Agenda and minutes

Health and Wellbeing Board
Monday, 4th December, 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

16.

Apologies for absence and notification of substitutes

Minutes:

Apologies for absence were received from Liz Bishop (Anne Howers attended as a substitute) and Rachael MacLeod (Kelly Silver attended as a substitute).

 

17.

Declarations of interest

Minutes:

7. The Mayor's Health Inequalities Strategy.

Daniel Elkeles, Non Pecuniary, declared during the item ‘The Mayor's Health Inequalities Strategy’ that he sits on London Health Board.

.

 

18.

Minutes of the previous meeting pdf icon PDF 119 KB

To approve as a correct record the Minutes of the meeting held on 25 September 2017

Minutes:

The minutes of the meeting held on 25 September 2017 were agreed and signed as a correct record.

 

19.

Time To Change Hub Application pdf icon PDF 105 KB

The report is intended to make the Health & Wellbeing Board aware of Sutton’s application to become a Time To Change Hub, it’s role as the hub host and the expectations on partners.

 

Additional documents:

Minutes:

Alison Navarro (SCVS) presented the report on the bid made for a Sutton Hub which would be led by the voluntary sector and to campaign against the stigma attached to people with a mental health problem.  Representatives attended to participate in the discussion on this item. David Jones (Chair of the Trustees, Sutton Mental Health Foundation) commented that the Foundation was very pleased with the application and the number of organisations involved, and went on to express the importance of reducing the stigma around mental health within the local partner organisations.

 

Following a question from the Chair, Jan Underhill confirmed that the decision on successful bids was expected imminently and emphasised the importance of support for the Sutton bid from the Health and Wellbeing Board.

 

Alan Leader (Sutton Mental Health Foundation) commented that it was important to ensure that the voices of as diverse a group of people as possible were heard, and so it was important to reach out to the community. David Bradley (Chief Executive, SW London and St George’s NHS Trust) commented that the breaking down of stigma surrounding mental health was important in everyday life, and that the Trust supported the application. Alison Navarro (SCVS) added that the team who put together the bid had received wide support for the bid, and that it was important for the Board to consider how to implement the ideas and the concept should the bid be unsuccessful.

 

Resolved that the Health and Wellbeing Board:

 

  1. Agreed to support the application.
  2. Agreed that Board members ask their organisations to become Time to Change partners.

 

20.

Pharmaceutical Needs Assessment pdf icon PDF 132 KB

This report updates the Health and Wellbeing Board about the steps being taken to ensure publication of the Pharmaceutical Needs Assessment by 1 April 2018.

 

Minutes:

Rebecca Hayden (Public Health Team Leader) presented the report on progress with the PNA (Pharmaceutical Needs Assessment), which is still being drafted and will go out to public consultation between 11 December 2017 and 12 February 2018. The consultation will inform the final version of the document, due to be reviewed on 2 March 2018 by the PNA Steering Group.

 

It is a statutory requirement to sign off the PNA by 1st April 2018 and as there is no HWBB before completion of the draft and this date, the report seeks delegated sign off.

 

Following a question from the Chair, Rebecca Hayden confirmed that the PNA informs key stakeholders of what services pharmacies provide in the borough geographically and allows them to consider why there have been closures etc. She added that it also indicated clinical need and whether there was correlation between needs and other elements of residents’ lives, such as in areas of deprivation.

 

Dr Jeffrey Croucher commented that the CCG were reviewing how pharmacies can facilitate the needs of their catchment area population, particularly in the face of frequent changes to the number and location of pharmacies in recent years. The Chair asked whether most pharmacies were able to prescribe, and Rebecca Hayden responded that some of them were allowed to prescribe for services such as drug and alcohol addiction and flu

 

David Bradley asked whether the local authority was able to decline a pharmacy the ability to provide services, and Rebecca Lawrence confirmed that they were able to do so in some circumstances, for example if a pharmacy opened up a needle exchange and was not storing the sharps correctly or did not have a confidential room.

 

Councillor Stears added that NHS England would send out notification when a pharmacy applies to be set up, which relevant authorities could make a representation against should they feel this was necessary.

 

The Board discussed the recent changes that pharmacies had undertaken in terms of business strategy in order to make profit to prevent having to close down. Councillor Stears asked whether there would be access to the PPA prescriptions authority’s data to map where prescriptions have been made out and paid for/collected. Dr Chris Elliott added that there were changes to the way that people receive their prescriptions recently, such as using online services, which may be more difficult to track.

 

Resolved that the Health and Wellbeing Board:

 

  1. Agreed to delegate the final sign-off of the Pharmaceutical Needs Assessment to the Director of Public Health in consultation with the Chair and Vice Chairs of the Health and Wellbeing Board.

 

21.

Health and Wellbeing Strategy Action Plan pdf icon PDF 134 KB

The purpose of the action plan is to enable the HWBB to monitor the impact of the Strategy. Delivery of the Health and Wellbeing Strategy Action Plan, update on the year 1 actions and aspirations for year 2 delivery.

