Agenda and minutes

To approve the minutes of the meeting held on 12 November 2019 as an accurate record.

The minutes of the meeting held on 12 November 2019 were agreed as an accurate record.

In accordance with the Council’s Code of Conduct and the statutory provisions of the Localism Act, Members and co-opted Members of the Council are reminded that it is a requirement to register disclosable pecuniary interests (DPIs) and gifts and hospitality to the value of which exceeds £50 or multiple gifts and/or instances of hospitality with a cumulative value of £50 or more when received from a single donor within a rolling twelve month period. In addition, Members and co-opted Members are reminded that unless their disclosable pecuniary interest is registered on the register of interests or is the subject of a pending notification to the Monitoring Officer, they are required to disclose those disclosable pecuniary interests at the meeting. This should be done by completing the Disclosure of Interest form and handing it to the Democratic Services representative at the start of the meeting. The Chair will then invite Members to make their disclosure orally at the commencement of Agenda item 3. Completed disclosure forms will be provided to the Monitoring Officer for inclusion on the Register of Members’ Interests.

There were no disclosures made at the meeting.

To receive notice of any business not on the agenda which in the opinion of the Chair, by reason of special circumstances, be considered as a matter of urgency.

There were no items of urgent business.

This Sub-Committee is asked to review the work of the Health & Wellbeing Board. (Report to follow)

The Sub-Committee considered a report from the Chair of the Health and Wellbeing Board, Councillor Louisa Woodley which, along with a presentation delivered at the meeting, provided an overview on the work of the Board.

A copy of the presentation can be found at the following link:-

https://democracy.croydon.gov.uk/documents/b7133/Health%20Wellbeing%20Board%20-%20Presentation%2028th-Jan-2020%2018.30%20Scrutiny%20Health%20Social%20Care%20Sub-Comm.pdf?T=9

Following the presentation the Sub-Committee was given the opportunity to question the Chair of the Health and Wellbeing Board on the work of the Board. The first question concerned the Board’s work with schools on mental health provision for children and young people and whether there were any particular barriers. It was highlighted that the Board had contacted schools on this issue, with it found that the main barrier was often a lack of funding being available to support work in this area. Through the work of the Board funding had been acquired through the Trailblazer Project and also the Mayor of London’s Young Londoners Fund. It was confirmed that an evaluation on the difference made by these projects would be undertaken.

As the presentation had listed the Board being a committee of the Council as a potential weakness and it was questioned why this would be the case. It was confirmed that being a council committee meant that the approach to Board membership could be overly formal and restricted the ability to effectively respond to specific issues. In order to mitigate against this the Board took a flexible approach to representatives being invited to attend as guests. This ensured that the Board was able to have the relevant people around the table to participate in the discussion of specific issues.

As the South London and Maudsley NHS Foundation Trust (SLaM) was not coterminous to Croydon and operated over a wider area, unlike the other partners on the Board, it was questioned whether SLaM was able to be as effective a partner as others. It was advised that partners already worked together through the One Croydon Alliance creating a good working relationship, which had been carried through to the Board with full participation and attendance from SLaM. By working across a wider area, the biggest issue for SlaM was often the number of different local Health and Wellbeing Boards they had to attend, but there were no issues from a Croydon perspective.

It was questioned whether the Board coordinated its work with other forums such as the Violence Reduction Network. The Chair confirmed that she had attended the conference to set up the Violence Reduction Network and had visited Glasgow with others to review their public health approach to violence reduction. The Director of Public Health report on the First 1,000 Days contained many outcomes that linked with the public health approach to violence reduction and there were a number of statutory officers on the Health and Wellbeing Board who had roles on other boards as well.

In response to a question about whether the Board had any work streams focused on the prevention of either domestic or sexual abuse, it was  ...  view the full minutes text for item 4/20

The Sub-Committee is provided with a report on Croydon’s Integration Journey to inform its discussion.

The Sub-Committee considered a report together with an accompanying presentation on the integration journey to date for the Croydon Health Service NHS Trust (CHS) and the Croydon Clinical Commissioning Group (CCG). This was divided into three specific areas, namely the approach to integration with social care, how the integration between CHS and CCG was progressing and an update on the Integrated Community Networks. The following representatives were present at the meeting for this item:-

·         Agnelo Fernandes – Chair of Croydon CCG

·         Matthew Kershaw - Chief Executive and Place Based Leader for Health NHS Croydon CCG and Croydon Health Services NHS Trust

·         Guy Van-Dichele – Executive Director for Health, Wellbeing & Adults – Croydon Council

A copy of the presentation can be found at the following link:-

https://democracy.croydon.gov.uk/documents/s20442/CCG%20-%20CHG%20Integration%20-%20Presentation.pdf

Following the presentation the Sub-Committee was given the opportunity to ask questions on the integration journey, with the first relating to the possibility of change at a senior level within the team. It was advised that the scale of the challenge in delivering integration was recognised, but there had not been a notable increase in staff leaving on the basis of the changes. In fact it had been found that more consultants were looking to work in Croydon because of the pioneering integration work.

As it was noted that different localities across the borough faced different challenges, it was questioned how this would be managed. It was advised that the purpose of the Integrated Community Networks (ICN) was to address some of these issues. Although it would not be possible to have totally different ICNs as there were many common health issues, there will be certain services that need to be focussed in specific areas to address the need of the local population. Additionally it was also about building on existing ways of working, such as the GP Huddles which had resulted in a 15% reduction in hospital admissions.

In response to a question about delegation from the South West London CCG and whether there had been anything retained at the higher level that could be delegated to Croydon, it was advised that most decisions had been delegated. Certain specialist services needed to remain at a higher level due to workforce issues with a limited number of staff able to deliver these. Discussions were taking place about the budget being fully delegated to Croydon, which would then allow the decision to be made locally on what services were returned to the higher level. It would also allow funding to be compared with other areas and in doing so it was hoped that the funding for Croydon would be levelled up with the other areas under the South West London CCG.

Reference was made to the original integration plan from 2016, with it questioned what had not been delivered from this plan. It was advised that at present the information points were only available in Thornton Heath, but this would be expanded as the localities work progressed. There had been challenges relating to IT connectivity  ...  view the full minutes text for item 5/20

The Sub-Committee is provided with a copy of its work programme for 2019-20 for its information.

The Sub-Committee considered its work programme for the remained of 2019-20, with it noted that the meeting on 21 April 2020 would be dedicated to a review of whole life mental health provision in the borough.

The Sub-Committee resolved that its work programme for 2019-20 be noted.

The following motion is to be moved and seconded where it is proposed to exclude the press and public from the remainder of a meeting:

“That, under Section 100A(4) of the Local Government Act, 1972, the press and public be excluded from the meeting for the following items of business on the grounds that it involves the likely disclosure of exempt information falling within those paragraphs indicated in Part 1 of Schedule 12A of the Local Government Act 1972, as amended.”

This motion was not required.