Apologies were received from:

Councillors Maxi Martin and Gilli Lewis-Lavender

Simon Williams – Director of Community and Housing

Chris Lee – Director of Environment and Regeneration

David Freeman – Director of Commissioning, Merton CCG

Khadri Mahdi – Chief Executive Merton Voluntary Services Group

No declarations of interest were made

The minutes of the Health and Wellbeing Board held on the 23 June 2015 were approved as a correct record

Jane McSherry, Assistant Director of Education presented the report on the progress of the implementation of the Children and Families Act 2014 Part 3; the Special Educational Needs (SEN) and disabilities elements of the reforms.

She guided the Board through the sections of the report; programme governance, the local offer, Education Health & Care (EHC) Assessment and Planning, Preparation for Adulthood, Personal Budgets, Joint commissioning, Health and the final section on Risk Management implications.

The Board asked questions regarding Risk Management and how risks could be managed.  The Board noted that capacity issues would be reviewed. Anecdotal evidence suggested that Merton was doing as well, if not better than other authorities with implementing this transformation.  It was also noted that a rolling training programme  was required to ensure that all staff were fully trained.

RESOLVED

That the Health and Wellbeing Board

1.    notes the progress made in implementation of the Children & Families Act 2014 Part 3.

2.    considers the risk implications outlined in Section 9 of the report

Naheed Chaudry, Service Manager Policy, Policy and Performance presented the report on the Draft Children and Young People’s Plan 2016/19. This is a multi agency plan which underpins Merton’s Community Plan and is commissioned and monitored by the Children’s Trust.  It sets out how agencies in Merton collectively deliver the borough’s priorities for children and young people, and focuses on targeted intervention for the most vulnerable groups. 

Any comments that members have can be made by email to Naheed. Kay Eilbert requested a bullet point on prevention. Yvette Stanley noted that the Merton C&YP Well Being Model which underpins all our work is a preventative model and that this needed to be added to the forward by way of context.  Melanie Monaghan suggested further mention of housing could be included.

Links to the Health and Wellbeing Strategy were discussed and the need for the Health and Wellbeing Board to articulate the influences on wellbeing.

RESOLVED

1.    That the Health and Wellbeing Board Comment on the draft Children and Young People’s Plan 2016/19 as attached in Appendix A

The Chief Officer of Merton CCG presented the report on the CAMH Transformation Plan which will cover the full spectrum of service provision and address the needs of all children and young people making it easier for them to access CAMH services and support

The report outlined the NHSE guidance for the Transformation Plan which requires that the Plan is signed off by the HWB or a representative of the Board.  The board agreed that the Director of Children Schools and Families would undertake this role in consultation with the HWBB Chair and the Director of Public Health.

RESOLVED

1.    To nominate the Director of Children Schools and Families in consultation with the HWBB Chair and the Director of Public Health to sign off the Local CAMH Strategy and Transformation Plan. 

Councillor James Holmes presented the report as a member of the Immunisations Task Group.  Councillor Holmes explained that the task group was a cross-party group that examined the important subject of how to improve the take-up of immunisations amongst the 0-5 age group in the borough. The group received expert advice and officer guidance. Many of the people consulted expressed the view that they were pleased to have the opportunity to talk about this subject. 

Board members noted the Childhood immunisation paper report to the Clinical Reference Group that set out a comprehensive action plan to deliver the scrutiny review recommendations

Board members noted that issues of access to services affected.  It was noted  that GPs continued to be the main deliverer of immunisations and that whilst schools could not require children to be immunised they were an important partner in improving uptake.

In accepting the recommendations of the Task Group, the HWBB suggested that the future report to HWBB be timed to match other report cycles.  The HWBB heard that there were volunteers, working with families in the community, who were well placed to become health champions and deliver the immunisation message

RESOLVED

1.   That Health and Wellbeing Board considers and endorses the recommendations arising from the scrutiny review on improving the uptake of immunisations in the 0-5 age group attached at Appendix 1.

2.   That the Health and Wellbeing Board agrees to the implementation of the recommendations, as set out in the action plan presented to the Board.

The Health and Wellbeing Board noted the Childhood Immunisation Paper – Report to the Clinical Reference Group.

The Chief Officer of the CCG presented the report and explained that the Quality Premium is a financial reward paid to CCGs by NHS England for improvements in the quality of the services they commission and for associated improvements in health outcomes and in reducing health inequalities.  The quality Premiums are judged across six areas and the CCG have some choice in the measures within Urgent and Emergency Care, Mental Health and the two local measures. CCGs are required to agree the recommended measures with their Health and Wellbeing Board.

Yvette Stanley highlighted the link between adult mental health and adult diabetes and school attendance as our CAP project had shown a high prevalence of these issues in the parents of  school non-attenders, as showing the cross cutting nature of these issues.  Melanie Monaghan echoed this saying that diabetes often occurs alongside other long term conditions.

RESOLVED

1.    The Health and Wellbeing Board is asked to note the details 2015/16 Quality Premium for Merton Clinical Commissioning Group

2.    Agree the measures recommended by NHS Merton CCG Executive Committee and Clinical Reference Group for inclusion in the 2015/16 Quality Premium.

The Director of Public Health presented the report on the Proactive GP Pilot and Award.  She explained that the GP Pilot project was already operating, in East Merton, in partnership with Health Champions on smoking cessation and screening for COPD (Chronic Obstructive Pulmonary Disease). Most of the 9 practices in East Merton locality have signed up and efforts are underway to recruit all practices to the pilot.

Dr Karen Worthington said that the pilot was providing a strong route to smoking cessation. The Chair of Merton CCG asked what was planned to encourage GP practices to sign up and The Director of Public health explained that where necessary training will be provided on site.  Melanie Monaghan and the Director of Public Health agreed to talk, outside of the meeting, about how carers’ roles could be better identified by GPs.  The Awards would recognise achievement within the proactive GP scheme for both GPs and Community Health Champions.

RESOLVED

To agree the Proactive GP Health and Wellbeing Board Award and note and support the development of the Proactive GP Practice Merton pilot.

The Director of Public Health presented the report which requested the Board’s agreement to the proposed systems leadership support for the HWB, which is to be funded by £6K from London Councils.  Board members noted that they would be asked to participate in this development work which would use the East Merton Model of Care as a starting point.  The report proposed that a specialist consultant be engaged to facilitate this work to conduct interviews with HWBB members and feedback to the next HWBB on 24 November.

Future meetings – discussion of time of day.  The board were asked to consider the possibility of moving the HWB meetings to either a morning or afternoon. Members agreed that a 3pm start would be acceptable. 

(NOTE: 24 November meeting to start at 1pm as this date has already been publicised on website.)

RESOLVED

That the Health and Wellbeing Board:

1.    agrees to and participate in the systems leadership support funded by London Councils.