Agenda and minutes

Health and Wellbeing Board
Monday, 26th September, 2016 6.00 pm

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

Contact: Louise Lusack, Senior Business Support Officer (Democratic Services), 020 8770 5338 | Email: 

No. Item


Welcome and introductions


The Chair welcomed those present to the meeting and in particular Alison Navarro, Voluntary and Community Sector, a new Member of the Committee.



Apologies for absence and notification of substitutes


Apologies for absence were received from Tolis Vouyioukas, Strategic Director of People Services and Gwen Kennedy, NHS England.



Declarations of interest


There were no declarations of interest.



Minutes of the previous meeting pdf icon PDF 145 KB

To approve as correct record, the minutes of the meeting held on 20 June 2016.


The minutes of the meeting held on 20 June 2016 were agreed as a correct record and signed by the chair.


Decisions taken under delegated authority


At the Committee of the 20 June 2016, final authority was delegated 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. This had since been actioned.



Motor Neurone Disease Charter pdf icon PDF 156 KB

This report introduces the MND (Motor Neurone Disease) Charter.  The Charter is being promoted by the Motor Neurone Disease Association (MNDA).  The MND Charter sets out a minimum level of care and support for those with a diagnosis of Motor Neurone Disease.


Additional documents:


Councillor Ruth Dombey, Chair of the Health and Wellbeing Board, welcomed the representatives of the Motor Neurone Disease Association, David Setters and Alice Fuller, and invited them to speak to the Board.


Dr Brendan Hudson highlighted the contents of the Charter and their importance, expressing the support of the Sutton Clinical Commissioning Group.


Rachel MacLeod, voluntary and community sector, thanked the representatives for their statements, and mentioned opportunity to raise related issues at the Voluntary Sector Forum.


With the agreement of the Board, the Chair amended the recommendation to include the voluntary and community sector.



1.    The aims of the Motor Neurone Disease Charter be approved and the adoption across the health and social care partnership, as well as the voluntary and community sector, be supported.



Better Care Fund Update pdf icon PDF 185 KB

While awaiting confirmation of full assurance for the 2016/17 Sutton Better Care Fund plan by NHS England in June 2016, the plan remains ‘Assured with Support’ along with all other plans in London. As reported to the Health and Wellbeing Board in

March 2016, a Section 75 Agreement will continue in place between the London Borough of Sutton and Sutton Clinical Commissioning Group and the budget remains as agreed at the March 2016 meeting.


This report provides an update on progress with implementation.


Carol Lambe, Director of System Resilience and Integration, Sutton Clinical Commissioning Group, presented the report. Recommendation 2.2 was highlighted as containing an error and ought to have read £16,388,000.


Upon the request of the Chair, the Director further elaborated on the Sutton Integrated Digital Care Record (IDCR) project. Members asked for clarification as to whether this was a read-only system to which the Director responded in the affirmative. Members also discussed integration and transition planning in relation to children and adult services, highlighting in particular the importance of consent in sharing information.


An update was also requested from Members with regards to integrated localities and it was confirmed by the Director that three localities were in progress.


Alison Navarro, Voluntary and Community Sector, invited the Board to consult the voluntary sector in terms of the information and intelligence it has.



1.    That the continuation and progress of the implementation work to deliver the 2016/17 Better Care Fund be noted.

2.    That the revised 2016/17 Better Care Fund budget of £16,388,000 be approved.



Sutton's Joint Health and Wellbeing Strategy pdf icon PDF 167 KB

The Health and Wellbeing Board is asked to sign off Sutton’s Health and Wellbeing Strategy.  The strategy is a statutory document and its purpose is to improve the health and wellbeing of Sutton residents and to reduce inequalities for all ages.



Dr Nicola Lang, Director of Public Health, introduced the report. Alison Navarro, Voluntary and Community Sector, also presented the item, highlighting discussions which had taken place since the last Board meeting in June 2016 and confirming support to agree the process for implementation.


Upon the invitation of the Chair, Dr Nicola Lang spoke of plans for implementation and the involvement of the Voluntary and Community sector and Clinical Commissioning Group in this process.


Jonathan Bates, Sutton Clinical Commissioning Group, highlighted the link between the implementation plan and the need for coherent alignment with the Sustainability and Transformation Plan.



1.    That Sutton’s Health and Wellbeing Strategy be approved.



Sustainability and Transformation Plan pdf icon PDF 378 KB

The item will be presented as a verbal update. Presentation slides are included in the pack for information.


Included: Slides from presentation


Dr Chris Elliott, Chief Clinical Officer, Sutton Clinical Commissioning Group, gave an update and presentation on the Sustainability and Transformation Plan.


Members discussed examples of when patients may be required to travel further to receive appropriate care. The Chief Clinical Officer stated that at the present time, there was no proposal to cut local services best delivered locally or moderately locally but investigation was taking place with regards to future financial and staffing implications.


It was underlined by the Chief Clinical Officer that this was a co-produced document between providers and commissioners with input from local authorities. The Chair emphasised the need for transparency and a real conversation on this document, recognising the deadlines involved.


Further discussion between Members focussed on estate management and the relationship of the STP with the London Cancer Hub. The Board was informed that a development framework for the London Cancer Hub would be discussed the following day at a meeting of the Housing, Economy and Business Committee.


Concerns were expressed by Alison Navarro, Voluntary and Community Sector representative, with regards to workforce and the need to include the voluntary and community sector explicitly in this consideration. Following further discussion of this point by Members, Jonathan Bates, Chief Operating Officer of the Sutton Clinical Commissioning Group suggested consulting the Health & Innovation Network as well as Sutton Integration and Transformation Board (SITB) for further information on education and training.


Discussions concluded on the subject of timing and that it depended on three waves of assurance from NHS England, and that South West London would find itself in either the second or third tranche (January 2017). It was expected that a vast majority of STPs would be published before Christmas.


Urgent business brought forward at the direction of the chair


No urgent business was brought forward.