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From YouTube: Leeds City Council - Adults, Health and Active Lifestyles Scrutiny Board - 21st June 2022
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A
Welcome
to
the
scrutiny
board
for
adult
health
and
active
lifestyle,
abigail
marshall
catching
is
my
name,
and
I
share
this
wonderful
board.
Welcome
to
the
first
meeting
of
this
municipal
year
and
it's
lovely
to
see
you
all
in
this
very
lovely
warm
weather.
So
I
dare
not
hear
anyone
complain
about
the
weather
today,
so
we
all
should
be
grateful.
A
The
meeting
recording
will
also
be
available
on
the
council's
website
after
the
meeting.
I
will
now
ask
council
sorry,
members
of
the
board
to
introduce
it
themselves
and
remind
each
and
every
one
of
you
that,
after
you've
introduced
yourself,
you
unmute
your
phone
I'd,
also
like
to
let
you
know
that
we've
got
three
wonderful
new
counselors
on
this
board.
Two
are
newly
elected
and
one
is
joining
the
board
for
the
first
time.
G
A
Thank
you
all
for
that
and
welcome
again.
We
have
three.
We
had
three
previous
board
members,
councillor
cunningham
councillor
dowson
and
council
flatty,
and
we
would
like
to
thank
them
so
if
that
could
be
minuted
for
their
time
in
the
last
year.
Okay,
I
would
now
ask
our
principal
scrutiny
advisor
to
interview
well
you've
introduced
yourself.
Could
you
run
through
the
first
five
items
for
us?
Please,
thank
you.
I
Thank
you
chair.
So
there
are
no
appeals
against
inspection
documents
chair
and
there
are
no
exempt
information,
no
exempt
items
and
there's
no
late
information
here.
But
there
is
some
sort
of
supplementary
details
which
have
been
shared
with
members
in
relation
to
item
10
and
that's
the
contribution
from
the
ccg
and
lee's
community,
healthcare,
nhs
trust
and
there's
also
some
details
in
relation
to
the
internal
audit
plan
for
22
23
and
that's
shared
with
members
and
other
contributors
here.
Chair
item
four
is
declarations
of
interest?
A
A
A
I
It
also
says
that
specific
guidance
in
relation
to
that
will
also
need
to
be
provided
that
that
guidance
hasn't
yet
been
provided,
and
indications
are
that,
during
that
the
current
year
will
be
considered
to
be
a
transitional
year
where
the
two
pieces
of
legislation
will
run
side
by
side
and
the
power
of
the
general
power
of
intervention
will
be
introduced
from
around
april
next
year.
But
there
may
be
supplementary
guidance,
that's
issued,
but
that
hasn't
yet
been
issued.
So
that's
that's
specifically
just
a
no
chair.
A
A
So
members
are
asked
to
consider
this
information
when
discussing
potential
areas
of
scrutiny
work
for
the
forthcoming
municipal
year.
It
has
also
been
a
custom
for
the
director
of
children
and
families,
relevant
executive
board
members
and
other
relevant
senior
officers
to
also
share
their
views
and
to
contribute
to
the
board's
discussions
surrounding
potential
areas
of
our
scrutiny
board.
So
I
will
now
invite
the
participants
to
introduce
themselves
intern
at
this
point.
If
that's
okay
and
I
will
start
with
councillor
vena.
J
Hi
everyone
I'm
councillor
jonathan
and
I'm
representing
kirkstall
in
west
leeds
and
I'm
the
cabinet
member
for
children
and
adult
social
care
early
years
and
health
partnerships,
which
is
about
the
council's
interface
with
the
nhs.
So
I
do
some
other
regional
work
around
the
integrated
care
system
and
ensure
the
health
and
well-being.
But
thank
you.
F
N
Hello,
I'm
lucy
clements,
I'm
a
gp
at
dakwid
lane
medical
practice,
which
is
in
sikhov
gipton
area,
I'm
leeds
lmc
liaison
officer,
and
it's
in
that
position
that
I've
been
invited
today.
I've
also
recently
been
appointed
a
post
as
clinical
lead
for
mental
health
in
the
ccg,
focusing
on
neurodiversity.
A
A
A
I
Sorry,
sorry,
misunderstanding
is
around
local
authority
health
scrutiny,
and
this
sets
out
some
of
the
details
associated
with
the
board's
discharge
of
that
special
responsibility
to
fulfill
the
council's
statutory
health
scrutiny
function,
and
the
report
sets
out
the
fairly
fairly
old,
now,
department
of
health
guidance
around
local
authority,
health
scrutiny,
but
that's
the
most
recent
guidance
available
and
that's
appended
to
the
report,
as
suggested
in
the
previous
item.
This
guidance
is
likely
to
be
updated,
given
the
introduction
of
the
health
and
care
act
2022.
I
So
the
board
is
specifically
asked
to
establish
that
that
that
working
group
with
the
terms
of
reference
as
presented
subject
to
any
amendments,
also
presented,
are
details
of
the
west
yorkshire,
joint
health,
overun
scrutiny
committee,
which
sets
out
the
terms
of
reference
for
that.
That
committee
and
that's
a
joint
committee,
that's
been
established
across
west
yorkshire
and
it's
a
discretionary
committee.
I
That's
been
set
up
voluntarily
by
the
participating
authorities
as
part
of
the
the
role
of
that
committee
is
for
this
board
to
nominate
its
representatives
on
that
board
and
the
representatives
that
are
proposed
are
the
chair
and
councillor
harrington.
So
it's
again
for
the
board
to
to
approve
those
appointments
and,
as
outlined
in
the
previous
item,
it's
also
worth
recognizing
that
the
terms
of
reference
for
that
joint
committee
are
set
out
in
the
in
the
papers
are
also
likely
to
be
amended
in
light
of
the
introduction
of
the
health
and
care
act.
A
I
A
Excellent
right,
okay,
so
we're
now
back
to
item
agenda
number
ten.
We
do
have
apologies
from
councillor
hayden
from
active
travel.
So
if
there
are
any
specific
matters
raised
in
relation
to
active
travel
that
could
be
followed,
followed
up
later
after
the
meeting,
we
also
have
got
apologies
from
the
lead
community,
healthcare,
nhs
trust,
the
lch-
and
we
also
have
apologies
from
the
leeds
clinical
commissioning
group.
C
I'm
very
disappointed
after
the
ccg
and
leaves
community
cultures
not
being
here
today.
We
are
just
coming
out
of
a
pandemic
and
there's
so
many
questions
and
where
we
need
answers,
they
might
not
have
all
answers,
but
we
need
something
to
feedback
to
the
community
as
it
mentioned
community
health
care.
We
are
having
difficult
well,
I'm
going
to
say
as
we,
but
the
community
are
having
difficulties
to
access
gps
and
so
many
things
mental
health
going
on,
and
we
just
want
to
know.
C
What's
going
on
to
the
feedback,
we
know
doctors
advertise
with
certain
things,
but
it
would
be
really
good
if
they
was
here-
and
I
take
a
chair
that
they
have
would
have
had
the
same
duration
of
time
invited
to
this
meeting
as
we
did
and
it's
a
shame
that
they
could
not
get
someone
to
just
come
and
and
update
us.
Our
last
meeting
was
in
march
and
there's
so
much
happen
since
march,
but
I
think
that
we
need
to
know
that
we
can
feed
back
to
our
community.
A
Okay,
thank
you
very
much
and
that's
been
noted.
Councillor
taylor.
We
have
had
a
meeting
with
both
the
lch
and
the
tim
riley
of
the
lead
ccg.
I
had
that
meeting
with
him
at
8
30
this
morning
to
to
to
discuss
this
and
to
say
we
are
actually
not
happy
that
they
are
not
here,
so
we
will
be
discussing
further
with
them.
Yes,
thank
you.
G
A
A
A
We
do
understand
and
appreciate
that
health
care
is
so
huge
and
if
we
don't
have
the
right
people
sitting
around
the
table,
then
we're
just
going
to
keep
sitting
down
having
scrutiny
meetings
with
the
wrong
people
and
with
the
wrong
outcomes
so
going
forward
dr
bill.
I
can
guarantee
you
that
as
a
board,
we
will
do
all
we
can
to
ensure
that
we
send
invites
way
in
advance
to
all
the
members
concerned.
Partners
concerned
to
join
us
for
further
meetings
for
scrutiny.
So,
thank
you
very
much
any
other
comments
on
that.
J
Board
so
these
would
be
my
suggestions.
Obviously,
you've
had
as
a
standing
agenda
item
to
get
an
update
on
what's
happening
with
the
implementation
of
the
new
act
and
the
ics
coming
into
existence.
So
I
think
it
makes
sense
for
that
to
continue
that.
That's
a
regular
agenda
item.
I
think
it's
basically
been
every
six
months.
You've
had
an
update
and
key
people
have
come.
Tim
will
still
be
tomorrow.
He
will
still
be
the
accountable
officer
for
leeds.
So
I
think
it's
been
him.
J
He's
come
to
the
board,
so
I
would
suggest
that
continues
going
forward.
The
other
areas
which
are
are
dominant
within
health
and
social
care.
I
mean
it
won't
be
any
any
surprise
to
you
to
hear
that
the
cost
of
living
crisis
is
coming
up
in
pretty
much.
Every
meeting
I
go
to
bearing
in
mind
I've
got
the
children's
portfolio
as
well.
J
When
we
went
to
children's
scrutiny
to
present
the
outstanding
ofsted
report,
we
were
asked
sal
tariq
and
myself
what
we
thought.
The
biggest
challenge
was
going
forward
without
having
conferred
with
each
other
in
advance.
We
both
said
poverty
that
we
saw
that
as
by
far
the
biggest
the
biggest
challenge
facing
children's
social
care
and
obviously
has
profound
impacts
on
people's
health
and
well-being.
So
I
know
that
is
being
considered
in
a
number
of
different
forums
within
within
the
council.
J
Another
area
that
I'm
just
sort
of
throwing
in
really,
which
is
an
area
of
that
I'm
working
on
particularly
myself
at
the
moment,
is
so
every
member
of
the
health
and
wellbeing
board
is
paired
with
a
third
sector
or
community-based
organization.
It's
a
program
called
the
allyship
program
which
I'm
really
proud
of.
J
It's
linked
really
senior
people
with
individuals
working
in
grassroots
organizations,
and
our
task
is
to
do
a
project
around
health
and
qualities,
and
I'm
paired
with
the
gypsy
and
traveler
exchange
which
I'm
loving,
and
I
also
chair
the
gypsy
and
traveller
working
group
on
behalf
of
the
cabinet,
because
gypsies
and
travellers
technically
aren't
in
my
portfolio,
but
actually
the
needs
of
the
community
are
in
all
our
portfolios.
And
so,
on
behalf
of
my
colleagues,
I
chair
the
gypsy
and
traveler
working
group,
which
is
cross
council.
J
It's
really
urgent
piece
of
work
because
of
the
police,
crime
and
sentencing
bill
which
absolutely
criminalises
the
traveler
way
of
life
and
if
the
act
is
implemented,
the
way
it's
passed
through
parliament,
it's
barbaric.
