Agenda and minutes

Health and Wellbeing Board
Monday, 4th March, 2019 6.00 pm

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

Contact: Sharon Major, Committee Services Officer  Tel.: 020 8770 4990, Email:  committeeservices@sutton.gov.uk

Media

Items
No. Item

14.

Apologies for absence and notification of substitutes

Minutes:

The Chair welcomed two new Members of the Board, Helen Bailey, Chief Executive of London Borough of Sutton, and Barbara McIntosh, Vice Chair of Healthwatch Sutton.

Apologies were received from Cally Palmer, Chief Executive of Royal Marsden Hospital. Apologies were also received from Lucie Waters Managing Director Sutton CCG and Michelle Rahman, Acting Managing Director, attended as substitute.

 

15.

Declarations of interest

Minutes:

There were no declarations of Interest.

16.

Minutes of the previous meeting pdf icon PDF 77 KB

To approve as a correct record the Minutes of the meeting held on 24 September 2018.

 

Minutes:

RESOLVED: that the minutes of the meeting held on 24 September 2018 were agreed and signed as a correct record.

 

17.

Better Care Fund Update pdf icon PDF 177 KB

This report provides an update on the performance and delivery of the 2017/19 Better Care Fund (BCF) Plan, and a review of budget management for 2018/19 and presents the budget outline for 2019/20.

 

Additional documents:

Minutes:

The report was presented by Lindsey Hernandez, Better Care Fund Manager. She provided an update on the performance and delivery of the 2017/19 Better Care Fund (BCF) Plan, and a review of budget management for 2018/19,and the budget outline for 219/20. It was highlighted that the 4 existing reporting metrics remain unchanged. Members sought clarification on how the targets have been set and the officer responded accordingly.

RESOLVED: that

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 2019/20 budget, Sutton Better Care Fund budget as set out in Appendix B be approved.

 

18.

Sutton Health and Care pdf icon PDF 523 KB

In June 2018 the Health and Wellbeing Board approved the joint commissioning of Sutton Health and Care at Home (SHC@Home) by the London Borough of Sutton and Sutton Clinical Commissioning Group.  This report gives an update on the establishment of SHC@Home, performance so far, expected trajectories for 2018/19 and the outcomes framework for 2019/20. It also provides a brief update on progress in developing the next phase of Sutton Health and Care: Proactive and Preventative and how this is intended to be taken forward during 2019/20.

 

Additional documents:

Minutes:

The report was presented by Jessica Crowe, Assistant Director of Customers, Commissioning and Governance (LBS). An overview was given of the establishment of SHC@Home, performance so far and expected trajectories for 2018/19 and outcomes framework for 2019/20.  The board were advised that  3 work streams are in progress for the next phase of Sutton Health & Care Proactive and Preventative to further develop an evidence base on what cost savings can be made with a  view to commissioning more detailed proposals.

 

Debbie Lindon-Taylor Head of Sutton Health & Care, Lynne Brown, Acting Head of Service, Adult Social Care and Peter Flavell Manager Healthwatch Sutton, delivered the presentations. The latest Health and Care presentation is attached to the minutes for reference.

 

In debate Dr Jeffrey Croucher advised that Sutton CCG governing Body visited Sutton Health and Care in action, to look at operational and strategic issues and how the Governing body can support this.   

 

Members queried the sample size of the data presented by Sutton Healthwatch on patient feedback. Peter Flavell Manager Sutton Healthwatch responded and confirmed that this is an ongoing challenge to increase the number of responses.

 

The Board gave thanks for the work that has been done. Ongoing priorities are focused on organisational development, making the medical model more person centred and ensuring the right care in the right place is available.

 

RESOLVED: that

1.    The progress of implementing Sutton Health and Care at Home and the project performance for 201/19 be noted

2.    The 2019/20 Outcomes Framework (As set out in Appendix A) in line with the Sutton Health and Care Contract be approved

3.    The progress in developing Sutton Health and Care: Proactive and Preventative, be noted.

 

19.

Joint health and care communications update pdf icon PDF 146 KB

This report provides an update on the activities and progress of the Sutton Local Transformation Board (LTB) communications and engagement group.

Additional documents:

Minutes:

The report was presented by Martin Szybut, Head of Communications LBS and Charlotte Gawne, Director of Communications SWL Health and Care Partnership.  The report provided an update on the activities and progress of the Sutton local Transformation Board (LTB) communication and engagement Group.

The key points highlighted were:

  • All additional activities had been completed with no additional budget.
  • Achievements and recent success stories were highlighted to the board, such as the Sutton Health and care engagement event in November as an example of the partnership work.
  • Going forward into 2019/20 the teams plan to support children's and young people trailblazing projects and work with development of Sutton Health and Care plan and Sutton plan, and to focus on publicising GP extended access via digital advertising to working age adults.

RESOLVED: that

1.    The progress of the Sutton Local Transformation Board communications and engagement group be noted.

 

20.

Draft Sutton Health and Care Plan pdf icon PDF 107 KB

This presentation provides an update on progress to-date around the development of the Sutton Health and Care Plan. It summarises the key elements of a draft discussion document which will be circulated to local stakeholders prior to the development of the final plan in July 2019.

