Agenda and minutes

Health and Wellbeing Board
Wednesday 21 November 2018 6.00 pm

Venue: Ground Floor Meeting Room G01C - 160 Tooley Street, London SE1 2QH. View directions

Contact: Everton Roberts 

No. Item







    In special circumstances, an item of business may be added to an agenda within five clear days of the meeting.


    The following late items were considered at the meeting.


    Item 09 – Key Developments, Southwark CCG

    Item 10 – Better Care Fund, Updated 2018/19







    Invited presentations from local speakers and panel discussion covering issues related to children and young people’s mental health and wellbeing around the following areas:


    ·  Children and Adolescent Mental Health Services (CAMHS) – What’s possible?


    ·  Young People’s experience and perspectives of Mental Health services – Improving delivery


    ·  Understanding the mental health and wellbeing relationships to knife crime among young people


    The theme for the meeting was Best Start: Young People’s Mental Health and Wellbeing.


    The board heard from invited speakers, Chris Burns, local foster carer and Emily Barlow, Head Therapist at Octavia House School who shared their experience of the impact of Adverse Childhood Experiences (ACES) on the children in their care.


    The board also heard from Anna a young person who had experience of CAMHS.


    The board also heard from Stephen Douglass, Director of Communities and two Southwark Young Advisors, Paige and Annae on the impact knife crime has on the mental health and wellbeing of young people.


Mental Wellbeing of Young People in Southwark - Southwark's Joint Strategic Needs Assessment (JSNA)


Joint Review of Emotional Wellbeing and CAMHS Services

    To note the final version of the Southwark Joint Review of Emotional Wellbeing and CAMHS Services and to support the development of an implementation plan to take forward the actions identified in the review.

    Supporting documents:


    Genette Laws, Director of Commissioning and Caroline Gilmartin, Director of Integrated Commissioning introduced the report.


    Following an in depth discussion amongst the board members and those in attendance the board partners set themselves a shared ambition to ensure that 100% of children and young people get access to emotional wellbeing or mental health services so that the need for specialist services is reduced and to ensure that those (and their families who must wait for specialist services are well supported) and that this ambition would be achieved by 2020.  In doing so the board members acknowledged that this could not be achieved just by focusing on targets for access but would also have to think holistically, not just about access to services but also how they could ensure that young people who are experiencing mental health problems, could have a much better experience of the system and how they could ensure that young people move on to become healthy adults and fulfil their life aspirations.


    Issues that were mentioned/raised during the discussions were:


    ·  Opportunities for prevention

    ·  Look at how we screen and identify people more effectively earlier

    ·  Creating more opportunities outside of the specialised services that can support people much earlier to become healthier.

    ·  Need for the 100% ambition to be embedded in a comprehensive plan encompassing wellbeing, resilience building from primary schools, pre-pregnancy teaching and education for young parents.

    ·  Proper collaborative working through pool of stakeholders – must include public health and schools where there is universal access.

    ·  Some access targets should be delivered through practitioners working in the community, such as HIVE, good shop fronts in community settings designed by young people, responsive to their needs with a multiplicity of services within them, e.g. sexual health, substance misuse, mental health, occupational advice

    ·  Consultation with young people about what the barriers to access are

    ·  Children being taught emotional intelligence from an early age

    ·  ‘Ruler’(funded by CCG) - Teachers being trained on attachment theory and being able to really understand and recognise adverse childhood experiences, which enables schools to support children who are looked after who often come with complex behaviours.  Issue of expanding this to more schools.

    ·  Concern over levels of desperation that young people are feeling, having to wait to access CAMHS and the potential connection to self harm.

    ·  Need to think about older people in the community also experiencing mental health issues as part of the approach. 

    ·  Need to look at poverty and wider socio and economic determinates and how the system can help support families to end the multi generational cycle of poverty and multi generational cycles and transmission of ill health.

    ·  Need to encompass ‘place’ in the discussions as the built environment is critically important with work children and young people.

    ·  Policy around childhood obesity and nutrition and physical health – boundary between the psychological and the physical in children and young people is closely linked.

    ·  Contribution of the voluntary sector is key (example given of PACT in Camberwell).




    1.  That the final version  ...  view the full minutes text for item 8.


Key Developments - Southwark Clinical Commissioning Group (CCG) and Our Healthier South East London


Better Care Fund - update on 2018/19 delivery and 2019/20 planning

    To receive an update on the Better Care fund 2018/19 and 2019/20 planning.

    Supporting documents:


    Caroline Gilmartin, Director of Integrated Commissioning and Genette Laws, Director of Commissioning introduced the report.




    That the report be noted, including:


    a.  The progress made on delivering the Integration and Better Care Fund Plan agreed by the Health and Wellbeing Board on 11 Sept 2017 (paragraph 3-10 of the report).


    b.  The letter from NHSE on 19 July 2018 introducing revised targets for delayed transfers of care from September 2018 (paragraph13 of the report).


    c.  An assessment of the risk of reductions in BCF funding as a result of the revised delayed transfers target not being met (as requested by the Council cabinet on 18th September 2018) (paragraph14 -16 of the report).


    d.  An update on planning arrangements for 2019/20 when the current BCF framework is due to come to an end (see paragraph 24).


Building Healthy Communities (A) - Strategic Estates Planning


Building Healthy Communities (B) - Developing Superzones around schools


Pharmaceutical Needs Assessment (PNA) Supplementary Statement

    To note the first pharmaceutical needs assessment supplementary statement based on market entry information and/or changes happening in the first six months after the PNA publication (31/03/2018).

    Supporting documents:


    Professor Kevin Fenton, Strategic Director of Place and Wellbeing introduced the report.




    1.  That the first Pharmaceutical Needs Assessment (PNA) Supplementary statement based on market entry information and/or changes happening in the first six months after the PNA publication (31/03/2018) be noted.


    2.  That the way forward for the Board when considering any future PNA supplementary statements on a six monthly basis during the life course of this PNA (1/04/2018 – 31/03/2021) be agreed as follows:


    a)  If public health is notified of any significant changes to our local network of pharmacies (number, location, service provision, opening/closing hours) a supplementary statement has to be presented and approved by the HWB.


    b)  If there are no significant changes to our local network of pharmacies (categories mentioned above) the PNA supplementary statement is to be approved by the Chair and the health and wellbeing board kept informed.


Health and Wellbeing Board Work Plan 2018-20