Agenda and minutes

21.1     The Board agreed the minutes of the previous meeting held on 28 November 2016.

22.1     Apologies for absence were received from the following members of the board:

·         Cllr Martin Kenward (substitute: Cllr Claire Dowling)

·         Cllr Margaret Robinson

·         Stuart Gallimore

·         Sarah MacDonald

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

·         Cllr Sue Beaney

·         Marie Casey

·         Sam Allen

23.1     Cllr Bill Bentley declared a personal interest in items 5 & 6 as a Chair of the East Sussex Safer Communities Board.

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

24.1     There were no urgent items.

– Report by Independent Chair of Adult’s Safeguarding Board 

25.1     The Board considered a report by the Independent Chair of the Safeguarding Adults Board (SAB) on the SAB Annual Report 2015/16.

25.2     The Chair of Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG) thanked the SAB for its close work with the CCGs in helping to raise the awareness of adult safeguarding in the primary care sector. The Care Quality Commission (CQC) inspections include checking whether all individuals – including non-clinical staff – are trained in adult safeguarding, and it is now one of the first issues raised at team meetings when before it would not have been.

25.3     The Board applauded the work of the SAB in making organisations more aware and conscious of adult safeguarding needs than they previously had been.

25.4     The Board RESOLVED to note the report.

- Report by Independent Chair of Adult’s Safeguarding Board

26.1     The Board considered a report by the Independent Chair of the SAB on the draft Partnership Protocol for partnerships involved in the safety and wellbeing of the community.

26.2     The Board welcomed the protocol as an important step in creating accountability, avoiding duplication, and identifying gaps in care amongst the partnerships in East Sussex that are involved with ensuring the safety and wellbeing of the community.  

26.2     The Board RESOLVED to approve Sections 4 and 7 of the Draft Partnership Protocol subject to:

1) the addition of district and borough representatives to the list of members of the East Sussex Health and Wellbeing Board (HWB) in Section 4 of the protocol; and

2) the combination of the ‘Local GP’ and ‘CCG representation’ members of the HWB in Section 4 of the protocol as they are represented by the same individuals.

– Report by Chief Operation Officer High Weald Lewes and Havens CCG

27.1     The Board considered a report by the Chief Officer, High Weald Lewes Havens CCG, providing an update on the progress of the development of the Sussex and East Surrey Sustainability and Transformation Plan (STP).

27.2     In response to a query from the Board, the Chief Officer clarified that the Acute Clinical Strategy was in a 12-week option appraisal stage that would be completed by the end of March.

27.3     The Chair highlighted to the Board that Hastings Borough Council (HBC) had passed a motion at its 14 December 2016 Full Council meeting about the STP. The motion called on East Sussex County Council to reject the STP unless it adhered to the British Medical Association’s ‘Five Asks’, and was redesigned to be made coterminous with county boundaries. The motion instructed the leader of HBC to write to Amber Rudd MP, Cllr Keith Glazier, and the Secretary of State for Health to make them aware of its concerns.

27.4     The Board RESOLVED to note the report.

·         High Weald Lewes and Havens Clinical Commissioning Group (CCG)

·         Eastbourne, Hailsham and Seaford CCG

·         Hasting and Rother CCG

28.1     The Board considered updates by the representatives of the three CCGs in East Sussex.

High Weald Lewes Havens Clinical Commissioning Group (HWLH CCG)

·         A new Programme Director has been appointed to the Connecting 4 You (C4Y) programme.

·         HWLH CCG representatives are travelling to the Black Forest as part of Central Sussex and East Surrey Alliance (CSESA) to witness a fully integrated model of primary care and community services, with a fully integrated digital services, in action. This model of care is similar to the planned multi-speciality community providers in the CSESA footprint and the rural location and demographics are similar to the CSESA area.

·         The CCG has been invited to the 32^nd International Alzheimer’s Conference in Japan to present about the Dementia Golden Ticket  pilot. The invitation has been funded by the Health Foundation, which has previously given out awards to HWLH CCG for its Dementia Golden Ticket pilot.

·         The HLWH CCG Dementia Clinical Lead, Emma Costello, has become the first doctor to win the Florence Nightingale award for her work on dementia; she is also shortlisted for the KSS Emerging Leader Award.

·         There are now 18 clinical leads at HWLH CCG including in new clinical areas such as community services, end of life care, self care and prevention; as well as more traditional roles such as dermatology and cardiology

·         The CCG is in financial balance for the fourth year running.

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

·         One of the major pieces of work that the CCGs are engaged in is the considerable daily operational work with South East Coast Ambulance NHS Foundation Trust (SECAmb), East Sussex Healthcare NHS Trust (ESHT), and Adult Social Care staff to cope with the immense demand on the health and social care system caused by the winter period. Both CCGs recorded their thanks to staff for their work in coping with demand over this difficult period.

·         ESBT is in week 131 and the test phase of the Accountable Care Model is due to begin on 1 April 2017.

·         The CCGs were given the opportunity by Eastbourne Buzz and ITN to explain to the public the extent of, and reasons for, the pressures on health and social care in the county.

·         The CCGs continue to contribute actively to the STP’s Acute Clinical Strategy.

·         HR CCG has issued a £300,000 grant to develop Community Wellbeing Hubs in Hastings and Bexhill as part of the Healthy Hastings and Rother programme.

·         HR CCG is continuing to support the Domestic Abuse Service in Hastings.

·         Over £2.6m of annualised  benefits income has been realised for clients across both CCGs as part of the Welfare Benefits project.

·         The CCGs have set up Clinical Leadership Groups involving primary and secondary care clinicians to help break down barriers that impede good patient care.

·         The CCGs have developed Enhanced Nursing Teams to support residents to help prevent hospital admissions and ensure that patients in hospitals are able to be discharged  ...  view the full minutes text for item 28.