The Chair referred to the death in November of Chris Frost who had represented MVSC on the Board and highlighted the important contribution she had made.  At the request of the Chair, the Board held a minute silence in memory of Chris Frost.

No declarations were made.

Apologies for absence were received from: Penny Emerit (NHS England) and Barbara Price (Healthwatch).

Minute (3) –2nd paragraph (Item 7: Integrated Care verbal update (page 1) – Eleanor Brown advised that she would need to check whether the case management system had been designed by the CCG as stated in this Minute.

RESOLVED: That, subject to this being clarified, the Minutes of the meeting held on 1 October 2013 be agreed as a correct record.

None.

Yvette Stanley introduced this report.

In response to a query regarding the Safeguarding Children’s Board (SCB), Eleanor Brown advised that the position of named GP for safeguarding had been advertised but had only elicited one response; and that NHS England who had responsibility in this area was taking this forward.

RESOLVED: That the Health and Wellbeing Board receives the Merton Safeguarding Children’s Board Annual Report 2012-13.

Yvette Stanley and Kay Eilbert introduced this report.

Kay Eilbert agreed to a request by Eleanor Brown that the relevant multi-disciplinary working group include primary care.

RESOLVED: That the Health and Wellbeing Board (A) notes the findings of the Early Years Review;

(B) notes the recommendations from the Review; and

(C) supports the development of a public health programme for Children’s Centres and Early Years.

1. Eleanor Brown introduced this item, outlining the Call to Action programme of engagement events and communication.  She indicated that a report on feedback to date would be reported to the next Board meeting (on 25/3/14).

2. Kay Eilbert referred to the issues of prevention and primary care being part of Call to Action.

3. Kay Eilbert also referred to the health needs assessment for East Mitcham which Merton had undertaken for the CCG.  She highlighted the plans for the East Mitcham Care Centre and the potential to include community centre support with GP practices and primary care; and that it was proposed that the East Mitcham Centre be included on the agenda for the Board’s next meeting.

RESOLVED: That the Health and Wellbeing Board notes the progress on Call to Action.

(1) Jonathan Carmichael (Integrated Care Project Director) gave a presentation, an abridged copy of which has been published on Merton’s web-site (with the other agenda papers for the meeting).

(2) Jonathan Carmichael outlined details of the Better Care Fund (BCF) which introduces a pooled budget between Merton Clinical Commissioning Group (MCCG) and Merton Council (MC), to enable the transformation of services in the community.

(3) Eleanor Brown referred to the transfer of money to BCF pooled budgets, but gave an assurance that nothing would be suddenly removed (from existing funds/services).

(4) Councillor Maxi Martin raised concerns about the inclusion of children’s metrics and transition issues in the BCF plan.  Simon Williams explained that there were certain metrics which were national and not optional; but that he was discussing the potential local metrics for children and issues relating to transition with Yvette Stanley.

(5) Melanie Monaghan referred to contribution that the voluntary sector could make to BCF.  Eleanor Brown and Simon Williams confirmed that the aim was to invite a member of the voluntary sector onto the BCF programme board.

RESOLVED: That the Health and Wellbeing Board (A) notes the back ground to the Better Care Fund; and

(B) agrees to Chair’s Action to agree the draft plan to be submitted by 14 February 2014, following agreement by e-mail by the HWB Chair, MCCG Chair, MCCG Chief Officer, Director of Community and Housing, and the Voluntary Sector member.

Consideration of this item was brought forward.  Adam Doyle summarised progress on the Health and Wellbeing Strategy Priority 3: “Enabling people to manage their own health and well being as independently as possible”.

Kay Eilbert advised that a refresh of HWB Strategy was due from April and that Priority 3 would be included in this.

RESOLVED: That the Health and Wellbeing Board notes the progress on the development and delivery of Health and Wellbeing Strategy Priority 3: “Enabling people to manage their own health and well being as independently as possible”.

(1) Adam Doyle made a presentation and circulated a printed one page summary (A3 size).  Both the presentation and the printed summary have been published on Merton’s web-site (with the other agenda papers for the meeting).

(2) Reference was made to the possible effect of the recent welfare reforms on Merton’s population.  Kay Eilbert advised that the impact of the reforms would be assessed by Merton Council.

(3) Eleanor Brown advised that the new funding formula for Merton CCG did give a better recompense for growth in population, but that there were increased costs for all services.  Reference was also made to the extra pressures arising from movement of population.

(4) Councillor Maxi Martin raised the issues of inequalities in east Merton and the lack of progress on a local care centre for the area (also referred to under Item 7).  Adam Doyle explained that a health needs assessment of the area was being done and he and Kay Eilbert, would chair a task and finish group to take this forward and report back to the Board.

(5) Melanie Monaghan requested that consideration be given to the voluntary sector co-locating where appropriate, and outlined the support the voluntary sector could give to GPs and to support patients in the community.  Adam Doyle welcomed this and confirmed that the CCG would like to have voluntary sector representation on its six commissioning groups.

(6) It was noted that a further report on commissioning would come to the next Health and Wellbeing Board.

Simon Williams introduced this report

Report RECEIVED

Simon Williams introduced this report

RESOLVED: That the Health and Wellbeing Board notes the contents of this update for information.

Kay Eilbert introduced this report.

RESOLVED: That the Health and Wellbeing Board agrees the refreshed JNSA 2014.

Kay Eilbert introduced this report.

RESOLVED: That the Health and Wellbeing Board notes the proposals for embedding public health.

Kay Eilbert introduced this report.

RESOLVED: That the Health and Wellbeing Board notes that on 5 December 2013, Merton officially signed up to the Local Government Declaration on Tobacco Control.

Kay Eilbert introduced this report, including advising that, further to paragraph 4.2 (on page 381), the CMT (Council Management Team) had agreed to embed health inequality issues within departmental Service Plans.

RESOLVED: That the Health and Wellbeing Board notes the feedback, observations and recommendations of the Health and Wellbeing Peer Challenge.

Kay Eilbert introduced this report, which included 76 pledges on how participants will work differently to address health inequalities; and that these were being collated into an action that would contribute to the refresh of the health and wellbeing strategy.

RESOLVED: That the Health and Wellbeing Board notes the outcomes of the Merton Partnership Health Inequalities Conference.

Dave Curtis introduced this report. He advised that Healthwatch Merton were working with Clare Gummett of Merton CCG on patient participation generally.

RESOLVED: That the Health and Wellbeing Board notes the progress made by Healthwatch Merton.

Reason for Urgency – The Chair agreed to the late submission of this item for the reason that it was felt important that the Board should be informed of the Children and Families Bill which was currently progressing through Parliament.

RESOLVED: That (A) the Health and Wellbeing Board (HWBB) notes the contents of this report; and

(B) a further update on progress in implementing requirements of the new legislation is provided to the HWBB in due course.