Appendix 2

Proposed amendments to the Terms of Reference of the East Sussex Health and Wellbeing Board (HWB)

The East Sussex Health and Wellbeing Board (the Board) includes representation from all bodies in East Sussex with major responsibilities for commissioning and providing health services, public health and social care.

Membership

4 Members* of the County Council chosen by the Leader of the Council
2 Members* representing the five District and Borough Councils
East Sussex County Council Director of Public Health
East Sussex County Council Director of Adult Social Care and Health
East Sussex County Council Director of Children’s Services
Chief Executive of East Sussex Healthcare NHS Trust**
Three representatives of the NHS Integrated Care Board***
One representative of Healthwatch East Sussex****

Footnotes;

* To avoid conflict of interest Members must be different from the Health and Overview Scrutiny Committee Member.

** The Chief Executive of East Sussex Healthcare NHS Trust represents all NHS provider trusts operating in East Sussex.

*** The NHS representatives also provide representation on behalf of NHS England – South East.

**** To avoid conflict of interest Healthwatch East Sussex will not be members of the Health and Overview Scrutiny Committee Member or any Council Scrutiny Committee.

The Board will be chaired by an elected Member of East Sussex County Council.

A Deputy Chair will be chosen from among the NHS Sussex representatives.

The quorum for a Board meeting shall be half of the membership including at least one elected Member of the County Council and one representative of NHS Sussex.

In the event of equal votes the Chair will have the casting vote. All members of the Board will be entitled to vote.

Observers

In addition to the members listed above, additional non-voting observers from relevant agencies will be invited attend to assist in achieving the Board’s objectives. The invited observers with speaking rights are:

One member* from each of the 3 borough and district councils within East Sussex that are not voting representatives
Chief Executive of East Sussex County Council
One representative of the East Sussex Voluntary, Community and Social Enterprise Sector
Sussex Police and Crime Commissioner
Chief Fire Officer East Sussex Fire and Rescue Service

Role and Function

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.
To provide strategic influence over the commissioning and provision of health, public health and social care services in East Sussex.
To strengthen democratic legitimacy by involving democratically elected representatives and patient representatives in commissioning and provision decisions across health and social care and provide a forum for challenge, discussion, and the involvement of local people.
To bring together the NHS, the County Council and others to develop a shared understanding of the health and wellbeing needs of the community using robust and up to date evidence.
To drive local commissioning and delivery of health care, social care and public health and create a more effective and responsive local health and care system that reduces the need for health and social care in the longer term and/or prevents the need for a more expensive service.
To jointly undertake responsibilities for addressing population health need and to work together to inform strategic planning of health and social care, through oversight of integrated investment plans including the Better Care Fund and Improved Better Care Fund.
To undertake any other responsibilities delegated to the Board.

These functions will be delivered through the following activities:

Identify needs and priorities

Publish and refresh the East Sussex Joint Strategic Needs and Assets Assessment (JSNAA), using a variety of tools, evidence and data including user experience, to ensure that the JSNAA supports commissioning and policy decisions and identification of priorities.

Deliver and review the Joint Local Health and Wellbeing Strategy

2. Review and update the Joint Local Health and Wellbeing Strategy regularly to ensure the identified priorities reflect the needs of East Sussex and that it clearly explains our joint purpose to residents, communities, staff and volunteers in all organisations

3. Ensure the County Council, NHS Sussex and NHS providers have regard to and contribute to the delivery of the Joint Local Health and Wellbeing Strategy and integrate its agreed objectives into their respective plans.

4. Ensure the Sussex Health and Care Assembly (the Integrated Care Partnership) builds on and aligns with the priorities and goals of the Joint Local Health and Wellbeing Strategy and JSNAA, including the development of the Integrated Care Strategy for Sussex.

5. Review recommendations from the ~~East Sussex Health and Social Care Executive Group~~ East Sussex Health and Care Partnership Executive Board, or equivalent body, with regard to transforming services and the overall strategic investment patterns to meet population health needs and deliver outcomes, reflecting national policy where this is appropriate.

6. Oversee and hold partners to account for the implementation of agreed plans.

Ensure achievement of outcomes

7. Communicate and engage with local people about how they can achieve the best possible quality of life and be supported to exercise choice and control over their personal health and wellbeing.

8. Have oversight of the use of relevant public sector resources across a wide spectrum of services and interventions, with greater focus and integration across the outcomes spanning healthcare, social care and public health.

9. Work in partnership with the Sussex Health and Care Assembly to:

Support and promote greater integration and collaboration across health and social care;
Support co-ordination of the strategic direction and collaboration across health and social care; and
Improve outcomes for East Sussex residents

10. Have a relationship with the East Sussex Strategic Partnership to strengthen the engagement of a wider range of stakeholders in all determinants of health.

Reporting

11. Propose recommendations regarding the work of the Health and Wellbeing Board to:

East Sussex County Council;
NHS Sussex; and
NHS provider Trusts

12. Direct issues to and receive reports from the appropriate Scrutiny Committees of the County Council, and the East Sussex Strategic Partnership.