 

Additional documents:

Minutes:

The item was presented by Dr Imran Choudhury Director of Public Health.

He provided an update on progress on the development of Sutton Heath and Care Plan and summarised the key elements of the draft discussion document. The presentation outlined the learning on the key challenges to the Health and Social Care System in Sutton and the approaches and steps that partners would like to commit to, in order to  further develop a seamless system of health and social care.

The key points highlighted were:

  • Engagement with key stakeholders and public events.
  • Using community assets and networks of local people groups to help deliver new ideas to tackle issues such as social isolation and social prescribing and community buddies.
  • Next steps regarding consultation which will take place in the Summer.

 

In debate Members spoke about improvement in both educational and health outcomes and coordination of functions and skills of teams involved. Areas of discussion included support being provided out of the schools budget and if this should not always be the case if the intervention relates to health or care support. Michelle Rahman Acting Managing Director Sutton CCG responded that on the local health and care plan there is a finance workstream to understand the budgets available.

 

RESOLVED: that

1.    The Sutton Health and Care Plan update attached at appendix A be noted.  

 

21.

NHS Long Term Plan - Briefing pdf icon PDF 147 KB

The NHS Long Term Plan was published on 7 January 2019. It is a new plan for the NHS to improve the quality of patient care and health outcomes. It sets out how the £20.5 billion budget settlement for the NHS, announced by the Prime Minister in summer 2018, will be spent over the next 5 years.

Minutes:

Jessica Crowe Assistant Director of Customers, Commissioning and Governance (LBS) gave a brief overview of the report.  The presentation was delivered by Michelle Rahman Acting Managing Director, Sutton CCG. She briefed the Health and Wellbeing Board on the NHS Long Term plan and highlighted the implications for London Borough of Sutton.

The key points highlighted were:

  • The focus on NHS prevention programme and clinical standards.
  • The focus on out of hospital care to support people within their own homes.
  • Looking at new ways to attract staff into NHS in Sutton.
  • The move to an integrated care system and a shift to a single CCG to help focus on developing care at Place or borough level to meet the needs of residents.
  • Emphasis on reducing duplication and focusing on priorities for the people of Sutton.  
  • Looking to tackle health inequalities.
  • Best use of IT systems and part of digitalisation programmes to share information available on systems. In particular how health and care data are used to manage health.
  • Working with key leaders on local transformation board and the road map to achieve the plan for integrated care at place level.  

Dr Jeffrey Croucher highlighted that in respect of the strategic side of the plan the CCG chairs meet regularly to work out how CCGs can align themselves with the new plan and to own and shape the system that is needed for South West London and Sutton. Councillor Ruth Dombey asked how this will make a difference to outcomes and how this will link to social care. Michelle Rahman responded that the plan does not change Sutton priorities but it will change the structure of how it is delivered.

 

In discussion Members commented that integration of health and care at “Place” or (as they would prefer to describe it) “Sutton borough” level was the number one priority and discussed the synergies between the Sutton plan and the NHS plan. The presentation is circulated with the minutes for reference.

 

RESOLVED: that

1.    The briefing presented at the Board meeting on the NHS Long Term plan and the implications for Sutton be noted.

2.    The proposals from the Local Transformation Board for how the ambition of the Long Term plan for an integrated Care System everywhere by 2021 could be translated into an Integrated Care Place for Sutton be noted with the comments above.

 

22.

SWL CYP Emotional Wellbeing Programme pdf icon PDF 155 KB

The paper provides the Health and Wellbeing Board with an update on South West London’s Health and Care Partnership’s priority programme, to build emotional resilience in our children and young people.  In 2018, across South West London a Whole School Approach was developed and is currently being piloted with a cluster group of schools in each of the six South West London boroughs.

 

Additional documents:

Minutes:

This item was introduced by Dr Brendan Hudson, Clinical lead for Children and young people. James Holden, Commissioning Manager, Sutton CCG updated the Board on South West London’s Health and Care Partnership’s priority programme, to build emotional resilience in our children and young people.

The key points highlighted were:

  • The whole school approach which is currently being piloted
  • Sutton is included in Wave one trailblazer, to implement Mental Health Support Workers in a number of schools which will be live by the end of 2019 .

 

The presentation has been published with the agenda. Nick HouseHead Teacher, Greenshaw High School, one of the schools included within the pilot, gave an overview of how this is being delivered at the school.   

 

Members confirmed they welcome this project, and discussed how individuals involved in the pilot can be used to train others such as school nurses. Rachel MacLeod Chief Executive of Sutton Carer Centre asked if professionals in the voluntary sector could also be included in the training of the wider teams. The Chair suggested that a further update be provided to the Board in 6 to 12 months.

 

RESOLVED: that

1.    Pilots being undertaken in Sutton and across South West London have been commented upon and noted.

2.    The governance arrangements for this programme of work, in particular the role that the Local Transformation Board will play in overseeing the design and delivery be noted.

 

23.

Urgent business brought forward at the direction of the chair

Minutes:

There was no urgent business.