Agenda and minutes

Health and Wellbeing Board
Monday, 24th June, 2019 6.00 pm, MOVED

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

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

Note: This meeting has been moved form the 17 June 2019. 

Media

Items
No. Item

1.

Welcome and introductions

Minutes:

The Chair, Councillor Ruth Dombey, welcomed those present.

2.

Apologies for absence

Minutes:

Apologies for absence were received from Helen Bailey Chief Executive, of the London Borough of Sutton. David Bradley, Chief Executive of South West London St George's Mental Health was also absent.

3.

Declarations of interest

Minutes:

There were no declarations of interest.

4.

Minutes of the previous meeting pdf icon PDF 98 KB

To approve as a correct record the minutes of the meeting held on 4 March 2019.

Minutes:

RESOLVED: that the minutes of the meeting held on 4 March 2019 be agreed as an accurate record subject to the substitute member names being added. 

5.

Order of items

Minutes:

The Chair announced that the order of items would be amended to hear item 9 ahead of item 5.

6.

Improving Healthcare Together pdf icon PDF 347 KB

Sutton, Merton and Surrey Downs Clinical Commissioning Groups (CCGs) are working with Epsom and St Helier University Hospitals NHS Trust (ESTH) to address a series of long-standing challenges and improve healthcare for local people in the future.

The attached report provides an update on the Improving Healthcare Together (IHT) 2020-2030 programme, setting out progress and next steps.  IHT is a joint programme across Sutton, Merton and Surrey Downs Clinical Commissioning Groups

 

Minutes:

The report was presented by Andrew Demetriades, Programme Director of the Improving Health Care Together Programme 2020-2030. The key points highlighted to the Board were that the team would not progress to public consultation until support in principle for capital funding had been obtained and that funding would only be sought once plans had been assessed by regulators both regionally and nationally in line with the NHS planning requirements.  Therefore the timing of any public consultation was not yet certain. 


The Board were advised that later that week a report would be published by the London and South East clinical senate, outlining proposals and recommendations on what work would be required to move forward.  The second key element of work mentioned was the second phase of the integrated impact assessment and the report was also due to be published later that week. 

All 3 CCGs wanted to consult as early as possible with the public and stakeholders.

 

Councillor Ruth Dombey suggested that greater recognition of the previous analysis work would be useful to give more historic context, and to highlight the differences in this latest analysis.

It was confirmed that the regulators would take into consideration the historic work and also the new analysis.  

Daniel Elkeles, Chief Executive Epsom & St Helier University Hospitals Trust, advised that Sutton would have a clinical model different to the rest of the country. He also highlighted that he was pleased all 3 providers had confirmed that they believe all 3 models would work.

In respect of next steps, the Programme Director of the Improving Healthcare Together Programme  advised he was seeking approval to go from Regional assurance to National assurance, and as soon as feedback is received from regulators to then to seek commitment for funding.  In terms of time frames he believed that could be as soon as October 2019. The Chair reminded the Programme Director to keep in view the dates of the next Health and Wellbeing Board meetings so that the Board may be kept up to date.

RESOLVED that:

  1. The update on progress on Improving Healthcare Together Programme was noted.
  2. The Board considered any further information or updates they would like to receive in due course

 

7.

Sutton Health and Care Plan pdf icon PDF 150 KB

The Sutton Health and Care Plan articulates the ambitions of Sutton partners to deliver better health and care outcomes for local residents. Our aspiration is that the people of Sutton are supported to start well, live well and age well through a more personalised and joined-up approach to the delivery of health and social care services in Sutton.

 

Additional documents:

Minutes:

The report was presented by Dr Imran Choudhury Director of Public Health and Michelle Rahman Interim Managing Director of Sutton CCG. 

Board Members were advised that the Sutton Health and Care plan would go forward for engagement with wider stakeholders and in the autumn, form part of a wider document for all South West London boroughs . This work would enable the London Borough of Sutton to describe how health services can be provided in the community. 

Members sought clarification on the ambition in the plan in particular regarding combating loneliness and how this linked to wider strategic activities. The officers responded accordingly. 

In debate the Board members discussed impacts on people with learning disabilities and  particular reference was made to the very rich provider market in Sutton and the plan to shape the market to respond to individual needs with a range of support options.

In discussion members suggested that unpaid carers - should be visible as part of this work and recommend that they should be referenced within this report.  Dr Choudhury confirmed the point had been taken on board and a paragraph had been added within the report.  Councillor Marian James highlighted that it could be included on page 18 where partners are listed. 

