Agenda item

26.       

27.       

28.       

29.       

30.       

30.1.      The Board considered a report on the progress made with developing a long term health andsocial care plan for East Sussex, including detailed plans for 2020/21.

30.2.      The Board asked how the Clinical Commissioning Groups (CCGs) would help to ensure GP practices could continue to recruit and retain GPs.

30.3.      Martin Writer, Chair of Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG), there has been historic issues of GP recruitment and retention in East Sussex, particularly in the East of the county. The CCG now has, however, a significant boost in funding and plan for the next 3-4 years to bring in additional staff to the primary care sector that will allow it to become more resilient. There is a training scheme in place for GPs and a number of new doctors are in the process of becoming GPs; recruitments also continues of other health practitioners into GP practices, such as Advanced Nurse Practitioners, pharmacists, and paramedics as part of the new Primary Care Networks (PCNs).

30.4.      The Board asked about why there was not reference to COVID-19 in the East Sussex Health and Social Care Plan (ESHSCP).

30.5.      Keith Hinkley, Director of Adult Social Care and Health, explained that the ESHSCP is set on an annual basis and describes the plan for further integration of health and care services in East Sussex for that year. It therefore does not include a response to the Covid-19 pandemic, which would instead be dealt with through business continuity and emergency planning structures of East Sussex County Council, the CCGs and NHS healthcare trusts in partnership.

30.6.      The Board asked whether it would be possible to include examples of how health and care pathways have changed as a result of the integration programme to demonstrate to the public the improvements that have taken place.

30.7.      Keith Hinkley said it was important to provide the Board with enough information to fulfil its role of having a strategic oversight role of the ESHSCP. The reports coming to the Board are key policy and strategy documents with enough detail around performance for the Board to fulfil its functions. Other stakeholders are provided with information about the ESHSCP’s priorities and service designs in a different way. Future reports to the Board could, however, include examples of new services and pathways, as well as more granular details of some of the performance outcomes, to help illustrate the progress of integration.

30.8.      The Board RESOLVED to:

1. Note the update and the work being undertaken to put in place programme arrangements for 2020/21, including governance, key projects, objectives and Key Performance Indictors;

2. Endorse the draft proposal for an East Sussex Integrated Care Partnership (ICP), to help support delivery of our plan in 2020/21 and in subsequent years, noting that further work will be taking place in the coming weeks to support the ongoing development of the ICP; and

3. Endorse the proposed and updated outcomes framework setting out the long term overarching outcomes for the system, and noting that we will work with stakeholders to develop further measures during 2020/21.