Apologies for absence where received from:

Karen Parsons

Khadiru Mahdi

Yvette Stanley

Dave Curtis

No declarations of Pecuniary Interest were received

The minutes of the previous meeting on 4 October 2016 were agreed as a correct record

The Chair presented the following awards:

 Pro-active GP Award to Simon Gilbert GP

Health Champion to Jamilla Raheed

Strategic Item

Keith Makin, Chair of the Merton Safeguarding Children Board (MSCB) presented the Annual Safeguarding Report of MSCB. He asked the Board to note the Executive Summary, presented in the Agenda, and to note  the Board’s Strengths and Areas for continued development as detailed in this document.

Mr Makin  informed the Board that he will meet Dr Andrew Murray and CCG senior Officers in January 2017 to discuss his concern that partners in the health economy do not make a proportionate contribution to the work of the MSCB. He also stated that these concerns for equitable funding also extend to the Metropolitan Police He was also concerned that there was no Merton GP representative on the MSCB. Dr Andrew Murray explained that there had been difficulties in recruiting to this role but that this task was ongoing.

The Board noted Keith Makin’s concerns that  the Merton Child Death Overview Panel  should not be merged into a larger regional panel.

Keith Makin reported  that he had had a positive meeting with the new management at St Georges Hospital, and despite their recent issues he was hopeful that going forward St Georges would offer good services and safeguarding arrangements. He also reported that the Central London Community Health Service and School Nurse services were working well.

The Chair of the MSCB continued by outlining the Board’s priorities for 2016-2018 which covered Mental Health issues and were detailed in the Executive Summary. The Assistant Director of Children’s Services added that the refresh of the CAMHS transformation plan, in partnership with the CCG,  could be brought to the HWBB.

In conclusion, Mr Makin said that the Annual Report presented a good picture for Safeguarding services in Merton.

The Chair thanked the MSCB for all their  work and suggested that they report back to HWBB on their discussions with the CCG and also on the subject of Police Funding.

RESOLVED

The Health and Wellbeing Board Agreed to:

A.   Note the MSCB Annual report

B.   Continue to contribute to the Board’s priorities and to ensure that safeguarding children is a golden thread that is maintained through all the work of the Health and Well-being Board.

Strategic Item

The Director of Public Health presented her report: The Merton story – Key Health Issues in Merton.  She introduced The Merton Story as a different perspective on the JSNA (Joint Strategic Needs Analysis) that was a statutory requirement. The Merton Story aimed to be a more helpful tool to support the  health and wellbeing partnership working in the borough.

Roy Benjamin, Chair of Merton CIL, asked to speak to the board on this item. He said that overall the report was positive but that it did not provide adequate consideration of the 25-60 age group who were reliant on having choices regarding their  independence and wellbeing, whereas  the JSNA focuses on reablement as a route to independence following the development of a new condition.  Roy also talked about informal careers who saved the council money but at the expense  of their own health.  The Chair asked for these two points to be added to the Merton Story.

The Director of Environment and Regeneration said that the ‘Merton Story’ was a useful  tool for his division to work with and to use internally. The Chair asked for DZ to work with CL’s teams to make use of the Merton Story.

Dr Andrew Murray said that this format was much more useable. He asked  about the statistics used to show the east/west health divide, as in  the past the stastistics used had shown a much bigger difference.  He also suggested using images to reinforce the points made.  The Director Of Public health agreed and said that the next annual report would be looking at the health divide.

The AD of Children’s Services said that he found this narrative summary useful to bring the subject to life but that the JSNA data underneath needed to be easily accessible as it was very useful to Officers in his department. Dr Zeuner explained that there was a lot more information that linked to the JSNA process that will be made more accessible to  all stakeholders

Councillor Katy Neep suggested that there should be more reference to mental health issues and their prevention within the Story. She also suggested a link to the ‘Think Family’ strategy.

RESOLVED

That the Health and Wellbeing Board agrees

A.   To consider and comment on the Merton Story – Key health issues in Merton (2016)

B.   To actively use the Merton Story as a tool to champion the key messages relating to our health and wellbeing ambitions.