You
know
people
can
have
their.
If
people
come
to
legally,
they
can
have
their
vehicle
seized,
which
obviously
their
homes
which
could
lead
to
children
coming
into
care.
J
The
priorities
we're
working
on
are
around
the
urgent
need
for
more
pictures,
both
permanent
pictures
and
pitches
people
passing
through
mental
health
and
suicide
in
the
community
and
children's
access
to
education,
where
this
overlaps
with
your
work
is.
I
first
met
gypsy
travel
exchange
when
they
presented
the
health
and
well-being
board.
J
The
health
outcomes,
gypsies
and
travellers
are,
they
must
pretty
much
be.
There
have
some
of
the
worst
health
outcomes
of
any
group,
so
the
the
average
life
expectancy
of
a
traveler
is
something
like
something
like
52,
but
I
just
read
something
recently
in
the
irish
times
that
50
of
travelers
don't
get
past
their
39th
birthday
and
seventy
percent
don't
get
past
their
59th
birthday.
I
don't
know
if
that's
specific
to
irish
travelers,
but
certainly
in
terms
of
really
poor.
You
know
health
outcomes,
high
rates
of
substance,
use,
we've
identified
mental
health
and
therapeutic
priority.
J
So
I
know
that's
a
bit
of
a
that's,
probably
not
one
one.
You
weren't
expecting
the
others
are
probably
a
bit
more
predictable,
but
I
just
wanted
to
throw
that
in
as
a
piece
of
work
that
I'm
really
proud
we're
doing
as
a
council
at
the
moment
and
and
it's
great
to
have
the
relationship
with
gate
so
I'll.
Leave
that
there
and
hand
over
to
I
guess
councillor
if
next
and
then
catherine
victoria.
Thank
you
chair.
F
Thank
you,
chair
and
just
to
echo
council
events,
point
about
the
allies
ship,
I'm
also
on
the
allies,
ship
and
I've
certainly
taken
so
much
from
it.
I
think
it's,
it's
really
wonderful
and
I
guess
a
couple
of
things
from
from
my
perspective,
so
obviously
we're
going
to
talk
about
this
in
the
agenda
item
11.,
the
biggest
challenge
we've
got
coming
away
and
out
of
the
pandemic
is
the
health
inequalities
and
in
terms
of
some
of
the
work
that
we're
planning
on
doing
is,
is
I'm
sure.
F
You've
perhaps
heard
that
we're
committing
to
being
a
marmot
city,
and
I
think
perhaps
that's
something
for
for
the
board
to
consider
in
terms
of
how
we
we
go
about
doing
that
work
and
any
insight
we
can
have.
Obviously,
I
think
we've
discussed
with
with
council
event
as
well.
It's
about
our
children
having
the
best
start
to
life,
but
also
we
need
to
look
at
sort
of
the
wider
determinants
of
health.
So
I
think
that's
that's
a
massive
opportunity
for
us
and
that's
something
that
we
need
to
obviously
focus
on.
F
So
that's
sort
of
that's
one
area
and
the
other
other
thing,
I'm
not
sure.
If
I'm
probably,
I
won't
say
exactly
where,
but
in
terms
of
active
lifestyles,
but
we're
actually
running
or
thinking
of
putting
a
campaign
together,
and
we
are
it's
a
pilot
scheme
that
looks
at
sort
of
barriers
in
terms
of
cost
not
being
about
you
to
to
get
to
our
leisure
centres
and
we're
in
the
process
of
getting
things
going
in
a
particular
area.
F
I
don't
think
I'm
allowed
to
say
where
at
this
point,
so
I
just
think
that's
that's
perhaps
because
I
think
in
the
past
we
have
talked
about
that
as
an
issue
and
those
people
that
perhaps
are
on
on
on
universal
credit,
is
getting
to
the
leisure
center
costa
barrier.
So
that's
that's
a
piece
of
work
that
I
think
that's
going
to
be
quite
important
for
us.
A
A
K
I
would
suggest
two
things
to
scrutiny
board
members.
One
is
to
understand
in
detail
the
proposed
social
care
reforms
which
have
three
aspects
to
them.
There's
one
called
fair
cost
of
care
and
a
market
sustainability
plan
that
we
have
to
do.
The
second
one
is
charging
reform
that
affects
what
individuals
pay
for
the
cost
of
their
care
and
the
introduction
of
a
cap
on
care
and
the
establishment
of
care
accounts,
and
then,
finally,
we
will
see
the
reintroduction
of
inspection
of
adult
social
care
and
what
that
inspection
regime
might
look
like.
K
The
second
one
I
was
going
to
suggest
is
having
a
look
at
the
liberty
protection
safeguards
that
will
be
introduced.
That's
the
new
language
for
work
around
deprivation
of
liberty
is
currently
being
consulted
on.
So
if
you
were
to
look
at
that,
I'd,
do
it
towards
the
end
of
the
scrutiny
calendar
when
we
get
a
final
version
of
what
it
is
that
they
think
will
be
the
new
regime
around
liberty,
protection
safeguards.
O
Thanks
chair
and
I'll
just
introduce
myself
because
I've
not
done
already
I'm
victoria
eaton,
I'm
the
director
of
public
health
at
lee's
city
council,
so
I'd
very
much
support
everything
that
councillor
benner,
councillor,
arif
and
kath
has
already
said,
and
particularly
as
you'd
expect
me
to
say
around
that
focus
on
health
inequality
and
just
just
just
keeping.
We
will
get
on
to
it
later
on.
In
this
conversation,
I'm
sure,
but
but
to
keep
a
close
watch
on
what's
happening
around
our
health
inequalities
position.
O
So
there
was
some
conversations-
and
I
know
lots
of
all
of
us
will
have
thoughts
about
learning
from
covid
learning
the
lessons
from
covered
and-
and
I
think
particularly
strong-
is
about
kind
of
long-term
trusted
relationships
with
communities
and
how
we
want
to
do
that
better
and
differently
across
the
wider
health
community.
So
it
might
be
something
that
the
board
might
be
interested
in.
Looking
at.
L
Hi,
yes,
so
from
from
least
teaching
hospitals.
So
well
I'll.
Tell
you
briefly
about
our
our
priorities
and
our
challenges
the
year
ahead
and
then
maybe
one
or
two
specifics
so
obviously
huge
focus
for
us
as
an
organization
on
elective
recovery,
with
a
lot
of
patients
on
waiting
lists,
both
long
waiting
lists
and
just
the
volume
of
patients.
And
that's
so
that's
a
huge
focus
for
us,
obviously,
and
welcome
scrutiny.
L
So
the
big
developments
across
which
we
engaged
to
some
degree
with
the
scrutiny
board
before
particularly
on
maternity
services,
and
then
I
guess
to
echo
things
that
people
are
so
the
liberty
protection
of
safeguard
that
will
be
an
item
which
will
be
relevant
to
us
as
a
trust
and
then
on
the
inequalities
piece.
There's
some
there's
lots
of
interesting
work
going
on
across
health
partners
as
well,
and
it
might
be,
it
might
be
prudent
to
think
about.
L
A
Thank
you
very
much
yeah.
The
ccg
have
also
shared
waiting
lists,
there's
a
very,
very
important
thing
that
we
are
definitely
concerned
about
here,
and
I
know
it's
not
just
leads
it's
it's
a
national
issue
as
well,
so
definitely
will
be
something
we
would
be
looking
into.
So
thank
you
very
much
for
that
rob.
I'm
joanna.
M
Thanks
chair
so
similarly
to
rob,
if
I
just
focus
on
the
priorities
for
the
organization
in
the
first
instance
and
then
there's
a
huge
amount
of
commonality,
I
think
in
terms
of
what
we've
all
already
said
today,
so
from
a
lead
to
new
york.
Partnership
trust
perspective,
one
of
the
key
strategic
themes
for
us
and
key
areas
of
focus,
our
workforce
challenges
and
workforce
crisis,
and
in
particular,
I'm
saying
that,
in
the
context
of
our
second
priority,
which
is
responding
to
and
managing
increases
and
changes
in
demand
from
a
mental
health
perspective.
M
So
just
to
give
some
highlights
there.
What
we
know
in
our
city
is
that
we
are
seeing
a
significant
increase
in
adolescent
eating
disorders.
For
example,
we
are
seeing
an
increase
in
primary
care:
mental
health
referrals
of
up
to
24
in
our
adult
in
our
leads
autism
diagnostic
service
we've
seen
increases
recently
of
40
of
pre-pandemic
rates
and
and
in
our
adhd
service,
we're
seeing
increases
of
65
of
demand
over
and
above
pre-pandemic
rates.
M
We're
also
seeing
significant
increases
in
acuity
of
people
with
mental
illness.
So
we
are
seeing
a
deterioration
in
their
condition
borne
out
through
the
pandemic,
which
we
are
managing
at
this
point
in
time,
but
we're
anticipating,
with
the
help
of
victoria's
colleagues
and
a
further
increase
in
terms
of
that
acuity.
M
M
M
We
want
to
make
sure
that
we
really
lead
the
way
in
leeds
making
sure
that
those
people
have
tailored
and
really
focused
ways
of
working
with
them
to
ensure
that
the
current
gap
in
their
lifetime
is
reduced
significantly.
So
that's
a
key
area
of
focus
for
us
as
an
organisation
which
would
really
seek
support
through
the
city.
M
The
two
other
areas
which
I've
already
heard
colleagues
around
the
table
mentioned
today,
are
about
accessibility
into
mental
health
services
and,
in
particular,
tailoring
that
accessibility
to
people
and
areas
who
need
more
help.
We
know
and
have
learned
more
recently
that
we
will
be
accidentally
excluding
people
just
by
the
services
that
we
provide
in
the
accessibility
into
those
services.
So
we
really
want
to
focus
over
that
on
that
over
the
course
of
the
next
year,
and
the
second
key
area
in
terms
of
health
equity
is
about
the
experience
of
people
in
our
services.
M
We've
known
for
some
considerable
time
that
the
experience
of
people
can
be
can
change
as
a
consequence
of
their
background,
their
characteristics
or
even
where
they
come
from.
We
want
to
make
sure
that
that
is
not
tolerated
in
the
future
and
that,
in
fact,
everybody
has
equal
experience
and
high
quality
experience
of
mental
health
services.
M
A
N
Certainly,
since
the
start
of
the
pandemic,
we've
seen
more
and
more
people
needing
help
and
support
for
their
mental
health
problems,
but
it's
becoming
harder
and
harder
for
us
to
get
that
help
for
patients,
and
this
is
because
the
mental
health
services
themselves
are
overwhelmed
and
they're.
You
know
struggling
themselves
with
the
increased
demand
for
their
services.
N
Their
workforce,
like
ours,
are
struggling
themselves
to
burn
out
and
overwhelm
and
they're
struggling
to
recruit.
I
was
invited
to
a
meeting
with
leeds
mental
wellbeing
event
in
may.
