Issue - meetings

·         High Weald Lewes and Havens CCG

·         Eastbourne, Seaford and Hailsham CCG

·         Hasting and Rother CCG

9.1       The Board considered verbal updates from representatives of three CCGs:

Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG) & Hastings and Rother Clinical Commissioning Group (HR CCG)

·         ESBT is in week 104 out of a 150 week programme. At week 100, the CCGs launched “100 stories for 100 weeks” for patients, carers, staff, and residents to describe the impact of ESBT on their daily lives; lessons for improvement will be learned from the responses.

·         The CCGs will provide an update to the HWBB in due course about how East Sussex health and social care services within the ESBT footprint will move towards an accountable care model.

·         East Sussex Healthcare NHS Trust (ESHT) and Sussex Partnership NHS Foundation Trust (SPFT) have now been formally incorporated onto the Board of ESBT.

·         As part of ESBT, the Chair of ESHT, the two CCGs involved in ESBT, and representatives of the ESCC Adult Social Care Department, recently attended a Health and Care Conference to talk about the importance of public engagement in the redesign of services and the integration of care.

·         As part of ESBT, the CCGs are committed to increasing the primary care budget from 8-12% of the total healthcare budget as part of the ongoing major transformational change – a 50% increase.

·         In order to improve recruitment and retention of GPS the two CCGs have held two GP summits (one in each CCG area) inviting GPs to discuss the issues that they face. One issue that was identified was the high rates of pay for GP locums who have to be hired on a weekly basis by GP surgeries but may only be needed for 2-3 days. In order to address this issue, the CCGs are both setting up a locum bank, and discussing with ESHT about the Trust employing GPs who would then be able to work across several GP surgeries as needed, or work in A&E and community based teams when GP cover was not required.

·         Hastings and Rother CCG has also spoken with trainee doctors to see what they would like to see in Hastings and Rother that would make them want to stay, and what could be done to attract other doctors to work in the area.

·         Hastings and Rother CCG has invested £5m both this year and last year to address health inequalities in Hastings. This includes an initiative launched on 18 July to tackle obesity aimed at young children aged 3-5 and their parents. The initiative involves providing £5,000 grants to all 123 nurseries in the Hastings and Rother area so that they can promote healthy eating, exercise and parenting skills – evidence shows that developing a proper diet and exercise regime at nursery age has the most impact on the likelihood of a child becoming obese.

High Weald Lewes Havens Clinical Commissioning Group (HWLH CCG)

·         HWLH CCG is concentrating on developing its four main workstreams: urgent, primary, community and mental health care. The CCG is also developing its Communities of Practice.

·         HWLH CCG  ...  view the full minutes text for item 9

·         High Weald Lewes and Havens CCG –Dr Elizabeth Gill

·         Eastbourne, Seaford and Hailsham CCG – Dr Martin Writer

·         Hasting and Rother CCG – Amanda Philpott

29.1     The Board considered verbal updates from representatives of the three East Sussex NHS Clinical Commissioning Groups (CCGs).

29.2     The Chair of High Weald Lewes Havens CCG (HWLH CCG) informed the Board of the following recent news:

·         The CCG’s Board has been re-elected for a three year term.

·         A Connecting 4 You Board has been established to oversee the implementation of a Connecting 4 You health and social care programme.

·         Four new ‘Communities of Practice’ multi-disciplinary health and social care hubs are being rolled out.

·         Five new Diabetes Clinics provided by Sussex Community NHS Trust are opening in the Brighton & Hove and High Weald Lewes Havens areas.

·         The Golden Ticket Dementia pilot has been evaluated and will be rolled out in September 2016.

·         HWLH CCG has achieved a financial surplus for a third year in a row.

·         HWLH CCG has improved its performance on the NHS Staff Survey.

·         HWLH CCG is part of the Sussex and East Surrey Sustainability and Transformation Plan (STP) ‘footprint’.

29.3       The Chief Operating Officer, Hastings and Rother Clinical Commissioning Group (HR CCG), and the Chair of Hailsham and Seaford Clinical Commissioning Group (EHS CCG), updated the Board on the recent news from both CCGs, this included:

·         Dr Roger Elias stepped down from his role as Chair of HR CCG on 31 March 2016, the new Chair, Dr David Warden, took up the role on 1 April 2016.

·         HR CCG and EHS CCG are also part of Sussex and East Surrey STP ‘footprint’; this has particular relevance to how acute care networks are best delivered.

·         HR CCG and EHS CCG will have an informal role in the development of the acute STP footprint being developed in the Kent area.

·         The East Sussex Better Together programme is in week 90; recent developments include the upcoming rollout of Health and Social Care Connect to the public, and the formal implementation of the integrated locality teams from 1 April 2016.

·         The CCGs are exploring suitable Accountable Care Models for the EHS & HR CCG areas along with East Sussex County Council and healthcare providers.

·         HR CCG has taken on delegated commissioning of primary care from 1 April 2016.

·         The Healthy Hastings and Rother Programme has shown good results and funding has been agreed for 2016/17.

·         Work is ongoing to identify a greater number of people with dementia – all East Sussex CCGs are below the national target(National Ave 67.6%, EHS 63.5%, H&R 60.7% and HWLH 58.3%).

29.4     The Chief Operating Officer, HR CCG, agreed to clarify an issue Cllr Turner had raised with the CCG regarding a NHS Support Federation’s report on ambulance trusts.

29.5     The Board RESOLVED to:

1) note the verbal updates; and

2) thank Roger Elias for his significant contribution towards healthcare in East Sussex.