Agenda and minutes

Health and Wellbeing Board
Monday, 12th October, 2015 6.00 pm

Venue: Civic Offices, St Nicholas Way, Sutton, SM1 1EA

Contact: Angela Guest, Senior Business Support Officer (Democratic Services), 020 8770 5122  Email:

No. Item


Apologies for absence


An apology was received from Susanna Bennett.



Minutes of the previous meeting pdf icon PDF 86 KB

Minutes of the meeting held on 8 June 2015 to be approved.



The Minutes for the meeting held on 8 June 2015 were approved as a correct record and signed by the Chair.



Learning Disability Joint Health and Social Care Self Assessment Framework: 2014 - 2015 pdf icon PDF 175 KB

Note: The Board are requested to develop a governance arrangement and agree an action plan. Representatives from Advocacy for All and the Speak Up Partnership will make a presentation to the Board.


Kim Carey, Interim Executive Head of Adult Social Care.

Additional documents:


The Board were given a presentation by members of Speak Up Sutton who gave examples of improvements needed in GP surgeries for people with learning disabilities.  Some of their issues included language, tone and speed of speech and body language of staff.  The Board were interested to know their views on other service providers such as leisure facilities, dentists, optician etc.  Speak Up Sutton were requested to provide a list of the good and bad things about care providers and another list of activities/facilities they would like take part in or felt they couldn’t take part in.


The Board also considered a report that included outcomes of the self-assessment as reported to National Public Health’s Observatory; Improving Health and Lives, (IHaL) on the 30th January 2015. The Board were also asked to agree a plan of action to secure improvement in 2015 – 2016.


The Board noted that the Parents Forum were not included in the list of stakeholders and that housing as well as transition from child to adult was not included in the report.  The Board were informed that cross-cutting issues were being looked at and a further report would come back to the Board once governance arrangements had been formalised.




1.    That the final outcomes of the Learning Disabilities Joint Health and Social Care Self-Assessment Framework were noted.


2.    That the plan of action as detailed in section 6 of the report was agreed.


3.    That a governance arrangement and structure to oversee development and delivery of improvement plans across local health and social care be established.



Dementia Action Alliance pdf icon PDF 115 KB

Note:  This report seeks the support of the Board. There will also be a presentation.


Nicola Zimmerman, Alzheimer’s Society and Adrian Davey, Sutton Clinical Commission Group.


The Board considered a report and presentation that demonstrated the importance of the Dementia Action Alliance in Sutton and the positive steps being taken towards making Sutton a dementia friendly community.  There was strong emphasis on the responsibility lying with all members of the community that live and work in Sutton.




1.    That the Health and Wellbeing Board support the Dementia Action Alliance, promote the launch of the Dementia Action Alliance and its progress, and take necessary steps to make Sutton a Dementia Friendly Community and to work in partnership with the initial signatories (stakeholders), people with dementia, and their family carers.


2.    And that the Health and Wellbeing Board are content with the Dementia Action Alliance becoming a Special Interest Group of the Board. This will link with the other Voluntary Sector organisations ensuring that Dementia is seen as a golden thread.


3.    To receive an update on progress and concerns in six months’ time.



Healthwatch Annual Report pdf icon PDF 77 KB

Note: This item is for information.


Peter Flavell, Healthwatch Sutton


Additional documents:


The Board considered the second Annual Report from Healthwatch Sutton. It covered the work and achievements of Healthwatch Sutton between April 2014 and March 2015 and provided an overview of the local engagement carried out including specific projects and reports.


Resolved:  To support the work which has been undertaken by Healthwatch Sutton.



BCF Update pdf icon PDF 104 KB

Note: This item is for information.


Megan Milmine, Sutton Clinical Commissioning Group.


The Board considered a report that provided an update on progress with implementation of the Sutton Better Care Fund plan.


Issues that Councillor Pascoe had previously raised regarding the equipment service in relation to separate budgets being used and the need for users to travel to Roehampton at a cost of £48 from their personal budgets was discussed.


(Subsequent to the meeting Megan Milmine contacted the service based at Roehampton which reported that if the person has a wheelchair provided by the NHS or is being fitted for one, the cost of their transport will be covered by the wheelchair service.)


