Agenda and minutes

Health and Wellbeing Board
Monday, 5th December, 2016 6.00 pm

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

Contact: Fiona Bywaters, Committee Services Team Leader, 020 8770 5122 | Email: 

No. Item


Apologies for absence and notification of substitutes


Apologies were received from Tolis Vouyioukas (Strategic Director, People Services) and Alison Navarro (Voluntary and Community Sector).



declarations of interest


There were no declarations of interest.



Minutes of the previous meeting pdf icon PDF 117 KB

To approve as a correct record the minutes of the meeting held on 26 September 2016.



RESOLVED: that the minutes of the meeting held on 26 September 2016 be agreed as a correct record and signed by the Chair.



Better Care Fund Update pdf icon PDF 130 KB

The 2016/17 Sutton Better Care Fund plan received full assurance by NHS England on 21 July 2016. The Section 75 Agreement between the London Borough of Sutton and Sutton Clinical Commissioning Group for 2016/17 has therefore been agreed. The budget remains as agreed at the March 2016 meeting. This paper provides an update on progress with implementation.



Carol Lambe, Director of System Resilience and Integration, Sutton Clinical Commissioning Group, presented the report, highlighting collaboration with Healthwatch.


The Chair requested further clarification as to when the guidance for 2017-18 would be published, to which it was responded that this was imminent.


The Chair also asked that the Director further elaborate on the ‘discharge to assess’ model mentioned in the report. In addition, David Williams (Vice Chair) provided additional information on the challenges presented by integrated health records.


Members asked for more information on social care record integration but specific figures were not available at the meeting. The question of consent was also discussed, particularly in relation to the vulnerable, as well as the nature of a read-only system and a single point of access.



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


Local Offer for Personal Health Budgets pdf icon PDF 97 KB

Following an NHS mandate, it is a requirement that all Clinical Commissioning Groups (CCGs) publish a Local Offer to demonstrate how they will extend Personal Health Budgets (PHBs), beyond Continuing Healthcare, to people with Long-term Conditions.


Additional documents:


Jane Godden, Neuro Rehabilitation Assessor Continuing Healthcare and Personal Health Budget (PHB) Coordinator, Sutton Clinical Commissioning Group, presented the report.


Members enquired as to whether the local offer would be publicly advertised or whether this was clinician-led. It was responded that clinicians would be one point of access but others existed. With regards to any limit, it was responded that this would be phased-in over time and that eligibility and equity were careful considerations in its provision.


Further clarification was sought by Members as to whether the local offer would become a compulsory format which was responded to in the negative. Concerns regarding abuse or fraudulent process were raised and the Coordinator outlined the relevant checks and balances in place. The Chair emphasised the importance of personal choice to which the Coordinator agreed and outlined a positive approach to risk. Vice Chair, Councillor Colin Stears, added the relevance of the report to the Adult Social Service and Health Committee, of which he is Chair.


Members also queried the total sum of money mentioned under Paragraph 6.1 and how it could be spent. It was underlined by the Coordinator that this was a limited budget in the initial stage.


Members enquired as to how the Personal Health Budget overlaps with direct payments in place. Vice Chair, Councillor Colin Stears, added that this would be discussed at the Adult Social Service and Health Committee.


The Chair expressed the wish for an update to the Health and Wellbeing Board in approximately six months.



1.    The Personal Health Budget Local Offer be noted.

2.    The intention to publish the Local Offer on both the Sutton Clinical Commissioning Group and London Borough of Sutton websites be noted.



Public Health Outcome Framework (PHOF) pdf icon PDF 104 KB

This report, submitted for consideration and review to the Health and Wellbeing Board, is about Sutton’s performance as published by Public Health England in the Public Health Outcomes Framework. It reports on Sutton’s outcomes for those indicators that were updated in the quarter to August 2016.


Additional documents:


Dr Nicola Lang, Director of Public Health, presented the report.


Members asked the Director of Public Health to further elaborate on the indicators which related to the NHS Health Check. Discussion focussed on the ‘NEET,’ self-harm and flu vaccination indicators. Rachel MacLeod, Voluntary and Community Sector, highlighted that if it was difficult to reach certain members of the public, then the sector could assist here.


A request was made that figures be provided in addition to percentages in the next update to the Board and specifically, with regards to teenage pregnancies.



1.    The implications of the latest Public Health Outcomes Framework update for the health of the population of Sutton were considered and noted.


Pharmaceutical Needs Assessment pdf icon PDF 90 KB

The Health and Social Care Act 2012 conferred the duty for publishing and keeping up to date a statement of the population needs for pharmaceutical services in their area, referred to as a Pharmaceutical Needs Assessment (PNA) to Health and Wellbeing Boards. This paper proposes how this responsibility should be discharged to publish a revised PNA by April 2018.


Additional documents:


Dr Nicola Lang, Director of Public Health, presented the report.


Members commented upon the importance of pharmacies and pharmacists to the health service, as demonstrated by the Vanguard programme, and related funding cuts. It was queried whether the Local Pharmaceutical Committee was being consulted, to which it was responded in the positive.



1.    Authority for producing Sutton’s Pharmaceutical Needs Assessment be delegated to the Director of Public Health.

2.    The draft Terms of Reference for the Pharmaceutical Needs Assessment Steering Group be agreed.


Sutton mental Health Crisis Concordat Action Plan pdf icon PDF 89 KB

This report updates the Health & Well Being Board on progress in relation to Sutton’s Mental Health Crisis Care Concordat.  This follows from an earlier presentation on mental health services to the Board in 2014.


Additional documents:


George Platts, Head of Mental Health, Transitions, Community and Clinical Health, presented the report with Jean Daintith, Chair of the Crisis Care Concordat Group.


Member discussion focussed on issues relating to young people and the school community, and the opportunities offered by the Concordat. Councillor Jane Pascoe recommended that this work include school visits and pupil consultation.


Questions were also raised about the interaction of the mental health and justice systems and safeguarding issues. The Director of Public Health, Dr Nicola Lang, offered to invite Sinead Dervin, Head of Liaison and Diversion NHSE London, to a future meeting of the Board to discuss this further.


‘Health Help Now Sutton,’ was mentioned by Dr Brendan Hudson, Vice Chair, as useful to those seeking mental health advice.


The Chair highlighted the utility of social media campaigns, and their associated low-cost, suggesting the use of digital media to the Crisis Care Concordat Group.



1.    The progress made be noted and the future actions outlined in the report be supported.

2.    The updating of the plan on the national crisis care concordat website be agreed.


Sustainability and Transformation Plan pdf icon PDF 140 KB

Following the NHS Five Year Forward View, all regions of the NHS in England are required to produce five-year Sustainability and Transformation Plans (STPs). The draft South West London STP (SWL STP) was submitted to NHS England by the SWL CCGs on 21 October 2016 for assurance. This draft has previously been shared and reviewed at the Health and Wellbeing Board. This approved version was published by NHS England on 21 November 2016.


Additional documents:


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


Member discussion focussed on the next steps, to which it was responded that a general engagement plan was in place for Southwest London with further engagement envisaged at the locality level. The Chair requested that this be shared among the Board.


Questions were raised as to a planned meeting on the 12 December which not all Members of the Board were aware of. Rachel MacLeod, Voluntary and Community Sector, confirmed her invitation and willingness to share the concerns of the Health and Wellbeing Board as well as those of her own sector. In particular, the absence of an Equality Impact Assessment was raised and Dr Chris Elliott answered that an initial assessment was published in December 2015.


Niall Bolger, Chief Executive, requested a period of reflection as to how best proceed with engagement in a coherent manner and the Chair renewed the previous offer of the Council to assist in this capacity as a local authority.


The Chair of the Sutton Clinical Commissioning Group, Dr. Brendan Hudson, commended the STP to other Members of the Board.


Members also discussed the widespread concern of residents as to future estate management.



1.    The published version of the STP be noted.



Urgent business brought forward at the direction of the chair


No urgent business was brought forward.