RESOLVED: That 

1.    The Sutton Health and Care Plan as set out in appendix A be agreed.

 

8.

Towards an Integrated Care Place for Sutton pdf icon PDF 303 KB

Public, private and voluntary sector partners in Sutton have a strong history of collaboration to improve health and wellbeing outcomes for Sutton residents. The Council is ambitious for Sutton and wants to ensure it remains a great place to live, work and raise a family. Crucial to the success of this ambition is enabling the people of Sutton to start well, live well and age well, which is the aspiration of all health and care partners.

Minutes:

The  report was presented by Jessica Crowe, Assistant Director Customers, Commissioning & Governance,  and Michelle Rahman, Interim Managing Director, Sutton CCG. 

The Board were reminded of the work completed to date, it was highlighted that this is the mechanism that will deliver the health and care plan.  Key points highlighted were the close working relationships and the collaboration between the London Borough of Sutton and the Sutton CCG who are due to move into Civic Centre later this year which will also help with further integration. 

The Interim Managing Director, Sutton CCG confirmed that it has been requested that the majority of the health budget should come to Sutton as a place. She confirmed that where appropriate budgets will be joined up. 

RESOLVED: That 

1.    The progress towards creating an Integrated Care Place in Sutton was noted 

2.    The Direction of travel set out in the report for future integration of health and care services was endorsed.

 

9.

Young People's Mental Health and Wellbeing Survey Report pdf icon PDF 150 KB

The purpose of this report is to provide an overview of the Healthwatch Sutton Young People’s Mental Health and Wellbeing Survey Report, which was published in January 2019.  It supports the Council’s ambitions for its young people to have the best start in life and the CCG’s aspirations for starting well in life.

Additional documents:

Minutes:

The presentation was delivered by Peter Flavell, Healthwatch Sutton Manager.  He gave an overview of the Healthwatch Sutton Young People’s Mental Health and Wellbeing Survey key findings which were published in January 2019. 

The aim of the survey of the Mental Health for Children and Young people was to collect a body of evidence. 

It was highlighted that the survey showed that where individuals felt they needed support their preferred method of receiving help was via face to face contact.  

The Board were advised that a further survey is being conducted now for Primary School age children. 

RESOLVED: That 

1.    The contents of the Mental Health and Wellbeing Survey report were noted

2.    It was noted that the recommendations within the Healthwatch Sutton Mental Health and Wellbeing Survey report will be taken into account as the Council’s Outcomes Based Commissioning Reviews and the Council’s and CCG’s re-commissioning work proceed, as set out in paragraph 3.9 of the report..

 

10.

2019 - 2020 Annual Public Health Report pdf icon PDF 125 KB

This year’s Annual Public Health Report considers the future ambitions of Sutton around improving the health and wellbeing of local children.  It has a particular focus on  three key priorities identified in the Sutton Health and Care Plan: school readiness, the mental wellbeing of children and young people and supporting families and children with special educational needs.

Additional documents:

Minutes:

The report was presented by Clare Ridsdill - Smith Head of Public Health Integration. 

The report focused on three key priorities; school readiness, the mental wellbeing of children and young people, and supporting families and children with special educational needs. 

 

In debate it was highlighted that some children are impacted adversely by living in temporary accommodation, and are more likely to suffer from mental health issues as a result of this.  It was also highlighted that for some children living in low income households - there is a gap in school readiness. 

Members queried if more preventative services are required, for example if earlier speech and language therapy would make a difference and give a better outcome. 

Clare Ridsdill - Smith Head of Public Health Integration confirmed the importance of this and that it would form part of the broader review of services.  It was also suggested that there is a need to make sure that the most disadvantaged children get the required support early enough. 

It was suggested that an update be provided to the Board in the next meeting on the findings from the Perinatal survey which has been carried out by Healthwatch. The Chair requested that this agenda item should be added the forward plan.

RESOLVED: That 

  1. The recommendations made in the Annual Public Health report be endorsed:
  1. The London Borough of Sutton reviews operational processes to better align work between health visiting / school nursing, Early Help and children’s social care.
  2. The Sutton Health and Care partners conduct a joint children’s review to focus on improving outcomes in the three key areas of concern raised in this report
  3. The Current Outcomes-based Commissioning Reviews being conducted by LBS consider who wider services and support, including support from the voluntary sector, could be used to maximise opportunities, advice and support for children and young families in Sutton.

 

11.

Any urgent business

To consider any items which, in the view of the Chair, should be dealt with as a matter of urgency because of special circumstances (in accordance with S100B(4) of the Local Government Act 1972).

Minutes:

There was no urgent business.