Agenda item

·         Accountable Care Report – Report by Director Adult Social Care, ESCC

·         Commissioning Reform Report - Report by Director Adult Social Care, ESCC

·         Sustainability & Transformation Plan – Oral Update by Chief Officer, Hastings & Rother and Eastbourne, Hailsham & Seaford CCGs.

19.1     The Board considered a report by the Director of Adult Social Care and Health outlining the next steps and key phases in the ESBT programme for moving to an accountable care model in East Sussex, and to highlight the timescales to deliver new arrangements.

19.2     Healthwatch welcomed the ESBT approach and commitment to integrated community health and social care. Healthwatch was keen to engage in the design and governance aspects of ESBT in order to both fulfil its role as a statutory consumer champion for patients, and to ensure that the people of East Sussex see ESBT as a positive development.

19.3     The Board discussion included the following topics:

·         The challenge East Sussex County Council faces – following the withdrawal of High Weald Lewes Havens CCG (HWLH CCG) from ESBT – in developing a solution to provide social care in the HWLH CCG area separately to the ESBT “accountable care model” in the rest of the county.

·         How the integrated community health and social care delivered by ESBT is unlikely to affect patient choice in any noticeable way. This is because most choices made by patients about where they receive medical treatment are made after a referral by a GP to a specialist within the acute sector.

19.4      The Chief Officer, Hastings & Rother (HR CCG) and Eastbourne, Hailsham & Seaford CCGs (EHS CCG) provided an oral update on the development of a five-year NHS Sustainability & Transformation Plan (STP), which are ‘place-based’ integrated health and social care plans that all CCGs must develop or sign up to.

19.5     The Chief Officer explained that:

·         The most compelling and credible STPs – those deemed by NHS England to have ‘exemplar status’ – will attract early access to additional transformation funding.

·         ESBT is in an advanced stage of development which makes East Sussex CCGs well placed already to fulfil the criteria that need to be met to achieve ‘exemplar status’.

·         HR CCG and EHS CCG propose to submit the ESBT programme to NHS England as a core footprint plan that meets the criteria of an STP for community and social care services. At the same time, ESBT will be put forward as an exemplar STP.

·         Whilst ESBT would be their core focus, HR CCG and EHS CCG will proactively contribute to the wider acute network footprints in recognition of the need to ensure the sustainability of acute hospital services across wider networks and geographies. The CCGs anticipate, on the basis of the historic evidence and the patient flows east into Kent and west into Brighton, that this would be best achieved on a Kent, Surrey, Sussex footprint.

·         HR CCG and EHS CCG requested endorsement of this proposal by the East Sussex Health and Wellbeing Board (HWBB).

19.6     The Board RESOLVED to:

1) agree that it had considered and discussed the key phases in the collaborative approach to developing and delivering accountable care in East Sussex;

2) note the timescales for delivering the new arrangements in relation to the East Sussex Better Together (ESBT) Programme objectives; and

3) endorse Hastings & Rother CCG and Eastbourne, Seaford and Hailsham CCG submitting ESBT as a ‘footprint’ Sustainability and Transformation Plan to NHS England.