The
shine
in
hair
hills
titled,
finding
the
right
help
for
patients
with
complex
needs,
and
it
was
clear
in
those
discussions
just
how
much
the
service
is
struggling
and
their
response
is
to
tighten
their
criteria,
who
they
can
help
discharge
patients
early
who
dna
and
struggle
to
engage
or
often
tips
instead
for
self-care.
N
N
Some
cases
are
straightforward
and
a
crisis
is
short-lived
and
we
are
able
to
do
a
mini
intervention
in
an
appointment
and
offer
a
sick
note,
and
that
might
be
all
that
they
need,
but
in
reality,
they're
really
really
hard.
It's
really
really
hard
to
get
the
right
support
for
them
for
the
more
complex
patients.
N
It's
it's
really
really
hard.
Can
you
still
hear
me
it's
really
hard
to
get
the
right
support
for
our
more
complex
patients
who
don't
fit
neatly
into
boxes.
You
know
many
patients
have
addiction
problems,
chaotic
lifestyles
they
experience
trauma,
they've,
got
difficulty
regulating
their
emotions,
etc,
etc.
N
N
But
this
obviously
needs
money
to
invest
into
the
workforce
and
an
available
and
unavailable
pool
of
skilled
workforce
to
employ.
We
have
some
excellent
mental
health
health
clinicians
at
our
practice.
They're
well
used
very
appreciated
and
they're
really
helping
people,
but
our
fabulous
alcohol
counselor
recently
left
and
we
can't
recruit
another.
N
N
N
Can
the
providers
adjust
their
offer,
perhaps
somewhere
between
the
advice
and
guidance
that
we
currently
can
use
and
the
diff
and
100
referral
the
cardiology
team
are
very
being
very
inventive,
for
example,
at
the
moment
thinking
what
a
patient
might
need
offering
that
and
then
feeding
back
to
us
once
they
have
done
a
small
intervention
rather
than
thinking
it
as
a
sort
of
one
a
binary
offer
either.
No,
we
can't
see
them
or
yes,
we'll
do
everything
for
them.
N
N
Not
a
single
day.
Goes
by
in
general
practice
without
us
being
asked
to
write
an
expedite
letter,
it's
taking
up
an
appointment
each
time.
Hospitals
need
to
be
honest
with
patients
about
the
weights
and
be
clear
about
the
circumstances
that
would
really
result
in
a
successful
expedite
request
telling
all
patients
to
contact
their
gp
is
wasting
appointments
and
admin
time
and
increasing
workload
for
hospitals.
A
This
is
the
reality,
and
I've
just
got
goosebumps
at
the
moment,
because
when
I
think
of
the
ordinary
person
who
has
no
idea
how
to
navigate
the
system,
how
can
they
even
cope?
Where
do
they
even
start
from?
And
that
breaks
my
heart?
You
know,
especially
as
an
elected
member
representing
communities,
especially
deprived
communities.
A
It
is,
it
is
painful
to
hear,
but
at
the
end
of
the
day,
we're
around
this
table
because
we're
not
just
here
to
hear
problems
but
we're
here
to
solve
problems,
and
I
know
that
together,
we
can
so.
Thank
you
very
much
from
the
bottom
of
our
hearts,
dr
clement,
for
that,
and
I
am
certain
that
we
will
continue
to
work
together
and
make
sure
that
all
the
different
partners
around
this
board
and
that
we
find
tangible
and
long-term
short-term
solutions
to
where
we
currently
are.
I
don't
think
it's
even
the
hospitals
themselves.
A
I
can
say,
is
it?
What
is?
Are
they
where
they
would
like
to
be?
I
don't
think
the
answer
is
yes,
but
I
am
certain
for
every
problem.
There
has
to
be
a
solution
somehow,
so
thank
you
very
much.
I
will
call
on
steve
I'll.
Tell
you
a
little
thing
about
steve.
We
had
a
little
site
visit
not
too
long
ago.
With
members
of
this
board.
We
had
lovely
lunch,
you
all
know,
I
love
food
right
and
it
was
really
healthy.
Food
and
steve
took
us.
A
We
would
visited,
put
the
luscious
center
airbra.
Where
else
did
we
go
that
there
you
go
the
counselors
who
attended
will
get
a
little
good,
something
from
me,
the
ones
that
didn't
come,
we've
written
all
the
bananas
in
front
of
you
so
yeah.
It
was
really
really
good
and
it
was
just
very
comforting
to
see
the
work
in
our
leisure
centers,
encouraging
active
lifestyle.
So
I
just
want
to
use
this
opportunity
to
say.
Thank
you
very
much.
We
did
see
lots
of
grass
in
air
bruh,
but
we
know
you're
gonna
sort
that
out.
A
P
P
P
So
in
terms
of,
as
we
kind
of
suggested
last
time
to
some
of
our
priorities
and
the
physical
activity.
Ambition
work
that
we
kind
of
highlighted
last
time
and
focusing
specifically
on
two
priorities:
around
active
people
and
specifically
groups
of
people
who
aren't
accessing
services
at
this
point
in
time,
aren't
physically
active,
especially
in
terms
of
older
people
and
children
and
families,
and
also
in
terms
of
people
with
long-term
health
conditions
as
well.
P
So
we
need
to
make
sure
from
again
that
what
we
do
and
how
we
do,
that
the
likes
of
councilors
kind
of
mentioned
around
working
with
people
who
don't
can't
and
won't
afford
it,
but
also
understanding
the
barriers
to
that
role
and
just
understanding
it
from
a
cost
benefits.
Side
of
things
is
huge
for
us
also
workforce.
Very
similar
we've
got
demands
for
swimming
lessons,
for
example,
where
we
just
can't
get
the
staff
to
actually
accommodate
everyone.
P
That's
actually
on
those
kind
of
waiting
lists
for
swimming
lessons
and
likes,
and
it's
really
important
that
we
get
everyone
to
have.
That
kind
of
skill
is
an
important
life
skill
that
everyone
should
have
entitled
to
so
again
from
our
side
of
things.
Workforce
is
a
huge
area
for
us,
where
we're
kind
of
struggling
a
little
bit
to
accommodate
that
kind
of
side
of
things,
but
also
around
the
diversity
of
that
workforce
as
well,
is
huge
that
we
kind
of
are
doing
a
lot
of
work
around.
A
Thank
you
very
much
steven.
That's
great
yeah,
I'm
very,
very
passionate
about
active
lifestyle.
So
yes,
and
hopefully
the
doors
are
open
and
it's
very
affordable
for
the
common
man
to
ensure
you
know
that
we
breach
that
inequality
gap,
because
some
people
would
love
to
keep
fit
and
stay
healthy
and
attend
lots
of
our
centers,
but
they
do
say
to
us
we're
unable
to
afford
it.
A
So
one
of
the
great
priorities-
and
what
we
would
love
to
see
is
that
our
centers,
especially
our
fitness
centers,
are
affordable
for
the
ordinary
person.
So
thank
you
very
much
for
that.
Okay,
I'm
sean!
I
don't
know
whether
you've
got
any
comment
at
what
cathar
said.
Or
are
you
happy
with
what
kathy
said?
Excellent
all
right
board
members,
we're
gonna,
have
a
five
minutes
break
as
well,
so
you
should
be
rest
assured
of
that.
Do
you
want?
Have
you
got
any
comments?
A
H
It
says
about
engaging
with
cqc
and
that
they
have
an
important
role
to
play
in
the
scrutiny
boards,
and
I
do
think
it's
important
that,
although
we
could
choose
loads
of
topics,
we
don't
have
enough
time
to
do
everything,
and
I
think
it's
important
that
we
concentrate
on
things
where
we
can
have
an
influence
on
an
outcome
and
where
we're
going
to
make
things
better
for
people
I
mean
we
can't
on
this
board,
reduce
waiting
lists
in
hospitals
or
in
gp
as
much
as
we
would
like
to.
So.
A
G
Thank
you,
chad.
Before
I
go
on
to
the
one
that
I
was
going
to
mention.
Can
I
just
support
what
dr
clement
said
about
workforce?
I
remember
being
in
this
very
room
five
years
ago
and
the
ccg
were
telling
us
in
five
years
time
we're
going
to
have
a
lot
more
doctors
and
we're
starting
to
train
more
now.
We
are
five
years
down
the
road.
G
We
really
do
need
to
face
this,
and
I
know
it's
not
something
we
can
tackle
in
leads
alone,
but
we
really
do
need
to
tackle
this
as
a
society,
so
that
that's
very
important
the
thing
I
was
going
to
raise
looking
through
the
papers,
a
number
of
references
are
made
to
healthy
diet,
and
I
raised
this.
Attention
was
drawn
not
to
this
particular
fact
by
a
voluntary
organization
zest
that
one
of
the
things
they
do
are
cookery
lessons
in
conjunction
with
jamie
oliver's
ministry,
for
food.
G
G
The
cost
of
living
crisis
within
that
is
a
is
a
food
crisis
and
we
do
actually
need
to
help
people
make
wise
choices
about
the
food
they
eat.
You
know
in
in
the
documents
it
talks
about
how
unhealthy
food
can
lead
to
increasing
obesity
and
early
death.
So
what
are
we
going
to
do
to
help
people
who
are
struggling,
manage
to
change
to
learn
how
to
look
after
their
diet,
how
to
improve
their
diet
and
therefore
how
to
improve
their
health.
A
O
Yeah
well
in
terms
of
paper
10
around
potential
areas
of
interest.
I
very
much
support
what
dr
wheeler
has
just
raised.
We,
I
think
it
it's
very
timely
in
terms
of
re-looking
at
our
priorities
and
our
approach
around
the
whole
challenge
of
healthy
weight
and
and
unsustainable
food
coming
through
the
pandemics.
So
more
than
happy
to
to
bring
a
conversation
back
on
that-
and
I
think
I
would
also
want
to
share
lots
of
great
work
that
is
already
happening.
So
we
know
we
did
have
the
conference.
O
Yesterday,
we
heard
from
some
community
organizations
that
are
actually
doing
brilliant
things
in
our
deprived
communities
with
recipe,
books
and-
and
you
know,
food-
that's
that's-
that
working
with
local
people,
so
it
will
be
a
you
know.
It's
really
important.
We
share.
We
share
great
practice,
that's
happening
already,
as
well
as
some
of
the
things
we
would
want
to
do,
but
I
would
absolutely
welcome
that.
O
J
I
just
wanted
to
mention
something
briefly.
My
deputy
council,
david
jenkins,
is
doing
a
project
in
east
leeds.
He
represents
seacroft,
he's
piloting
a
slow
cooker
project.
I
think
he's
been
very
influenced
by
jack
monroe
as
well
as
as
well
as
zest,
it's
a
project
where
they're
going
to
give
out
slow
cookers
to
through
a
number
of
organizations
with
recipe
books
with
advice
about
how
to
use
them,
because
apparently
there
are
fuel,
effective,
they're,
cost-effective
and
we've
got
a
really
wonderful.
J
I
think
she's
a
nutritional
psychologist
who
sits
on
the
child
property
strategy
group
and
she's,
so
we've
partnered
with
the
university
they're
going
to
actually
evaluate
the
efficacy
of
the
slow
cooker
project.
