Apologies for absence were received from the Chair,Councillor Tobin Byers.

The Vice-Chair, Dr Andrew Murray, chaired the meeting.

There were no declarations of interest.

RESOLVED: That the minutes of the meeting held on 20 June 2017 are agreed as an accurate record.

Presentation  to follow

The Board received a presentation from the Director of Environment and Regeneration on Estates Regeneration and Health and Wellbeing. In describing the planned regeneration projects in the Borough he asked Board members to consider:

1.    What more planners could do to build in Healthier Lifestyles

2.    What more could your organisation could do to encourage Healthier Lifestyles.

The presentation gave details of the expected growth in Merton in the next 10 years, and then detailed the healthy streets initiative to encourage walking and cycling. It continued by providing a project showcase of regeneration projects in the borough including Morden  and the Clarion Estates regeneration.

The Board discussed issues related to the presentation and noted:

·         the predicted increase in new businesses could include a large number of small businesses and self employed people and so would not necessarily cause an increase in the demand for premises.

·         The cost of keeping fit will be kept affordable – the new leisure centre will be reasonably low cost and free green gyms already exist in the borough

·         Infrastucture including Healthcare and other support services will be considered and built into the Core Strategy/Local Plan

·         Councillor Neep asked officers to reach out to residents’ groups and young people to ensure that they owned the regeneration projects in their community.

·         Councillor Neep was concerned that the growth in private rental, and potential problems associated with this; tenancy problems, eviction, and overcrowding,  would affect mental health and wellbeing of residents. Officers mentioned schemes that aim to combat tenancy problems.

·         There was a big challenge in London to provide key worker accommodation – now known as intermediate housing.

·         Dr Andrew Murray asked about improving air quality, and noted that there were initiatives such as green buses and Merton’s Diesel Levy, but with an increasing number of journeys predicted consideration of air quality will be part of regeneration projects and will need to be covered by additional initiatives.

The Board welcomed the presentation and thanked Officers, and asked that they be kept involved in, and offered their support to, this long term process.

RESOLVED

The Board noted the presentation by The Director of Environment and Regeneration.

For the full Ofsted report Click here

The Director of Children’s Services gave a  presentation on the recent OFSTED inspection of her department. The Board gave her huge congratulations on the outcomes of this inspection – an overall rating of Good, with Outstanding achieved in Adoption performance, leadership, management and governance and the Review of local Safeguarding Children’s Board. She thanked all  involved and said how proud she was of the outcome.

The Board noted the positive comments made by the OFSTED inspectors and that only 4 recommendations for improvement were made.

The Cabinet Member for Children’s Services thanked all partners around the table for their part in children’s safeguarding. Ofsted were encouraged by the work of our partnerships. HWBB had a role in keeping a focus on issues of neglect.

RESOLVED

The Health and Wellbeing Board welcomed the presentation on  the OFSTED Outcomes for LBM Children’s Services.

Darren Tulley, London Fire Brigade (LFB) Borough Commander, presented his report on LFB Fire Safe and Well. The Board noted that  public trust in the Fire Brigade gave them access to vulnerable people within the community, and that this scheme was an opportunity for partner organisations to explore referral pathways and to implement local initiatives.  The visits would look at home fire safety and also three initiatives: winter warmth, smoking cessation and slips, trips ands falls prevention. However additional initiatives could be added, for example childhood obesity, befriending and healthy eating.

The Chair said that it was an excellent scheme and that the CCG would engage. He suggested that it was an opportunity to work together to reduce strokes and to increase use/awareness of defibrillation. He also suggested that thought be given to evaluation so that the benefits can be quantified. The Managing Director of Merton CCGagreed that evaluation and should be built into the system, and that referral routes should be considered. GP records could be used to identify and target those at greatest risk of admittance to hospital.

The Director of Environment and Regeneration suggested that the visits could identify homes that would benefit from the energy conservation measures funded by a scheme run by the big energy suppliers. He and the Borough commander agreed to talk to about this possibility.

The Board welcomed the visits as an opportunity to tackle loneliness and isolation, and as a route to social prescribing. Councillor Lewis-Lavender reported that residents in her ward had found the visits to be very valuable.

RESOLVED

The Health and Wellbeing Board noted the report for information and were supportive of assisting with referral pathways for smoking cessation, falls prevention and winter warmth.

The Board received the report on the Pharmaceutical Needs Assessment.

RESOLVED

A.   That Health and Wellbeing Board members note the collaborative, cost saving approach being taken to re-fresh the Pharmaceutical Needs Assessment (PNA).

B.   That the HWB agree to receive the completed PNA at its March 2018 meeting for adoption; in advance of the statutory deadline of 1^st April 2018.

This presentation by Daniel Elkeles, Chief Executive of Epsom and St Helier Hospitals, will begin at 4.30pm

Presentation video can be viewed here:

https://www.youtube.com/watch?v=0sNTZEUTUeY#action=share

Daniel Elkeles, Chief Executive of Epsom St Helier Hospital Trust, gave the board a presentation entitled ‘Providing High Quality Healthcare Services 2020 to 2030. The video to accompany his presentation is available here:

https://www.youtube.com/watch?v=0sNTZEUTUeY#action=share

Board Members asked about engagement process in Merton. Daniel Elkeles replied that he felt he was engaging well with  the communities that use Epsom and St Helier Hospitals. 10, 000 people had viewed the video or been to one of his meetings. He stressed that at the moment the conversation was not about sites, and that would come later on in the exercise.

The Managing Director of Merton and Wandsworth CCG asked what the insight of the engagement exercise would be, and how is this information being collected so that it is robust and can support the way forward. Daniel Elkeles  replied that the purpose of the current engagement was to inform a lot of people that the trust cannot carry on as it is with 80% of the buildings not fit for purpose and that this  is not clinically or financially viable. He wants people to understand this point and to appreciate that his vision for the future would see 85% of patients continue to receive care as they do now from their local hospital.

The information being gathered will be written into an engagement report and this will take account of Merton Councillor’s points regarding deprivation and access to hospital services. 

Dr Andrew Murray asked about timescale, DE replied that the consultation will be finished in October then a draft strategic outline proposal will go to the Trust  Board. A business case could be completed by next Summer 2018 , and a decision made by the NHS in Spring 2019. The planning and building could then take a further  3 years, with a  new hospital in 2024.  The Board noted that the ultimate decision maker would be the Secretary of State.

RESOLVED

The Board noted the presentation by The Chief Executive of Epsom St Helier Hospital Trust