Issue - meetings

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7.1.        The Board considered a report on the initial priorities and programme for health and social care transformation in East Sussex, and next steps.

7.2.        The Board asked whether the single East Sussex CCG would have sufficient local representation on its governing body to represent the needs of more deprived communities.

7.3.        The Chair of High Weald Lewes Havens (HWLH) CCG confirmed that the emerging East Sussex CCG is signed up to maintaining localism within its governance structures. The CCG’s new constitution will ensure there are local representatives from across East Sussex.

7.4.        The Director of ASCH said it was important to stress the purpose of integrated working between health and social care was to meet the health needs of the whole population of East Sussex. To address needs of the whole population, commissioners will need to be able to effectively identify areas of higher deprivation and commission appropriate services for them. The move towards more integrated care also acknowledges the need for integrated services built around local community areas which are best placed to meet people’s needs. These were previously known as localities teams in East Sussex Better Together (ESBT) area and communities of practice in the Connecting 4 You (C4Y) area and will continue to be developed based around the newly established Primary Care Networks (PCNs), which are required under the NHS Long Term Plan.

7.5.        The Board asked whether there are more details about how the East Sussex health and care transformation programme will develop preventative care and reduce health inequalities.

7.6.        The Managing Director of Hastings and Rother CCG said it was difficult when sharing a snap shot of the services being developed to include everything. It was agreed this year that there would be a small selection of in-year priorities in health and social care to focus on. This was done with the full recognition that these priorities do not represent the totality of what needs to be done and that the list of priorities will become more comprehensive in the future. Prevention and health inequalities are firmly embedded in the CCGs’ business plans for 2019/20, for example, the health inequalities programme in Hastings and Rother, which is also being rolled out across the rest of CCGs in East Sussex.

7.7.        The Chief Executive of East Sussex Healthcare NHS Trust (ESHT) added that prevention is very important, but the priorities for 19/20 are around bringing the health and care system back into financial balance by managing the demand that already exists in the system.

7.8.        The Director of ASCH said that an outcomes framework for the health and social care transformation programme has been developed. It will include performance indicators based on longer term measures of population health that will enable commissioners to demonstrate the success of preventative services in East Sussex.

7.9.        The Board asked whether there would be sufficient budgets in East Sussex to fund the health and social care transformation programme.

7.10.      The Director of ASCH said that there  ...  view the full minutes text for item 7