So
it's
just
a
little
pocket
that
I
have
a
really
innovative,
interesting
project
that
I
thought
I'd
share
and
you
might
want
to
ask
them
to
report
back
at
a
later
stage.
Thank
you.
A
Oh,
thank
you
very
much,
yeah
victoria.
Speaking
about
the
recipe
books.
I
can't
remember
what
third
sector
spoke
about
it
yesterday
at
the
meeting,
and
I
think
you
pay
a
pound
for
that
and
you
have
a
recipe
book
with
different.
I
mean
that's
amazing.
I
can't
wait
to
see
that
and
that
will
just
be
great
sharing
with
you
know,
communities
and
obviously,
and
I'm
not
sure
how
diverse
the
recipes
are,
because
that
would
be
another
challenge
for
our
multicultural
leads.
A
You
know
to
make
sure
that
people
understand
the
the
reasons
why
we
are
very
big
and
healthy
eating
and
making
sure
that
the
recipes
are
nutritional
and
also
affordable
and
make
sure
as
well
these
recipes.
There
are
some
I've
seen
recipes
where
you
cannot
even
imagine
where
the
name
of
the
spice
has
come
from.
You
can't
even
pronounce
the
name,
never
mind
knowing
what
it
is.
So
we
have
to
also
make
sure
these
recipes
are
very
user-friendly
and
people
from
other
communities
can
understand
what
we're
trying
to
make
them
do.
So.
A
D
I
D
But
I
really
wanted
to
emphasize
what
dr
clement
said
around
mental
health
password
pathways
and
it
seems
to
me
it's
such
a
it's
such
a
big,
a
big
item,
to
look
at
on
the
agenda
that
it
would
be.
It
would
be
useful
to
focus
on
on
rather
than
just
on
primary
and
secondary
mental
health
care
on
instead
on
on
a
more
focused
issue
and
and
what
dr
clement
had
mentioned
about
neurodiversity
and
those
pathways
in
in
particular,
I
think,
would
be
really
really
useful.
C
C
I
can't
remember
the
name
that
talk
about
waiting
less
in
the
hospital
and
now
we've
got
a
pandemic
and
they
do
know
there
was
a
lot
of
operations
set
back
during
the
pandemic,
but
I
don't
know
how
long
is
it
going
to
be
for
the
waiting
list?
It's
a
silly
question.
You
don't
know,
but
I'm
just
thinking
of
a
mentor.
What
else
crude
is
saying:
the
poorer
health
should
improve
first,
the
waiting
list.
C
C
I
do
understand
there
were
parodies
with
the
pandemic,
but
now
it's
time
for
us
to
put
our
shoe
on
and
keep
going
and
look
for
the
deprived
area,
because
they
are
the
one
that's
suffering
waiting
and
thank
you,
then,
for
removing
the
chocolate
from
the
machine,
and
I
would
expect
councillor
bennett
to
take
this
metal
to
all
the
ledger.
Centers
I've
been
complaining
for
years
that
I
don't
believe
chocolate
should
be
there
when
you
just
have
a
workout
for
young
people,
it's
better
to
see
a
fruit.
C
J
C
E
E
Obviously,
as
we
move
towards
integrated
care
system,
there's
gonna
be
much
more
closer
working,
but
how,
then,
are
you
also
tying
in
how
are
you
tying
into
the
university
as
as
a
source
of
at
the
universities
as
a
source
of
nursing,
ahp
staff
midwifery?
Where
there's
a
huge
issue
at
the
moment?
How
also
are
we
are
we
working,
and
I
know
that
council
event
touched
on
the
gypsy
and
traveler
community
and
the
health
outcomes,
but
I
suppose
the
wide
question
there
about
how
do
we?
E
How
do
we
look
at
all
of
our
fame
and
minority
communities
and
how
are
we
involving
and
including
them
within
the
health
economy,
not
just
as
as
patients
and
service
users,
but
also
as
also
as
staff,
what
are
the
pipelines
to
ensure
that
people
from
different
communities
are,
you
know,
are
looking
at?
The
nhs
are
looking
at
social
care
as
as
valid
options
and
options
in
which
they
can
progress
as
a
career,
so
yeah.
I
suppose,
I
suppose,
to
condense.
E
What
I'm
trying
to
say
here,
and
what
I
would
like
to
see
is
a
is
a
bit
of
a
workforce
strategy
for
the
entire
city,
and
that
might
be
a
bit
might
not
be
the
right,
the
right
audience,
but
as
as
as
a
scrutiny
committee,
I
I
think
it
would
be.
It
would
be
helpful
to
have
a
better
idea
of
what
what's
happening
with
the
workforce
in
the
round
yeah.
E
I
appreciate
we're
not
gonna
magic
up,
some
neurosurgeons
overnight,
we're
not
going
to
magic
up
some
nurses
overnight,
but
I
think
there's
a
question
around.
You
know
the
shape
and
nature
of
the
workforce
and
how
that
workforce
redesign
is
taking
place
across
the
city
between
the
partners
and
between
the
anchor
organizations.
E
H
It
was
just
a
very
quick
point
to
back
up
what
councillor
winner
said
about
slow
cookers.
Not
only
are
they
and
well
what
you're
cooking
them
is
delicious,
but
they
are
very
time
efficient
as
well.
So
if
you
don't
have
a
lot
of
time,
you
don't
need
to
spend
a
lot
of
time
on
preparing
stuff,
so
they
are
an
excellent
way
of
cheap
and
nutritious
and
good
food.
E
Chair,
I
was
quite
excited
which
probably
shows
what
a
sad
life
I
lead
to
hear
that
you're
starting
to
consider
intersectionality,
because
I
think
it's
a
vital
component,
particularly
of
health
inequalities
that
are
linked
to
mental
health
and
if
I
may
you're
not
doing
so
pleased
with
that,
we
kind
of
put
things
into
separate
boxes.
Don't
we
without
considering
that
link
between
them
and
particularly
in
communities.
I
think
that
link
is
of
vital,
vital
importance.
E
There
is
one
thing
I'd
like
to
see
added
or
perhaps
emphasized
more
and
that's
the
preventative
measures
we're
talking
about
healthy
eating,
which
obviously
is
a
preventative
measure,
but
in
terms
of
mental
health-
and
I
know,
there's
overlap
and
synergy
between
them.
All
I
think
it's
we
tend
to
wait
until
people
in
crisis
are
launching
towards
crisis
and-
and
that's,
I
think,
is
an
area
that,
with
some
more
emphasis
on
that,
we
could
reduce
the
other
side
and
perhaps
close
off
that
revolving
door,
and
I
think
intersectionality
is
the
key
to
that.
Thank
you.
O
Can
I
just
make
a
general
point
which
sort
of
echoes
councillor
burke's
points
just
there?
I
think
I
think
often
we
use
kind
of
health
and
health
and
care
and
and
wider
health
and
well-being
sort
of
slightly
interchangeably
and
often
mean
different
things
about
the
health
and
care
systems.
Sometimes,
when
we
talk
about
the
health
and
care
system,
we
talk
about
health
care
services
and
other
times
we're
talking
about
the
whole.
O
The
whole
range
of
things
that
influence
good
health,
as
well
as
how
we
treat
people
when
they
need
it
and-
and
the
point
around
the
the
general
point
about
at
this
point
coming
through
coved
and
knowing
that
we
can't
fix
the
problem
alone.
You
know
the
nhs
can't
fix
this
problem
alone.
It
needs
to.
O
So
I
think,
maybe
to
keep
that
check
on
you
know
how
much
are
we
going
upstream
and
and
really
looking
at
keeping
people
well
in
communities
as
well
as
what
treatment
they
need
when
they
need
it,
I
think
is,
is
a
is
a
point
very
well
made
and
I
think
that
that
cuts
across
lots
of
different
agenda
items
for
the
future.
So
it's
just
something
to
bear
in
mind
which
I
think
is
really
helpful.
Thanks.
Councillor
burke.
A
K
Taken
up
by
carers,
for
that
we've
also
seen
impacts
on
care
home
admission
and
there's
a
bit
of
a
narrative
around
that.
So
certainly
during
covid
we
saw
a
real
reluctance
of
citizens
to
take
up
care
home
placements
as
a
as
the
way
they
wanted
to
receive
their
care
and
support,
and
that
rate
has
dropped
with
working
age.
Adults.
K
What
you
do
see,
however,
is
the
rate
for
older
people's
admissions
actually
went
up,
but
if
you
compare
it
to
1920,
it's
still
down
it's
the
fact
that,
sadly,
we
had
so
many
deaths
in
2021
that
the
only
way
was
up
in
the
following
year.
So
you
need
to
look
at
some
of
the
trend.
Information
things
like
the
cqc
ratings
cqc
changed
their
inspection
activity
and
moved
it
to
being
risk-based.
K
So
they
only
inspected
those
services.
Whether
there
was
an
indication
of
concern,
so
it's
not
surprising
that
more
inspection
outcomes
were
rated
either
inadequate
or
requires
improvement.
So
the
good
overall
rating
we
had
in
the
city
of
85
of
services,
being
rated
good
or
outstanding,
has
drifted
back.
What
I'm
hoping
with
the
resumption
of
a
more
normal
inspection
rating
is
maybe
that
will
move
back
positively
in
the
right
direction.
K
One
of
the
other
things
we
did
during
the
worst
of
covid,
because
we're
still
not
out
of
cover
darwin
to
support
system
flow.
Was
we
flexed
how
the
reablement
service
worked?
So
we
both
stopped
taking
admissions
from
the
community
to
purely
support
hospital
discharge
and
at
times
took
people
who
didn't
really
have
the
ablement
potential.
K
You
will
also
see
things
like
learning
disabilities
in
paid
employment
learning,
disabilities,
people
who
live
at
home
and
with
their
families.
That
requires
us
to
undertake
an
annual
review
and
again
because
of
the
increase
in
demand
we
had
for
assessments
at
the
front
door.
The
thing
that
had
to
give
was
planned
reviews,
so
I
suspect
that
people
are
still
living
at
home
with
their
families.
I
just
haven't
had
the
capacity
for
the
social
work
service
to
go
and
do
those
reviews.
K
J
Suppose
I
just
wanted
to
illustrate
the
point
about
not
having
the
comparator
data
that,
as
kath
said,
we're
not
surprised
by
this
data,
and
it
will
be
interesting
to
see
how
other
authorities
have
fared,
and
I
don't
mean
this
comment
to
sound
like
I'm
minimizing
anything
at
all,
but
things
like
the
quality
of
life
indicator.
If
you
think
about
the
period
it's
covering,
I
think
all
of
us
would
probably
have
rated
our
quality
of
life
as
not
being
as
good
as
in
previous
years.
J
So
I
think
I
think
it
is
really
important
to
not
overweight.
Not
not.
I
don't
want
to
under
react
either.
That's
what
I'm
saying
I
don't
want
to
minimize
something,
but
I
think
it's
important
not
to
overreact
and
see
how
our
data
compared
to
other
areas
and
also
as
cast
said,
how
it
compares
going
forward
as
we
start
to
come
out
of
the
immediate
crisis
that
we've
been
in.
