Agenda and minutes

Health and Wellbeing Board - Thursday 4 July 2019 6.00 pm

Venue: Committee Room (B6) - Lambeth Town Hall, Brixton, London, SW2 1RW. View directions

Contact: Nazyer Choudhury, Democratic Services Officer  Tel: 020 7926 0028 Email:

No. Item


Declarations of Interest

    • View the background to item 1.

    Under section 4 of the governance arrangements for the Health & Wellbeing Board, Board members are bound by the Members’ Code of Conduct as set out in the Council’s Constitution (Part 4 Section 1).  Where any Board member has a Disclosable Pecuniary Interest in any matter to be considered at a Board meeting they must withdraw from the meeting room during the whole of the consideration of that matter and must not participate in any vote on that matter unless a dispensation has been obtained from the Monitoring Officer.



    Cllr Davie declared that he was the Committee Lead for a mental Health Foundation Charity.


Minutes of Previous Meeting pdf icon PDF 118 KB

    • View the background to item 2.

    To approve the minutes of the previous meeting.





    That the minutes of the previous meeting held on 4 April 2019 be approved and signed by the Chair as a correct record of the proceedings.



Living Well Network Alliance - One Year on pdf icon PDF 164 KB

    Additional documents:


    Neil Robertson, Director, Lambeth Living Well Alliance and Guy Swindle, Assistance Director Lambeth Living Well Alliance gave a presentation on the Alliance’s progress over its first year.


    The Alliance consisted of a Partnership agreement with Certitude, Lambeth Council South London and Maudsley NHS Trust, Lambeth Clinical Commissioning Group (CCG) and Thamesreach. There was an overarching vision to allow people in the community to flourish and live the lives they wanted to lead.


    The outcomes based contract had been co-produced with partner agencies. Outcomes identifies were allowing people to:


               Recover and stay well;

               Make their own choices; and

               Participate on an equal footing.


    The main objectives of the Alliance were:


               Easier and quicker access to services.

               Less fragmentation through care and support;

               Removing inequalities; and

               Positive change in work force culture making the best use of resources.


    The Alliance had been developed after 10 years of partnership working beginning with the Lambeth Living Well Collaborative.


    Issues that the Alliance sought to rectify were that there were too many assessments, services were fragmented and there were conflicting outcomes and priorities that were not meeting the needs of people seeking care.


    The Alliance was in the development phase of a seven year contract. In autumn there would be transformation of community mental health service by the introduction of a single point of access, introducing three Living Well Centres and developing set of sub outcomes, which the Alliance would be managed against.


    Black Thrive and Healthwatch Lambeth had been critical to the development of the model.


    Ms Gay Lee made a representation to the Board on this item. Ms Lee stated she was impressed with the work of the Alliance but was concerned that there was a lack of inpatient beds in mental health services. She asked to know the figures for those needing inpatient treatment under the Mental Health act, where there were not beds available. The Chair confirmed that Ms Lee would receive a written response to her representation after the meeting.


    In response to questions from the Board, Neil Robertson and Guy Swindle explained:

               The Living Well Centres would be one of the core offers but alongside this was a commitment that care would be provided in people’s home or closer to their home.

               There was a duty to ensure people had confidence in mental health support and ensure that mental health was talked about at every opportunity.

               There was a need to work with GPs and continue discussion with GP Federations about partnership working.

               Learning from work over the last few years would be incorporated into plans for the Alliance for the future.

               An interface forum had been set up between the addiction services and the mental health services.


    RESOLVED: That the contents of the report be noted.


South East London Commissioning Alliance pdf icon PDF 108 KB

    Additional documents:


    Andrew Eyres, Accountable Officer, NHS Lambeth CCG, presented an update on the South East London Commissioning Alliance.


    It was noted that in order to provide a more responsive and integrated commissioning system work was being undertaken to change how the CCGs in South East London worked. This included a focus on system oversight and planning at a South East London level through a single CCG, as well as ensuring the ability to focus on borough populations through enhancing local collaboration (across health and social care and between commissioners and providers) in place Based Boards’ and Local Care Partnerships.


    Governance models had to be aligned with pooled resources. There would be a rearrangement of how commissioning was supported across the mental health system.


    Ms Jan O’Malley, from Keep our NHS Public, made a representation to the Board on this item. Ms O’Malley’s representation focused on requesting information on how Councillors would be involved in the governance of health going forward. The Chair confirmed that Ms O’Malley would receive a written response to her representation after the meeting.


    RESOLVED: That the report be noted.


Black Thrive pdf icon PDF 108 KB

    Additional documents:


    Natalie Creary, Programme Delivery Director, Black Thrive provided an update on the work of Black Thrive. The update focused on the Shared Measurement System that had been developed.


    The Shared Measurement system collated data from different partners in order to understand the black experience in Lambeth. The data showed that there were systematic inequalities in terms of outcomes for black residents of Lambeth compared to other groups.


    A dashboard was available online and allowed the community and service providers to examine the statistics. Additionally Black Thrive sought to provide an understanding of the problems and show whether change was happening, using data to inform which areas should be focused upon.


    In response to questions from Board Members Natalie Creary confirmed that:

               Black Thrive was a partnership and all the health and social care partners in Lambeth were involved. There was collective responsibility to ask what organisations could do to assist with the work of Black Thrive.

               The accuracy of data was vital. Schools were trying to improve this by making make changes at an early stage. A lot of the work was around Early Years and it was hoped that Lambeth Early Action Partnership (LEAP) would be able to assist.

               A narrative needed to be developed to help provide the public and partners with context with the data. It was proposed that there be a public launch of the Shared Measurement System in autumn 2019.


    RESOLVED: That the report be noted.



Special Educational Needs & Disability (SEND) Review pdf icon PDF 296 KB


    Adam Yarnold, SEN Lead, Special Education Needs (SEN) Service presented a paper to the Board, laying out the current financial position of the service.


    The Chair commended everyone involved for the improvements in the financial position and the better organisations system that had led to this.


    In response from questions from the Board, Adam Yarnold responded that:

               The number of Children assessed and found to have SEN had risen across all ethnic groups.

               It was thought that there would be an increase in SEN over the next few years and this would then level out based on the increase of the age group to 25 under the Children and Families Act.

               There was a SEN diagnosis for 4% of the UK’s population.

               Inclusive practice needed to be encouraged in schools.


    RESOLVED: That the report and financial position are noted.


Public Health Annual and Quarterly Report pdf icon PDF 84 KB

    Additional documents:


    Ruth Hutt, Director of Public Health, presented the Annual and Quarterly report. The Board noted:


               Health Inequalities were increasing and there was a need to take action.

               Ruth welcomed the Black Thrive Shared Management System, and stated there was a need to consider carefully the best way questioned how the Black Thrive Shared Management system should be used.

               The Council had committed to an approach of ‘Health in all Policies’ – this meant that every policy the Council made had to consider health implications. There was a need to test out how Health in All Policies worked in practice.

               Consideration should be given as to how the Annual report could be disseminated as widely as possible.


    RESOLVED: That the Annual and Quarterly Public Health reports were noted.


Lambeth Children's Partnership update pdf icon PDF 253 KB


    Officers from Children’s Services were not present to discuss this item. The Chair asked the Board to note the report and take up any issued raised with Tony Parker by email.


    RESOLVED: That the contents of the report be noted.