Apologies for absence where received from Melanie Monaghan.

No declarations of interest were received.

The minutes of the previous meeting held on 29 November 2016 were agreed as a correct record

Andrew Moore, the Director of Commissioning Operations, Merton CCG, presented his report on Merton CCG’s Commissioning Intentions. He asked the Board to note that the most significant elements of the CCG’s plans are contained within the STP. He highlighted; the challenging financial situation and the need for the CCG to make £11 million savings to achieve a balanced budget in 2017/18, and the importance of partnership working to achieve savings whilst maintaining services.

The Board noted that there would be increased working across the STP footprint, and there should not be any ‘postcode lottery’ for standards of care.

The Board noted that target of 28% of children with diagnosable mental illness to receive care in 2017/18 and challenged  if this figure was ambitious enough. The board noted that there were discussions with the provider regarding their current performance and that careful consideration is being given to improving this with discussion taking place on the detail at the CAMHS partnership.  In response to a question  from the DCSF the CCG confirmed that the providers proposed changes would be delayed to enable resolution of some key issues.

RESOLVED

The Board noted the Report on CCG Commissioning Intentions

Dr Karen Worthington, Clinical Director Primary Care Transformation Merton CCG presented her update report on Merton CCG’s Primary Care Strategy.

The Director of Public Health thanked Dr Worthington for her report and presentation and emphasised that she wanted the messages about primary care to be communicated as widely as possible. She also welcomed the move by CLCH into Merton Civic Centre as a positive step in the integration of primary care services

The Director of Community and Housing welcomed the report  and the increased opening hours but asked what was being done about access to emergency appointments and also what was being done to support Nursing Homes.  Dr Worthington explained that each GP practice did try to ensure, in  its own way, that there was provision for  same day emergency appointments. Dr Worthington said that Nursing Homes were not addressed specifically by the report but the Board noted that there had been vanguard work carried out in a neighbouring borough and Merton could use this work to move forwards.

Sue Rimmer, Principal & Chief Executive of South Thames College, spoke about how she could promote the primary care strategy within the college and how the structure of their courses would be linked to careers. The Board noted her concerns on the drop in applicant numbers to the College’s Access to Nursing Course, and noted that the age profile of nurses in the borough was increasing.

The Director of Children, Schools and Families welcomed the additional funding for Children’s Safeguarding and said that there was work to be done and that she was looking forward to discussing this with Dr Worthington and Dr Zeuner and identifying the locality leads.

Councillor Katy Neep spoke about access to primary care for young people, and how  alternative locations to the GP surgery may be more appropriate. Following her conversations with Young Peoples Forums and the Merton Youth Parliament she said would bring a report to the next HWBB

The Director of Environment and Regeneration spoke about Estates regeneration and healthier neighbourhoods, and said he would bring a report to a future HWBB about this work.

The Chair asked about the communications necessary to ensure that residents know about the Hubs and go there rather than A&E.  Dr Worthington replied that GPs would promote this and there was also a communication Strategy that she would send the Chair, Councillor Lewis-Lavender and the Chair of Healthwatch so that they could help disseminate the information on Hubs.

The Chair thanked Dr Karen Worthington for her work and the report

RESOLVED

The Board noted the achievements and work in progress presented in the report

The Director of Public Health presented the progress report on the Wilson Development. The Board welcomed the community conversations as presented in the appendix to the report and agreed that these should be shared with all who participated and as widely as possible with all who have an interest.

The Director of Environment and Regeneration spoke about the One Public Estate (OPE) and how OPE will present opportunities for the Wilson re-development to optimise the utilisation of public sector assets and as a vehicle for integrating and transforming services.

The Board noted the program  timetable in the report, and how important it was to keep to this timescale, whilst also truly involving the community in discussions. The Board discussed the importance of finding the correct balance between clinical and non-clinical activities on the site.

The Chair thanked Mari Davies for her work on the Community Conversations

RESOLVED

That the Board:

A.   Noted, welcomed and help share the completed write up of the Community Conversations on the Wilson and the engagement done to date.

B.   considered the progress, including the strengthened governance and accountability mechanisms.

The Director of Public Health presented the Annual Public Health Report and explained that she had decided that this report should concentrate on the theme of ‘Tackling Childhood Obesity Together’, and form a resource that can be used by all.

Councillor Lewis-Lavender asked if anything could be done to reduce the cost of using the boroughs leisure facilities to encourage families to exercise. The Director of Environment and Regeneration  said that he could discuss this further with the Director of Public Health.

Dr Andrew Murray said that he thought that ‘Tackling Childhood Obesity’ was a fantastic document that was fully endorsed by the CCG, and that the CCG would champion.

Dr Zeuner said that there were further in-depth conversations to be had with  BME communities around issues of childhood obesity, and further consideration of the links with children’s mental health.

RESOLVED

1.    To receive the independent Annual Public Health Report (APHR) 2016/17.

2.    To help disseminate and promote key messages and resources set out in the Annual Public Health Report 2016-17among stakeholders and residents.

3.    To endorse and champion the Child Healthy Weight Action Plan 2016 – 18

4.    To consider how Health and Wellbeing Board members can champion strategic priorities and actions that make healthy eating and being active easy choices for children and families, identifying opportunities to embed within every day business

Annette Bunka, Senior Commissioning Manager for Merton CCG, presented her report that gave an update on health and Social Care integration through the Better Care Fund and asked the Board to note that national guidance for BCF has not yet been published

The Director of Community and Housing said that this report provided a comprehensive summary of the current situation, he noted the progress and hoped that there will be an opportunity to move forward faster.

RESOLVED

The Board noted the report

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DATES OF FUTURE MEETINGS

The Board noted the dates of future meetings, as tabled at the meeting. All dates are Tuesdays at 3pm:

20 June 2017

19 September 2017

28 November 2017

30 January 2018

27 March 2018