Thank
you.
K
Just
wanted
to
add
one
more
thing:
we
have
five
indicators
around
carers
and
most
of
them
went
in
the
wrong
direction.
So
we're
having
a
bit
of
a
reset
about
carers
at
the
moment
and
I've
been
talking
to
carers
leads,
and
there
still
is,
to
a
degree
in
reluctance
by
carers
to
to
start
to
use
services
again.
But
we
we,
it
feels
somehow
in
the
middle
of
coving
information
about
how
to
access
services
to
have
confidence
again
in
services
has
gone
away.
So
we're
thinking
of
things
like
having
a
meet
the
provider
event.
K
We've
got
four
sitting
services,
they're
underused.
They
were
underused
before
coved.
So
there's
something
about
our
service
models
aren't
quite
right,
but
I
just
wanted
to
particularly
pick
up
on
that
because
I
think
unpaid
carers
have
had
a
really
really
tough
time
and
we
need
to
really
challenge
ourselves
about
stepping
up
support
for
carers
in
as
many
ways
as
possible.
A
K
So
there's
a
number
of
survey,
questions
that
asks
carers.
Are
you
getting
as
much
social
contact
as
you
like?
The
answer
was
no
well
it.
The
percentage
dropped.
Our
carers
satisfied
with
the
support
they
get.
The
answer
was
down
a
notch.
What
else
was
they
our
percentage
of
carers,
who
say
they're
consulted
about
their
loved
one's
care?
That
percentage
went
down
as
well.
So
there
was
a
number
of
indicators.
If
you
look
at
the
appendix
2b.
K
It's
part
of
the
nhs
that
it's
free
at
the
point
of
delivery:
oh
they're,
the
people
that
take
your
old
person
away
and
put
them
in
the
care
home.
So
there's
there's
a
lot
of
urban
myths,
so
I
think,
there's
quite
a
lot
of
work.
We
need
to
do
to
explain
adult
social
care
what
it
is,
what
it
is
and
how
to
access
it.
C
Kath,
I
think
you're
quite
right
since
the
pandemic
is
dropped
and
I
think
it's
dropped
because
one
a
lot
still
don't
understand
that
we
are
coming
out
of
pandemic
and
they
can
go
direct.
But
I
think
the
complaints,
what
I'm
getting
in
my
ward
and
maybe
other
counselors-
is
the
telephone
system
press,
one
press,
two
and
so
on
and
so
on.
And
then
you
talk
about
bay
being
most
black.
C
I'm
going
in
black
are
very
proud
people
and
they
want
to
look
after
their
own
family
and
keep
them
safe
and
thing,
and
they
don't
feel
as
though
that
you're
taking
them
away.
They
just
don't
know
how
to
they
don't
want
to
ask
to
put
burden,
but
I
think
communication
with
adult
social
care
and
carers
are
very
poor
because
I,
for
instance,
I
cared
for
my
dad
and
I
cared
for
my
granddad
and
social
care
didn't
know
about
it.
C
You
don't
know
the
unknown,
but
I
believe
doctors
know
where
those
individuals
are
and
that's
where
the
conversation
should
place
with
you
too,
to
take
it
from
there.
But
I
can
only
speak
of
black
black
just
like
to
look
after
ourselves.
They
do
need
help,
but
they
feel
like
they
don't
want
to
act
and
when
they
decline,
this
can't
be
bothered
and
that's
what
it
is
personally
yeah.
A
A
I'm
from
so
a
lot
of
these
things
as
well
with
the
bain
community,
is
very,
very
cultural,
and
we
just
feel
you
know
your
parents
looked
after
you
all
your
days
growing
up
and
when
they're
all
old,
it's
you
know
our
turn
to
to
care
for
them.
But
you
know
it's
a
cultural
thing
as
well
in
terms
of
caring
for
elderly
parents
and
also
caring
as
an
unpaid
carer,
because
you,
you
know
certain
cultures,
just
feel
is
something
you
should
just
naturally
do
yeah.
Thank
you
for
councillor
burke
and
then
councillor
farley.
E
E
I'm
not
endorsing
that,
but
there's
there's
a
perception
almost
that
once
adult
social
care
are
involved,
they
will
lose
some
power,
they'll
lose
some
control
and
they
will
take
over
innovative
commerce.
So
perhaps
there's
a
communication
piece
of
work
there
around
implementing
that
reassurance
and
actually
convincing
people-
I
don't
know
if
that's
through
community
committees
or
where
it's
just,
perhaps
something
to
consider
that
people
do
have
deep-seated
suspicions
around
adult
social
care
totally
unfounded.
But
it's
just
a
fact.
Thank
you.
E
Yes,
just
picking
up
on
the
point
about
it
being
being
an
unusual
set
of
circumstances,
obviously
coming
out
of
the
pandemic,
and
obviously,
we've
seen
a
number
of
of
downward
trends.
I'd
just
like
to
ask
if
there
are
any
comparisons
or
benchmarking
organizations
against
which
we're
going
to
be
going
to
be.
Comparing
our
statistics.
K
So
we
we
are
part
of
lg
informal
government
inform
where
we
we,
I
think
autonomous
local
authorities
put
all
our
data
into
that
data
set.
We
also
so
this
national
adult
social
care
outcomes,
framework
data
goes
to
the
department
of
health
and
social
care,
so
you're
able
to
benchmark
by
re
region.
So
I
can
do
it
across
yorkshire
and
humber.
I
can
do
it
by
my
sit
for
group
so
where
you're
matched
with
cities
or
areas
that
have
a
similar
population,
because
obviously
demography
can
do
different
things
to
your
statistics.
K
E
G
F
O
You
chair
just
to
add
a
few
comments
to
councillor
arief's
opening
remarks.
So
just
as
a
quick
reminder,
this
is
a
six
month
update
on
the
last
performance
report
we
brought
and
then
then
it
was.
It
was
generally
too
early
to
start
to
see
any
impact
of
coved
and
what
what
we're
just
starting
to
see
now
through
this
report
is,
is
the
some
emerging
impact
of
covid.
O
So
in
terms
of
headlines,
the
ones
that
I
wanted
to
bring
to
the
board's
attention
and
as
we've
already
discussed
in
the
last
item,
we're
keeping
a
very,
very
close
eye
on
the
the
what's
happening
with
life
expectancy
across
all
groups.
So
that's
leads
as
a
whole
and
our
most
deprived
and
least
deprived
population.
So
we
can
see
that
gap
and
generally
you'll
see
from
the
commentary
that
there
has
been
very
small
decreases
in
life
expectancy
in
every
single
group.
O
Now
they're
not
significant
enough
for
us
to
say
that
that's
a
trend
yet,
but
if
they
continue
it
will
be
so
that
that's
that's,
that's
the
sort
of
early
emerging
direction
of
travel,
and
we
know
that
they've
stalled
for
the
last
10
years.
Anyway,
so
we've
had
it's
been
basically
flat,
but
if
you
we're
just
starting
to
see
them
all
come
down,
but
that
stubborn
gap
between
most
deprived
and
least
deprived
is
still
there.
So
that's
one
to
watch
closely
it's
so
it's
it's
not
significant.
O
Now
it
might
be
the
next
time
we
bring
this
six
monthly
report.
As
councillor
arif
said,
we
when
we
look
at
our
population
health
outcomes
and
there's
nine
of
which
were
updated
on
this
report,
there's
generally
a
similar
slight
wood
downward
trend
in
the
wrong
direction
for
most
of
those
measures.
So
it's
tiny
little
small
changes
in
most
of
those
population
measures
which,
as
of
now
aren't
significant
enough
to
say
we're
seeing
a
a
definite
change.
O
We
want
to
turn
it
around
and
talk
about
children's
healthy
weight
and
in
all
of
the
things
we
do.
We
talk
about
children's
healthy
weight,
but
in
this
measure
it
is
actually
measuring
the
the
children
who
do
come
up
as
a
base
at
that
age.
Now,
janice
is
very
helpful
with
us
today,
because
janice
can
can
bring
a
lot
of
detail
if
people
are
interested
in
exactly
what
story.
O
The
report
does
cover
our
operational
indicators
for
the
services
that
we
deliver
and
commission
as
a
council
and
the
general,
the
six
of
those
that
were
updated
this
time
and
and
as
councillor
arif
has
said
that
there's
some
the
the
general
narrative
there
is
that
our
public
health
services
are
performing
well.
But
of
particular
note,
because
we
did
talk
about
it
last
time-
is
that
it
has
been
great
improvement
in
the
nhs
health
checks
that
are
being
performed
so
that
we
still
have
a
backlog.
O
So
there's
some
good
news
stories
around
the
performance
of
our
service,
but
overall,
it's
against
that
backdrop
of
real
challenge
around
what's
happening
with
the
population,
particularly
around
healthy
weight,
so
I'll
just
briefly
hand
over
to
janice.
If
you
want
to
add
anything
about
the
children's
day
to
janice.
Thank
you.
Q
Yes,
certainly-
and
thank
you
for
inviting
me
along
this
afternoon,
just
one
upbeat
thing,
because
it
is
a
really
shocking
measure-
the
fact
that
the
rates
have
increased
at
the
level
that
they
have
it's
a
very
unprecedented
rise.
But
actually
I
just
want
to
give
credit
to
the
leeds
community,
healthcare,
school
nursing
service
who
go
out
and
measure
the
children
in
schools
because
actually
we're
one
of
only
18
local
authorities
nationally
who
could
who
submitted
enough
national
child
measurement
performance
data
last
year
to
be
able
to
report
on
this.
Q
So
we
have
managed
to
we
measure
over
75
percent
of
our
children,
which
does
mean
that
we
have
got
the
results
that
we've
got
for
our
reception
children.
When
it
came
to
measuring
year
six
children
we
didn't
meet.
Well,
we
we
measured
quite
high
proportion,
but
we
didn't
get
a
representative
enough
sample,
actually
to
mean
that
that
data
was
robust.
Q
So
in
the
reports
that
were
producing
for
last
year,
we
are
actually
just
focusing
on
the
children
living
with
obesity
in
in
in
reception
year
and
as
victoria
and
and
council
arafat
already
said,
we've
seen
an
unprecedented
rise.
It
reflects
it
mirrors:
what's
happened
both
in
yorkshire
and
humber
in
england,
leeds
isn't
an
outright
an
outlier
when
we
put
the
data
within
that
context,
but
it
is
still
very
much
highlights
that
this
is
an
area
we
really
need
to
be
focused
on
going
forward.
Q
Q
If
we
take
last
year's
statistics-
and
we
tend
not
to
just
look
at
one
year
when
we
chunk
down
the
statistics
here
one
year
actually,
but
if
we
did
just
take
last
year,
you're
three
times
as
likely
to
be
living
with
obesity.
If
you
live
in
a
deprived
area
in
leeds
just
based
on
last
year,
if
you're
black,
then
you
have
a
higher
rate
of
obesity
than
the
general
population,
and
that's
not
based
on
this
year's
figures.
