Agenda item

·         Eastbourne, Seaford & Hailsham CCG – Dr Martin Writer

·         Hastings & Rother CCG – Amanda Philpott

·         High Weald Lewes & havens CCG – Dr Elizabeth Gill (HWLH Sustainability & Transformation Plan presentation attached)

20.1     The Board considered a presentation from the Chair of High Weald Lewes Havens CCG (HWLH CCG) providing updates on the latest NHS commissioning activity in the High Weald Lewes Havens area of East Sussex.

20.2     During the presentation:

·         HWLH CCG explained that its decision to withdraw from the ESBT was in order to concentrate its resources to match the needs of its local population – 67% of whom receive healthcare outside of East Sussex.

·         HWLH CCG was asked what consultation it had undertaken in reaching its decision, and described its decision-making process.

·         HWLH CCG said it was developing its own integrated health and social care at the point of delivery for the patient.

20.3     The Director of Adult Social Care and Health, East Sussex County Council (ESCC), raised concerns about the withdrawal of HWLH CCG from the ESBT programme, including:

·         The partner organisations involved in ESBT had agreed from the outset that the best way to manage patient flows was to build community, primary and social care services around community localities in partnership with broader stakeholders. Planning focused on acute pathways would not be an appropriate way to deliver this longer term goal. 

·         Significant engagement with stakeholders on what is the most effective model for community health and social care in East Sussex has already taken place, and ESBT is at the stage where implementation is being taken forward. It will be a challenge to reassess these plans in the absence of HWLH CCG.

·         ESCC will have to deal with increased management capacity costs – as will the wider health and social care system – as a result of there being two models of care in East Sussex.

·         There is currently no agreed programme for health and social care in the High Weald, Lewes and the Havens area that could be submitted to NHS England as a ‘footprint’ Sustainability and Transformation Plan (STP), nor have any priorities been agreed in consultation with HWLH CCG. 

·         ESCC will no longer implement integrated health and social care teams with integrated line management (as agreed in the ESBT programme) in the High Weald, Lewes and the Havens. ESCC has agreed, however, to work with HWLH CCG on future priorities for joint working.

·         The Director of Adult Social Care and Health had not been made aware that local members were consulted about the decision to withdraw from ESBT.

20.4     The Board considered a verbal update on the latest NHS commissioning activity in the rest of East Sussex from the Chief Officer of Hastings and Rother CCG and Eastbourne, Hailsham and Seaford CCG.

20.5     Healthwatch welcomed HR CCG’s decision to undertake co-commissioning of GP services with NHS England (which now meant all three CCGs co-commission GP services) as it will likely lead to improved patient satisfaction towards GPs in the area.

20.6     The Board resolved to:

1) note the updates from the three CCGs;

2) defer the decision of whether to endorse High Weald Lewes Havens CCG’s proposed ‘footprint’ Sustainability and Transformation Plan until a more detailed report has been considered at a future meeting.