It was explained that routine jobs would be conducted in the users home and that only complex jobs were undertaken at Roehampton.  Assessments also took place at Roehampton but community transport was arranged.  How that transport was paid for would be fed back following this meeting.




1.    To note the transfer of Programme Management responsibility for the Better Care Fund Programme to the Director of System Resilience and Integration, Sutton CCG from August 2015;


2.    To note the continuation of the implementation work to deliver the Better Care Fund Plan; and


3.    To note the quarterly performance reporting requirements from NHS England against progress in delivering the plan.



Autism Strategy – Statutory Guidance for Local Authorities and NHS organisations to support the implementation of the Adult Autism Strategy pdf icon PDF 89 KB

Note: This report is for decision and further action.


Kim Carey, Executive Head of Adult Social Care.

Additional documents:


The Board considered a report that set out details of a new statutory guidance that was issued under section 2 of the Autism Act which builds on, supports and replaces the 2010 guidance. This statutory guidance also uses guidance issued under section 7 of the Local Authority Social Services Act 1970 (LASS Act).  Local authorities “must follow the path charted by the guidance” and deviation may result in judicial review or action by the Secretary of State.


It was explained that the Action Plan was a ‘living’ document which would evolve as things were built in.  All partners of the Board would need to give updates on how they have put the plan into practice.




1.    That Executive and Strategic Management teams across the local authority, Sutton CCG and other local NHS bodies are made aware of the statutory duty to implement the Autism Statutory Guidance.


2.    To review the local Sutton Autism Strategy Framework and revise current Autism Master Action Plan in line with new requirements from the new statutory guidance.


3.    That following this review, the local authority and Sutton Clinical Commissioning Group to develop a commissioning intention paper for consideration by the Health and Wellbeing Board by December 2015.


4.    To conduct a review of the Sutton Autism Strategy Steering Group and its current governance arrangement.




Sutton Clinical Commissioning Group - Film Presentation

Note:  This is for information.


There will be a 10 minute video produced for the Sutton Clinical Commissioning Group Annual General Meeting.


Dr Brendan Hudson, Sutton Clinical Commissioning Group.


The Board watched a 10 minute film that had been presented to the SCCG Board. It outlined the successes of the SCCG in the last year and priorities for the future.


The Chair thought that the film was a good way of getting a lot of information across to people.



GP Surgery - Access Project

Note: This item is for information.


David Williams will introduce the recent Healthwatch report into GP surgery access.  The link to this report is given below:



David Williams gave a brief overview of Healthwatch’s report into GP surgery access which was available online here.  He explained that there had been 450 responses to the consultation and the report had been shared with the Sutton Clinical Commissioning Group (SCCG) and NHS England.  He hoped that SCCG had taken on board the comments of Healthwatch and was disappointed that NHSE had not responded to the report.


Dr Evans reported that a project was being rolled out to improve online access to services which was a recommendation of the report.  He also stated that NHSE conduct twice yearly surveys of all GP practices regarding online levels and the findings were available online.


The Chair noted that out of hours was a large feature of the report and stated that she had had good feedback about the 111 service and people being able to get a GP appointment within 20 minutes.


Jonathan Bates reported that investment was being planned and an integrated 111 and out of hours service was being looked at.



Urgent business - Wandle Valley Health Centre


The Chair raised an urgent item as she had received a letter from NHS England regarding the termination of provider contract at the Wandle Valley Health Centre.  She was concerned that there had been no communication around this with the Council and local community who would want a voice in any decisions and the deadline for responses was only a few days away.


The Board were informed that there was a duty of care to the patients of this centre and that consultation so far had gone further than other changes in the past.  It was accepted that the process needed to be looked at and comments taken on board by NHSE and CCGs.  Dr Brendan Hudson explained how closure of smaller practices would be more prevalent in future as there was too much bureaucracy and morale was low.  However, it was thought that co-commissioning would lead to better communication and engagement.


Resolved:  That NHSE and Sutton CCG take on board the comments made about process and engagement and to see that local government can be useful in getting messages to the local community.


Subsequent to the meeting Dr Brendan Hudson found out that the local ward councillors were informed of the possible closure of the GP surgery back in August.