Issue - meetings

37.1     The Board considered an update on the progress with further developing the ESBT Alliance and integrated strategic commissioning arrangements for 2018/19 onwards.

37.2     In response to questions from the Board, officers made the following key points:

·         The aims of ESBT are aligned with those of the STP. The STP includes members of ESBT and it is firmly committed to the model of care where the majority of integrated health and social care is delivered through the place-based plans such as ESBT. STP-wide workstreams will include those workstreams that are more effectively delivered across a wider area such as specialist hospital services, primary care workforce, and mental health.

·         The significant financial challenge will likely impact on the assurance process of the CCGs, which is undertaken annually with NHSE. This assumption is based on what has happened elsewhere in the country to CCGs that have faced similar financial deterioration. The CCGs are expect to understand this impact over the coming weeks and will be clearer about the position by the time of the next SCB meeting.

·         The STP Executive Board is due to consider a report on 3 April about what future governance arrangements could look like and how the STP will be organised in relation to place based plans.

37.3     The Board RESOLVED to:

1. Note the shared learning from the test-bed year of the ESBT Alliance, and the implications for strengthened governance and leadership of the ESBT Alliance to deliver improvements to quality and finances in 2018/19, focussing initially on integrating commissioning for April 2018;

2. Note the current review of ESBT Alliance governance and the proposed review of the Health and Wellbeing Board and place-based governance (as recommended in the CQC Local System Review);

3. Note the proposed arrangements for East Sussex County Council (ESCC), Eastbourne Hailsham Seaford Clinical Commissioning Group (EHS CCG) and Hastings and Rother Clinical Commissioning Group (HR CCG) to lead health and social care commissioning and transformation for our ESBT system together, and manage financial planning as a single process;

4. Note the progress being made to develop the business case for our future ESBT integrated care provider model to achieve a sustainable health and care system by 2020/21, and the plans to engage with our key stakeholders.