Agenda and minutes

1.1       The Board RESOLVED to nominate Cllr Keith Glazier and Barbara Beaton as co-chairs.

1.2       The Board RESOLVED to nominate Barbara Beaton as the Chair for the 6 June meeting.

2.1       Apologies for absence were received from Dr Susan Rae.

Disclosure by all Members present of personal interests in matters on the agenda, the nature of any interest and whether the Members regard the interest as prejudicial under the terms of the Code of Conduct and the CCGs’ Conflicts of Interest Policy.

3.1       Board Members made the following declarations of interest:

·         Barbara Beaton declared personal interests as a Director and 100% owner of Sandpiper Business Support, and Director of Social Audit Network.

• Julia Rudrum declared a personal interest as a close relative of an employee of Sussex MSK Partnership.

·         Dr Martin Writer declared personal interests as a GP whose GP practice provides a community dermatology service, and intermediary care services for two intermediary care homes in Eastbourne.

Notification of any items which the Chair considers urgent and proposes to take at the appropriate part of the agenda.

4.1       There were no urgent items.

5.1       The Board considered a report setting out its terms of reference.

5.2       The Board RESOLVED to note the terms of reference.

6.1       The Board considered a report setting out its procedure rules.

6.2       The Board RESOLVED to agree the procedure rules.

7.1       The Board considered a report providing an overview of health and care needs in the East Sussex Better Together (ESBT) area, and the proposed outcomes for the ESBT Alliance.

7.2       The Board RESOLVED to:

1) note the East Sussex Better Together Health and Care Needs Summary Report;

2) agree the high level outcomes and revised associated targets for inclusion in the East Sussex Better Together Alliance Outcomes Framework.

8.1       The Board considered a report setting out proposed plans for citizen and stakeholder engagement in the ESBT Alliance strategic planning and governance arrangements.

8.2       In response to a query from the Board, the Chief Finance Officer, Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG) and Hastings and Rother Clinical Commissioning Group (HR CCG), clarified that many of the existing patient participation groups and partnership boards are keen to merge into the Health and Wellbeing Council as it would be more representative of the integrated health and social care service that is now being provided in the ESBT area. However, certain stakeholder groups will be retained where it makes sense to do so, for example, the Learning Disability and Autism Partnership Board will be retained to fulfil statutory obligations.

8.3       The Chair said that it was important to ensure that residents in the ESBT area were involved at every level of the development and provision of services. The Board agreed that these governance arrangements would need to be kept in review to ensure that they were effective in practice.

8.4       The Board RESOLVED to:

1) Agree the proposal to launch a new collaborative stakeholder representative ‘Health and Wellbeing Council’ as the key mechanism to support citizen and  stakeholder engagement in the strategic planning process;

2) Agree that a representative(s) from the new ‘Health and Wellbeing Council’ is invited to sit on the Strategic Commissioning Board; and

3) Agree to establish a single health and wellbeing provider forum to engage voluntary and independent care sector service providers in strategic planning and market development.

9.1       The Board considered a report providing an update on the progress on developing the ESBT Alliance Outcomes Framework, and seeking agreement to adopt the Framework as a pilot.

9.2       The Board welcomed the Outcomes Framework. Cllr Glazier commented that a measure of success for the ESBT Alliance would be when residents began to see improved health and wellbeing. Dr Martin Writer added that a measure of its success would be if people no longer felt the need to talk about issues and deficiencies with health and social care and instead simply received the care that they needed.

9.3       The Chair said that it was important the Outcomes Framework did not just report on financial outcomes but tangible benefits for residents as well. The Chair considered that the Board would need to take a robust ‘critical friend’ approach towards the ESBT Alliance.

9.4       The Board RESOLVED to:

1) note progress made towards establishing the pilot ESBT Alliance Outcomes Framework; and

2) agree and adopt the pilot Outcomes Framework to further test and refine during the test-bed year

10.1     The Board considered a report providing a summary of the ESBT Strategic Investment Plan (SIP) for 2017/18.

10.2     Julia Rudrum explained that it was important that the Board fulfils its role of providing oversight of the SIP during the 2017/18 financial year. The Chair said that the Board will need to monitor the progress of the SIP in some detail at future meetings.

10.3     Dr Martin Writer said that the commencement of the SIP in April 2017 indicated the success of the ESBT programme to date. Going forward the ESBT Alliance will be delivering more effective care as a partnership with a combined set of values, and the partners need to be optimistic and pragmatic about the task ahead.

10.4     The Board RESOLVED to note the report.