
I
didn't
know
your
request
to
have
a
a
deep
dive,
so
at
whatever
Point
that's
time
to
whatever
we
can
bring.
L
We
can
bring
all
of
our
all
of
that
data
to
it
to
the
board
in
terms
of
counselor
Harrington's
question
around
ppgs,
so
all
practices
are
contractually
required
to
have
a
patient
participation
group.
L
L
We
had
an
event
a
couple
of
weeks
ago,
where
we
had
significant
engagement
from
members
of
PPG
is
across
the
across
the
system
system,
and
one
of
the
things
that
we
agreed
to
do
was
to
refresh
our
approach
through
the
PPG
Network,
that
the
ICB
that
the
ICB
supports
and
chairs,
and
to
like
to
to
do
that
audit
really
in
terms
of
what's
the
position
for
each
practice
and
what's
a
part
of
their
need
to
get
their
ppgs
established.
L
A
Thank
you
very
much.
Okay,
I
do
have
counts,
but
I
think
counselor,
Thompson,
first
and
then
councilor
Anderson.
H
Thank
you,
chair,
I'll,
try
and
be
quick,
just
two
brief
questions.
What
happens
when
the
five
year
I
may
have
misunderstood
when
the
five-year
reimbursement
programs
comes
to
an
end?
Is
it
a
cliff
Edge?
Is
it
what's
the
expectation
and
the
same
day?
Provision
is
great,
but
it's
a
very
long
way
for
some
people,
if
you're
out
in
the
north
west,
it's
a
long
way
to
bermantoft,
especially
for
older
folk
and
that's
what
I've
heard
has
been
offered.
That
may
be
other
places
as
well,
but
it'd
be
helpful
to
understand.
Thank
you.
L
So
the
additional
rules-
reimbursement
scheme,
like
I,
say
it
was
offered
to
five
years.
But
what
we've
got
at
the
end
of
the
five
years
is
the
guaranteed
level
of
income.
So
it
isn't,
it
isn't
a
cliff
Edge.
L
So
we're
we're
fortunate
in
in
that
sense,
but
one
of
the
one
of
the
the
challenges
and
one
of
the
risks
that
we're
trying
to
mitigate
is
that
as
we
move
into
next
year,
which
is
the
final
year,
we
want
to
maximize
recruitment
as
much
as
possible,
because
at
the
end
of
that
year
those
will
be
the
roles
that
are
that
are
funded,
and
so
we
do
face
challenges
in.
L
In
that
sense,
both
in
terms
of
the
number
of
rules
that
are
available
and
also
those
people
being
available
to
recruit
into
those
roles
and
so
yeah.
It's
a
real
ongoing
piece
of
work
where
we're
working
to
to
maximize
that
scheme
and
then
we'll
like
say
we'll,
keep
that
funding
for
those
rules
going
forward
and
in
relation
to
same-day
response.
L
We've
got.
We've
got
kind
of
several
layers
of
things
happening,
I,
think
in
terms
of
practices
offering
access,
so
we've
got
the
the
92
practices,
often
their
car
access.
During
the
day,
we
then
got
enhanced
access,
which
operates
through
22
different
hubs
on
an
evening
and
a
weekend,
and
then
we've
got
over
and
above
that
we've
got
the
same
day
response
which
is
offering
a
smaller
amount
of
overspill.
It
does
offer
virtual
appointments
where
that's
appropriate,
but
obviously
we
do
have
a
reduced
number.
L
Then
of
of
hubs
absolutely
get
the
point
that
it's
not
always
in
the
best
place
for
everybody.
But
again
we
have
to
make
a
judgment
call
of
of
the
art
of
a
possible.
B
Thank
you
chair.
My
question
is
about
capacity
and
increase
in
capacity
and
access
in
terms
of
dealing
with
missed
appointments.
So
what
are
we
doing
about
missed
appointments
on
my
PPG,
which
we're
lucky?
We
are
meeting
still.
B
We
made
some
suggestions
when
I
first
joined
because
there
were
over
300
missed
appointments
per
month.
We
put
in
a
load
of
suggestions
and
that's
now
reduced
quite
a
bit.
So
it's
good
practice
on
that
sort
of
thing
being
shared
around
the
GP
community
and
then
are
we
doing
things
to
encourage
people
to
take
up
what
I'd
call
prevention
appointments
so
like
breast
screening
and
smear
tests,
and
things
like
that,
because,
obviously
that
can
catch
things
very
early
which,
as
we
all
know,
is
the
best
thing.
L
Yeah
thanks
Council
Anderson,
so
I
think
I
think
we're
able
to
say-
and
this
isn't
just
a
feature
for
general
practice-
I
think
because,
as
Jenny
said
earlier,
we're
seeing
you
know
more
demand
in
the
Healthcare
System.
L
Then
we've
got
total
capacity
for
and
so
we're
ever
trying
to
balance
that
the
available
capacity
with
with
with
people's
demand
for
Access
and
I
think
you
know
we
are
seeing,
despite
like
I,
say,
more
and
more
appointment,
availability,
we're
still
hearing
people
feeling
very
dissatisfied
with
that
level
of
level
of
access
and
I.
L
Think
there's,
probably
some
tempering
of
that
in
the
sense
of
we've
got
over
like
say:
20
000
appointments
per
day,
so
the
numbers
of
people
that
are
experiencing
dissatisfaction
I
don't
mean
to
minimize
that
in
any
way.
But
if
you
take
that
in
context
of
the
of
the
turtle,
we've
got
lots
of
people
that
are
able
to
to
to
use
the
capacity
that's
their
and
access
in
in
a
way,
that's
that's
successful
for
them.
L
We
are
at
the
moment,
unfortunately
seeing
a
slight
increase
in
that
in
the
do
not
attend
rates
or
those
missed
appointments.
And
again,
we
do
we're
doing
a
number
of
things
around
it.
L
So
we've
heard,
for
example,
through
our
work
with
the
the
deaf
community
that
actually
having
non-speaking
ways
of
being
able
to
cancel
appointments
across
the
board
is
something
that
that
Community
have
asked
for,
and
so
we're
always
looking
at
ways
that
we
can
put
things
in
place
that
make
it
easier
for
people
to
cancel
appointment
when
they
don't
need
it,
but
you're
right
in
terms
of
that
sharing
best
practice.
L
So
where,
where
we
have
got
active
ppgs
that
are
making
a
difference
in
the
work
that
they're
doing,
the
refresh
of
that
PPG
network
will
be
that
ideal
opportunity
to
to
share
some
of
that
work
and
in
terms
of
public
facing
comms,
sometimes
we're
faced
with
what
we're
allowed,
what
we're
allowed
to
do,
or
what
we're
guided
to
do
from
an
NHS
England
perspective
versus
what
can
be
sometimes
a
more
media
narrative
in
and
and
again
it's
difficult
in
terms
of
getting
comms
right
at
the
right
time.
L
But
certainly
there
are
comms
campaigns
planned
throughout
the
year
in
terms
of
trying
to
hit
certain
aspects
that
where
we've
got
particular
issues
and
and
certainly
things
like
you
know,
regular
updates
around
screening
and
the
importance
of
that
are
always
featuring
those
in
those
annual
set
of
campaigns.
A
Thank
you
very
much
Gainer,
we're
kind
of
at
the
end
of
this.
The
timing
for
this
particular
agenda,
but
one
question
I
would
like
to
ask
in
the
funding
that
has
been
received
at
which
you
have
said
is
helping
with
other
recruitment
of
like
nurses,
Health
Care
assistants,
social
prescribers.
What
has
been
done
particularly
to
get
new
GPS
into
the
system,
short
term
and
long
term,.
L
So
the
particular
funding
stream
that
I
referred
to
as
say,
something's
called
it's
something
called
the
additional
roles,
reimbursement
scheme
and
that's
attached
to
the
to
the
overall
MGP
contracts
and
they're.
A
list
of
rules
within
that
that
can
be
can
be
employed
using
that
funding
and
G
the
role
of
a
GP
or
a
practice.
Nurse
doesn't
feature
in
that
list.
L
The
list
is
roles
that
Can
complement,
GPS
and
sort
of
general
practice
nursing
in
a
way
that
brings
additional
capacity
and
additional
expertise
to
work
to
a
practice,
but,
like
I,
said
that
the
national
scheme
doesn't
allow
through
that
scheme
and
employment
of
a
GP
or
a
general
practice
nurse.
But
there
are
other
things
that
we
do
in
order
to.
You
know
to
attract
GPS
and
nurses
into
the
work
fast
again
part
of
our
ongoing
commitment
to
supporting
practices
with
the
with
their
Workforce
I
mean
we're.
