Agenda and minutes

Health and Wellbeing Board
Monday, 19th June, 2017 6.00 pm

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

Contact: Aimee Wittams-Smith, Committee Services Officer  Tel.: 020 8770 4990 Email:  committeeservices@sutton.gov.uk

Items
No. Item

1.

Apologies for absence and notification of substitutes

Minutes:

Apologies were received from Councillors Colin Stears, Wendy Mathys and Jane Pascoe; and from Tolis Vouyakis.

2.

Declarations of interest

Minutes:

There were no declarations of interest.

3.

Minutes of the previous meeting pdf icon PDF 120 KB

To agree the Minutes of the meeting held on 13 March 2017 as a correct record.

Minutes:

The minutes of the meeting held on 13 March 2017 were agreed and signed as a correct record.

4.

Order of items

Minutes:

The Chair announced that items 4 and 5 on the agenda would be switched around, as such items were considered in the order that follows in the minutes below.

5.

Update on changes to Pharmacy regulations and reform

A verbal update on changes to pharmacy regulations and reform from Andrew McCoig (Merton, Sutton and Wandsworth Local Pharmaceutical Committee).

Minutes:

Andrew McCoig (Merton, Sutton and Wandsworth Local Pharmaceutical Committee) attended to update the Board. His update included:

  • There would be a PNA (Pharmaceutical Needs Assessment) report into pharmacy provision in the borough, mapping existing services and gaze into the future.
  • Flu vaccination service across pharmacies will be tracked through the report
  • Changes to the sum of money awarded to services for delivery of services via the NHS (cuts that started to hit at the start of the year, with 12 months’ worth of cuts condensed into 4 months and contractors having to borrow money to pay their services.
  • There were concerns regarding the future, with uncertainty whether Sutton would still have 44 pharmacies serving the population of Sutton going forward, as two had already been lost had lost in the tri-borough area.
  • A meeting to review the situation across London had been pushed back.
  • To thank Dr Nicola Lang and Clare Ridsdill-Smith who had assisted in bringing it forward in Sutton.

 

Councillor Dombey asked how community-based healthcare facilities could be enhanced, and how important the commercial side was. Andrew McCoig responded that they were running out of money and needed to consider introducing services that the public might pay a small amount for that could not easily be accessed via the NHS to avoid losing hours to an appointment, for example taking blood samples. He added that for chain stores such as Superdrug commercial business generated as much as a hundred times more income than NHS related services, whereas for independent pharmacies the NHS side made up as much as 90% of their income.

 

He outlined that a PNA was required every 3 years to ascertain if there are gaps in need for pharmacies so new pharmacies can be set up, and allows for some detail where there are needs for certain services in specific parts of the borough.

 

Dr Chris Elliott asked a questions about DSPs (Distant Selling Pharmacies) and Andrew McCoig clarified that this referred to buying your prescriptions online, he explained that the model was much more popular in the USA but had made some in-roads, and that fortunately some were located in the borough (although they offer nationwide services).

 

Following a question from Dr Brendan Hudson, Andrew McCoig confirmed that the PNA would include exploring new regulations to recognise consolidation where a pharmacy might close without the need to open up another one in its place, for example in a location where there are others very close by (eg Sutton High Street) so there would still be enough to serve the population.

 

6.

Sutton Local Transformation Board pdf icon PDF 3 MB

Representatives from Sutton CCG to present on the Sutton Local Transformation Board ahead of its launch in July 2017.

Minutes:

Lucie Waters, Managing Director of Sutton CCG introduced her presentation with the introduction of a fictional 80 year old couple who suffer with chronic health problems, an example of a section of the community with complex needs, which is what the Sutton Local Transformation Board (SLTB) would seek to help. She outlined that the SLTB would communicate with a number of local services and represent them to committees such as the Health and Wellbeing Board.

 

Councillor Dombey asked what practical difference the SLTB would make to residents and sections of the community with complex needs, and what the role of Merton would be. Niall Bolger, Chief Executive, responded that Merton’s role would be advisory as under the South London STP their borough is divided in half between St Helier and St Georges hospitals. Dr Chris Elliott added that their inclusion was to ensure that Merton residents were not prejudiced in some way by the STP.

 

Councillor Dombey raised concerns that the scheme started from the perspective of acute care, then considered how to get into the community rather than starting with the community. Pete Flavell raised concerns that Merton would play too big a role in a Sutton Board. Lucie Waters responded that Merton did not have their own transformation board and it would be reasonable that they are able to look at their patient’s pathways both St Helier-facing and St George’s-facing.

 

The Board went on to discuss the importance of involving the Sutton Centre for the Voluntary Sector and a 'bottom up' approach where the Sustainability and Transformation Plan (STP) should be the sum of the local transformation Boards rather than the Boards being a division of the STP, including not just General Practitioners but everyone who cares in the voluntary and community sector. It was established that the details of where particular service areas would fit in had not already been decided and that they would be considered in the formation of the board which would define the requirement of local needs and requirements and issues without a focus on the acute services. Lucie Waters and Dr Brendan Hudson also informed the Board that the SLTB would provide an opportunity to consider refurbishing and rebuilding St Helier Hospital.

 

David Williams asked how they would ensure cohesion between all of the Local Transformation Boards to feed into the STP, and how they would prevent Merton from becoming disenfranchised with only an advisory role. Lucie Waters and Niall Bolger responded that they were working on the modelling to ensure that there is continual feedback and recognise the potential issues but it was a fresh opportunity for shaping how it works, with democratic accountability and no top-down approach, so they would endeavor to protect Merton’s interests.

 

A resident spoke at the invitation of the Chair. She expressed her excitement about the SLTB after her experience of fragmented services whilst trying to look after her daughter who was admitted to hospital for 9 months due to mental health issues. She compared the  ...  view the full minutes text for item 6.

7.

Urgent business brought forward at the direction of the chair

Minutes:

The Chair announced that it was Dr Brendan Hudson’s last meeting as he was stepping down as Chair of the CCG, and a replacement would be appointed in the first week of July. It was also Dr Nicola Lang’s last meeting as she was leaving Sutton council, the Chair thanked her for her work, in particular on the Women’s Hub.

8.

Date of next meeting

The next meeting of the Health and Wellbeing Board will take place at 6pm on 25 September 2017.

Minutes:

The next meeting will be held on 25 September 2017.