The Health Overview and Scrutiny Committee are scheduled to discuss a range of topics, including updates from local NHS trusts, integrated care developments, the council's CCTV strategy, and sexual and reproductive health initiatives. The committee will also review the Adult Social Care Outcomes Framework annual report and budget monitoring.

NHS Trust Performance Updates

The committee is scheduled to receive updates on the performance and key issues from two NHS trusts: St George's University Hospitals NHS Foundation Trust and South West London & St George's Mental Health NHS Trust (SWLSTG).

St George's Trust

A report from St George's Trust is to be presented, covering operational updates, including performance in emergency care, winter pressures, and elective care recovery. The report pack states that in December 2024, 79.7% of patients were either admitted or discharged from A&E within four hours, meeting the national target. The report also includes finance updates, quality and safety updates on maternity services and workforce, and information on the transfer of children’s cancer services to the Evelina London Children's Hospital. The report pack mentions that NHS England announced in March 2024 that children's cancer services are set to be moved from St George’s to the Evelina London from October 2026 onwards.

South West London & St George's Mental Health Trust

The committee is scheduled to discuss a report from SWLSTG, deferred from a previous meeting, providing an overview of mental health service delivery and community programmes. The report pack states that SWLSTG serves 1.2 million people across several boroughs, including Wandsworth, and provides care to 40,000 people at any given time. The report includes updates on new environments, estates development, and equality and diversity programmes. It highlights key priorities such as improving the adult patient journey and making the trust a great place to work. The report pack mentions the Coral Mental Health Crisis Hub which sees patients at the Springfield site by appointment. The report pack also refers to the Ethnicity and Mental Health Improvement Project (EMHIP) which aims to reduce inequalities in access, experience, and outcomes of mental health care for Black, Asian and Minority Ethnic communities in Wandsworth. The report pack states that the Trust has four strategic ambitions:

Increasing Quality Years, Reducing Inequalities, Making the Trust a Great Place to Work, and Ensuring Sustainability

Integrated Care Developments

The committee is scheduled to discuss a report on integrated care developments in Wandsworth, focusing on the progress of integrated neighbourhood working. The report pack states that integrated neighbourhoods will:

Provide local system leadership for the planning, delivery, and experience of using health and care services, for neighbourhoods of populations between 30 – 50,000 Prioritise prevention to improve care outcomes and reduce health inequalities The first phase of Integrated Neighbourhoods is scheduled to launch on 1 April 2025, focusing on co-ordinating service delivery and improving care quality in Battersea, Roehampton and Tooting. The report pack also refers to the Planning All Care Together (PACT) service, which supports approximately 6,000 patients per annum.

CCTV Strategy

The committee is scheduled to discuss the Wandsworth CCTV Strategy 2024-2029, which outlines the council's plan for managing surveillance services. The report pack states that Wandsworth operates a network of 1,290 CCTV cameras covering housing estates and town centres. The strategy works to ensure the effectiveness, growth, and lawful use of CCTV, overseen by a dedicated CCTV Steering Group. The report pack mentions that the Joint Control Centre (JCC) is one of the largest, permanently resourced, council-managed centres in the country. The report pack also refers to the Biometrics Surveillance Camera Code of Practice, which the council must adhere to.

Sexual and Reproductive Health Strategy

The committee is scheduled to discuss the Wandsworth Sexual and Reproductive Health Strategy 2025-2030, a five-year plan to improve sexual and reproductive health outcomes. The report pack states that the strategy focuses on addressing health inequities and ensuring equitable access to services, particularly for vulnerable groups. The strategy is informed by the 2024 Sexual and Reproductive Health Needs Assessment and aligns with national and global health priorities, including the UN Sustainable Development Goals and the NHS approach to tackling health inequalities¹. The report pack refers to the Sexual Health London (SHL.UK) e-service, which provides remote access to sexual health services. The report pack also refers to the London Sexual Health Transformation Programme (LSHP), a partnership coordinating sexual health services across London. The report pack states that the strategy is informed by the World Health Organization’s (WHO) framework for sexual and reproductive health, focusing on eight key intervention areas:

Antenatal, Intrapartum & Postnatal Care, Comprehensive Education and Information, Contraception Counselling & Provision, Gender-based Violence Prevention, Support & Care, Fertility & Reproductive Care, Prevention & Control of HIV and other STIs, Safe Abortion Care, Sexual Function and Psychosexual Counselling

Adult Social Care Outcomes Framework Annual Report

The committee is scheduled to receive an update on the 2023-24 Adult Social Care Outcomes Framework (ASCOF) annual performance. The report pack states that the ASCOF measures how well care and support services achieve outcomes that matter most to people, based on a service users survey, a carers survey, and performance indicators. The report pack notes that Wandsworth's performance is very good compared to other London boroughs, with most indicators in the top two quartiles. The report pack also refers to the Carers and Young Carers Charter, published in 2024, which pledges to support local carers.

Budget Monitoring and Review of Charges

The committee is scheduled to discuss the 2024/25 Q3 budget monitoring and 2025/26 budget, including an annual review of charges. The report pack states that the committee's remit is currently projecting an overspend of £2.685 million compared to a revised budget of £102.660 million, mainly due to increased demand and costs in Adult Social Care. The report pack proposes to increase Adult Social Care Services fees by 2.2% from 1 April 2025. The report pack also mentions the Transforming Social Care Programme, which aims to maximise people’s independence by preventing, reducing or delaying the need for long term care.