Decision details

Health and Care Bill Implementation

Decision Maker: Cabinet

Decision status: Recommendations Approved

Is Key decision?: No

Is subject to call in?: Yes


To update Cabinet on progress with the Sussex Integrated Care System (ICS), and seek Cabinet’s agreement to the recommended arrangements for Council representation in accordance with the national proposals to put ICSs on a statutory footing in England by April 2022


51.1     The Cabinet considered a report by the Director of Adult Social Care.

51.2     It was RESOLVED to:


1.               Note that the proposed legislation requires the Council to be a member of the statutory Sussex Integrated Care System (ICS) from 1 July 2022 and the plans to operate the ICS in shadow form;

2.               Note the Council’s ongoing commitment, accountability and lead role in integrating care and improving population health in East Sussex;


3.               Agree:

a)    the Chair of the Health and Wellbeing Board to attend the shadow Sussex Health and Care Assembly (as previously agreed by the Cabinet on 29 June 2021);

b)    the three upper tier Councils in Sussex being represented on the shadow NHS Sussex Integrated Care Board (ICB) by a Director of Adult Services, a Director of Children’s Services and a Director of Public Health drawn from across the councils, to be agreed by the Chief Executives; and  

c)    the Sussex Health and Care Assembly being established as a joint committee between the future NHS Sussex ICB, East Sussex County Council (ESCC) West Sussex County Council (WSCC) and Brighton & Hove City Council (BHCC) with power to make the appropriate arrangements delegated to the Assistant Chief Executive.

4.               Agree the principles set out in paragraph 2.17 of the report that underpin how the NHS Sussex ICB will work with and in East Sussex to support close working with the NHS.

5.               Agree to receive a further report on plans to progress local working with the NHS later in the year. 



51.3     Establishing ICSs on a statutory footing represents a significant change to the way the Council works in partnership with the NHS, to plan and commission services to meet health and care needs of the population of East Sussex, and improve health and reduce health inequalities.  The key changes are summarised in Appendix 4 of the report.   The new Duty to Collaborate requires the County Council to participate in the statutory NHS Sussex ICB and set up the Sussex Health and Care Assembly as a joint committee.  Appropriate governance and accountability arrangements will be critical to enabling the Council to continue to jointly plan and commission services effectively, to secure the best possible outcomes for our population and meet the new Duty.


51.4     There is agreement to shared principles within the Sussex ICS to the planning and deployment of resources focussed on population needs at Place level (East Sussex).  This is aimed at ensuring people have access to a joined up offer of health and social care and support in their community, or near to where they live.  This will also enable the Council to continue to contribute effectively to the shared agenda for maintaining strong performance on D2A and patients who are medically ready for discharge from hospital, and supporting the recovery and delivery of NHS services as a result of the pandemic. In this context, developing robust plans to transform care models and deliver integrated care, as well as working with the NHS across the wide range of services at Place level to improve population health, remains our strong priority. A further report about our future shared plans to strengthen our capability to deliver this will brought to Cabinet at a later date.


Report author: Mark Stainton

Publication date: 19/04/2022

Date of decision: 19/04/2022

Decided at meeting: 19/04/2022 - Cabinet

Effective from: 27/04/2022

Accompanying Documents: