The Health and Wellbeing Board met on Thursday 23rd February 2023 to discuss the refreshed Joint Local Health and Wellbeing Strategy, the development of priorities for the Integrated Care Partnership, and an update on the Better Care Fund. The Board also reviewed the South West London Child Death Overview Panel Annual Report and progress on the Healthy Schools London programme.

Refreshed Joint Local Health and Wellbeing Strategy

The Board received an update on the progress of the refreshed Joint Local Health and Wellbeing Strategy. Mr Shannon Katiyo, Director of Public Health, explained that priority leads had been tasked with examining inequalities and focusing on prevention, with an emphasis on engaging local communities and adopting a holistic approach to families. The strategy will undergo statutory consultation before being signed off by the Board in autumn. Dr Nicola Jones, Vice Chair, highlighted the importance of aligning this strategy with the Joint Strategic Needs Assessment (JSNA) and the Health and Care Strategy. Mr Katiyo confirmed that the strategy was designed to be a living document, allowing for updates as areas develop. The Board resolved to note the progress of the Task and Finish Group, agree the proposed outline, principles, and format of the Strategy, and agree the proposed roles and responsibilities.

Shaping Integrated Care Partnership Priorities

The Board discussed the Shaping Our Integrated Care Partnership Priorities: A Partnership Discussions Document, which outlines the health and care needs for the South West London population and is the first stage in developing the South West London Integrated Care Strategy. Mr Mark Creelman, Locality Executive Director, presented the document, noting that it aimed to set the strategic direction for health and care services across six boroughs. Dr Aryan Jogiya, Primary Care Lead Representative, questioned the next steps for common priorities given the differing needs of each borough. Mr Creelman clarified that the Integrated Care Board (ICB) would be responsible for local implementation. Mr Stephen Hickey, Healthwatch Chair, pointed out a subtle distinction between the Integrated Care System (ICS) and the Integrated Care Partnership (ICP) that needed explanation. Dr Waqaar Shah, Primary Care Network Clinical Director representative, raised concerns about how trust in local services was being considered. The Board resolved to note the background and context of the discussion document and to seek views on the recommended ICP priorities, proposed workforce programmes, and any other areas for at-scale collaboration.

Better Care Fund Update

An update on the Better Care Fund (BCF) was provided by Mrs Lynn Wild, Associate Director of Health and Care Integration. Planning for the allocation of funding for Wandsworth for the next year was underway. Ms Jummy Dawodu, Central London Community Healthcare (CLCH) Trust Representative, inquired about evaluating the benefits of past work to inform future allocations. Mrs Wild indicated that evaluation would be conducted in parallel with current work. Dr Nicola Jones commented on the need to evaluate the impact of individual schemes in the context of the wider system and stressed the importance of focusing on the model of care rather than just the funding stream. Mr Philip Murray, SWL & St George's Mental Health Trust Representative, raised the impact of housing interventions on patient flow from hospitals back into the community, asking which strand of the BCF influenced this pathway. Mrs Wild referred to a scheme focused on step-down provision for individuals with mental health diagnoses to facilitate hospital discharge. The report was noted for information.

South West London Child Death Overview Panel Annual Report 2021-22

Mr Justin Roper, Director of Quality, NHS South West London (Merton, Sutton and Wandsworth), introduced the annual report of the South West London Child Death Overview Panel. The report focuses on learning lessons and identifies themes and trends across the boroughs. Out of 64 notifications, 5 cases were identified for safeguarding reviews. Dr Shah noted a disproportionate number of deaths among children from Black, Asian, and ethnic minority communities and inquired about modifiable cases within these communities. Mr Roper acknowledged this and stated that officers were targeting priorities within these communities. Mr Shannon Katiyo suggested a wider consideration of the Make Every Contact Count approach, which Mr Roper agreed could be strengthened. Ms Kiran Vagarwal, Head of Stronger and Safer Communities, noted the report's mention of knife crime and suggested that individual borough data would be beneficial for future reports to inform Community Safety Partnerships. Dr Jones raised the vacancy for the designated doctor for Wandsworth, and Mr Roper stated he would discuss this with colleagues. The report was noted for information.

Healthy Schools London in Wandsworth

Ms Natalie Daley, Consultant in Public Health, presented a report summarising the progress of the Healthy Schools London programme in its first academic year. The programme aims to demonstrate achievements and the emerging impact of the initiative. Mr Paul Martland referred to the Council's commitments regarding child food poverty, which included the healthy schools programme. Ms Zdenka Buchan, Public Health Officer, Healthy Schools Lead, confirmed that while mainly mainstream schools were involved, independent schools could attend training if interested. Councillor Kate Stock commended the work, noting its alignment with the school strategy and the provision of training for governors. Ms Buchan explained that capacity had influenced the pace of participation for some schools. The Board resolved to note the progress, acknowledge the intention to deliver Healthy School London as a long-term initiative, approve the proposed governance structure for annual reporting, and approve the next steps, actively encouraging school and partner engagement.

First Year of the Health and Wellbeing Goal within the Wandsworth Arts and Culture Strategy 2021-31

Ms Sara O'Donnell, Head of Arts and Culture, updated the Board on the first year of the Health and Wellbeing Goal within Wandsworth's Arts and Culture Strategy 2021-31. She outlined delivered activities and planned initiatives for the coming years. Mr Katiyo commended the work as a good example of joint working to address inequalities and prevention. Ms O'Donnell highlighted that measuring the impact of commissioned schemes was key to evaluation. The report was noted for information.

Health and Wellbeing Board Work Programme

Mrs Lynn Wild introduced the work programme report and invited comments from Board members. Suggestions for future seminar topics included primary care, prevention, and models of care. The report was noted for information.