Additional documents:

Minutes:

Jan Underhill (Acting Strategic Director - People) presented the report, in particular drawing attention to Appendix A and the contribution from the CCG and the Voluntary Sector partners. Following a question from The Chair, she confirmed that the next steps should the plan be approved were to make contact with the relevant Boards and organisations referred to within the action plan and to ensure that they were aware of their responsibility in making progress to deliver the plan.

 

Daniel Elkeles (Chief Executive of Epsom and St Helier NHS Trust) raised concerns that the action plan appeared to try to cover everything on the surface and was not clear on the key focus points that they wished to pursue. He referred to the Sutton Plan which set out three key priorities and The Mayor's Health Inequalities Strategy further down the agenda which highlighted priority issues such as obesity in children. Jan Underhill responded that there must be read across from the action plan to the agreed Joint Health and Wellbeing Strategy which has nine priorities and should be read alongside the action plan. However, the level of detail referred to is included in the strategy document.

 

Alison Navarro commented that one of the challenges of the Action Plan was that it must read across to the strategy which provides the focus on health inequalities. The action plan serves to provide outcome measures against the Strategy.

 

Niall Bolger responded further that the new Director of Public Health would be starting in January which would provide an opportunity to review progress  and that the Mayor of London’s announcements and the Sutton Plan provide all provide an opportunity to focus in more detail. Jan Underhill added that Health and Wellbeing centres upon individuals taking action the resilience of communities so much of the work is about  encouraging residents to respond and to live healthy lifestyles rather than taking direct action as an organisation.

 

The Chair responded to Daniel Elkeles’ comment regarding the Sutton Plan, where there were four priority areas, that working together differently could produce different results.

 

Jan Underhill noted that the Joint Health and Wellbeing strategy was drafted in 2014/15 and the pace and scale of change since then had been significant and therefore changes to the strategy may be required. Alison Navarro added that the Action Plan reflected the best response to the strategy in light of those changes.

 

Councillor Mathys raised concern that the CFE committee and the Corporate Parenting forum had not been specifically mentioned where the Children’s Trust Board and Environment and Neighbourhood Committee were. Councillor Stears responded that the issues were cross-cutting through all of the involved agencies and that the issues would not fall under one committee alone as each of the agencies were link-partners with their own contributions.

 

Resolved that the Health and Wellbeing Board:

 

  1. Approved Sutton’s Health and Wellbeing Strategy Action Plan, as set out in Appendix A of the report.

 

22.

The Mayor's Health Inequalities Strategy pdf icon PDF 130 KB

The report provides a joint response from the London Borough of Sutton and Sutton CCG to the Mayor of London’s Health Inequalities Strategy Consultation: ‘Better Health for all Londoners (August 2017)’.

Additional documents:

Minutes:

Jan Underhill (Acting Strategic Director - People) presented the report. Dr Chris Elliott commented that the Health and Wellbeing Board should ensure that there is a focus on the priorities following receipt of the Mayor of London’s final strategy.

 

The Chair recounted an experience in previous years where there had been a negative response to an awareness campaign in schools regarding child obesity, however that following this it emerged that the problem correlated with a lack of access to healthy food in the area which resulted in the setting up of a fruit and veg van which was popular. She raised concern that the approach to sensitive topics would need to be carefully considered, in particular by communicating with residents rather than dictating what to do as professionals. Councillor Stears added concerns that the focus appeared to be on Boroughs in inner-london. Daniel Elkeles, who sits on the London Health Board, responded to encourage the Health and Wellbeing Board to work toward making Sutton an exemplary outer-London borough which champions the Strategy. Jan Underhill and Alison Navarro expressed support for the strategy.

 

Resolved that the Health and Wellbeing Board:

 

  1. Noted the joint response to the Mayor of London’s Health Inequalities Strategy, as a collaborative response from the Sutton CCG and Public Health, on behalf of the Council.

 

23.

Exclusion of press and public

The following motion should be moved, seconded and approved if the committee wishes to exclude the press and public to deal with reports revealing exempt information:

 

“That the public be excluded from the meeting for the following items of business on the grounds that they involve the likely disclosure of exempt information as defined in paragraph 3 Schedule 12A of the Local Government Act 1972.”

 

Minutes:

Dr Jeffrey Croucher asked the committee to note that the Sustainability and Transformation Partnership Refresh document had been released on 30 November 2017. The Chair explained that it would not be possible to discuss the item as there had been no prior notice and several committee members had not seen the document. The Board would not have had the opportunity to read the relevant documents and therefore discussing the content at the meeting would not meet the required advance notification to the public.

 

The Chair raised concerns that the timing of the Sustainability and Transformation Partnership refresh in June 2018 would prevent local authorities from providing a full response in the face of local elections across London and the purdah period leading up to them.

24.

Urgent business brought forward at the direction of the chair

Minutes:

Dr Jeffrey Croucher asked the committee to note that the Sustainability and Transformation Partnership Refresh document had been released on 30 November 2017. The Chair explained that it would not be possible to discuss the item as there had been no prior notice and several committee members had not seen the document. The Board would not have had the opportunity to read the relevant documents and therefore discussing the content at the meeting would not meet the required advance notification to the public.

 

The Chair raised concerns that the timing of the Sustainability and Transformation Partnership refresh in June 2018 would prevent local authorities from providing a full response in the face of local elections across London and the purdah period leading up to them.