Appendix 4 

 

Summary of key changes under the Health and Care Bill (integration elements)

 

 

Current position

From 1st July 2022

1

Informal voluntary partnership arrangements exist at a pan-Sussex level (Sussex Health and Care Partnership) to support joint planning, commissioning and delivery of health and broader care services on a pan-Sussex footprint

·      Sussex Health and Care Partnership becomes the ‘Sussex Health and Care System’, which is the Integrated Care System for the population of Sussex.

·      The Duty to Collaborate comes into being, ESCC will be a statutory partner member of two bodies that make up the ICS:

o   The NHS Sussex Integrated Care Board (ICB)

o   The Sussex Health and Care Assembly – to be convened as a new formal joint committee by ESCC, WSCC, BHCC and NHS Sussex ICB

2

East Sussex Clinical Commissioning Group (CCG) is responsible for commissioning the majority of healthcare services for the population of East Sussex (555,000 people)

 

·      NHS Sussex Integrated Care Board is responsible for commissioning the majority of healthcare services for the population of Sussex (1.7million people)

·      The 106 Clinical Commissioning Groups in England will no longer exist and will be replaced by 42 ICBs covering England

·      NHS England continues to commission some specialist services

3

East Sussex Health and Care Partnership exists as an informal voluntary partnership arrangement to support and enable planning, commissioning and delivery of health, social care and public health service at a Place level

·           East Sussex Health and Care Partnership continues to operate as an informal voluntary partnership arrangement from 1st July 2022

·           In line with the new White Paper Place partnerships will need to consider and adopt by Spring 2023 more formal arrangements to support joint accountability for delivering outcomes.  This will subject to agreement by Cabinet and the decision-making bodies of the other statutory partners.

4

East Sussex Health and Wellbeing Board (HWB) has a statutory role to provide whole system leadership for the health and wellbeing of the people of East Sussex and the development of sustainable and integrated health and care services

·      No change to the statutory role of the HWB

·      The membership will be reviewed to reflect the transition of East Sussex CCG to the NHS Sussex Integrated Care Board

5

East Sussex Health Overview and Scrutiny Committee (HOSC) has a statutory role looking at health issues and suggests ways that health services might be improved in East Sussex. The Committee does this by scrutinising the work of NHS Clinical Commissioning Groups (CCGs), NHS Trusts, and other independent providers of healthcare.  This covers:

·         major changes to health services

·         select reviews of health issues 

  • local health services in need of improvement

·      No change to the statutory role of HOSC

·      The Terms of Reference of HOSC will be reviewed to ensure they reflect the transition of East Sussex CCG to the NHS Sussex Integrated Care Board

·      The membership of HOSC will be reviewed to reflect the transition of East Sussex CCG to the NHS Sussex Integrated Care Board

·      The Secretary of State will be able to intervene earlier in decisions about changes to local services.