L
We
we've
not
seen
we've
not
seen
as
much
of
a
problem
from
a
general
practice
recruitment
perspective
as
other
areas
and
since
I
think
since
2018,
our
ratio
of
GPS
per
100,
000
population
has
increased
where
other
areas
in
the
country
have
actually
decreased.
We've
managed,
to
like
say,
make
a
slight
increase
and
we
do
support
practices
in
terms
of
you
know.
Is
it
a
partnership
GP
that
they're
looking
for?
Is
it
a
salary
GP?
L
Is
it
a
GP
that
could
have
a
rule
or
a
special
interest
or
you
know,
work
flexibly?
So
again,
we
look
at
all
of
those
options
with
our
practices.
A
Okay,
so
thank
you,
I
know,
counselor
Arif
would
like
to
come
in
and
I've
got
one
more
question.
Thank.
P
You
chair
just
really
briefly
going
back
to
councilor
Anderson's
point
I,
guess
to
reassure
her
about
preventive
work,
so
Public
Health
have
led
partnership,
work
in
relation
to
the
NHS
health
checks
or
I
think
we
bought
a
report
in
a
couple
of
scrutiny
boards
ago
and
that
workers
has
now
increased
and
we've
actually
got
better
averages
compared
to
core
cities
across
the
country,
so
just
just
to
reassure
Council
Anderson.
That
work
is
happening
because
it
is
really
important
in
terms
of
preventative
work.
Thank
you.
A
Thank
you,
councilor
Arif
I
was
sad
to
hear
from
councilor
venner
about
the
treatments
some
GPS
are
having,
and
that
is
really
sad
to
know
because
if
GPS
are
threatened,
obviously
everyone
wants
to
be
safe
in
where
they
work.
So
why
would
they
want
to
come
to
work
if
they're
receiving
abuse
and
then
it's
a
ripple
effect?
I
mean
people
are
disgruntled.
That's
why
they're
abusing
people,
but
nobody
has
the
right
to
abuse
anyone,
let
alone
their
doctors.
L
So
again,
we
run
regular
campaigns
in
terms
of
zero
tolerance.
Our
the
latest
campaign
was
around
them,
leaving
a
gap.
So
you
know
if,
if
a
member
of
the
practice
is
subject
to
abuse,
it
causes
them
to
leave
or
leading
we're,
leaving
a
gap
in
in
provision
of
services.
So
again,
like
I
said
those
campaigns
are
running.
L
There
is
provision
within
a
practice
if
there,
if,
if,
if
a
patient
is
abusive,
so
there
is
a
a
process
by
which
that
can
be
can
be
managed
in
terms
of
and
all
the
ultimate
sanction
of,
a
patient
being
removed
from
the
from
the
registered
list
and
been
offered
Services
via
a
safe
haven
type
approach.
But
obviously
we
would
work
with
practices
on
the
individuals
to
avoid
that
avoid
that
worst
case
scenario.
A
Okay,
thank
you
very
much
for
all
that
for
the
report
and
for
your
contribution
and
members,
are
we
content
with
the
response
from
all
of
them?
Okay,
thank
you
all
so
much
for
coming
you're,
we're
happy
for
you
to
stay
and
we've
still
got
teas
and
coffees
so
feel
free
to
do
so.
If
you
would
like
to
go
through
the
rest
of
the
agenda
for
us,
okay,
so
moving
on
swiftly
is
agenda,
item
number
eight
and
that's
Leeds
health
and
well-being
strategy.
A
Okay.
So,
since
2012
it
has
been
a
statutory
requirement
to
have
a
health
and
well-being
strategy
and
with
the
current
strategy
in
the
pros,
with
the
current
strategy
in
the
process
of
being
refreshed,
this
scrutiny
board
was
given
the
opportunity
last
October
to
share
its
initial
views
around
the
proposed
approach
and
refreshed
priorities.
A
So
our
board
is
now
being
presented
with
a
further
update
report
on
the
work
undertaken
since
October
to
develop
this
strategy,
and
that
includes
a
copy
of
the
current
working
draft
strategy
document
which
has
been
shared
to
each
and
every
one
of
us.
So
I
will
now
ask
Wasim
to
introduce
himself
good
to
see
you
again
watching
introduce
yourself
thanks.
O
Yeah,
thank
you.
So
the
health
and
marketing
strategy
is
the
document
which
guides
all
our
work
across
the
Health
and
Care
system,
and
it's
in
terms
of
the
governance.
It's
it's
overseen
by
the
health
and
well-being
board,
which
is
a
cross-party
board,
a
cross-party
I
apologize,
cross-council,
so
I'm
in
the
political
way
across
Council
board.
So
it's
a
different
departments
attend
from
across
the
council,
but
also
we
have
lots
of
different
partners
who
attend
as
well,
including
from
the
third
section
communities
and
the
health
wellbeing
board.
O
First
of
all
to
uphold
the
vision,
that's
in
the
house
of
well-being
strategy,
particularly
around
improving
house,
the
poorest,
the
fastest
and
reducing
Health
inequalities,
and
it
also
has
a
role
around
overseeing
implementation
as
well.
O
O
So
we
want
obviously
the
plan
to
be
aspirational
and
we
want
it
to
continue
to
uphold
our
Ambitions
about
reducing
Health
inequalities,
but
it
also
needs
to
be
rooted
in
the
very
Stark
realities
of
people's
lives,
as
we
come
up
with
a
pandemic
with
the
cost
of
living
crisis
and
with
the
fact
that
you
know
the
discussions
we've
just
been
having
people
are
struggling
to
get
a
doctor
or
dentist,
and
therefore
you
know
you
don't
want
people
to
be
looking
at
this
plan
and
thinking
well.
O
This
is
all
very
well,
but
I
can't
even
you
know,
get
to
the
dentist.
So
it's
really
wanting
to
write
a
plan
that
reflects
that,
but
also
is
still
ambitious
for
the
people
of
Leeds,
and
it
also
needs
to
recognize
that
a
lot
of
the
challenges
that
we're
facing
are
very
long-standing,
so
things
like
increasing
life
expectancy
is
not
going
to
happen
in
the
life
of
this
plan.
You
know,
that's
that's
the
work
of
generations.
O
So,
although,
although
that's
obviously
an
aspiration,
we
have
to
be
realistic
about
what
can
actually
be
achieved
in
in
the
lifespan
of
this
plan,
and
we
have
a
team
leads
approach
within
the
Health
and
Care
system,
which
obviously
came
to
the
fore
very
prominently
during
the
pandemic,
particularly
in
the
work
that
we
did
across
Leeds
with
the
role
of
the
vaccines,
and
it
also
needs
to
continue
going
forward
in
the
challenges
that
we
currently
face.
O
I
feel,
like
I've,
talked
about
the
health
and
well-being
strategy.
So
often
that
I
said
show
up
my
research
that
I
couldn't
remember
who
I
was
speaking
to
at
a
meeting
I'm
going
to
on
Friday,
because
I
feel
as
I've
been
to
so
many
different
meetings,
and
so
did
different
audiences
talk
about
this,
but
I
sometimes
think
who
is
it
I'm
talking
to
today?
O
But
that's
really
positive,
because
obviously
that
means
that
going
out
to
loads
and
loads
of
different
groups
so
I
set
the
was
it
safer,
leads
executive
yesterday
talking
about
the
crossover
with
their
working
communities
and
we're
gonna,
we've
got
them
for
the
meeting
that
I
couldn't
remember
what
I
was
doing
on.
Friday
is
actually
a
really
big
meeting
of
the
LCP,
so
all
coming
together
to
talk
about
the
health
wellbeing
strategy,
I
think
there's
about
80
people
attending
that
meeting.
O
So
we
are
doing
loads
and
loads
of
conversation
with
stakeholders,
including,
of
course,
with
people
themselves
who
are
in
receipt
of
Health
and
Care,
Services
and
I.
Think
we've
been
here
before
with
this
strategy:
haven't
we
I?
Don't
this
is
our
first
visit
so
also
we
want
to
get
your
input
as
we
continue
to
develop
it.
So
thank
you
chair
thank.
A
You
very
much
councilor,
Fenner,
yeah
and
I
do
hope.
You
all
have
had
time
to
read
that
strategy
very
comprehensive,
so
was
saying
it
will
now
be
up
to
you
to
to
talk
us
through
that
report.
Over
to
you.
Q
So
hopefully,
members
have
had
a
chance
to
read
the
working
draft
just
to
emphasize
there
is
an
early
working
draft,
so
this
is
part
of
the
engagement
to
help
intro
be
strengthening,
The
Narrative
and
ensuring
we
are
focusing
on
the
priorities
that
citizens,
but
also
you
as
elected
members,
feel
are
important
as
well.
