Agenda and draft minutes

Health and Wellbeing Board
Monday, 30th September, 2019 6.00 pm

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

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


No. Item


Welcome and introductions


The Chair, Councillor Ruth Dombey, welcomed those present. In particular she welcomed Dr Jonathan Cockbain who attended to present the update on agenda item 8 Progress towards Sutton Health and Care Partnership on Primary Care Networks.


Apologies for absence


Apologies for absence were received from Barbara McIntosh  with David Williams from Healthwatch attending as substitute. Apologies for absence were also received from Nick Ireland Strategic Director People Services.


Declarations of interest


There were no declarations of interest.


Minutes of the previous meeting pdf icon PDF 78 KB

To approve as a correct record the minutes of the meeting held on 24 June 2019.


RESOLVED: that the minutes of the meeting held on 24 June be agreed as an accurate record.


Perinatal Mental Health update pdf icon PDF 126 KB

Following the high impact recent survey of the mental health and wellbeing of Sutton’s young people, Healthwatch recognised that good mental wellbeing starts at the very beginning of a child’s life and includes the mental wellbeing of mothers. All partners in the Sutton Health and Care Plan are committed to ensuring every child starts well, as part of their wider ambitions for the borough. The Board will receive a summary presentation on the key findings and conclusions of the recent Perinatal Mental Wellbeing Survey, which provides valuable insight and information on issues to be addressed in this area.

Additional documents:


Pete Flavell, Chief Executive Officer, Healthwatch, gave a presentation on the summary of the key findings and conclusions of the recent Perinatal Mental Wellbeing Survey.  The presentation provided insight and information on the issues to be addressed in this area.  

The Chief Executive officer advised the board that the term  “Perinatal” is defined as the year of pregnancy and two years after the birth of the child. He also highlighted that the number of people in ethnic minority groups that had contributed to this survey was very small. 

Members were advised that the survey had been reopened to encourage more ethnic minority groups to complete the survey to address the balance in the data.  

The Chair congratulated Healthwatch on their excellent work and commented that focus on prevention and early intervention is important. In respect of the feedback in the survey that availability of information is to be improved  Members discussed how provision of information to new parents could be more joined up and shared via new channels.

The Chair motioned that this agenda item should come back to this Board for a further update next year. The Board moved to vote and this was agreed.


  1. The key findings of the survey report be noted.
  2. It was noted that these findings will be taken forward and considered by the current joint Children’s Review. 
  3. It be agreed that Healthwatch provide a further Perinatal Mental Health update next year



CAMHs Local Transformation Plan pdf icon PDF 173 KB

As part of our ambitious plans to ensure children and young people are emotionally resilience, Sutton Clinical Commissioning Group (CCG) has effectively mobilised its Children's and Adolescent's Mental Health Service (CAMHS) Local Transformation Plan (LTP) programme of services, to ensure that a wide range of services are available for local residents.


This paper will cover the progress that we have made and challenges for the year ahead

Additional documents:


James Holden, Commissioning Manager Sutton CCG,  presented the report. and provided the Board with an overview of current position and strengths and weaknesses of the plans for the year ahead.  The Board was advised that the refreshed CAMHS Transformation Plan will not be available until Mid October 2019. 

The Chair sought clarification on what action can be taken to improve waiting times for tier 2 cases. The Commissioning Manager, highlighted the Sutton bid for more funds to support that issue and also advised that  part of the role of the children's review will be to complete a capacity and demand study on access times, to help improve waiting times 

Alison Navarro commented that voluntary services would add a valuable contribution to the  Children's review. Dr Imran Choudary advised that once  workshops were underway on “best start in life”  discussion with voluntary and community sector would take place. 

In debate Members queried the percentage of NHS commissioned service and how to make sure that universal services are promoted, and that individuals are treated in an appropriate way with the right level of support. Jessica Crowe, Assistant Director of Customers, Commissioning and Governance, commented that the early help strategy helps people before they get to crisis point and will pick up different access route to help people early on.  Members also discussed the cut off age for people to be treated within Children's services or Adults services. 


