Agenda and minutes

Health and Wellbeing Board
Monday, 24th September, 2018 6.00 pm

Venue: St Helier Hospital, Wrythe Lane, Sutton, Carshalton SM5 1AA- Education Centre, 2nd Floor Whitehall Lecture Theatre

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 Councillor Ruth Dombey Leader of the Council London Borough of Sutton (LBS), Councillor Jenny Batt attended as substitute.


Apologies were also received from Alison Navarro, Voluntary and Community Sector and Dr Jeffrey Croucher from Sutton Clinical Commissioning Group (CCG).


Apologies were received from Lucie Waters of Sutton CCG and Michelle Rahman, Deputy Managing Director Sutton CCG, attended as substitute.


Apologies were also subsequently given for Imran Choudhury, Director of Public Health LBS



Declarations of interest


There were no declarations of interest.


Minutes of the previous meeting pdf icon PDF 86 KB

To approve as a correct record the Minutes of the meeting held on 25 June 2018


RESOLVED: that the minutes of the meeting held on 25 June 2018 were agreed and signed as a correct record.



Sutton Health Prospectus 2018/19 pdf icon PDF 113 KB

This report provides an update to the Sutton Health Prospectus for 2018/19, a public document which sets out the Council’s ambitions and priorities for healthcare services available to Sutton residents. The refreshed Health Prospectus will be published together with other papers for the Health and Wellbeing Board meeting on 24 September 2018 and thereafter, published on the Council’s website.

Additional documents:


The Report was presented by Jan Underhill, Assistant Director of Wellbeing (LBS).


The Health prospectus has been included in the agenda pack. It was confirmed that the revised Prospectus will be republished on the Council’s website following the meeting.


Following the presentation, Councillor Pascoe requested clarity on how the Sutton Plan will be referenced within the prospectus. The Assistant Director advised that the prospectus is a high level document that sets out priorities and ambitions and overlays more detailed plans such as the Joint Health and Wellbeing Strategy, which refers to specific groups. In debate it was suggested that additional details should be added to section 5.7 of the prospectus to highlight the Sutton plan before it is republished.


Councillor James asked for more details on adult service integration. Nick Ireland, Acting Strategic Director of People LBS, responded accordingly and in particular spoke of the place-based approach, and how the teams work on a locality basis across both health and social care practitioners.




  1. The Council’s ambitions and priorities regarding health and care services for Sutton resides were noted.



Sutton Health and Care: Update and Next Steps pdf icon PDF 173 KB

This report sets out the Health & Social Care Integration Programme that has been partially ‘in flight’ for the past year with a recent focus on establishing the Sutton Health & Care (SHC) reactive model, now called ‘SHC at home’.





Additional documents:


The report was presented by Niall Bolger, Chief Executive - London Borough of Sutton, and Michelle Rahman, Deputy Managing Director Sutton CCG, to outline the overall approach to Sutton Health and Care, in particular with regard to compassionate communities and also looking at what more can be done across preventative and proactive areas and linking this into outcomes based commissioning.


ThirzaSawtell, Director of Epsom Health and Care, who will shortly become the Executive Director of Integrated Health and Care for Epsom and St Helier, delivered the presentation


Members were advised that Sutton Health and Care is a formal alliance of partners with people at the heart of the care that is delivered, to keep the population of Sutton healthy and independent. The details of the work completed so far were outlined.


Delivering together started in April this year in respect of the At Home Service.  The presentation focused on the opportunity to widening this approach to the whole of adults and children services from April 2019. A three phase approach was discussed covering:


  • Reactive phase - at Home service
  • Proactive care approach linking into multidisciplinary approach
  • Preventative care


The full presentation including timeline for next steps is appended to the minutes.  


Councillor James gave thanks on behalf of the Board to all partners involved in the work.  


In debate, Councillor Pascoe asked how the multi-disciplinary teams will be aligned with childrens teams in children's services. Nick Ireland, Acting Strategic Director People, responded accordingly and advised that adult care localities and children's care localities work in the same localities - which replicates community services and GP localities.  It was highlighted that this has aided the place-based approach to help align skill sets. The key area of focus is on seamless care and continuity dependant on individual needs,  with the aim of eliminating boundaries between different professional groups. The concept of the trusted assessor culture was discussed by the partners present.


The Chair asked members to confirm if they were satisfied with the information provided and in particular Appendix A and also the governance arrangements.  There were no further questions.


At the point of voting, Michelle Rahman, Deputy Managing Director, requested clarification that endorsement would only be in respect of items currently in the programme rather than future items. The Chief Executive of London Borough of Sutton, Niall Boulger, raised a motion to amend recommendation 2.2 as seconded by the Deputy Managing Director of Sutton CCG, upon which Members voted.



1.    The Health & Social Care Integration Programme Plan be agreed in its entirety on the basis that it is flexible and can accommodate new projects where necessary.


2.    The principle of jointly resourcing management and delivery of the programme across the CCG and London Borough of Sutton be endorsed as per the delivery of the current programme and subject to additional recommendations that have any resources implications requiring a further decision from the Health and Wellbeing Board.  



Urgent business brought forward at the direction of the chair


There was no urgent business.