Strategic Item

The Director of Public Health presented her report on the Health & Wellbeing Strategy 2015-18: Annual Report 2016.

She explained that overall good progress is being made. Great progress in some areas eg CAMHS, but difficult because some area are more difficult and progress will be much slower. This was shown in the Performance Indicators, some were amber and red but only because of the length of delivery time.

The Chair asked for red indicators to be brought back to a future meeting.

How does data compare to other boroughs, can we learn anything?

Members discussed the indicator relating to use of Outside local space for exercise and noted that this was a national indicator and a greater understanding of local health issues was required.

RESOLVED

A.   To consider and comment on the progress on implementation of the Health & Wellbeing Strategy 2015-18

B.   To continue to champion the implementation of the Health & Wellbeing Strategy and promote the outcomes with their constituencies.

Strategic Item

Dr Andrew Murray presented his report from on the South West London Sustainability and Transformation Plan (STP) and St George's Hospital CQC status. He highlighted that his report covered the financial challenges faced by the NHS in South West London and  the emphasis on out-patient transformation and a move away from services provided in hospitals with more services provided in the community.

Dr Murray emphasised that the STP does not propose to close any hospitals but does talk about the possibility of closure of acute services at one of 5 hospitals, but that these plans are still in development and there will be formal public consultation on any such plans. However it was too early to consult on any of the issues raised by the STP and consultation would happen once a clear set of options had been developed.

The Board discussed Brian Dillon commented that resourcing was an issue in transferring  people out of hospital.

The Board discussed the implications for Merton, and Dr Murray expressed the commitment to the EMMofHWB – with its holistic approach and focus on prevention.

The Board noted that there would be increased partnership working across the south London CCGs in different areas.

The Board discussed the move towards more out of hospital care and Councillor Neep suggested that more education was required so that people understood that there were alternatives to hospital A&E.

The Board discussed Social Prescribing and its success stories. It was suggested that the Board should develop ways of  normalising social prescribing through communications.

The Board noted the section of the report detailing the current issues at St George’s Hospital, and were pleased to note that those who had met with the new management team were very positive.

Strategic Item - Verbal Report by Director of Environment and Regeneration

The Director of Environment and Regeneration presented a verbal update on ‘One Public Estate’. He reported that Merton Council had recently been awarded funding of £350,000 from DCLG to look at this project which was about driving growth in jobs and housing by looking at the potential in publically owned sites and estate across the Borough. The Wilson site is a catalyst for this project. The Board noted that although the Merton Partnership were the overaching body for governance of this project, the HWBB will receive regular up dates. The Chair congratulated and thanked Chris Lee and Dagmar Zeuner for this work.

Strategic Item - Verbal Update

The Director of Public Health gave a verbal Update on progress of the Wilson Health and Wellbeing Campus; a Manager for the Wilson Project and a Social Prescribing Co-ordinator have both  been appointed. She then added that there would be a seminar on Community Conversations for Members of the HWBB at the next Board meeting.  This seminar will also look at mentoring Volunteer Roles.

Strategic Item

The Board supported the bid for the lifting equipment detailed in the Agenda Report.

RESOLVED

That the Health and Wellbeing Board give approval to proceed with the bid to the London BCF Small Grants Programme

Information Item

The Board noted the information report on Health in all Polices.

RESOLVED

That the Health and Wellbeing Board agreed to:

A.   Note the LGA Health in all policies peer assessment work to date

B.   Receive the final report and action plan for Health in All Policies and support its implementation.

Information Item

The Board noted the letter from the Department of Health regarding the GP Forward View. The Chair welcomed  this and asked that the GP Transformation Strategy be reported back to the Board in January/at a future meeting.

Information Item

The Board noted for information the letter from the Department of Health and the Department for Communities and Local Government on Winter Planning for Adult Social Care.

Information Item

The Board noted the letter from the Home Office and Department of Health regarding Police and Crime Commissioners and Health and Wellbeing Boards, and confirmed that the appropriate Police representative will be invited to future meetings