I
think
one
of
the
things
I
I
just
want
to
highlight
only
might
want
to
add
some.
Some
more
points
is
just
reflecting.
On
the
last
conversation
we
had
at
scrutiny
board
and
how
we've
responded
to
that.
Q
So
that's
one
of
the
things
I
hope
you
see
in
the
early
working
draft
that
we've
tried
to
reflect
and
actually
identified
more
explicitly
in
one
of
the
12
proposed
refresh
priorities
that
support
for
carers
and
Indian
people
to
maintain
independent
lives,
but
just
to
add
to
that
we're
not
going
to
the
approach
we've
taken
is
not
singing
out
just
one
priority
to
focus
on
particular
groups.
I
hope
you
see
across
the
strategy
really
high.
Q
Those
priorities
across
the
trial,
refresh
priorities
around
of
carers
and
how
that
impacts
those
and
we
want
to
reflect
that
within
other
groups
as
well,
and
one
of
the
other
things
I
think
I'm
not
sure
highlight-
was
the
the
importance
of
that
equality.
Diversity.
Inclusion
lends
on
this
and
that's
really
reflecting
on
the
West
Yorkshire
Partnerships,
especially
under
Health
the
lease
plan
and
recognizing
the
different
needs
of
different
communities,
and
that
approach
that's
reflected
across
this
and
I
hope
you
can
see
in
the
early
working
draft.
Q
We
try
to
embed
that
thread
across
the
strategy
narrative
and
in
the
priorities
that
we've
reflected
and
then
just
the
final
one
before
I
bring
Tony
in
is
around
the
two-phased
approach
so
phase.
One
is
what
we're
in
now
up
until
July,
where
we
will
launch
the
strategy
alongside
the
inclusive
cross
strategy
refresh
which
we're
working
closely
with
colleagues
on
that
too,
to
make
sure
they're
aligned
to
but
also
there's
phase
two,
where
we've
made
that
commitment
under
each
of
the
12
refresh
priorities.
Q
I
will
have
clear
action
plans,
some
of
those
already
existence
like
the
mental
health
strategy
that
was
recently
agreed,
but
others
in
particular
areas
that
we
want
to
focus
on
around
housing,
employment,
inequality
and
research.
It's
one
of
those
areas
that
we
think
we
can
make
a
difference
and
get
into
the
detail
of
those
plants
post
July.
Once
the
strategy
isn't
launched
so
I'll
leave
it
to
enter.
M
Yeah
thanks
thanks
chair
and
just
in
addition,
I
think.
Most
of
the
points
have
been
made,
and
hopefully
you've
you've
read
the
paper,
the
engagement
that
we've
had
and
and
like
Council
of
Anna
mentioned.
Sometimes
you
don't
know
if
you're
coming
and
going
with
literally
but
probably
been
to
20
to
30.
I
can't
remember
the
exact
number
actually,
but
a
lot
of
different
groups
and
conversations
and
and
each
one
of
those
has
added
to
the
richness
of
of
the
strategy.
M
So
a
key
one
I
think
is:
is
that
at
the
last
scrutiny,
as
said,
carers
came
out
really
strongly.
Carers
wasn't
reflected
in
the
previous
health
and
well-being
strategy.
So
we've
now
got
that
as
a
as
a
key
issue
in
there
as
well
I
think
likewise,
some
of
the
the
challenges,
particularly
around
things
like
employment
and
housing.
We
have
flagged
them
up
in
the
past,
but
they've
been
very
aspirational.
I
think
this
time
around
we're
really
key
to
put
some
meat
behind
those
priorities.
M
So,
for
example,
we've
got
the
Breakthrough
project
for
housing
and
health,
which
has
got
a
number
of
priorities
in
there
around
improving
support
for,
for
example,
to
to
people
in
the
in
tower
blocks
with
mental
health
or
other
issues.
Looking
at
the
selective
licensing
program
and
how
we
can
we
can
develop
that
and
then
likewise
on
on
employment.
We
know
the
challenging
leads
at
the
moment,
isn't
really
around
the
number
of
jobs
that
are
available.
M
It's
the
huge
inequality
in
in
the
jobs
market,
and
particularly
with
people
with
learning
disabilities
or
mental
health
refugees
and
Asylum
Seekers,
are
simply
not
getting
the
access
to
to
employment
and
job
opportunities
that
other
communities
are
getting
so
we're
thinking
through
our
best
to
to
develop
that
and
link
to
that
is
that
piece
of
work
around
looking
at
the
over
50s
as
well
and
putting
some
employment
advice
into
primary
care.
M
So
there
are
a
couple
of
pilot
projects
that
my
team
and
City
development
have
have
got
in
place
and
that's
absolutely
something
that
that
we're
looking
to
build
over
the
next
period
and
then
I
guess.
Finally,
in
terms
of
some
of
the
things
that
that
look
a
little
bit
different
from
the
previous
strategy,
the
work,
the
worker
around
research
and
the
universities-
again,
as
probably
in
the
past,
been
a
little
bit
Ivory,
Tower
and
sort
of
sat
in
Splendid
isolation.
M
But
the
conversations
that
we've
been
having
this
time
have
been,
ensuring
that
our
University
colleagues
on
and
all
our
academic
colleagues
actually
are
putting
their.
You
know
their
gargantuan
brains
towards
helping
to
solve
some
of
the
problems
of
the
city,
particularly
around
inequality.
So
how
we
develop
things
like
the
Leeds
academic,
Health
Partnership
will
come
into
the
the
strategy
as
well
and
then,
finally,
just
reflecting
Council
of
Ernest
Point,
you
don't
change
things
like
life
expectancy
overnight
and
we
do
know
things
on
on.
M
Particularly
unhealthy
life
expectancy
in
deprived
areas
have
gone
into
reverse,
so
we
are
set
in
a
longer
term
plan
behind
this
strategy.
It
will
run
to
2030..
Obviously,
most
strategies
tend
to
be
the
standard
three
to
three
to
five
years
and
and
we're
particularly
building
the
alignment
with
our
colleagues
in
inclusive
growth
and
all
the
work
in
and
around
climate.
On
the
one
hand,
and
then
on
the
other
hand,
all
the
more
operational
work
that
you've
heard
from
from
our
NHS
colleagues
as
well.
A
Thank
you
very
much
in
the
strategy
and
looking
at
I
I
remember
two
years
ago,
when
you,
you
delivered
the
mammoth
City
approach,
I,
really
really
like
that.
That
is
one
bit
that
I
would
like
to
know
in
terms
of
update
where
how
effective
has
that
been
so
far
from
when
you
started.
N
Assistant,
thank
you.
So
the
Marmot
City
approach,
we've
the
the
commitment's
been
developed
over
the
last
year,
but
in
terms
of
what
the
Marmot
City
approach
actually
is
we're
just
in
the
process
of
starting
that
now.
So
we
have
a
paper
which
will
be
coming
to
the
April
executive
board
for,
for
example,
which
will
be
giving
the
update
on
that
progress
and
recently
reported
on
progress
at
the
health
and
wellbeing
board,
but
we're
just
starting
in
April
working
with
the
national
Marmot
team.
N
So
the
Institutes
of
Health
Equity,
Michael,
Myers
team
and
commencing
a
two-year
program
of
work
in
partnership
with
them
to
really
progress
and
move
that
that
work
forward.
So
work
has
begun
and
been
taking
place
in
the
build
up
to
that
around
the
initial
priorities,
particularly
around
best
starting
around
housing
and
aligning
with
some
of
the
the
the
other
housing
work
that
that's
that's
been
done.
N
But
the
real
focus
of
the
work
is
about
to
get
going
now,
once
we
start
working
with
the
Institute
of
Health
Equity
and
those
national
teams
working
in
Partnership,
developing
that
and
we'll
keep
this
committee
as
well
as
others,
updated
with
the
progress
as
we
go
on
that
so
yeah
really
exciting
time,
and
just
commenting
that
and
there
will
be
a
wider
launch
event
that
we're
just
planning
at
the
moment
for
that
which
will
be
happening
in
mid-june,
where
there'll
be
obviously
politically
LED,
but
there'll
be
an
opportunity
where
Professor,
Sir,
Michael
Mama
himself
will
be
in
Leeds
talking
and
really
setting
that
out
as
well.
A
R
N
Just
also
add
to
that
chair
is
this
is
absolutely
one
of
the
absolute
principles
that
we've
taken
to
all
the
moment.
