Issue - meetings

18.1     The Board considered a report providing an update on the further developments within the ESBT Alliance and integrated strategic commissioning arrangements for 2017/19 onwards.

18.2     In response to a question from the Board, officers explained that the majority of health and care services in the ESBT area will be provided or commissioned by the developing ESBT Accountable Care Organisation. Some services could be ‘allocated down’ to Integrated Locality Teams as part of this work ,whilst some commissioning could be ‘delegated up’ to be carried out at Sussex and East Surrey Sustainability and Transformation Partnership (STP) level. Services could also be delivered in partnership with Connecting 4 You across the whole of East Sussex. In addition, the Health and Wellbeing Stakeholder Group will allow ESBT to work collaboratively with a broader set of stakeholders in the independent, community and voluntary sectors; and the Housing Health Sub-Group facilitates close working with district and borough councils.

18.3     The Board RESOLVED to:

1) Note the decision taken by each of the ESBT Alliance partner’s governing bodies to proceed with further health and social care integration in the form of a single new health and care organisation by 2020/21

2) Note the agreement of each of the ESBT partner’s governing bodies to accelerate this through strengthening the commissioner provider ESBT Alliance arrangement for 2018/19, to make the required year on year improvements to our system financial position and quality (as set out in the high level milestone map in Appendix 1)

3) Note the proposed timetable and next steps as set out in section 6 to progress development and strengthen our Alliance arrangements for April 2018