15.1. The Board considered a report providing an update on progress with preparation for the implementation of the NHS Health and Care Bill and the Health and Social Care Partnership Plan for 2021/22.
15.2. The Board asked whether it would be possible for future reports to contain Key Performance Indicators (KPIs) on health inequalities and tangible examples of how services are developing.
15.3. Mark Stainton, Director of Adult Social Care, said that the ESHSCP has had five workstreams running within it for several years and each has its own work programme. Details of some of these could be included in future reports to help provide specific examples of what ESHSCP is doing. Jessica Britton, Managing Director of East Sussex Clinical Commissioning Group (CCG), added that he ESHSCP is addressing health inequalities by targeting its priorities against the local Joint Strategic Needs and Assets Assessment (JSNAA), to ensure local needs are addressed.
15.4. The Board asked for confirmation that the Sussex Health and Care Partnership (SHCP), once it becomes the statutory NHS Commissioning organisation, will commit to rolling out place-based commissioning in partnership with other organisations.
15.5. Jessica Britton said she welcomed the national direction of travel of developing services at a ‘place’ level, within the broader benefits of an Integrated Care System, as amongst other benefits, it will be a helpful way of addressing health inequalities locally.
15.6. The Board asked what the specific problems were facing East Sussex in addressing health inequalities.
15.7. Jessica Britton said that from the CCG’s work in localities with Primary Care Networks (PCNs), voluntary organisations, and district and borough councils, it is clear there are different health needs in different areas, for example, the urban areas compared to the rural ones and different ways of working with organisations, for example, working with many more, smaller voluntary organisations in the rural areas. This means different services need to be developed that can respond to these different demographic areas whilst still being able to deliver good outcomes for all residents.
15.8. The Board asked how the higher incidence of still births and other poorer maternity outcomes amongst Black, Asian and Minority Ethnic (BAME) communities would be addressed through the ESHSCP.
15.9. Jessica Britton said that maternity is one of the wider system priorities across the whole SHCP and that work in this area includes developing a better understanding of the needs of the population, including the BAME population. More detail of this specific system priority could be included in a future report.
15.10. The Board RESOLVED to:
1) Note the progress to date to support our continued collaboration and implementation of the NHS Health and Care Bill in East Sussex and in the context of our Sussex Integrated Care System (ICS);
2) Note the progress with our planning activity in 2021/22;
3) Endorse our shared Health and Social Care Partnership Plan aimed at improving population health and delivering more integrated care (Appendix 1); and