Work
is
that
strategic
alignment
with
the
best
city
ambition
with
the
healthy
leads
plan,
but
with
the
three
pillars,
so
this
is
absolutely
being
developed
completely
in
line
adding
value,
but
but
very
much
in
line
with
the
inclusive
growth
strategy,
but
also
very
much
with
the
with
the
health
and
well-being
strategy,
so
they're
very,
very
well,
integrated
in
terms
of
their
development.
Thanks.
Thank.
A
H
Thank
you
Chad.
Two
brief
things
really
welcome
the
specific
mention
of
learning
disability,
neurodiversity
and
especially
on
world
Down
syndrome
day.
It
feels
particularly
appropriate
to
recognize
that
maternity
services
are
covered
in
Fairly,
vague
terms,
very
aware
that
postnatal
care
can
often
be
the
Cinderella
aspect
of
maternity
care.
So,
from
my
perspective,
it'd
be
good
to
see
something
more
specific
on
that.
Thank
you.
M
Yeah,
that's
that's
a
a
strong
point.
We
have
got
best
stats
as
a
key
organizing
principle
within
the
strategy
and
it
is
rooted
in
the
live
course
approach.
But
we
can.
We
can
bring
that
out
more
clearly.
Yeah
maternity
care
is
absolutely
essential.
Isn't
it
you
know
so
how
we
manage
I,
guess
sort
of
children's
forward,
I
guess
that
their
lives
so
yeah
key
points
and
we'll
we'll
add
that
in
as
well
thanks.
A
Thank
you
very
much.
This
question
is
actually
for
board
members,
obviously
with
different
Health
practitioners
going
into
different
Wards
and
helping
meet
the
health
of
the
poor
rest,
because,
obviously
the
ambition
and
the
priorities
to
meet
the
health
of
the
poorest
the
fastest
any
one
of
you
felt
it
have
you
seen,
have
you
felt
them
in
your
Wards
coming
in
and
dealing
with
issues,
blood
pressures,
diabetes
checks,
because
I
saw
that
in
the
report
in
terms
of
Health
practitioners
going
around
the
city.
So
anyone
felt
it
not.
D
In
terms
of
specifics
like
that
chair,
but
certainly
in
terms
of
work
directly
with
public
health,
around
green
spaces
and
development,
which
obviously
overlaps
and
Spins
off,
so
we
work
quite
closely
on
that
agenda.
But
none
of
the
others.
G
A
Well,
I
know
it's
happening
in
mine.
I
just
wanted
to
know
if
it's
happening
in
others,
every
Friday
between
12
and
2
we've
got
Health
practitioners
who
are
taking
blood
pressure
from
people,
giving
them
advice
on
diet,
giving
them
about
advice
on
Diabetes.
You
know
the
very
common
diseases,
especially
with
people
from
ethnic
minorities,
and
they
are
Health
practitioners
who
are
in
that
same
community
and
I
see
such
a
very
long
cue,
especially
of
women.
Every
single
Friday,
with
this
health
practitioner
so
I'm,
just
hoping
that
that's
the
same.
G
M
So
I
I
can
sort
of
answer
some
of
that
and
more
generally
as
well.
So
many
of
the
programs
that
are
targeted
inevitably
in
the
areas
where
there's
greatest
demand,
so
a
classic
example
is,
is
the
lung
cancer
screening
in
in
seacroft,
which
has
had
a
massive
impact
in
our
seven
Chapel
Town
Chapel
outlets
and
Regional
Center
has
a
number
of
really
excellent,
targeted
programs,
everything
from
obviously
from
employment
support
to
support
with
cost
of
living.
M
There's
a
closed
Bank
in
there
and
then
I
guess
more
generally,
is
all
that
targeted
work.
That's
either
done
in
GP
practices
via
things
like
the
NHS
health
check,
which
is
obviously
scaled
up
to
impacting
particular
areas.
But
it
is
an
area
there's
no
question.
We
need
to
do
far
more
on
this,
because
the
level
of
demand
is
huge.
You
know,
we've
we've
got
some
Brilliance
third
sector
services,
so
inquel
and
loads
of
the
organizations
you
can
tell
I
used
to
live
nearby
there.
Actually,
so
I
do
know
it
quite
well.
M
There's
lots
of
really
great
services
that
orbit
particular
areas
who
haven't
always
been
brought
into
the
conversation,
I,
think
and,
and
that's
something
I
think
increasingly,
we
need
to
do
by
the
third
sector
worked.
So
we've
got
a
conversation
with
the
third
sector
partnership
in
a
couple
of
weeks
about
how
we
might
might
do
that
as
well.
Yeah.
You.
G
Just
mentioned
in
the
regional
center:
yes,
it
does
happen,
but
nothing
compared
to
what
councilor
Marshall
said,
which
is
public
health
I
want
to
know.
Where
is
that
happening?
I
know,
we've
got
bhi.
Are
you
working
at
bhi?
Are
you
working
with
feel
good,
Factor
I,
don't
know
I'm
the
L
champion
and
I
would
like
to
know
because
I
do
visit.
My
elderly
ladies
I
love
my
empty
legs
as
I
push
to
go
and
get
these
things
done.
So
please,
please
keep
me
informed.
N
Okay,
yeah
I
mean
fair
question.
I
I
can
certainly
tell
back
I'd
have
the
details
to
hand
of
all
them,
but
there
is
a
range
of
programs
that
were
involved
in
and
that
we
commission
around
a
number
of
these.
N
So
some
of
those
are
around
blood
pressure,
some
of
those
around
other
things,
working
with
voluntary
sector
organizations
and
we've
just
awarded
some
more
money
working
in
partnership
with
with
active,
leads,
in
fact
around
doing
some
of
that
around
looking
at
case
finding
around
high
blood
pressure
and
things.
So
I
can
go
back
with
colleagues
and
get
some
details
about
some
of
the
activity
that's
happening,
particularly
in
LS7,
and
get
back
to
you.
If
that's
okay,
Council,
please.
G
I
believe
in
communication
and
teamworking,
because
it's
not
for
you
to
do
for
me
to
do,
is
for
us
to
do
so.
That's
what
I
believe
yeah.
A
Thank
you
very
much.
Tim
I
think
it
will
be
very
helpful
if
all
of
these
activities
are
shared,
especially
with
elected
members.
They
are
closest
to
the
you
know,
to
the
Grassroots
and
to
people
and
to
communities
third
sector,
so
the
work
is
being
done,
but
if
people
do
not
know,
then
obviously
that's
where
the
whole
issue
about
access.
But
obviously,
if
members
are
aware,
then
they
can
also
help
signposts
so
that
people
within
the
community
know
that
these
things
are
happening
so
that
together
we
could
tackle
all
of
this
health
inequalities.
N
And
just
to
say,
in
response
to
that,
I'm
happy
to
take
back
the
general
comment
back
across
Public
Health
colleagues
in
the
team
to
really
stress
that
point
about
the
activity
and
about
using
elected
members,
but
using
the
health
Champions
through
the
through
the
committees,
the
the
community
committees
as
a
way
in
ensuring
that
people
are
aware
of
what's
happening
in
those
particular
areas.
But
yeah.
Absolutely
I'll.
Reiterate
that
and
and
mention
that
to
colleagues
exactly.
M
Just
a
really
quick
addition,
you
know
we
saw
in
things
like
the
vaccine
program,
actually
that
if
we
do
a
top-down
approach,
it
doesn't
work.
M
So
we've
got
to
work
with
all
communities,
yours
and
everyone
else's,
and
actually
the
work
with
by
the
community
committees,
with
the
health
Champions
with
organizations
like
black
health
initiative
and
actually
all
the
other
third
sector
organizations,
not
just
ones
that
work
in
the
health
sector,
ones
that
work
in
housing,
ones
that
work
in
employment
support
is
absolutely
Central
and
and
and
and
this
strategy
is
rooted
in
that
that
bottom-up
approach,
and
not
not
wishing
necessarily
to
speak
for
for
Council
of
Anna
here,
but
one
of
the
things
that
she's
done
a
brilliant
job
of
in
the
health
and
well-being
bodies
bringing
in
that
community
and
patient
voice
to
conversations
which
we
probably
not
always
had
in
the
past.
A
G
P
Yeah
just
respond
back
to
casatilla's
point.
We
do
have
a
health,
Champion
meetings
and
acrossly,
basically
I
think
we
had
one,
if
not
mistaken
a
couple
of
weeks
ago,
so
yeah
absolutely
so
what
I
can
do
just
to
to
alleviate?
Some
of
your
concerns
is
make
sure
that
that
communication,
in
terms
of
what
is
specifically
happening
in
your
community
area,
to
do
some
of
that
work,
but
just
also
say
going
back
to
the
NHS
health
checks.
P
So
I
think
that's
that
work
is
ongoing
and
something
that
we're
trying
to
embed
as
we
go
forward,
but
yeah
absolutely.
But
in
terms
of
the
communication,
Council
I'll
make
sure
that
that
gets
fed
back
yeah
I
do.
Thank
you.
A
Thank
you
very
much.
Councilor
Taylor
you're
free
to
come
and
visit
little
London
and
Woodhouse
every
Friday
and
we'll
also
take
your
blood
pressure
as
well.
A
Okay,
then,
don't
complain
right,
okay,
thank
you
all
very
much,
and
that
will
be
we'll
wrap
up
for
that
I
how's,
the
Brooks.
Sorry,
okay.
Over
to
you
thanks
chair.
D
I
think
the
we're
part,
fabulous
and
I
I'm
I
think
lots
of
this
challenge,
but
one
in
particular
jumps
out
I
mean
it's
the
jobs
and
economy,
because
I
think
lots
of
strands
in
that
particular
element
overlap.
Lots
of
other
things,
so
it
links
into
I
will
list
them
all
I'm
sure
you
already
know
so
I'm
interested
when
the
action
plan
to
deliver
that
will
be
available
so
that
we
can
have
a
look
and
read.
D
The
question
is:
are
we
doing
anything
within
communities
and
I
know
the
work
that
the
council
already
does
around
skills
and
jobs,
but
it
needs
to
be
enhanced
more.
Doesn't
it
and
there's
my
second
question,
which
is
very
quick:
this
is
great,
but
what
about
targeted
approaches
so,
for
instance,
sturton
and
hunslet
lowest
life
expectancy
in
the
country?
D
M
Yep
I
can
certainly
answer
that
one
of
the
jobs
and
economy
one
is
going
to
become
ever
more
important,
I
think
it's
worth
pointing
out.
The
evidence
is
actually
quite
clear
around
what
works
and
we've
got
some
really
really
strong
pilot
programs.
So
the
one
I
mentioned
in
GP
practice,
for
example,
has
been
really
successful.
We
ran
an
18
to
25
version
of
that.
M
They've
got
a
number
of
children
of
young
people
into
back
into
education
or
into
work,
and
then,
when
you
take
it
from
the
other
direction
and
look
at
the
pipeline
into
jobs,
the
real
key-
and
this
was
quite
controversial
when
we
did
it-
is
to
put
the
job
in
recruitment
fairs
actually
in
the
heart
of
the
community,
rather
than
rather
than
put
them
in
the
same
in
in
City
Center
great
as
the
city
center
is,
you
know,
people
aren't
going
to
Stripes
all
the
way
from
seacroft
to
the
Leeds
arena
for
an
NHS
jobs,
fair.
M
So
the
work
that
that
we
did
in
Lincoln
Green,
which
was
a
number
of
years
ago
now,
as
I'm
sure
you
all
know,
was
really
really
successful
in
getting
entry-level
jobs
into
into
particularly
into
the
hospital,
but
also
into
another
NHS
services
and
we've
rolled
that
out
to
our
anomaly
in
a
couple
of
other
areas
as
well,
and
that's
also
been
quite
successful.
But
the
big
challenge
with
the
employment
and
health
programs
is
just
a
really
really
simple
one.
M
If
we
had
the
resources
to
to
scale
them
up,
we
could
make
a
huge
impact
because
of
such
a
level
of
need,
but
there's
also
a
lot
of
hidden
talent
out
there.
So
particularly
people,
maybe
with
low
level,
anxiety
and
depression
learning
disabilities
neurodiverse
that
there
are
some
groups
that
actually
with
tailored
support.
We
could
get
into
many
of
the
jobs
that
are
there,
but
at
the
moment
we
don't
have
the
resources
to
to
scale
them
up,
but
should
they
come?
M
We
know
exactly
what
what
we
need
to
do
on
the
on
the
life
expectancy
and
the
targeting
yeah
there's
some
absolutely
shocking
data
on
slays
a
classic
example.
Isn't
it
of
women's
life
expectancy
in
particular,
going
into
into
reverse?
So
if
we
talk
about
proportionate
and
targeted
approaches,
clearly
we
need
to
be.
M
You
know,
working
first
and
foremost
in
in
some
of
those
areas,
but
the
priority-
and
you
know
stealing
team's
Thunder
now
is-
is
proportionate
universalism,
which
means
all
all
areas
will
get
a
service,
but
it
will
be
proportionate
to
the
level
of
need,
so
there
are
pockets
of
deprivation
in
some
of
the
outer
localities,
as
well
as
we
know,
and
the
challenges
around
things
like
transport
and
employment
at
rct-wide.
So
we're
trying
to
take
a
proportionate
approach
in
how
we
commission
and
deliver
services.
D
Thank
you.
It's
just
that
this.
This
perhaps
crazy
idea
bubbling
around
in
my
head
around
Pierce
Park,
particularly
around
skills
and
employment,
now
I
used
to
manage
job
centers
and
we
used
to
regularly
encourage
people
to
help
their
peers.
So
I've
kind
of
got
this
idea
in
my
head
that
within
the
communities
with
very
little
input,
we
could
kind
of
run
those
regular
surgeries
for
one
of
a
better
term
and
help
people.
So
you
can
come
in.
You
can
speak
to
an
advocate.
G
I
was
gonna,
say
you,
you
can't
reach
a
community
as
you'd
like
to
you
are
doing
marvelous
working
leads,
but
you're,
not
selling
yourself.
Nobody
know
you're
doing
the
work.
I
know
some
of
them
were
just
by
reading
the
papers.
So
I
don't
know
if
you
watch
ghosts
when
it
says,
use
my
body
use
as
counselors.
That's
what
we're
here
for
we
are
here
to
promote
what
the
council
is
doing,
because
the
council
is
doing
brilliant
work,
but
outside
I
don't
know
so
let
us
get
together
and
show
it
outside.
M
Back
to
you,
Tony
I'll,
just
really
quickly
yeah,
the
communication
of
the
strategy
is
absolutely
key.
No
question
and
getting
those
positive
news
stories
out
there.
Council
tale
is
absolutely
right.
Council
Burke's
point
about
about
mentoring
is
he's
not
a
crazy
idea.
There
is
some
of
that.
That's
done
already.
M
M
But
it's
in
some
of
the
work
that
that
children's
services
and
others
are
doing
is
to
do
more
targeted
work
in
some
of
the
inner
city
schools
to
make
sure
that
children
that
are
working
well
and
succeeding
at
Primary,
School,
don't
drop
off
as
they
get
older,
which
we
know
is
a
is
a
huge
challenge,
particularly
for
for
free,
School,
Meal,
kids.
So
I
think
that,
probably,
is
something
we
need
to
bring
out
a
little
bit
more
clearly
actually
and.
D
A
Okay,
so
that
brings
this
agenda
item
to
a
close.
Thank
you
very
much
for
Seaman
for
all
of
you,
Tony
and
team,
for
your
contributions
and
our
exec
members.
So
moving
on
to
agenda
item
number
nine
physical
activity,
which
I
like
very
well
I,
believe
Steve
Baker's
joining
us
yep.
Thank
you
very
much.
A
A
Right,
okay,
so
welcome
back.
It's
agenda.
Item
number
nine
physical
activity
ambition,
so
our
scrutiny
board
recognizes
that
being
Physically.
Active
is
essential
for
good
physical
and
mental
health
well-being.
We
therefore
gave
a
commitment
to
continue
monitoring
progress
surrounding
the
physical
activity.
Ambition
work.
The
update
report
within
your
agenda
pack
therefore
reflects
on
the
work
that
has
been
undertaken
since
our
last
update
in
February
of
2022,
as
well
as
given
an
update
on
the
governance
arrangements
for
this
work
and
the
proposed
new
city
wide
physical
activity.
S
Good
afternoon
Chet
I'm
Stephen
Baker
I'm,
the
head
of
active,
leads
and
I'll,
introduce
my
colleagues
to
the
left
to
the
right
as
well:
Katie
Bowden,
well
who's,
a
development
officer
for
active
Elites
and
Emma
Powell,
who
kind
of
heads
up
this
kind
of
physical
activity
work
for
our
service.
A
Thank
you
very
much
before
I
call
call
councilor,
Arif
I
would
just
like
to
let
you
know.
Steve.
Last
year
we
visited
a
few
Leisure
centers
and
Abra
was
one
of
them,
and
if
you
do
remember,
we
we
kind
of
made
remarks
about
the
bushes
and
the
grass
and
all
of
the
mess
I.
Was
there
on
Saturday
and
I'm
pleased
to
let
you
know
it
was
nicely
done.
A
It
was
clean,
it
looked
green
and
it
looked
very
healthy,
so
I
just
want
to
say
Well
done
to
yourself
and
to
your
team
and
keep
it
up
because
I
didn't
tell
you.
I
was
going
there,
so
that
shows
that
it's
being
done
with
or
without
the
scrutiny
board
intervening
so
keep
up
the
good
work,
I'm
councilor
Arif
for
any
introductive
comments.
Please
thank.
P
You
Chan
and
that's
good
feedback
to
to
have
Mr
shopping
is
always
good,
so
this
report
provides
an
update
on
the
development
of
the
physical
activity,
ambition
for
leads,
which
is
being
led
by
AI
active,
leads
and
public
health
together
with
Partners
from
across
the
city.
The
latest
data
for
leads
shows
that
31
of
Children
of
Children
and
young
people
are
inactive.
23
of
all
adults
are
inactive
and
36
percent
of
all
older
adults
aged
65
and
over
are
inactive.
P
We
also
know
that
there
are
significant
differences
in
levels
of
that
physical
activity
across
the
city,
with
inactivity
levels
in
some
poorer
communities,
more
than
double
those
are
more
affluent
communities,
and
unfortunately,
the
Gap
is
only
only
widening.
A
new
vision
has
been
developed
and
informed
by
the
get
set
leads
conversation.
The
covid-19
rapid
reviews
completed
by
Leeds,
Beckett,
University
Insight
from
the
lead,
the
big
leagues,
chat,
Council
policies
and
strategies
and
insight
from
National
campaigns
and
and
similar
projects.
P
The
revised
vision
for
the
physical
activity
is
leads
is,
is
a
better
is
a
place
where
everyone
wants
more
every
day.
P
This
is
supported
and
championed
by
the
newly
established
leads
of
removing
more
leadership
group,
of
which
I'm,
a
part
of
the
aim
of
the
programs
of
work
is
in
line
with
the
new
proposed
Vision.
It
is
to
create
a
place
where
everyone
moves
more
every
day
and
where
everyone
has
the
opportunity
to
live
and
benefit
from
living.
A
more
active
life.
All
Partners
recognize
that
the
approach
to
decreasing
inactivity
levels
is
is
long-term,
involving
systemic
change,
as
well
as
seeking
hat
to
harness
the
strength
of
individuals
and
their
communities.
P
The
report
also
provides
progress
on
some
key
work
streams
in
this
area
against
the
priorities
that
were
set
last
time
at
the
board.
Thank
you,
chair.
S
S
Last
time
we
were
here,
we
pretty
much
were
in
the
process
of
just
setting
up
the
government's
Arrangements,
which
is
taking
some
time
in
getting
the
right
people
on
that
kind
of
leadership
group
that
we
have
kind
of
delved
down
to
where
and
who
is,
we
feel,
is
quite
influential
in
terms
of
the
sphere
of
work
so
that
governance
Arrangement,
has
been
up
and
running,
and
we've
had
a
few
meetings
now
to
kind
of
start.
S
The
ball
rolling
and
moving
this
thing
forward,
really,
it's
probably
fair
to
say
that
a
group
of
all
very
excited
about
this
piece
of
work
and
being
involved
in
it
and
championing
this
kind
of
piece
of
work.
So
it's
very
exciting
to
be
in
those
meetings,
they're,
probably
not
their
standard
kind
of
meetings.
We
do
get
up
and
move
a
little
bit
as
well.
S
You
know
it's
very
structured
kind
of
activity
that
people
kind
of
a
connotation
with
that
and
so
on.
Purposely
we've
kind
of
removed.
S
That
kind
of
word
in-
and
it
is
very
much
around
just
getting
people
moving
in
any
shape
or
form
where
that's
just
walking
to
the
shops,
whether
that's
just
taking
the
extra
bus,
stop
the
lights,
just
to
kind
of
make
it
clear
that
people
just
want
to
get
up
and
be
active
in
some
form
and
that's
very
much
around
how
we
kind
of
see
this
the
kind
of
visioning
element
of
this
and
how
we
kind
of
speak
to
people.
S
But
it's
very
clear
that
obviously
there's
a
lot
of
work
that
is
happening
in
terms
of
changing
our
spaces
to
make
them
more
accommodating
from
a
physical
activity.
Point
of
view,
where
that's
lots
of
work
in
the
Parks
areas
and
the
green
spaces.
But
in
terms
of
how
we
make
those
activated,
those
areas
is
really
key
from
our
side
of
things.
But
again
it's
been
clear
that
those
spaces
are
available
for
people
just
to
go,
for
a
walk.
S
Go
for
a
cycle
go
for
a
scoop
with
the
children,
so
those
kind
of
things
are
really
important
from
our
side
of
things.
And
it's
trying
to
get
that
message
across
to
people
that
it's
so
much
more
than
just
structured
activity
that
we
need
people
to
get
doing,
whether
that's
just
if
you're
home
working,
for
example,
just
getting
up
and
moving
about
and
going
for
a
cup
of
tea
and
on
a
regular
basis
is
those
kind
of
simple
messages
that
we
want
to
get
across.
S
And
that's
about
how
we
work
from
systems
perspective
in
terms
of
making
it
clear
from
the
care
in
care
homes,
for
example,
how
they
can
engage
with
their
kind
of
members
and
stuff
as
well.
So
that's
really
key
from
our
side
of
things.
Lots
of
work
has
happened
and
taken
place
and
obviously
is
part
of
the
board.
Last
time
we
looked
at
some
priority
areas
around
children
and
young
people
specifically
and
also
they're
kind
of
older
age
group.
S
Where
again,
a
lot
of
the
reports
kind
of
highlight
some
key
kind
of
inactivity,
areas
within
that
as
well
in
the
health
and
the
courses
that
kind
of
exists,
especially
around
children
and
young
people,
in
terms
of
their
mental
health
aspects
as
well.
So
there's
a
lot
of
work
that
is
happening
on
that
front
and
engaging
with
lots
of
Partners
and
stakeholders
across
the
piece
on
that
front.
S
Simulate
around
just
getting
people
to
play
a
little
bit
more
and
giving
people
the
spaces
and
the
lights
as
well
is
a
huge
area
for
us
which
we're
just
going
through
an
assessment
on
as
well
and
then
lots
of
work
in
terms
of
co-producing.
A
lot
of
activities
and
working
with
communities
in
our
priority
neighborhoods
to
make
sure
that
we
don't
go
in
there
with
a
message.
This
is
what
you
will
do,
or
this
is
what
we
think
you
should
be
doing.
S
That
kind
of
highlights
some
of
those
elements
as
well,
and
then,
fortunately,
we
have
been
successful
in
applying
for
some
department
for
Transport
Funding
around
social
prescribing,
how
we
use
that
to
kind
of
engage
with
specific
areas
in
terms
of
Boom
tops,
hair,
Hills
and
Richmond
Hill
around
using
cycling,
walking
those
kind
of
initiatives,
as
part
of
that
which,
again
that
kind
of
work
has
just
started
to
move
a
little
bit
now
so
hopefully,
over
the
next
period,
we'll
be
able
to
report
back
on
that
in
a
bit
more
detail
as
well.
C
Thank
you
chair
and
thank
you
for
the
paper
and
the
presentation.
It's
good
to
see
the
sort
of
work
which
is
going
on
in
git
set
Leeds
local,
but
not
everyone
wants
to
attend
those
sort
of
group
or
competitive
exercise
opportunities.
C
The
question
I
want
to
ask
if
you
go
down
to
some
of
the
green
spaces
or
small
Parks
like
level
Park
just
down
the
road
or
the
one
opposite,
the
northern
School
of
contemporary
body
or
whatever
it's
called
nowadays.
They've
got
little
exercise
circuits
with
robust
sort
of
gym
equipment
in
how
many
of
those
are
across
the
whole
of
Leeds.
S
Thank
you,
Dr
Bill
I
couldn't
give
you
an
exact
number
across
the
Leeds
area,
but
that's
definitely
something
I
can
take
away
and
just
get
come
back
to
you
in
terms
of
where
they
all
are
the
localities
of
them.
S
There
are
a
number
in
a
lot
of
parks,
areas
which
are
kind
of
parks
and
Countryside
team
kind
of
deliver
on
so
yeah
I'll
get
coming
back
to
you
in
terms
of
the
exact
numbers
and
exact
locations
of
all
the
kind
of
areas
of
those
green,
the
gym
elements
of
that
side
of
things,
and
they
are
an
important
part
of
how
we
kind
of
use
it
on
an
informal
kind
of
basis
and
delights.
