Ian Beever, Barbara Price

None

Since the last meeting, Dr Howard Freeman had been awarded the MBE, and the Board warmly congratulated him on this achievement.

Following a question from Cllr Martin, Kay Eilbert agreed to follow up on what was being done to separate data as mentioned in paragraph 1 page 2. 

Cllr Martin had not yet received the leaflets as mentioned in paragraph 2 page 2.  Kay Eilbert had sent them by email, but would check whether printed leaflets could be provided.

Kay Eilbert also agreed to check the use of children’s centres for vaccinations which was stated as being ‘in 3-4 months time’ in paragraph 4.

Eleanor Brown asked for the last line of item 11 page 3 to read ‘…… approximately 200 people to date’.

Regarding paragraph 2 page 5, Cllr Martin said that the volunteer day had been very well attended.

Cllr Martin asked for a paper on work in Merton on female genital mutilation to be brought to the Board.

Yvette Stanley gave a presentation on the Children and Families Act and described some changes this would have in terms of timescales for adoptions etc and that this narrower window for care would present some challenges.  Yvette described the need for early help, making sure it was successful for complex need families.  They were seeking continuous improvement giving smarter services for better value.

Yvette also described getting parents and children involved in the working group to help design services.  An accessible plan was required, not multiple assessments.  In the future they would revisit key points, talking to all the agencies involved and check that they were ‘living those values’

Yvette Stanley introduced this item and explained it was a good practice benchmark.  Yvette praised Melanie Monaghan’s work and emphasised the importance of support for young carers.

Cllr Martin welcomed the Memorandum of Understanding and also praised Melanie’s team.

Melanie Monaghan explained she was supported by a good team, and welcomed the Memorandum of Understanding as it raised the profile of young carers.  The project funded by the Big Lottery was enabling working with the Mental Health Trust to embed thinking about a whole family approach.  Melanie hoped to involve health agencies in the next steps.

The Board agreed:

the Memorandum of Understanding for signature by the Director of Children Schools and Families and the Director of Community and Housing.

Eleanor Brown introduced the Call to Action and explained there would be a growth in need over the next ten years as the population increased and the incidence of diseases increased while there were static resources.  Eleanor explained the series of discussions with residents that has taken place as part of the Call to Action.  The discussion carried out in Merton had engaged with 425 people through surveys and group work.  The key points raised were access to GP surgeries, increased integration of services and keeping well and healthy.  The next steps should be through the One Merton Group, questioning what was already being done, and what else might be done.

Cllr Martin commented on the figures given, that 425 was a low proportion of the borough’s population and that the demographic which showed that white, middle class, older people were over represented.  Cllr Martin suggested that the good work done so far needed rolling out to a wider spectrum of the borough’s population, ie the mosque.

Eleanor Brown responded that better advertising was needed, and that the demographic was a result of what they were able to achieve at the appointed time due to constraints in utilising other channels ie the LA publications etc.  Eleanor said this could be an on-going debate (part of the five year strategy).   Suggestions would be welcomed and that a member of the CCG could visit the mosque.

The Board agreed:

To note the Merton Clinical Commissioning Board Call to Action Report.

Simon Williams introduced the Merton Integration Project report, explaining the current position and how things would move forward with 6 workstreams.  The Merton Model was the largest and most complex, and how progress was expected once staff were embedded.  Workstream 3 was also discussed with the problem of how to find a solution with joining up data. 

Board members commented on how this links very well with clinical design work around integration in the South West London sector.  Adam Doyle said he would come back to the group with clarification of process regarding data.

Melanie Monaghan was pleased to see workstream 5 – engagement, and stated that having volunteers involved in the early states was very beneficial.

The Board agreed:

To note the progress of the Better Care Fund Plan

That consideration should be given to the proposal to apply for NHS England Tech Fund financing.

Eleanor Brown apologised for the lateness of the  report, which sets out the case for change locally, due to the sensitivity of election purdah.  The report built on a workshop session with the members of the Health and Wellbeing Board.  Members felt it was an interesting document, building a picture of the need for change.

The Board agreed:

To note the SW London Collaborative Commissioning 5 year Strategy Executive Summary and the full document available on the MCCG website

Adam Doyle introduced this report, explaining the three major parts:

• A needs assessment of East Merton

• The development of a model of care by GPs with patient engagement for the locality as a whole, with  a care centre and GP practices responding to needs as set out in the needs assessment.

• Submission of the business case to the Department of Health for permission to proceed.

In response to questions from board members, Adam explained that a stakeholder map was being drawn up to make sure everyone was involved, and how there was a need to demonstrate a good level of engagement.  Some key partners needed to be more involved.

Cllr Martin asked that children be involved, and whether a presentation could be given to them.

Simon Williams remarked on the great progress and asked what the board could do to help.

Adam responded that help in communicating and the dissemination of information would be welcome and holding them to account over any unmet need.

The Board members felt it was a good piece of work.

The Board agreed to note the update.

Kay Eilbert introduced this report she explained that funding had been secured from the Local Government Association to fund a  professional facilitator to deliver a half day development session to working  with the Health and Wellbeing Board.  The Board welcomed the plans and  agreed to be involved in the development session.

The Board agreed:

To note the planned development of Merton Health and Wellbeing Board in its second year, the support secured from the London HWB Improvement Programme and agree to the proposed work programme.

Cllr Martin highlighted the need to keep Procurement of substance misuse, ending Gangs and Youth Violence and Female Genital Mutilation well on the agenda although the board noted the importance of not duplicating work carried out by other groups.

This item was introduced by Kris Witherington on behalf of Dave Curtis.

Kris explained that the report was a catalogue of activities since the spring, and that it had been very busy with lots of events. 

There is a formal annual report due shortly, which will be reported to the next meeting of the Health and Wellbeing Board.

 The Chair commented on a very successful presentation that was given to her local residents’ association by a representative of Healthwatch.

Yvette Stanley asked for a focus on children and young people in the work programme, possibly in the East Merton development and how this could lead to consultation.

The Board agreed to note the progress made by HealthWatch Merton and asked that their thanks be passed on to Dave Curtis.