Agenda and minutes

Health and Wellbeing Board
Monday, 25th June, 2018 6.00 pm

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

Contact: Sharon Major, Committee Services Officer  Tel.: 020 8770 4990, Email:

Link: audio Recording

No. Item


Apologies for absence and notification of substitutes


Apologies were received from Niall Bolger Chief Executive LBS

David Bradley Chief Executive, South West London and St George’s Mental Health and

Nick Ireland Interim Strategic Director People Services. Lucie Walters also absent.



Declarations of interest


There were no declarations of Interest.


Minutes of the previous meeting pdf icon PDF 72 KB

To approve as a correct record the Minutes of the meeting held on the 4 December 2017.


The minutes of the meeting held on 4 December   2017 were agreed and signed as a correct record.


Order of items

The Chair announced that the agenda would be reordered, so that item 6 would be heard ahead of item 4.



Sutton Health and Care Report pdf icon PDF 208 KB

This report sets out proposals to jointly commission with Sutton Clinical Commissioning Group (CCG) Sutton Health and Care (SHC) at Home.  



Additional documents:


Terry Clark, Head of Social Care Commissioning, and Michelle Rahman, Deputy Director Sutton Clinical Commissioning Group (CCG) presented the report.


Following the presentation, the Chair, Councillor Ruth Dombey, requested further information on locality working. The Deputy Director of Sutton CCG advised that general practice is organised into 3 localities, the idea being that bases are identified near to where people live to make sure services are accessible and local. Dr Croucher reinforced that the GP federation are keen to ensure that this works, with the aim being a reduction in A&E attendance and to ability to treat an increasing number of patients in their own homes.


Councillor Pascoe asked how this model would be developed for mental health and other sectors. Officers advised that lessons from this pilot will be taken on board and this will then be rolled out to other sectors.


The Chair asked how understanding the impact on the whole family could be developed.  Feedback from Members indicated this could be done via the GP, who could access services on behalf of the patient, and therefore all multi-disciplinary teams need to work together around the GP.  The Deputy Director of Sutton CCG advised that in terms of the proactive model - there would be a key contact person, a case manager, who would act as a single point of contact for the patient.




1.    The commissioning of Sutton Health and Care be approved by entering into a section 75 agreement with Sutton Clinical Commissioning Group.

2.    Authority be delegated to the Strategic Director, People , in consultation with the Chair of the People Committee, to enter into all required contractual arrangements to implement Sutton Health & Care for the council.

3.    The Sutton Health & Care Outcomes Framework at Appendix A be approved.



Suicide Prevention Strategy & Action Plan pdf icon PDF 96 KB

This report brings the Suicide Prevention Strategy and Action Plan to the Health and Wellbeing Board for noting and discussion only.


Additional documents:


Clare Ridsdill Smith (Head of Public Health Integration), Sara Ward (Specialist Safeguarding Lead for Self Harm) and George Platts (Head of Mental Health Transition, Community and Clinical Health), presented the report. Members were advised that due to a rise in suicide rates  in England,all Local Authorities are required to develop a suicide prevention strategy and action plan..


Officers informed the committee that in the coming year, it is planned to address mental health in primary care and, as Local Authority services move into a locality structure, help could be provided at an earlier stage. Members were also advised that the Local Children’s Safeguarding Board (LSCB) had developed a self harm protocol and that an event called ‘Positive Mental Health Week’ that  was delivered to schools last year, and attended by over 120 parents, would be rolled out to more schools this year.


Upon the invitation of the Chair, Beth Ingram, Director of Hearts and Minds (a  charity run to support 16-25 year olds in respect of mental health issues) spoke of her own experiences. Key points raised included:

  • Hearts and Minds felt there was a lack of service for young adults.
  • It was important to move towards young people feeling happier, rather than classifying into specific mental health issues.
  • Making young people feel they are listened to and heard is vital, as well as their inclusion in decision-making.

Councillor Fivey introduced herself as mental health champion.  One of the issues she raised for discussion was regarding how people who are not currently in the”system” can access services, which was discussed in debate on this item.  

Upon the invitation of the Chair, Professor Adrian Bonner, shared a research paper from the Journal of Public Mental Health (2009). Members discussed Professor Bonner’s work and the links he raised between  diet, mental health and suicide.. 


Members sought further information regarding the recorded level of completed suicides and of  self harm. Beth Ingram indicated that in her experience, discrepancies may occur due to the way the data is measured, and the questions that people are asked when they attend A&E.  For example, individuals who have self harmed may  not be asked if they intended to die or not.  Members further discussed funding the implementation of the action plan and also the process to decommission activities that are not working and to develop other interventions.


David Williams, Healthwatch, spoke of his work with the Samaritans and the data available regarding individuals seeking help. He also advised Members of the Healthwatch survey with secondary schools to give insight into feedback from young people and parents. Beth Ingram added that currently there is no centralised place to record self harm and suicide attempts and no way of sharing to get a ‘red flag raised’.

The Head of Mental Health Transition, Community and Clinical Health responded that “Time to Change” would help reduce the stigma of people being able to speak about mental health and give people the tools to do  ...  view the full minutes text for item 5.


Better Care Fund Update pdf icon PDF 133 KB

This report provides an update on the performance and delivery of the 2017/19 Better Care Fund (BCF) Plan, and our spending requirements for 2018/19.


Additional documents:


Lindsey Hernandez, Better Care Fund Integration Manager and Sandra Roche, Interim Assistant Director of Adult Social Care, presented the report.


Members discussed the budget for 2018/19 and the shortfall of £44,000 in year saving required was drawn to their attention.




1.    The progress made as set out in Appendix A of this report on the work to deliver the 2017/19 Better Care Fund Programme be noted.


2.      The 2018/19 Sutton Better Care Fund budget as set out in Appendix B be approved and Authority be delegated to the Strategic Director, People to enter into a new s.75 agreement.



Urgent business brought forward at the direction of the chair


The Chair gave the Board’s congratulations to Dr Jeffrey Croucher on the delivery of the “Red Bag” project which had been rolled out across the country.