Before the meeting started Councillor Caroline Cooper-Marbiah paid tribute to Councillor Maxi Martin saying that Maxi had been a brilliant Councillor who would be greatly missed. The Board joined with the Chair in sending their condolences to Maxi’s family.

Apologies were received from:

Melanie Monaghan – Community Enterprise Network – replaced by  Lyla Adwan-Kamara

Marriette Akers – Merton Healthwatch – replaced by Cypren Edmonds

No Declarations of Pecuniary Interest were received

The Minutes of the meeting held on 24 November 2015 were agreed as a true record.

Strategic Item

The Director of Public Health presented her report on the East Merton Model of Health and Wellbeing (EMMoHWB) This is  a collaborative piece of work with the CCG to not only build a new health facility but also to develop a local sustainable model of health and social care that focuses on the whole person and the community and that is preventative and proactive.

The Board noted that the MCCG Director of Transformation would convene a steering group with representatives from LBM and the voluntary sector to effectively deliver the EMMoHWB, ad report directly to the HWBB. The steering group will oversee sub-steering group workstreams that may include: Estates and Facilities, the Funding Model, Community Engagement, IT, Community Delivery Model.

At the HWBB development session in January 2016, it was agreed that clear health priorities should be set so as to give a blueprint for future partnership working. The Board noted that the delivery priorities set for 2016/17 were childhood obesity and social prescribing. Childhood obesity linked both  to national policy and also to work just started with LBM Children School and Families division. Social prescribing  is a means of enabling primary care services to refer patients on to a range of local non clinical services often provided by the voluntary and community sector.

The Board discussed the timeline of delivering the new health facility and noted that the building was due for completion in late 2019 and facilities would be fully ready to open in  2020.

Councillor Gilli Lewis Lavender asked if any of the priority work would be aimed at tackling diabetes and heard that this was in the plan and that also the priority work  on childhood obesity would link to diabetes prevention work.

Councillor Judy Saunders asked the Board to ensure that local Councillors, with all their local knowledge were involved in setting up the EMMoHWB. Councillor Gilli Lewis Lavender reminded the board of her misson to get all Counciilor trained as Health Champions. The Chair stated that it was important to get the community involved.

The Board discussed the role that Housing associations could play in the EMMoHWB and noted that Circle and Moat Housing were both in dialogue with the CCG Transformation Director. The Chair explained that she had been contacted by residents who believed their health was being affected by problems in their homes. The Healthwatch representative urged those meeting with the housing associations to have robust conversations with them.

RESOLVED

That the Health and Wellbeing Board

A.   Agreed that the HWBB take accountability for the EMMoHWB

B.   Commit to the preliminary delivery timeline for the health facility and the EMMoHWB

C.   Agree the programme structure for the delivery of the EMMoHWB

D.   Agree the EMMoHWB delivery priorities for action for 2016/17 as childhood obesity and social prescribing.

Strategic Item

The Chief Officer of MCCG presented the report on the Merton Better Care Fund Plan and submission template, prior to its submission to NHS England.  The Board noted that CCGs and Local authorities are required to pool budgets and agree an integrated spending plan for how they will use their Better Care Fund allocation.  This year there are two national conditions that must be funded; managing delayed transfers of care and commissioning out of hospital care. The Board noted that there would be pressure on this funding and this would be monitored.

The voluntary sector representative welcolmed  the BCF plan and pooled resources and stated  that the voluntary sector had something to bring to this process.

The Director of Childrens’ services said that this budget was key for Childrens’ Services  but that there would be pressure on this budget.

Councillor Gilli Lewis-Lavender asked how pharmacists get reimbursed for their services, The CCG chief Officer replied that NHS England does this, but the CCG could look at purchasing additional services from pharmacists.

The representative from Healthwatch asked how the £5.5 million would be spent? The CCG Chief Officer replied that negotiations were ongoing and that a number of schemes were being considered, and the final report would show how the budget was to be spent.

The Chair commented on  the level of fines paid owing to delayed transfer of patients out of hospital. The Director of Community and Housing stated that speeding up discharge is not always the best solution as it can lead to re-admission. A sensible balance was required.

The Healthwatch representative also asked what the equivalent sum was for 2015/2016. The Chief Officer replied that the transfer value was the same this year as last.

RESOLVED

The Health and Wellbeing Board approved the Merton Better Care fund Plan and submission template and agreed its submission to NHS England.

Strategic Item

Khadiru Mahdi, from Merton Voluntary Service Centre, presented his report on the Voluntary and Community sector Health and Wellbeing Priorities. The Board noted that MVSC had undertaken a strategic review informed by the state of the sector report 2014 and views of stakeholders. He asked Board members to note the challenge set by the Council’s medium term financial strategy as detailed in the report. The Board noted that the voluntary and community sector was ready to work with partners on the EMMofC.

RESOLVED

That the Health and Wellbeing Board:

A.   Endorse the revival of the Adult Social Care Task Group with a revised Terms of Reference and membership, which includes the Clinical Commissioning Group.

B.   Pilot Social Prescribing as part of the East Merton Model of Health and Wellbeing, collaborating with MVSC, Healthwatch Merton and the voluntary and community sector.

C.   Endorse a VCS State of the Sector Review 2016 and the development of combined VCS and Volunteering Strategy.

Strategic Item

The Chief Officer of the CCG presented his report on the Sustainability and Transformation Plan (STP), and asked to Board to note that Merton will be part of the South West London STP ‘footprint’. Health and Care organisations within the ‘footprint’ are required to work together to deliver financial benefits and clinical safety.  An initial submission was required by 15 April 2016, and this will be circulated separately to Board Members. The full plan will be brought to the June HWBB meeting on 28 June 2016.

The Director of Public Health welcomed the STP as it had the  aim of putting the community at the centre of Health and Wellbeing.

RESOLVED

The Health and Wellbeing Board:

A.   Noted the Sustainability and Transformation Plan process

B.   Is aware of the timelines for approval

Strategic Item

The Chief Officer of the CCG presented his report on Transforming Care for people with learning disabilities. The South West London Transforming Care Partnership has been formed to implement, monitor progress and provide assurance of the delivery of the Transforming Care Programme. The Board noted that Merton currently has four patients who are covered by these requirements and who require very specialist inpatient care.

The Director of Children’s services said that the  0-25 group would make a huge difference to the small number of children with complex needs and their families, and would save money over the years.

The Director of Community and Housing said that an integrated approach has been taken by Merton since 2003, resulting in the current  good situation.

RESOLVED

The Health and Wellbeing Board received the Transforming care update.

Business Item for HWBB to note

The Director of Community and Housing presented his report on the Adult Safeguarding Board 2014/15. In future he would like to see this report be presented sooner. He asked the Board to note the new legal requirements for Adult Safeguarding imposed by the Care Act 2014, which included a requirement to provide an advocacy service where appropriate.  The Board noted that the reciprocal chairing agreement with Kingston has now ended and an independent chair will be sought.

RESOLVED

The Health and Wellbeing Board noted the Merton Safeguarding Adults annual report 2014/15.

Verbal Report to be given at the Meeting

The Chair presented the Board with her feedback from the Westminster Briefing – The Future of Health and Wellbeing. At the event she had taken the opportunity to discuss how the Merton HWBB was arranged and how it had progressed.

Councillor Cooper-Marbiah announced that this had been her last HWBB as Chair as she was moving to a new role in Cabinet as the Member for Education. She thanked everybody involved with the HWBB and wished them all the best for the future.

The Vice-Chair, Dr Andrew Murray, said what a privilege it had been working with her and wished her all the best in her new role.