S
You
know
we
even
look
at
it
in
terms
of
an
additional
offer
to
the
gym
in
our
life,
centers
and
environments
that
people
are
outdoors
and
it's
like
just
because
they're
Outdoors
outside
the
legend,
it
doesn't
mean
that
people
aren't
going
to
then
come
to
the
gym
side
of
things,
so
they
are
an
important
part
of
that.
But
again
it's
about
how
people
feel
capable
of
using
that
kind
of
equipment
itself
can
still
look
quite
scary.
S
C
No
just
to
say
that
you
know
I
think
I,
don't
know
how
many
there
are,
but
they
ought
to
be
within
reach
of
of
everyone
who
might
want
to
to
use
them.
I
mean
they
are
different
from
the
gyms
and
they're
free.
So
those
people
who
can't
afford
to
pay
subscriptions
to
gyms
or
or
even
go
for
individual
sessions
can
just
go
down
and
they
can
use
them
either
by
themselves
or
they
can
go
around
in
a
small
group
as
it's
sort
of
compete
with
their
their
spouses
or
their
Partners
or
their
children
or
whatever.
S
Yes,
definitely
and
we
do
activate
and
make
use
of
some
of
that
equipment
in
the
Parks
areas
as
well,
for
us
some
of
our
kind
of
activation
areas
that
we
kind
of
deliver
on
some
classes
outside
in
the
Parks
and
stuff
as
well.
So
the
teams
kind
of
use
those
kind
of
elements
where
they
are
pretty
much
to
kind
of
yeah
make
use
of
them
in
small
groups
and
get
people
doing
it
even
on
a
walk.
For
example,
they'll
include
that
as
part
of
the
kind
of
walk
side
of
things
as
well
but
yeah.
A
Thank
you
very
much
and
just
for
officers
to
note
that
whenever
you
tell
us
you're
going
to
come
back
to
us
the
good
thing
with
our
scrutiny,
advisors
and
officers,
you
will
come
back
because
we
will
chase
you.
So
we
won't
forget.
Okay,
so
please
don't
forget
whatever
you
say,
you're
going
to
come
back
to
us
with
it's
been
written
down.
So
please
do
come
back.
Thank
you
very
much,
councilor
Harrington
and
then
Council
Burke.
I
Thank
you
chair,
there's
a
couple
of
things
on
paragraph
40
on
page
75,
the
last
sentence
there's
also
six
age
friendly
ambassadors
recruited
through
active,
leads,
be
interesting
to
know
where
they
are
based
because
I,
don't
I,
haven't
heard
anything
at
all
about
that
in
the
outer
Northeast
and
then
the
other
issue
is
kind
of
aligned.
With
the
outer
Northeast
area.
There
is
one
Leisure
Center
in
wetherby,
which
is
Tiny,
it's
minuscule.
It
has
a
tiny
baby
pool
and
it
has
one
adult
pool.
I
There
has
been
some
work
done
on
Energy
Efficiency,
which
is
fabulous,
and
it's
really
energy
efficient
now,
but
the
changing
rooms
haven't
been
updated
and
modernized
for
30
years.
People
actively
are
not
choosing
to
use
Weatherby
swimming
pool
because
it
is
in
such
a
normal
State
they'll
go
to
tadcaster,
which
is
a
community
of
London
pool
and
they
keep
saying
what
you're
doing
about
swimming.
What
are
you
doing
about
the
Leisure
Center
and
Weatherby,
which
is
absolutely
awful?
It's
it's
really
really
bad,
so
it's
not
actually
encouraging
local
residents
to
go
there.
I
Elderly
people
would
go.
Some
of
them
would
really
love
to
use
the
gym,
but
it's
in
the
basement
and
it's
dingy
and
they
feel
it's
it's
really
difficult
for
them
to
access,
there's,
no
listen
to
get
into
it
Etc
and
for
an
accessibility
situation.
If
you're
in
a
wheelchair,
you
have
to
come
up
a
big
slope
at
the
side
and
then
come
along
the
side
of
the
swimming
pool
to
actually
access
the
facilities
which
is
patently
unsafe,
so
we're
all
about
encouraging
people
to
get
active
and
I'm
really
really
Keen.
I
A
D
You
thank
you
thanks
chair,
it's
just
a
couple
of
things
again,
I
think
the
report's
very
good-
and
you
do
mention
within
the
report
around
parity
between
physical
and
mental
health,
but
only
in
terms
of
young
people,
so
I
think
that
needs
to
be
right
across
the
board
for
all
ages.
D
A
wood
echo
what
Dr
Beals
said,
but
perhaps
take
that
a
little
bit
further,
it's
not
just
being
in
the
park
in
some
areas.
It's
actually
the
travel
tour,
so
that
links
with
the
other
strategies
done
around
anti-social,
behavior
and
and
so
on
and
so
forth
and
disabilities.
D
And
and
focus
on,
perhaps
people
with
low
level
disabilities
who
don't
think
it's
for
them,
so
not
all
disabilities
visible.
Is
it
so
there's
a
whole
group
of
people
who
perhaps
would,
with
some
encouragement,
become
engaged?
It's
seems
to
be
missing,
I
apologize
if
I'd
missed
it
when
I
read
it
I,
don't
think
I
have,
but
that's
just
another
one
and
there's
another
bit
and
that's
around
some
areas
and
I
know
it's
something
that
public
health
are
working
on
quite
and
that's
around
domestic
violence.
D
Isn't
it
so
some
people
would
definitely
want
to
be
engaged
so
I
guess
what
I'm
saying
is
linking
up
and
that's
Synergy
between
the
two
so
that
those
people
are
experiencing
that
can
have
the
opportunity
of
going
and
having
a
bit
of
a
surf
hour
while
they're
exercising
or
whatever
I
don't
have
the
answer
to
that.
It's
just
a
suggestion.
S
Yes,
thanks
again
councilor
so
in
terms
of
the
kind
of
mental
health
you're,
definitely
right,
it's
far-reaching
and
just
young
children
and
young
people.
S
Obviously,
in
terms
of
our
priorities,
we
kind
of
focused
on
the
children,
young
people
at
this
stage
in
terms
of
that
kind
of
mental
health
side
of
things
that
is
outside
of
that
there's,
this
kind
of
universal
kind
of
offer
that
we
kind
of
need
to
get
out
and
messaging
around
physical
activity
and
the
benefits
to
mental
health
and
there's
a
lot
of
research
now
coming
out
around
that
side
of
things
to
you
know
in
terms
of
making
sure
that
people
aren't
just
using
antidepressants
as
an
example
straight
away
that
physical
activity
actually
can
probably
just
do
as
much
benefit
to
People
by
getting
them
a
bit
more
and
moving
more
on
that
front.
S
So
you're
definitely
right
in
terms
of
the
mental
health,
and
it
will
be
something
that
we'll
kind
of
bring
out
a
lot
more
on
that
one
in
terms
of
the
disability
side.
Again,
it's
probably
where
our
priorities
have
been
at
this
stage
is
is
focused
on
no
side
of
things.
S
But
again
it's
not
saying
we've
kind
of
don't
do
anything
on
that
front
again,
for
example,
we
just
started
doing
some
sensory
kind
of
gym
sessions
and
for
people
who
have
suffered
from
kind
of
autistic
kind
of
side,
things
in
terms
of
the
bright
lights
and
those
type
of
things,
and
we've
started
rolling
that
out
across
our
gyms
and
different
things
as
well,
so
yeah
just
some
of
that
low,
lower
sort
of
thing
in
terms
of
some
of
the
disability
side
of
things
as
well,
it's
really
important
that
we
kind
of
Target.
S
So
again,
there
is
a
lot
more
in
that
Spear
and
I
can
probably
get
a
list
of
items
that
we
kind
of
do
do
in
that
front
and
for
you
as
well-
and
let's
remember-
where
would
be
sorry-
sorry
I
didn't
forget
about
Weatherby.
S
Where
would
be,
the
building
itself
is
limited,
you're,
quite
right,
we're
kind
of
looked
at
a
number
of
different
things
to
improve
the
access
to
that
building.
Unfortunately,
the
location
of
it
is
in
the
age
of
the
building.
Itself
is
fundamentally
flawed
in
terms
of
how
we
get
to
improve
that
kind
of
side
of
things
in
a
very
much
very
similar
within
the
inside.
The
building
as
well
is
limited
in
terms
of
moving
things
around.
S
You
talk
about
the
gym
being
down
in
the
basement
area,
and
that
is
a
from
my
side.
Effects
is
not
where
I
want
it
to
be
either
and
believe
me,
all
of
this
all
the
senses,
I
would
have
as
good
as
they
can
be
in
terms
of
the
facilities
and
likes.
