Issue - meetings

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20.1.      The Committee considered a report providing an update on the Connecting 4 You (C4Y) health and social care transformation programme.

20.2.      Ashley Scarff, Director of Commissioning and Deputy Chief Officer, High Weald Lewes Havens Clinical Commissioning Group (HWLH CCG); Dr Phil Wallek, GP, School Hill Medical Practice in Lewes; Hugo Luck, Associate Director of Operations, HWLH CCG; Kim Grosvenor - Senior Programme Manager – Mental Health and Dementia Transformation, HWLH CCG; and Sam Tearle - Senior Strategic Planning & Investment Manager, HWLH CCG, provided a presentation and answered questions from HOSC members.

20.3.      Jennifer Twist explained that she represented Speak Up on the C4Y Programme Board and welcomed the involvement of the voluntary sector at all levels of the transformation programme.

Role of Central Sussex and East Surrey Area South

20.4.      Ashley Scarff explained that Central Sussex and East Surrey Area (CSESA) South’s main purpose is to integrate the constituent CCGs’ leadership and governance arrangements in order to increase their capacity and ability to work collectively. He confirmed that it would not replace C4Y as the place-based plan for transforming health and social care in the HWLH area of East Sussex. This is because transformation workstreams will be undertaken at the most appropriate level, and for community and primary care services this will be at C4Y level. 

Communities of Practice

20.5.      Ashley Scarff elaborated that the four Communities of Practice in HWLH area are broadly analogous to the Integrated Locality Teams that have been developed in the East Sussex Better Together (ESBT) area. Communities of Practice is the name given to integrated services that are provided by East Sussex County Council, Sussex Community NHS Foundation Trust (SCFT) Sussex Partnership NHS Foundation Trust (SPFT), GP practices and the voluntary sector across 4 geographical locations that cover populations of 30-50,000. At this size services can be delivered at a responsive local level whilst still being financially sustainable and the scale is based on national guidelines. He said that within the Communities of Practice ‘outer shell’ are other services such as the Lewes Health Hub, which is the name given to combined GP-led services within the Lewes Communities of Practice area.

Future priorities of C4Y

20.6.      Ashley Scarff said that frailty has been chosen as the main priority of C4Y for 2017/18 as it encompasses a number of elements of out of hospital care, such as falls prevention, proactive care and urgent care. Developing services around how best to support people living with frailty will also help to determine the optimum configuration for the Multispeciality Community Provider (MCP) accountable care system, i.e., how community, primary and social care services ultimately be integrated into a single system in the C4Y area.

GP Streaming service

20.7.      Hugo Luck explained the GP Streaming Services at Royal Sussex County Hospital (RSCH), Princess Royal Hospital (PRH) and Tunbridge Wells Hospital (TWH)  and provided assurance that it will not  ...  view the full minutes text for item 20