Agenda and minutes

Health and Wellbeing Board
Monday, 13th March, 2017 6.00 pm

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

Contact: Committee Services, tel: 020 8770 4990 Email: 

No. Item


Apologies for absence and notification of substitutes


Apologies were received from Peter Flavell.


declarations of interest


There were no declarations of interest.


Minutes of the previous meeting pdf icon PDF 120 KB

To agree and sign the minutes of the meeting held on 5 December 2016 as a correct record.


The minutes of the meeting held on 5 December 2016 were agreed and signed as a correct record.


Better Care Fund Update pdf icon PDF 154 KB

This report provides an update on progress with implementation of the 2016/17 BCF Plan and also progress with 2017/19 planning process.


Carol Lambe presented a report to update the Board on the Better Care Fund. She informed the committee that they had not yet received NHS England planning guidance for 2017/18 and 2018/19, which was due in December 2016 and may inform changes to Sutton CCG’s own planning, though there were no major changes predicted.


Councillor Colin Stears asked about the loss of staff at Dymond House and whether the £45000 saving was going to come from administrative or front line staff. Nick Ireland confirmed that it was a good news story as not so many people were requiring a care bed as they were being assisted at home instead, and that the staff would be used elsewhere.


Councillor Ruth Dombey asked whether outbreaks such as the respiratory virus which affected a lot of elderly people over the winter and filled up beds were taken into account when calculating A&E targets. Carol Lambe confirmed that it would be considered usual business. Following a further question on funding that had been promised by the Chancellor for social care, Tolis Vouyioukas confirmed that some fuller guidance on the funds and conditions on how it should be spent could be expected.


Councillor Jane Pascoe, asked how digital records (IDCR) might interlink with records across other areas of care, and whether residents were able to access their own records. Carol Lambe confirmed that this would be the second stage of the introduction of digital records. Dr Brendan Hudson informed the Board that patients could access a lot of the information already via their GP. Councillor Ruth Dombey asked whether residents who attend a GP in another borough would still have their information available should they require services from Sutton Social Services, and Carol Lambe confirmed that some of the surrounding boroughs are part of the ICDR programme and sharing the information across boroughs was a potential going forward, but was only within Sutton at present.


Resolved that the Health and Wellbeing Board:


  1. Noted the continuation and progress of the implementation work to deliver the 2016/17 Better Care Fund.
  2. Approved the draft 2017/18 Sutton BCF budget subject to any changes required following receipt of the Policy Framework and Planning Guidance.


Update: Vanguard Team

Programme update on the Vanguard Team from Sutton CCG as presented by Mary Hopper, Director of Quality.


This item will include a short film on the Vanguard Project and how it interlinks with the main hospital.



Viccie Nelson, Programme Director at the NHS Sutton Clinical Commissioning Group gave a presentation on the Vanguard Team’s work. The presentation covered the achievements of the programme, the EHCH framework, and the aims of the model following trends in data which demonstrated particular issues. The model aimed to empower and upskill care home staff by providing them with the resources to learn easily, and encouraged care homes to network and communicate with one another. The Vanguard Team had introduced ‘The red bag’ - a bag for patients including information on the resident so that emergency carers could easily assist them, signed consent to share information, discharge clothes, medication, and personal items.


The presentation included two short videos available at the following links:


Councillor Ruth Dombey noted that there had been a lot of interest in the project from ministers and asked whether all care homes in Sutton had undertaken the scheme. Viccie Nelson informed the Board that all care homes were welcome to attend the forums and that the Vanguard Team were working on including different kinds of care homes over time.


Dr Chris Elliott added that the Vanguard had been featured on BBC Radio 4, BBC Radio 2 and morning television as a relatable model of care, however that funding for the new model from the Vanguard Team would run out in 2017/18. He also informed the Board that an extra charge on care providers that employ non-EU staff had been announced, which would affect care home’ budgets, and that because of the close work the Vanguard had been doing with nursing homes, they were involved in the opening of 2-3 big care homes in Sutton. He concluded that with the trend emerging to open bigger care homes in order to make them financially viable, care homes working closely with one another could improve the quality of care.


Councillor Colin Stears asked whether colleagues in social services had seen a difference using the red bag system, and Nick Ireland responded that in terms of the monthly meetings the joint intelligence group have, there was no doubt the red bag had made a significant difference and had also generated a number of ideas from commissioners.


David Williams asked if the red bag scheme could be rolled out to assist those who are vulnerable but still living at home and Viccie Nelson responded that in an ideal world there would be a live digital record available at any time for all residents, however that they were investigating the potential for domiciliary patients to have a similar package of information to assist with providing better care.


Urgent business brought forward at the direction of the chair


There was no urgent business.


Dr Hudson explained that this was the last meeting for Jonathan Bates who was leaving the Sutton CCG to take up his new role as Director of Commissioning Operations for the SW London CCGs Alliance. Councillor Ruth Dombey wished him well in his new role and thanked him for his contribution to the committee and to the Sutton CCG over many years.