We
are
just
developing
the
gym
area.
S
Where
would
be
so,
we
are
spending
some
money
to
replace
the
kit
equipment
down
in
the
gym
area
as
well
to
hands
that
offer
a
little
bit
but,
like
I
say
we
are
quite
Limited
in
terms
of
what
we
can
do
in
that
space
and
working
with
the
building
we've
got
in
that
area
as
well.
S
S
There
are
some
limitations
on
that,
but
I
can
assure
you
we
are
want
to
improve
the
facilities
there
on
offer
and
we'll
do
as
much
as
you
possibly
can,
because
you're
right
it
turns
around
the
over
60
kind
of
area
is
a
key
one
for
us
and
we
do
provide
a
lot
of
classes
and
activities
in
whether
it
be
for
that
and
that
kind
of
Falls
presentation
and
the
lights
that
we
deliver
in
that
area
as
well.
S
P
Yeah
Chad
just
a
couple
of
points.
First
point:
I'm
lucky
that
I've
got
my
researcher
up
in
the
room,
he's
answered,
cancel
I'm,
sorry,
Dr,
veal's
question:
we've
got
73
outdoor
gyms
and
multi-use
game
areas
and
29
and
29
outdoor
gyms
specifically.
So
hopefully
that
will
help
answer.
Some
of
your
questions
come
back
to
counselor
Harrington's
point
about
Weatherby
I
was
having
a
conversation
about
investment
going
into
Weatherby
only
last
week,
so
just
be
reassured
about
some
of
that.
P
Funding
will
be
directed
there
because
we
recognize
the
points
you've
made,
but
just
as
a
general
point,
I'm
sure,
you've
all
read
headlines
about
pool
closures.
40
of
councils
across
the
country
are
at
risk
of
closing
closing
their
Leisure
centers
because
of
financial
constraints
that
councils
are
facing
and
that
shooting
leads
we're
doing
the
opposite.
We've
put
investment
into
our
Leisure
centers
because
we
are
committed
to
doing
that,
but
we
are
against
a
backdrop
of
really
of
the
year
Financial
Cuts,
if
I
may
say
so,
but
just
to
reassure
councilor
Harrington.
A
You
thank
you
very
much
councilor
Ari
for
that
reassurance.
Thanks,
councilor
Thompson.
S
Yes,
we're
just
currently
working
with
MacMillan
in
terms
of
pre,
rehab
kind
of
cancer,
kind
of
treatment,
side
of
things,
so
yeah,
that's
kind
of
making
sure
from
one
stage,
they're
kind
of
ready
for
any
kind
of
surgery,
elements
that
you
might
need
to
go
to
in
the
hope
that
they
will
grow
faster
and
get
out
of
Hospital
sooner
on
that
front,
so
we
are
being
commissioned
working
with
MacMillan
on
that
front,
which
is
something
which
is
happening
across
West
Yorkshire
in
different
areas
as
well
with
the
icbs
and
the
like.
S
So
yeah,
there's
a
lot
kind
of
coming
in
in
terms
of
that
commission
inside
of
things
until
they
understand
that
from
diabetes,
the
different
things
that
we
kind
of
work
with
now
from
that
side
that
you
know
we
are
there
not
only
from
a
prevention
side
of
things,
but
also
from
a
help
to
recover
people
quicker
from
their
illnesses
and
the
likes
as
well
and
hope
to
redress
some
of
that.
So
again,
it's
not
going
into
the
medical
spirit
all
the
time.
S
A
Okay,
thank
you
very
much.
I
will
need
to
bring
that
agenda
item
to
a
close
because
of
time.
Well,
you're
not
permitted
to
leave
just
yet
and
that's
because
we,
when
you
are
leaving
it,
takes
about
two
or
three
minutes
of
our
time,
and
we
need
to
finish
up
so
just
be
patient
with
us.
We're
almost
done.
Thank
you
very
much,
okay,
so
agenda
item
number
10
is
the
end
of
year.
Scrutiny,
board
statement
and
each
scrutiny
board
now
produces
an
end-of-year
statement
to
complement
the
broader
scrutiny
annual
report.
A
So
the
2022
and
23
end
of
year.
Statement
for
this
scrutiny
board
has
therefore
been
provided
for
members
consideration
and
approval.
So
the
statement
document
follows
a
standardized
format
to
provide
details
of
the
board's
full
work
program
for
the
first
Municipal
year,
including
links
to
the
associated
agenda,
packs
minutes
and
webcast
recordings,
as
well
as
including
a
statement
from
the
chair
that
reflects
on
the
key
priorities
for
the
is
currently
bought
over
the
year
and
that
has
been
shared
with
each
and
every
one
of
you.
A
So
please
do
not
say
to
me:
I
haven't
read
the
report
because
you'll
be
in
trouble,
so
I'm
just
asking
members
now.
Are
you
happy
to
endorse
the
end
of
year
statement
for
this
scrutiny
board
that
has
been
provided
by
our
members
and
obviously,
we've
had
our
two
exec
members
in
the
last
Municipal
year,
helping
us
and
and
being
here
every
single
scrutiny
meeting.
So
we
just
want
to
say
thank
you
to
both
of
you
for
always
being
here.
So
is
that
a
yes
from
our
board
members
and
with
a
smile?
A
J
Thank
you
chair.
There
are
actually
two
elements
to
to
this
particular
report.
The
element
that
I'll
address
first
is
where
there's
reference
to
the
board's
recent
working
group
meeting
to
consider
the
current
positions
surrounding
the
delivery
of
the
Leeds
mental
health
strategy.
This
was
with
a
view
to
also
identifying
key
areas
that
could
potentially
benefit
from
our
focused
scrutiny
work
due
in
the
new
Municipal
year.
So
a
summary
of
the
main
issues
on
the
key
conclusions
arising
from
the
working
group
meeting
has
been
circulated
as
part
of
the
supplementary
pack.
J
So
if
I
could
address
that
first
chair,
if,
if
members
are
happy
to
endorse,
that's
the
the
summary
not
and
recommendations.
Thank
you
and
given
that
it's
today's
meeting
is
expected
to
be
the
board's
final
formal
public
meeting
for
this
year.
The
draft
work
schedule
that's
being
attached
is
in
relation
to
the
the
new
Municipal
year.
This
includes
preliminary
future
meeting
dates
and
also
reflects
known
items
of
scrutiny.
J
Activities
such
as
performance
monitoring,
the
budget
and
other
identified
areas
of
work
that
this
board's
already
recommended
for
the
successor
board
to
pursue
in
the
new
Municipal
year.
J
There's
obviously
other
areas
that
we've
picked
up
today
with
other
suggestions,
particularly
around
the
focus
piece
of
work
around
social
prescribing,
so
we'll
reflect
that
in
the
minutes,
because,
obviously
the
first
meeting
of
the
new
board,
they
will
obviously
have
these
minutes.
So
if
there
are
any
other
areas
that
the
bar
would
like
to
suggest
at
this
stage,
then
to
reflect
those
two.
Thank
you.
A
Thank
you
very
much,
Angela
any
comments
and
Angela's
item.
Okay
may
I
use
this
time
to
say
very
huge.
Thank
you
to
all
the
board
members,
especially
for
attending
meetings
that
are
outside
our
statutory
meetings.
So
those
are
our
personal
work
groups
that
we
have
had
especially
remote
meetings
just
to
say
thank
you
from
the
bottom
of
our
hearts,
for
your
time
and
commitment
to
this
scrutiny
board
and
to
all
our
guest
officers.
Exec
members.
A
You
have
been
amazing,
especially
when
it
comes
to
responding
to
emails
and
to
invite-
and
obviously
it's
been
a
tough
time,
especially
within
the
health
industry.
We
know
that
in
the
last
three
years
and
we
continue
to
see
the
challenges
ahead,
but
you
know
your
resilience
and
the
hard
work
you
put
into
into
the
hard
work
you
do
for
this
city
and
ensuring
that
the
poorest,
you
know,
are
treated
the
fastest.
A
That's
from
your
priority,
so
always
remember
our
mode
till
for
the
city
city
of
compassion
that
we
continue
to
take
that
with
us
wherever
we
go,
because
that's
what
we
owe
our
future,
our
children
and
their
children
as
well.
So,
thank
you
and
thank
you
and
to
the
rest
of
you
have
a
wonderful
wonderful
afternoon
and
thank
you.
It's
been
a
long
year,
but
it's
gone
by
very
fast.
I
can't
believe
this
is
the
last
meeting
for
this
Municipal
year.
Nobody
knows
what
comes
next,
but
whatever
comes
next,
my
best
wishes.
So
thank
you.