Q
If
you're
asian,
you
also
have
a
higher
rate
as
well.
So
it's
an
issue
of
deprivation
and
also
ethnicity,
and
so
of
course,
not
not
great
news,
but
I
suppose
one
of
the
things
that
I'm
able
to
share
is
that
many
of
you
will
be
aware
that,
as
an
authority,
we
were
doing
quite
well
on
this
measure
pre-covered,
and
we
do
really
believe
that
this
huge,
unprecedented
rise
is
due
to
the
covered
pandemic,
because
it
impacted
on
the
three
biggest
evidence-based
items
that
cause
child
obesity.
Q
So
that's
access
to
healthy,
affordable
food
access
to
physical
activity,
opportunities
and
emotional
health
and
well-being.
So
so
we
we
recognize
that,
but
all
of
that
said
you
know
it
is
a
call
to
action.
It
is
a
stark
time
really
for
us
to
say
we
really
do
need
to
redouble
our
efforts
on
this
particular
issue.
So
so,
in
terms
of
what
we've
been
doing,
obviously,
with
covid
we
we
did
have
we've
got
a
strategy.
We
had
a
partnership.
Some
of
the
work
was
slowed
due
to
the
covid
pandemic.
Q
We've
regrouped
as
a
as
a
partnership,
we've
held
a
consultation
event
with
parents
and
also
widened
wider
partners
to
refresh
our
local
plan,
because
I
think
you
know
we
we
recognize.
This
is
a
multi-factorial
issue
when
we're
going
to
have
to
take
action,
not
just
working
with
the
families,
but
also
to
try
to
influence
the
whole
wide
environment
to
ensure
that
we
have
leads
as
an
environment,
that's
supportive
in
helping
families
to
support
their
children
and
raise
their
children
to
be
a
healthy
weight.
Q
So
so
we've
we've
held
the
consultation
at
event,
and
now
we
are
refreshing
that
plan,
but
as
a
local
authority,
we've
also
pledged
our
commitment
to
the
healthy
weight
declaration,
which
states
that,
as
a
whole
council,
we'll
consider
the
impact
of
our
decisions
on
health,
healthy
weight.
And
so
again,
we've
got
an
action
plan
linked
to
that
that's
across
all
age.
Q
So
that's
a
biggest
piece
of
work
that
we'll
be
looking
at
doing
in
the
in
in
the
near
future
and
it's
complex
because
of
course,
the
commission
and
all
that
space
is
very
it's
very
complex,
but
we're
planning
to
move
that
forward
and
we're
also
very
much
looking
at
working
with
wider
partners.
So,
for
example,
I've
just
recently
met
with
my
colleagues
in
active
leisure
and
I'm
aware
that
they're
currently
trialling
some
cheaper,
affordable
sort
of
physical
activity,
opportunities
and
armly.
So
we're
talking
to
them
about.
Q
A
Thank
you
very
much,
janice,
that's
great,
especially
hearing
the
outcomes
of
what
you
do
obviously,
post
pandemic
with
helping
the
children
and
really
pleased
that
the
parents
are
actually
a
huge
part
of
this
program
because
children
will
only
eat
from
parents.
You
know
a
child
is
so
little
is
what
you
give
them
as
a
parent
that
goes
into
their
belly,
so
really
really
really
placed.
In
fact,
I
used
to
think
oh,
we
should
start
finding
some
parents,
you
know,
but
hey.
It
is
what
it
is.
We
won't
we're
not
that
stringent.
A
F
I
just
want
to
come
in
and
just
give
some
sort
of
reflections
in
terms
of
how
being
an
elected
member
for
an
area
called.
Obviously,
hair
has
gibson
hair
heels
and
what
sort
of
happened
during
the
pandemic
in
our
more
deprived
areas,
and
some
of
these
kids
or
some
of
these
parents,
that
they've
got
back-to-back
housing
with
no
gardens.
So
when
they
weren't
going
to
school
that
physical
activity
just
wasn't
happening.
F
A
lot
of
those
parents
also
relied
on
food
banks
because
they've
lost
their
jobs.
So
in
terms
of
the
the
food
that
the
the
parents
and
the
children
were
consuming,
obviously
perhaps
wouldn't
have
been
the
normal
food
as
well
in
terms
of
just
mental
well-being.
It
was
a
very
very
difficult
time
and
we
knew
that
our
most
deprived
communities
did
bear
the
brunt
of.
So.
Whilst
it's
awful
to
see
these
figures,
it's
actually
not
surprising,
and
I
think
you
use
the
the
word
call
to
action.
J
Yeah,
just
to
add
that
we
added
green
space
as
one
of
the
work
streams
on
the
child
poverty
strategy
after
the
lockdowns,
so
we've
had
always
had
work
streams
around.
You
know:
readiness
for
education,
employability
and
best
start,
but
we
added
green
space
as
a
direct
result
of
the
experience
of
children.
You
know
in
cancer
amy
sword
and
across
the
city,
because
there
was
such
a
disparity
and
experience
of
whether
children
had
access
to
a
garden
and
green
space
in
lockdown's.
Council
aris
sword
is
the
ward
of
high
step
probation
of
all
33.
J
It's
also
the
award
with
the
most
children,
so
we've
added
access
to
green
space
and
we've
got
people
from
parks
on
the
child
poverty
strategy
board,
which
they
didn't
have
before
and
they're
doing,
projects
like
there's
a
lincoln
green
project,
which
is
all
about
creating
a
green
green
space
and
a
kind
of
pocket
part
front
of
westwood.
Amongst
you
know
the
high
rises
in
in
that
ward,
which
I
think
that
sort
of
second
second
most
deprived
ward,
so
yeah.
J
H
Thanks
chair,
thank
you
janice
for
the
work
that
you're
doing.
I
just
wanted
to
ask
at
what
age
is
the
damage
done
to
children
and
can
it
be
reversed
by
the
time
they
get?
You
know
halfway
through
school.
That's
one
question:
you
know
if
it's
done
before
reception,
a
lot
of
schools
have
got
the
healthy
schools
award
and
they
work
towards
that.
So
what
impact
is
that?
Having
because
if
it's
not
having
any
impact,
then
we're
spending
money
for
no
good
reason
are
the
figures
of
the
obese
children.
H
Are
they
skewed
by
the
standards
that
are
set?
I
mean
what
counts
as
an
obese
child.
Maybe
I
mean
I
can't.
I
can't
tell
you
what
the
healthy
weight
of
a
nine-year-old
should
be
because
I've
never
had
any
children.
So
I
don't
know
what
counts
as
obese
and
do
parents
get
told
the
results
of
the
children's
weights
and
measures
and
I'm
really
concerned
about
diabetes
and
what
we're
storing
up
for
the
future
I
mean
in
the
report.
There
is
a
bit
of
a
well.
H
Q
It
has
a
protective
impact.
So
we
really
understand.
I
think
that
the
earlier
you're
able
to
get
into
this
the
better
it
is
for
the
family
and
the
easier.
But
that
said,
it's
never
too
late.
We,
you
know
and
and
the
work
that
the
health
and
well-being
service
specifically
do
is
absolutely
fantastic.
Q
On
this
issue
I
mean
they
have
worked
with
schools
for
very
many
years
around
the
development
of
what
they
call
whole
school
food
policies,
so
that
implements
you
know,
goes
across
cuts
across
not
just
the
curriculum
and
whether
the
school
is
teaching
cooking
classes
and
nutrition,
which
many
many
schools
do
do,
but
also
it
looks
at
you
know
what
the
kids
bring
in
their
packed
lunch,
and
it
also
looks
at
whether
you
know
what
they
bring
is
birthday.
Treats
almost
you
know,
so,
there's
a
whole
range
of
things
there.
Q
One
of
the
things
that
they've
done
very
recently
is
they're
piloting
the
healthy
weight
declaration
for
schools,
so
that
the
school
then
thinks
about
in
all
its
decision,
making.
What's
going
to
be
the
impact
of
this
on
the
weight
status
of
our
children.
So
so
you
know,
I
have
to
again
really
applaud
my
colleagues
in
children
and
families
for
the
work
that
they
do
in
that
area
and
in
terms
of
diabetes.
Q
National
pediatric
diabetes
audit
results
last
week
and
it
highlighted
actually
that
the
incidence
of
type
1
diabetes
did
increase
significantly
among
children
not
to
15
year
old,
as
did
the
numbers
of
children
with
type
2
diabetes
and,
as
you
say,
and
the
mechanisms
involved
in
those
two
things
are
very
different,
with
type
2
diabetes
being
much
more
clearly
linked
to
your
day-to-day
diet
than
type
1..
However,
there
is
a
dietary
link
in
terms
of
type
type
one
and
and
the
prevalence
and
there's
further
research
going
on.
Q
B
Q
Yes,
and
so
breastfeeding
is,
as
you
say,
particularly
with
cover
pandemic,
and
we
had
disruption
of
services.
Lots
of
other
areas
have
had,
and
actually
due
to
capacity
issues
in
our
not
to
19
public
health,
nursing
service,
they're
running
with
quite
a
high
vacancy
factor
at
the
moment,
and
that's
a
national
shortage
of
nursing
staff.
Not
no.
It's
not
just
a
local
issue.
The
level
of
support,
that's
being
able
to
be
provided,
has
hasn't
been,
as
as
it
was
pre-covered.
Q
I
would
like
to
say
that's
not
to
say
that
they're
not
doing
you
know,
there's
not
support
out
there,
but
I
would
I
would
have
to
say
that
we've
had
to
reduce
the
amount
of
the
antenatal
work,
particularly
for
families
who
are
what
we
call
universal
families,
those
that
you
know
we
don't
feel
have
any
additional
needs.
However,
that
said
we
do
do
a
great
deal
of
work
with
the
breastfeeding
peers.
Q
Breastfeeding
peer
support
service,
and
we
have
invested
further
funding
into
that,
and
that
is
actually
picking
up
quite
a
bit
of
the
capacity
that
nokia
19
fans
haven't
been
able
to
to
manage.
They
offer
both
face-to-face
support
and
they
offer
online
support
and
we
have
a
specialist
breastfeeding
support,
clinic
virtual
clinic
for
any
parents
that
have
been
identified
as
struggling
so
so
that
work
continues
in
terms
of
direct
support
for
families,
but
again
rather
like
obesity.
Q
If
we
want
to
increase
breastfeeding
support
really
and
we're
very
serious
about
that,
we
have
to
make
leads
as
an
environment,
much
more
breastfeeding,
much
more
breastfeeding,
friendly
and-
and
so
there
again
is
a
transfer
of
worker
programme
of
work
which
we
could
happily
share
in
more
detail
which
is
actually
looking
at.
You
know
how
we,
how
we
encourage
local
businesses
to
be
breastfeeding,
friendly,
for
example,
whether
how
we
have
very
strong
positive
imagery
of
breastfeeding
in
the
local
areas
a
whole
a
whole
host
of
different
activities.
Under
that
plan,
too.
