Agenda and minutes

11.1     The Board agreed the minutes of the previous meeting held on 19 July 2016.

12.1     Apologies for absence were received from the following members of the Board:

·         Julie Fitzgerald (substitute: Jan Stuart-Menteath)

12.2     Apologies for absence were received from the following invited observers with speaking rights:

·         Councillor Linda Wallraven

·         Catherine Ashton

·         Marie Casey

13.1     There were none.

Notification of items which the Chair considers to be urgent and proposes to take at the end of the agenda. Any members who wish to raise urgent items are asked, wherever possible, to notify the Chair before the start of the meeting. In so doing, they must state the special circumstances which they consider justify the matter being considered urgently

14.1     There were no urgent items.

·         Report by Director of Adult Social Care and Health, East Sussex County Council

15.1     The Board considered a report by the Director of Adult Social Care and Health on the East Sussex Health and Wellbeing Strategy 2016-2019 and updates to East Sussex Health and Wellbeing Strategy 2013-2016 annual progress report.

15.2     In response to questions, officers made the following key points:

·         The East Sussex Health and Wellbeing Strategy 2016-2019 (HWBS) sets out the vision and priorities of the East Sussex Health and Wellbeing Board (HWB), and is a framework for the commissioning of health and wellbeing services in the county. The detailed plans contained within the Sussex and East Surrey Sustainability and Transformation Plan (STP) are not part of the HWBS.

·         East Sussex Better Together constitutes the STP for the Eastbourne, Hailsham and Seaford and Hastings and Rother areas of East Sussex and has been through the decision making processes of East Sussex County Council and the CCGs; figures are widely available relating to its costs and benefits. Connecting 4 You (C4Y) will go through a similarly transparent decision making process for the High Weald Lewes Havens area of East Sussex. The recently published STP document also provides overarching figures.

15.3     The Board RESOLVED to:

1) agree the Health on the East Sussex Health and Wellbeing Strategy 2016-2019; and

2) Note the updates to East Sussex Health and Wellbeing Strategy 2013-2016 annual progress report.

·         Report by Director of Healthwatch East Sussex

16.1     The Board considered a report and presentation by the Director of Healthwatch East Sussex on the Healthwatch Annual Report 2015-16.

16.2     In response to questions from the Board, the following key points were made:

·         Healthwatch East Sussex has a project worker whose role is to contact GP surgeries to assist them in setting up Patient Participation Groups (PPGs). This has been very successful overall as most GP surgeries see PPGs as a valuable way of maintaining a public profile and gaining feedback on how to improve their services; a handful of the 77 GP surgeries in East Sussex choose their own method of engaging with the public. When GP surgeries have been reluctant to develop a PPG, Healthwatch East Sussex has raised this with the Care Quality Commission (CQC) to ensure that the issue is raised during a CQC inspection.

·         Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG) and Hastings and Rother Clinical Commissioning Group (HR CCG) have worked closely with Healthwatch East Sussex and the advocacy group has been enormously helpful with ensuring that GP surgeries adhere to their legal requirement to have a PPG.

16.3     The Board RESOLVED to note the report.

·         Report by Acting Director of Public Health, East Sussex County Council

17.1     The Board considered a report by the Acting Director of Public Health on the Annual Report of the Director of Public Health 2015/17.

17.2     The Acting Director of Public Health clarified in response to questions that:

·         it was possible to provide a level of detail at a more local level than those included in the Annual Report; and

·         in Hasting, people’s satisfaction with the local area as a place to live had seen a significant increase compared to seven years ago. This was an increase not seen in other areas, however, it still has the lowest level of satisfaction and has a long way to go to reach the levels found elsewhere in the county.

 17.3    The Board RESOLVED to note the report.

·         Report by Acting Director of Public Health, East Sussex County Council

18.1     The Board considered a report by the Acting Director of Public Health on the East Sussex Joint Strategic Needs Assessment and Assets (JSNAA) 2015/16 Annual Report.

18.2     The Board RESOLVED to note the report.

·         High Weald Lewes and Havens Clinical Commissioning Group

·         Eastbourne, Hailsham and Seaford Clinical Commissioning Group

·         Hasting and Rother Clinical Commissioning Group

19.1     The Board considered verbal updates from the three East Sussex CCGs and an update on the Sussex and East Surrey Sustainability and Transformation Plan (STP).

High Weald Lewes Havens Clinical Commissioning Group (HWLH CCG)

·         HWLH CCG is part of the Central Sussex and East Surrey Alliance (CSESA) place based plan within the STP footprint. 18 of the 20 GP practices in the CSESA footprint have received a ‘good’ rating from the CQC, one was rated ‘outstanding’ and one ‘requires improvement’ due to extenuating circumstances but is expected to achieve good at a future inspection.

·         All 20 GP practices have a Patient Participation Group.

·         Three GP practices in Lewes are coming together to create an integrated primary care hub called Lewes Health Hub. The Government will provide some of the necessary funding for it and it will be built over the next few years.

·         The Golden Ticket pilot has been evaluated and received very high ratings from patients, is financially sustainable and very efficient. It has recently won a National Association of Primary Care ‘innovative pathway of the year’ award. It will be rolled out across all GP practices the High Weald Lewes and the Havens area in April and it is hoped it will be scaled up to a national scale in the future.

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

·         The CCGs held the first annual East Sussex Better Together Nurses Conferences that included 150 nurses from across primary, community, mental and acute care. Representatives of the Royal College of Nurses and NHS England were in attendance.

·         The Chief Nurse has been successful in getting onto the Florence Nightingale Scheme.

·         The CCGs were nominated by the Health Service Journal for an award for their Medicine Management Team’s work on neuropathic pain management.

·         The East Sussex Better Together urgent care redesign involves a large urgent care public survey asking people what they want to see in an urgent care system. 500 surveys have been completed and will inform the work around redesigning urgent care.

·         The CCGs have been talking to the Sussex Community Foundation about the importance of overarching community engagement in ESBT, highlighting the work in healthy choices project with Littlegate Farm and the Hastings Furniture Service.

·         The CCGs are investing £600,000 for an 18 month Healthy Homes pilot to tackle fuel poverty.

·         The CCGs are looking to extend the Healthy Hastings and Rother project into Eastbourne, Hailsham and Seaford due to its impact on communities and individuals.

·         A GP federation is up and running in Eastbourne and is working with the ESBT programme to develop and support the primary care clinicians who are under significant pressures.

·         The CCGs have developed a clinical leadership forum with East Sussex Healthcare NHS Trust (ESHT) which is designed to help enable the integrated health and social care of ESBT.

·         The CQCs have visited most GP practices  – one was rated outstanding, most are rated good, but a couple require support.  ...  view the full minutes text for item 19.