Agenda and minutes

Health and Wellbeing Board
Monday, 21st March, 2016 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 and Notification of Substitutes


Apologies for absence were received from Councillors Ruth Dombey and Jane Pascoe, as well as Rachael MacLeod (Voluntary and Community Sector) and Dr Chris Elliott (Sutton Clinical Commissioning Group).


Declarations of Interest


There were no declarations of interest.



Minutes of the Previous Meeting pdf icon PDF 214 KB

Minutes of the meeting held on 12 October 2015.


The minutes of the meeting held on 12 October 2016 were agreed as a correct record and signed by the chair.



Healthwatch Presentation

Note: There will be a 12 minute film showing interviews with young people from Sutton talking about body image.


David Williams, Chair, Sutton Healthwatch


David Williams introduced Healthwatch and its role as consumer champion for the people of Sutton. Typically, those more actively involved in Healthwatch are of an older generation so at least one project a year is being instigated to target those less well-represented, the first being aimed at young people and looking at body image. Healthwatch initially commissioned a survey and then a short film on the findings as produced by Citizenship Media Group.


A short film was then shown, which can be viewed at:


Peter Flavell explained that the film was initially considered to be an end product but it is now seen as a facilitating tool to start conversations with a wider group of young people and obtain further data for analysis and action. This process had already begun with local youth groups and schools and Peter Flavell provided examples of the questions posed to young people and the answers given.


Members of the board then spoke briefly with two young people present about their concerns related to body image.


Councillor Mathys commented that the film was very interesting for provoking discussion and spoke of a youth event she had attended earlier in the day. One of the concerns expressed by the young people related to a lack of discussion of mental health issues in schools.


The Chair remarked that the Health and Wellbeing Board is the appropriate forum to look at such issues due to the cross-sector nature of its membership. The Chair also commented that many of the young people in the film expressed an opinion that school teachers did not know what to do with regards to body image concerns.


Tolis Vouyioukas thanked the young people present for their honesty on the subject, agreed with the Chair that schools are an important starting place for this issue and remarked that there was a discussion to be had on how resources can be used to assist young people.


David Williams concluded the item, stating that the project will continue and hopefully target junior school pupils as well as their parents in order to open up a discussion on body image.



Better Care Fund Update and Better Care Fund Plan 2016/17 pdf icon PDF 239 KB

Additional documents:


Megan Milmine, ?Director of System Resilience and Integration at Sutton CCG, updated the Board on the implementation of the Sutton Better Care Fund plan during 2015/16 and then gave an overview of the proposed plan and budget for 2016/17.


Key points highlighted with regards to plan implementation included work on integrating locality teams, multi-disciplinary nurse facilitators, workshops on intermediate care, mental health and integrated digital care.


The board was shown graphs of targets and outcomes relating to delayed transfers of care, the effectiveness of re-ablement (patients still at home 91 days after discharge) and non-elective admissions (where Sutton was only one of ten London boroughs to achieve a 3.5% reduction in this area).


An information video on the Vanguard programme’s ‘red bag’ initiative was then played to the Board:


Following the video, the Chair queried if the integrated digital care technology would also be rolled out to care homes and Megan Milmine confirmed that this would be the case during Phase II. Jonathan Bates, Sutton Clinical Commissioning Group, added that the Vanguard programme is just one of six nationally and confirmed that investment was received this year, with a value proposition, or business case, for the coming year.


Megan Milmine continued with an overview of the 2016/17 budget, reporting a forecasted £380,000 underspend in 2015/16 which was mainly due to posts that had not been required and the time it had taken to implement the Care Act. This will be carried forward for a balanced budget in 2016/17. New areas of work proposed included closer working with the Care Home Vanguard Team and wider partners such as the fire and ambulance services as well as working on personal health budgets for long-term conditions.


The Chair enquired if there was any programme by which the voluntary sector could assist in helping patients understand the benefits of sharing data. Megan Milmine confirmed that such cooperation does exist and David Williams of Healthwatch has been involved in proposing ideas. Tolis Vouyioukas asked that any comments made by Healthwatch on this matter be sent in a coordinated manner to Megan Milmine.


Resolved: That the Health and Wellbeing Board


1.    Notes the continuation of the implementation work to deliver the Better Care Fund Plan.

2.    Approves the 2016/17 Better Care Fund Plan and associated budget, including the recommended actions needed to balance the 2016/17 budget.

3.    Delegates final authority to the Strategic Director, People Services, in consultation with the Chair and Vice-Chair to sign off any final amendments to the 2016/17 Better Care Fund Plan made as a result of feedback from NHS England.



Proposal to form the Sutton Integration and Transformation Board pdf icon PDF 172 KB

Additional documents:


Megan Milmine introduced the proposal to form the Sutton Integration and Transformation Board as elaborated in the submitted report. A merger was initially proposed between:


·         One Sutton Commissioning Collaborative (Part 1)

·         Transformation Programme Board (board structure for Better Care Fund)

·         Sutton Urgent Care Working Group (System Resilience Group)


The System Resilience Group however, had been discounted as it is not a Sutton-focussed group. The aim of merging the One Sutton Commissioning Collaborative and the Transformation Programme Board is to ensure a whole systems focus, delivery of the agreed integration model and efficiency of resources for all stakeholders as well as to allow better communication back to the Health and Wellbeing Board. An overarching senior group will meet in April to discuss models of integration for Sutton.


Peter Flavell commented positively on the proposals given the limited resources available. The Chair added that a communications structure to the Statutory Board, i.e. the Health and Wellbeing Board, must be considered.


Resolved: That the Health and Wellbeing Board

1.    Approves the creation of the Sutton Integration and Transformation Board.



Any Urgent Business Brought Forward at the Direction of the Chair


No urgent business was brought before the Board.



Date of Next Meeting

The next meeting will be held on 20 June 2016.


The next meeting will take place on 20 June 2016.