C
Q
I'd
like
I'd
really
like
to
say
that
there's
more
than
there
would
be
in
2015,
because
our
breastfeeding
friendly
initiative
has
been
popular
and
I
don't
know,
there's
very
specific
figures,
but
that's
a
figure
we
could
come
back
to.
Let
you
know
how
many,
how
many
local
businesses
and
other
organizations
have
signed
up
to
be
breastfeeding
friendly?
That
that's
a
statistic
we
can.
We
can
provide.
Q
A
O
G
I
I
actually
wanted
to
explore
some
of
the
graphs
on
page
155.
victoria
says
a
steady
fall
in
life
expectancy,
but
not
statistically,
but
not
statistically
significant.
I
used
to
teach
medical
statistics
and
statistical
significance
is
not
the
same
thing
as
practical
clinical
importance
and
particularly
when
you're
looking
at
trends.
G
Now
you
could
argue,
are
we
you
can't
expect
to
live
forever,
but
actually
you
do
expect
it
to
level
out
rather
than
decrease,
and
that's
that's.
You
know
getting
on
for
a
decade
of
decreases.
Something
is
going
on
and
we
need
to
be
asking
what
is
happening.
Why
is,
is
that
happening?
And
if
you
look
at
the
graph
below
that
infant
mortality
rates
in
again,
actually
in
in
the
least
deprived
and
victoria,
will
say
to
me
and
she's
right?
G
Well,
it's
very
small
numbers.
It
is
very
small
numbers,
but
the
increase
has
been
going
on
for
a
decade
from
very
low
figures.
Okay,
you
could
argue
that
it's
not
very
large
now,
but
it
is
an
important
increase
from
what
it
was.
So
what
is
going
on
and,
lastly,
on
the
the
lower
right
hand,
one
prevalence
of
obesity
and
children?
O
O
And
what
happened
in
2010
was
that
that
that
increase
stopped
and
started
to
level
off
now
the
the
sort
of
general
commentary
on
that
was
around
it,
reflecting
austerity
in
its
broadest
sense
and
the
sort
of
a
a
a
halt
in
the
rise
of
sort
of
general
kind
of
economic
and
living
conditions,
and
because,
as
we
know,
there's
a
very,
very
strong
correlation
between
health
outcomes
and
broad
social
and
economic
outcomes.
So
that
was
the
sort
of
commentary
going
into
covid
and
everything.
O
So
we
know
that,
for
example,
in
leeds
and
women
in
our
our
poorest
10
had
started
to
decline
slightly
more
than
men
in
the
same
in
the
same
categories
of
of
poverty.
So
there's
something
going
on
about
how
this
has
impact,
particularly
on
women
and
we,
I
know:
we've
had
conversations
in
health
and
well-being
board
around
sort
of
women
bearing
the
brunt
of
austerity
and
also
the
pandemics.
So
that's
not
surprising,
but
it
is
it's
real.
So
all
the
things
we
know
are
the
reasons
for
it.
O
O
O
What
happened
for
coventry,
as
that
wasn't
the
case,
they
hadn't
started
to
decline,
and
actually
things
have
started
to
improve
now,
whether
that's
entirely
down
to
them
being
a
marmot
city
and
actually
acting
on
all
of
those
reasons
that
that
you
know
you
never
you're,
never
100
sure,
but
it.
But
it's
it's
good
enough
evidence
to
you
know
to
to
to
without
all
the
other
evidence
that
we
have.
Is
that
that
we
know
these
are
the
things
that
make
a
difference.
O
Hence
why
we're
really
committed
to
addressing
those
wider
determinants
of
health,
so
that
I,
I
guess
that's
that's
the
broad
answer
and
I
guess
the
the
the
the
challenge
for
us
is
to
keep
challenging
ourselves.
Are
we
doing?
Are
we
doing
the
right
things?
Because
we
know
what
works?
It
is
a
solvable
problem,
it's
just
the
will
of
ourselves
to
commit
to
to
to
those
actions.
So
I
I
guess
that
is
the
bigger
challenge
locally,
that
you
know
how
we
want
to
be
brave
and
take
those
recommendations
forward.
G
Not
a
supplementary
question
just
to
say
thank
you
to
victoria
because
actually
to
recognize
that
things
are
not
always
going
right
and
even
if
they're
not
statistically
important,
they
might
be
clinically
and
practically
important
and
to
hear
you
know,
victoria's
saying
you
know
we're
we're
on
on
the
case
and
we're
going
to
improve.
It
is
just
what
we
want
to
hear.
A
C
Victor,
I
think
that
was
very
well
laid
out,
because
you
talk
about
women,
you
know
suffer
during
pandemic.
Women
are
the
what
you
call
the
post
that
all
the
outside.
I
don't
know
what
you
call
it
this
whatever
it
is,
so
all
the
burdens,
because
they
have
to
worry
about
their
kids.
They
have
to
worry
about
where
the
next
meal
coming
from.
C
So
this
is
why
it's
affect
women,
but
we
are
doing
things
and
I'm
not
that
you
and
kev,
and
the
others
in
lcc
are
doing
the
very
best
you
can,
but
it's
difficult
to
reach
everyone
when
you
would
like
to
reach
them,
so
we
kept
with
yourself
cat
fiona
salma
and
everyone.
Thank
you
for
what
you're
doing
for
our
community.
A
B
So
a
lot
of
the
things
as
janice
described
are
all
aged
to
the
healthy
weight
declaration
that
the
council
signed
up
to
is
very
much
a
commitment
across
all
ages,
so
children
and
adults
a
couple
of
key
things
I
just
wanted
to
probably
share
with
john
in
case
it
wasn't
shared
earlier.
Stop
me
if
it's
already
been
said,
but
we
are
looking
at
what
weight
management
service
we
can
provide
in
the
community
from
next
year,
which
is
when
the
cuts
take
effect.
B
So
we've
got
a
series
of
workshops
working
with
nhs
partners
to
look
at.
What's
the
best
support,
we
can
give
people
to
lose
weight
and
look
at
what
what
that
best
service
would
be
and
then
hopefully
seek
some
funding
from
the
nhs
to
help
us
with
that.
So
that's
something
we're
working
on
at
the
moment
quite
actively.
A
Thank
you
very
much
and
just
to
ask
you
know
the
healthy
weight
declaration.
Is
that
a
council
declaration?
It
is
okay,
excellent.
I
do
know
a
lot
about
polly's
work
because
obviously
I'm
food
champion
as
well,
so
in
terms
of
what
the
kind
of
food
in
schools
as
well
the
health
is
that
I
know
they
are
on
the
ball
with
that,
so
we
actually
have
other
councils
wanting
to
emulate
what
we
are
doing
in
leeds.
So
I'm
quite
impressed
with
that.
So
thank
you
very
much.
Okay,
any
other
comments,
questions
fabulous
steve.
P
I
don't
know
if
cancer
are
a
reforms
I
I
will
go
ahead.
So
that's
fine!
So
yes,
we've
just
in
the
performance
report,
is
around
inactivity
levels
across
the
leads
and,
as
you
can
see
from
the
report,
it's
highlighted
that
we've
significantly
kind
of
dropped,
inactivity
rates
which
is
very
positive
for
our
side
of
things,
following
obviously
a
rise
during
a
covered
kind
of
period.
P
So
from
that
side
of
things,
it's
very
good,
but
obviously
that
information
does
kind
of
mask
some
of
the
how
universal
that
inactivity
rate
is
and
we're
probably
seeing
the
recovery
slower
in
our
deprived
locations,
people
who
definitely
in
terms
of
pain
communities
as
well,
along
with
kind
of
women
and
older
people
and
people
with
long-term
health
conditions
as
well.
So
obviously,
from
that
side
of
things,
it's
not
so
good,
but
again
from
a
leads
perspective.
We're
actually
booking
some
of
the
trends.
P
In
terms
of
that
side
of
things,
and
we
are
seeing
more
people
being
active
than
ever
before,
obviously,
during
cobra,
we
made
a
huge
step
periods
to
help
with
that
recovery
and
there's
a
lot
of
hard
work
going
into
that,
helping
that
and
supporting
teams
across
the
board.
We
are
it's
very
encouraging,
as
well
just
to
see
in
terms
of
some
of
the
activity
rates
in
the
legislators
very
popular
and
obviously
it's
clear
that
people
are
putting
that
activity
as
an
important
part
of
their
lives.
P
Again
when
we
look
at
cost
of
living
increasing
those
kind
of
things,
that's
going
to
help
kind
of
hinder
some
of
that
elements,
and
we've
got
to
think
how
we
do
that
better.
But
from
our
side
of
things,
it's
very
encouraging
that
we're
seeing
more
kind
of
younger
people
accessing
their
services,
especially
in
terms
of
our
health
and
fitness
memberships,
is
very
good
and
again
that
actually
books
a
trend
across
the
nationally
as
well,
where
actually
children,
young
people
are.
P
Actually
you
know,
activity
rates
are
actually
going
on
a
downward
trend,
while
I
was
going
upwards
trend,
so
that
is
very
encouraging.
Similarly,
in
terms
of
health
and
fitness,
memberships
swimming
lessons
school
swimming
elements,
all
those
are
actually
back
to
pre-k
with
levels
which
faster
than
what
we
probably
thought
they
would
do
originally
as
well.
So
it's
a
lot
of
encouraging
stuff
in
there,
but
obviously
again
kind
of
hides
some
of
the
inequalities
and
helping
the
qualities
that
we've
kind
of
talked
on
before.
P
So
there's
a
lot
more
work
that
we've
got
to
do
in
helping
to
address
that
and
again
having
back
to
our
kind
of
combined
work
with
public
health
in
terms
of
our
physical
activity,
ambition
and
the
side
of
things
that
we're
kind
of
progressing
on
that
front
as
well
to
really
kind
of
drive
down
activity
rates
in
terms
of
our
most
vulnerable
parts
of
society
and
the
likes
as
well
so
lots
of
encouraging
stuff,
but
yeah
still
a
lot
more
work.
We
need
to
kind
of
do
really.
A
C
You
talk
about
young
people
and
activities.
You
need
to
encourage
the
elderly
as
well,
because
I
think
sometimes
is
your
marketing,
not
just
you
marketing.
That
does
it,
because
if
we
encourage,
for
instance,
the
over
60s
that
can
get
discount
from
the
legislator
to
use
that
facilities
that
will
put
less
pressure
on
the
nhs
with
their
diabetes
and
blood
pressure,
so
we
are
focusing
on
young
people.
We
are
quite
right,
but
we
also
have
to
remember
that
some
elderly
need
that
to
maintain
their
health
as
well.
P
P
So
we
use
encouraging
kind
of
marketing
around
using
the
words
and
very
much
around
that
video
side
of
things
and
making
sure
that
you
know
the
health
and
just
moving
more
is
really
important.
I
kind
of
marketing
campaigns
have
changed
on
that
front,
but
there's
still
a
lot
more
to
do
and
encouraging
those
to
side
things
in
it's
probably
again
encouraging
that
our
older
generation
actually
are
more
popular
in
less
chances
than
what
they
have
been
before
even
pre-cam
coded
kind
of
times
again.
