Issue - meetings

28.1     Vicky Smith introduced the report which contained a quarter two update on the Shared Delivery Plan, covering developments in integrated community teams (ICTs) and the transition to neighbourhood health services. Appendix 2 of the report included revised metrics for the Better Care Fund (BCF). Multi-agency leadership arrangements were being established across the five ICT footprints and Vicky highlighted that the ICTs in Hastings and Rother were supporting the National Neighbourhood Health Implementation Programme, using existing governance. Vicky detailed the implementation of multidisciplinary teams (MDT) for proactive care, initially targeting people over 65 with frailty and multiple long-term conditions. She emphasised the use of the risk stratification tool to identify high-risk groups and improve integrated care, aiming to reduce emergency admissions.

28.2     The report also outlined early expectations for neighbourhood health plans under the National 10-Year Health Plan, covering health, social care and public health. Vicky commented that although guidance was still awaited, there were indications that this would likely need to progress soon, under the leadership of the Health and Wellbeing Board, and that existing work on the shared delivery plan would be utilised.

28.3     Vicky noted the postponement of the deep dive session on mental health and wellbeing to 7 January.

28.4     Ashley Scarff endorsed the revised Better Care Fund (BCF) metrics and explained that the revised avoidable admissions ambition now aligned with the health and care winter plan for East Sussex, while the discharge metrics reflected ongoing Sussex-wide work under national oversight.

28.5     Mark Stainton praised progress to date, including the rollout of the Risk Stratification Tool, and stressed the importance of focusing on admission avoidance and timely discharges. Mark proposed that work on the Neighbourhood Health Plan be included on the March agenda, although recognised that progress would be contingent on guidance being issued. Vicky responded that a formal item on the Neighbourhood Health Plan could be scheduled for the March meeting but that the development of this work could also be discussed at the January deep dive session.

28.6     The Chair acknowledged the significant work undertaken and expressed hope for positive outcomes during winter pressures.

28.7     The Board RESOLVED to:

1.     Note the progress in quarter 2 for the East Sussex HWB Shared Delivery Plan (SDP) priorities and plans in 25/26 as set out in Appendix 1;

2.     Endorse the early initiation work that has taken place as part of the Government’s National Neighbourhood Health Implementation Programme, focussed on Hastings and Rother;

3.     Note the expected content of the new neighbourhood health plan that will be developed under the leadership of HWBs for 26/27, and that guidance is awaited from the Department of Health and Social Care (DHSC); and

4.     Note and endorse revised Better Care Fund (BCF) metrics that reflect updated impacts and plans to support delivery of the SDP as set out in Appendix 2.