1.    To approve the outline approach  that has been highlighted in this report, as set out in Appendix A.



Better Care Fund Plan 19/20 pdf icon PDF 168 KB

The Better Care Fund (BCF) Plan 2019/20 sets out the Council’s and Sutton CCG’s activity to support our ambitious plans around Health & Social Care Integration. This report sets out the borough’s strategic and financial intentions to achieve the metric aspirations, set locally and from NHS England.

Additional documents:


Lindsey Hernandez, Better Care Fund Integration manager, presented the report. The Better Care Fund (BCF) plan 2019/20 set out the Council and Sutton CCG’s activities to support Health and Social Care integration, and the borough’s strategic and financial intentions to achieve the metric aspirations set locally and from NHS England. 

Lindsey Hernandez, Better Care Fund Integration manager, highlighted to the Board the strategic narrative of the plan as outlined within the body of the report.  She commented that the high impact changes and the metrics had remained unchanged. 

Members sought clarification on the Sutton Integrated digital care record and how the system ensures the right information is available.  Michelle Rahman, Managing Director Sutton CCG, confirmed that the data had been collected within existing practitioner systems and this digital record was drawn from that original data. The benefit of this system was that it would make relevant information available, for other practitioners to view. This helped to avoid the patient having to repeat their background medical history. 

Members queried the availability of  fully accessible toilets within Sutton, and asked if the facilities within the SCILL centre were often used, and if not if they should be moved to a more accessible location within the St Nicholas Centre 

Councillor Dombey commented that she believed there were four Changing Places toilets located within the borough.  She agreed that an additional facility in St Nicholas centre would be welcomed or if the facilities within the SCILL centre are not used then they could be moved to St Nicholas Centre or Times Square to make it more convenient for people to use. The Chair requested that Lyndsey Hernandez should check usage in the existing locations so this can be considered further.  


1.    That the Better Care Fund Plan 2019/20 be approved.



Progress towards Sutton Health & Care Partnership (ICP) pdf icon PDF 135 KB

The Council and Sutton CCG are ambitious for Sutton and crucial to this is the

implementation of the Sutton Health and Care Plan to enable the people of Sutton to start well, live well and age well.  This report provides an update on progress towards creating an Integrated Care Place across Health and Social Care and will be supplemented by a verbal update on the night as this work is moving at pace..

Additional documents:


The report from Michelle Rahman, Managing Director Sutton CCG was presented by Dr Jonathan Cockbain, a local GP leading the Carshalton Primary Care Network.  He provided the Board with an update on Primary Care Networks (PCNs) and what they will deliver. The PCN network agreement was signed on 1 July 2019.  He spoke through the PCN priorities in Sutton.  In particular he highlighted that Organisational Development work is still ongoing.  He advised that PCNs are to focus on key deliverables and National Service specifications to ensure delivery of services. It was highlighted that most of the practices in Sutton are now delivering an extended hours services. The Board were advised that there has been a steering group set up to develop social prescribing in Sutton. 

Members queried how PCNs will integrate with other parts of the public Sector and the other parts of Health and Care. They asked how there can be certainty that the priorities for Sutton are focused upon.

Dr Jeffrey Croucher highlighted the importance of the PCNs integrating with others in the Borough and that it is important for residents to understand that the first point of contact in primary care teams is changing.

Michelle Rahman Managing Director from Sutton CCG highlighted that PCNs are part of Health and Care Executive. This is a key change and integrated working was still developing.  She further updated that the Local Transformation Board is evolving into the Health and Care Executive.  The Board were advised that the Health and Care Executive will agree aligned budgets and make decisions on how to spend that budget, and will report to the Health and Wellbeing Board.  It was confirmed that there is no expectation that each borough has to work in the same way.

Members asked about the CCG Alliance, the Board were advised that if the CCGs merge there will be 1 CCG called South West London CCG.

Members raised concerns regarding CCGs not consulting on mergers, and also asked how decisions will be made post any merger.  Dr Jeffrey Croucher suggested once there is more clarity and certainty on this, that the HWBB will be updated. 


1.    The progress on developing an Integrated Care Place in Sutton be noted.



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).


There was no urgent business.