So
it
is
showing
that
it
is
making
improvements.
A
H
One
chair:
I
hope
that
we're
not
just
counting
the
number
of
people
with
gym
memberships
as
a
success,
because
we
all
know
that
loads
of
people
have
gym
memberships,
but
not
everybody
uses
them.
So
do
we
track
that
people
are
actually
using
them
as
well,
or
is
there
a
significant
proportion
of
people
who
have
had
the
gym
membership
for
years
but
have
actually
very
rarely
used?
It.
P
Again
during
code,
it's
kind
of
allowed
us
to
reset
things
a
little
bit.
So
previously
we
probably
did
have
a
lot
of
what
we
cast
in
the
industry
is
sleepers,
so
people
who
have
a
membership
but
don't
actually
use
the
facilities.
So
it's
pretty
fair
to
say
that
that
rate
was
quite
high,
but
obviously
during
covert
as
people
dropped
out
and
cancelled
a
lot
of
their
direct
doubts
and
different
things,
and
we
also
cancel
memberships
in
general
terms
as
well.
P
So
again,
people
are
actually
when
they
come
in
they're,
coming
more
often
as
well,
which
is
again
enough
for
us
to
kind
of
work
with,
but
we're
not
just
concentrating
on
our
own
activities
and
there's
a
vast
variety
of
different
activities.
As
you've
mentioned
around
parks
and
different
things
as
well,
so
as
part
of
our
kind
of
side
of
things,
it's
encouraging
people
to
get
out
there
and
about
and
just
walk
in
a
little
bit
more
cycling,
using
active
forms
of
transport
and
lights
to
kind
of
help
us
get
there.
P
F
Thank
you
chair,
I
think
just
going
on
about
to
councillor
taylor's
point
about
marketing.
I
think
she's
absolutely
right,
and
I
think
you
know
sometimes
typically
with
gyms.
You
think,
there's
there's
a
certain
idea
of
what
fitness
is
and
actually
was
really
encouraging
to
see
the
campaign
that
we
did,
which,
if
I'm
not
mistaken,
council
thompson,
was
involved
in,
and
I
believe
council
britain
as
well,
so
that
was
just
sort
of
everyday
people.
In
fact
cash
cutting.
F
I
think
you
were
in
there
as
well
somewhere,
if
I
recall,
and
the
idea
behind
that
was
people
from
all
backgrounds,
all
different
shapes
and
sizes
can
can
can
go
to
the
gym,
but
I
think
from
for
me
it's
also
about
how
do
we
create
that
link
of
mental
well-being
to
physical
well-being?
I
think
that's
got
to
be
really
important,
and
sometimes
you
know
we
can
go
into
communities
and
and
and
do
to
them,
but
how
do
we
do
do
with?
Are
we
actually
asking
computers?
What
is
it
that
you
want
as
your
physical
activity?
F
Let's
be
honest,
some
people
in
our
more
deprived
communities?
Well,
let's
be
frank:
they
can't
afford
to
have
a
bike,
perhaps
even
to
even
store
it
somewhere.
So
what
will
actually
work
for
them?
You
know
and
we
do
in
the
community
committees,
we
do
a
little
exercise
with
the
youth
activity
fund
and
we
ask
the
young
children.
What
is
it
that
you
want
us
to
spend
your
money
on
and
you'd
think
they'd
say
football,
but
actually
some
young
lads
came
back
with
cooking
skills.
So
actually
you
know
it's
almost.
F
We
need
to
go
back
to
the
community
and
say
what
works
for
you
and
create
an
environment
where
they
can
go
for
little
walks
around
their
little
local
area
and
and
empowering
that
sort
of
stuff,
and
I
think
that
link
between
mental
well-being
and
physical
well-being
and
that
we
have
got
an
issue
within
the
being
communities.
I
know
culturally,
some
women
may
not
want
to
go
into
a
assuming
lesson
where
there's
men
there.
So
I
think
looking
at
though
I
don't
know,
I
think,
infernals
we
offer
women-only
lessons
as
well.
F
B
P
P
So
we
are
doing
some
pieces
of
work
in
social
prescribing
and
we've
also
got
our
a
bid
in
now
at
this
point
in
time,
in
terms
of
to
the
department
of
transport
to
help
us
with
that
social
prescribing
and
locate,
locate
localities
as
well
in
our
deprived
location.
So
we're
doing
a
lot.
But
it's
again
we
can
still
do
a
lot
more
and
we
still
need
to
kind
of
work
a
bit
more
on
that
as
well.
B
Thank
you
chair
well,
one
was
about.
It
was
about
social
prescribing
and
what's
actually
going
on
in
the
outer
areas,
because
there
are
some
pockets
of
deprivation
in
the
outer
areas,
but
the
so
the
leisure
center
at
weatherby,
for
instance,
is
quite
expensive
to
use.
So
if
you
come
from
one
of
the
three
areas
of
deprivation
in
my
ward,
then
it's
quite
difficult
to
go
and
actually
access
those
activities.
B
Because
in
the
outer
area
we
have
taken
a
lot
of
ukrainian
refugees
as
well
as
iranian.
The
sogarth
have
got
the
iranian
afghan
refugees
still
there
and
what
are
we
actually
doing
about
encouraging
them,
because
some
of
the
physical
activities
would
help
their
mental
health,
and
certainly
the
ladies
that
we've
been
speaking
to
in
the
weatherby
the
whole
of
weatherby
ward?
We've
set
up
a
support
group
for
ukrainian
guests
and
their
hosts,
but
they're
saying
well,
it's
it's
all.
B
Well
and
good,
but
they've
said
that
we've
got
we
can
have
access
to
cheaper
sports
facilities,
but
there
is
only
the
one
leisure
center
in
wetherby
and
when
we
went
in
there
they
didn't
know
anything
about
it.
So
there's
a
little
bit
about
marketing
and
actually
advertising
it
and
making
sure
that
staff
are
aware
of
it
too.
Thank
you.
P
Yeah,
if
I
just
take
the
point
around
the
cost
elements,
first
yeah
I
mean,
as
we
kind
of
cancel
the
reef
kind
of
mentioned
before
we
are
looking
at
the
in
terms
of
cost
as
a
barrier
to
entry.
So
we
are
doing
a
bit
of
a
pilot
at
this
point
in
time
to
understand
what
are
the
true
barriers
because
ultimately,
there's
a
lot
more
than
just
a
cost
as
an
activity,
because
not
everyone
wants
to
come
to
a
gym.
For
example,
not
everyone
wants
to
come
to
swimming.
P
So
it's
about
a
lot
more
in
terms
of
that
elements
and
around
supporting
people
and
getting
the
social
element
right
as
well.
So
there's
a
lot
more
than
just
the
cost
as
a
barrier
to
entry.
So
as
part
of
this
pilot,
we
need
to
understand
some
of
those
barriers
a
little
bit
more
succinctly,
because
cost
is
always
a
thing,
but
ultimately
we
really
need
to
drive
down
and
how
we
actually
support
that.
P
And
you
know
in
terms
of
the
kind
of
leisure
card
and
the
lease
cut
extra
kind
of
discounts
that
we
do
do
they
are
substantial
discounts.
So,
for
example,
the
lease
card
extra
swim
price
and
license
discounted
by
about
60
compared
to
our
normal
kind
of
rates,
so
we
do
have
mechanisms
in
there,
but
encouraging
different
people
to
come
in
is
a
bit
more
than
just
dropping
a
price
and
that
elements
we
really
need
to
understand
that
and
hopefully
through
that
pilot
that
will
be
kind
of
then
city
wide.
P
P
The
likes
that
need
needs
to
have
that
specialist
support
is
how
we
encourage
people
just
to
come
in
and
we
can
support
them,
no
matter
who
is
or
the
likes.
So
in
terms
of
the
legislators
offering
we
can
support
those
mechanisms
and
we're
branching
out
a
load,
a
lot
of
training
with
the
staff
at
this
point
in
time
to
help
and
encourage
them
on
that
behavioral
change,
kind
of
mechanisms
and
but
also
understanding
some
of
the
the
facts
of
some
of
the
conditions
as
well.
P
In
terms
of
refugees,
side
of
things
we
have
supported
them,
especially
in
terms
of
ukrainian
offer
in
terms
of
free
kind
of
membership
to
the
facilities,
and
that
is
across
the
board,
and
that's
in
that
welcome
pack
that
each
ukrainian
refugee
gets.
So
it's
part
of
our
offer
in
terms
of
that
side
of
things
and
then
again
from
asylum
seekers
and
refugees
and
likes.
We
also
offer
the
lease
card
extra
price
as
an
element
where
they
can
tap
into
again
to
get
that
reduced
elements.
P
The
team
have
also
worked
specifically
in
locations
such
as
garfield
and
the
lights
as
well
to
support
people
who
are
in
hotels
and
based
in
those
areas
as
well
to
get
them
into
activities.
So,
for
example,
at
golf,
if
we
opened
the
doors
to
them
using
the
facilities
there
for
free
we've
provided
coaches
and
activities
depending
on
what
they
were
looking
for.
So
we
worked
with
them.
P
A
Okay,
thank
you
very
much.
That
brings
us
to
the
end
of
that
agenda
item
so
huge.
Thank
you
to
the
adults
and
social
care
team,
public
health,
active
lifestyle
that
has
been
great,
truly
truly
appreciate
your
comments
and
response
and
all
the
hard
work
you
all
are
putting
to
ensure
that
we
have
a
very
healthy
and
active
lifestyle
in
our
city.
We
will
now
go
to
item
agenda
item
number
12
on
our
work
schedule.
I
Thank
you
chair,
as
set
out
in
the
in
the
paper.
The
the
report
presents
a
a
draft
work
schedule
and
which
is
informed
by
the
work
of
the
board
in
its
previous
year,
and
also
further
discussions
that
have
been
held
between
the
end
of
that
year
and
now,
and
also
it's
actually,
the
draft
minutes
from
the
executive
board
held
on
the
20th
of
april
for
any
specific
comments
from
members
of
the
board.
I
Clearly,
the
discussions
today
have
been
quite
wide-ranging
and,
as
reflected
by
members
already,
the
remit
of
the
board
is
is
significant,
and
I
suspect
that
that
actually,
what
what
is
required
is
a
review
of
that
work
schedule
and
bringing
something
back
to
the
board
at
its
next
meeting
chair,
which
identifies
and
reflects
on
some
of
the
specific
issues
that
have
been
raised
at
today's
meeting.
That
members
have
particularly
highlighted
just
in
terms
of
particular
themes
that
seem
to
kind
of
come
across
throughout
the
discussions.
E
A
Thank
you
very
much
okay,
so
our
next
meeting
will
be
on
the
19th
of
july
pre-meeting
for
one
o'clock
and
1
30
for
the
rest
of
us.
Thank
you
all
so
much
for
your
time
and
your
participation
you're
a
great
group.
Thank
you
so
much
and
do
not
forget
to
clear
your
tables,
your
cops
and
your
professors.
Please
thank
you.