Agenda and minutes

Health and Wellbeing Board
Monday, 25th September, 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:

Link: Audio Recording

No. Item


Apologies for absence and notification of substitutes


Apologies were received from Alison Navarro and Councillor Wendy Mathys, and Daniel Elkeles, Chief Executive of Epsom and St Helier University NHS Trust, Dr Ruth Charlton, the Deputy Chief Executive, attended as his substitute.


Declarations of interest


There were no declarations of interest.


Minutes of the previous meeting pdf icon PDF 133 KB


The minutes of the meeting held on 19 June 2017 were agreed and signed as a correct record.


End of Life Care Themed Session pdf icon PDF 292 KB

This session will be an opportunity to review the current support provided to Sutton residents requiring End of Life care and to discuss opportunities to improve the way that support is provided.

Additional documents:


Jane Pettifer, Clare O'Sullivan, and Debbie Lindon-Taylor attended from the Sutton Clinical Commissioning Group, and gave a presentation to the Board, which was circulated as part of the agenda pack. The presentation outlined the aims of the partners involved in the project, and the progress that had been made since they had introduced changes in recent years.


Councillor Dombey thanked the team for their hard work, and commented on the importance of partnership working. Dr Chris Elliott commented that Sutton residents have benefitted from strong and committed leadership to improve End of Life Care. He added that it was a  medical model, and that he would like to see what the Health and Wellbeing Board can do to promote the importance of recognising End of Life Care in the community.


Following a question from Councillor Pascoe, Clare O’Sullivan explained that they had hosted a stakeholder event to recruit volunteers to the steering group. Councillor Pascoe suggested that an event could be hosted similar to the pop-up events arranged by Death Cafe. It was confirmed that the group had been involved with the national campaign Dying Matters, and Dr Charlton added that Epsom and St Helier NHS Trust (EStH) had held a ‘focus on death’ week at the hospital trust which had faced criticism in the media, she suggested that the partners on the Health and Wellbeing Board could do something jointly in that week from 13-18 May 2018. Members of the Board agreed that they would be keen to work together to promote the Dying Matters week, and Niall Bolger agreed to make arrangements for a joint piece of work between health services and the council to support the End of Life day in 2018.


David Williams commented that Healthwatch were setting up a cohort of ‘health champions’ in order to improve communication with a diverse selection of groups of the community. Rachael Macleod added that they would like to review what training could be offered to staff and volunteers to assist with communicating with the community, and highlighted the importance of a continuous review and feedback loop.


Councillor Pascoe asked about the work to advise residents on financial help available to them and personal budgets. Jane Pettifer confirmed that the Personal Healthcare Budgets initiative gave individuals a certain amount of money to organise their own care, which was more difficult for End of Life Care but that alternative ways of doing it had been explored for the model, for example where people wish to have family members care for them and how to make that happen.


Dr Jeffrey Croucher commented that the strategy demonstrated good practice and good use of evidence. He added that it was great to see the skills and confidence be developed to support patients in the community.


Rachael Macleod relayed feedback from the Voluntary Sector that it was important to distinguish between unpaid carers and paid care workers, and that questions had arisen such as where people with learning disabilities fitted in  ...  view the full minutes text for item 12.


Better Care Plan pdf icon PDF 238 KB

Mark Hourston, Programme Manager (Better Care Fund) at the Sutton Clinical Commissioning Group to present a report to update the Board on the progress of the Better Care Plan.


The workbook for Appendix B can be viewed online here.

Additional documents:


Mark Hourston, Programme Manager (Better Care Fund) presented a report to update the Board on the Better Care Plan which had been submitted under the urgency procedure on 11 September 2017. He added that they expected to receive a letter from NHS England by 6 October, which would either accept the plan or suggest amendments.


Councillor Dombey sought clarification on the increased severity of illnesses presented at hospitals in August, and it was confirmed by Dr Chris Elliott and Dr Ruth Charlton that there was no specific condition or age group identified. Lucie Waters responded to concerns about Public Health England’s warning of a new flu strain that the winter season is always a time of year with high instances to deal with. Dr Elliott added that it was important to make sure flu vaccination rates are high, in particular for small children, and at the right time of year. The Board discussed free flu vaccinations and how to target hard to reach sections of the community to get the message to them.


Councillor Pascoe asked where residents could return specialist equipment and it was confirmed that there are places you can access specialist equipment in the borough on referral. Nick Ireland added that the equipment is delivered following referral and checked that it is meeting the needs of the user, then once they are finished with it they can make contact with the services so that it can be picked up.


Rachael MacLeod expressed concerns about the flightpath and tight turnaround which was given to submit the Plan which prevented the involvement of SCVCS. Mark Hourston responded that they intended to take a dynamic approach across the two year plan and take into account input from the voluntary and community sector, adding that it becomes stronger with more engagement. Jan Underhill explained that the place to put forward ideas was the Integration Transformation Board and that they also had access to the Sutton Local Transformation Board which will be dynamic, and from discussions at those Boards representatives could play their part and input.


Resolved that the Health and Wellbeing Board:


  1. Noted the continuation and progress of the implementation work to deliver the 2017/19 Better Care Fund.
  2. Approved the 2017/19 Sutton BCF narrative and financial plans at Appendices A and B.
  3. Delegated authority to the Strategic Director for 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.



Sutton Health and Care pdf icon PDF 691 KB

A representative from Sutton CCG to give a presentation on Sutton Health and Care and its direction of travel.


Lucie Waters gave a presentation to the Board on Sutton Health and Care, which was available as part of the supplemental agenda pack.


Niall Bolger paid tribute to all the partners that were involved, in particular their willingness to set aside organisational obstacles, and thanked EStH for their work promoting the fact that hospitals are not always the best place for Health and Care, which was a key step towards progressing and developing improvements.

Dr Croucher commented that it was a leap of faith, but concurred that he believed that service users would see a better service as a result. Councillor Dombey added that the commitment of the Health and Wellbeing Board was evident, and raised concerns about the timescales imposed by the STP which could potentially be an obstacle. Dr Elliott and Lucie Waters confirmed that their STP colleagues were supportive of it as the direction of travel, and that the way the STP had evolved to pass decisions back to local partnerships has given us the opportunity to understand the scope and the challenges we are likely to face going forward.


The Board further discussed their support for Sutton Health and Care, and established a need to progress quickly and confidently whilst ensuring that they are inclusive of all stakeholders. The Board acknowledged that there were concerns that were being aired and addressed at the meetings relating to Sutton Health and Care but that the wide range in support from various organisations means the right discussions were being had in order to reach the right model and outcomes and ownership of it going forward.



Urgent business brought forward at the direction of the chair


There were no urgent items brought forward.