· High Weald Lewes and Havens Clinical Commissioning Group
· Eastbourne, Hailsham and Seaford Clinical Commissioning Group
· Hasting and Rother Clinical Commissioning Group
Minutes:
19.1 The Board considered verbal updates from the three East Sussex CCGs and an update on the Sussex and East Surrey Sustainability and Transformation Plan (STP).
High Weald Lewes Havens Clinical Commissioning Group (HWLH CCG)
· HWLH CCG is part of the Central Sussex and East Surrey Alliance (CSESA) place based plan within the STP footprint. 18 of the 20 GP practices in the CSESA footprint have received a ‘good’ rating from the CQC, one was rated ‘outstanding’ and one ‘requires improvement’ due to extenuating circumstances but is expected to achieve good at a future inspection.
· All 20 GP practices have a Patient Participation Group.
· Three GP practices in Lewes are coming together to create an integrated primary care hub called Lewes Health Hub. The Government will provide some of the necessary funding for it and it will be built over the next few years.
· The Golden Ticket pilot has been evaluated and received very high ratings from patients, is financially sustainable and very efficient. It has recently won a National Association of Primary Care ‘innovative pathway of the year’ award. It will be rolled out across all GP practices the High Weald Lewes and the Havens area in April and it is hoped it will be scaled up to a national scale in the future.
Eastbourne, Hailsham and Seaford Clinical Commissioning Group (EHS CCG) and Hastings and Rother Clinical Commissioning Group (HR CCG)
· The CCGs held the first annual East Sussex Better Together Nurses Conferences that included 150 nurses from across primary, community, mental and acute care. Representatives of the Royal College of Nurses and NHS England were in attendance.
· The Chief Nurse has been successful in getting onto the Florence Nightingale Scheme.
· The CCGs were nominated by the Health Service Journal for an award for their Medicine Management Team’s work on neuropathic pain management.
· The East Sussex Better Together urgent care redesign involves a large urgent care public survey asking people what they want to see in an urgent care system. 500 surveys have been completed and will inform the work around redesigning urgent care.
· The CCGs have been talking to the Sussex Community Foundation about the importance of overarching community engagement in ESBT, highlighting the work in healthy choices project with Littlegate Farm and the Hastings Furniture Service.
· The CCGs are investing £600,000 for an 18 month Healthy Homes pilot to tackle fuel poverty.
· The CCGs are looking to extend the Healthy Hastings and Rother project into Eastbourne, Hailsham and Seaford due to its impact on communities and individuals.
· A GP federation is up and running in Eastbourne and is working with the ESBT programme to develop and support the primary care clinicians who are under significant pressures.
· The CCGs have developed a clinical leadership forum with East Sussex Healthcare NHS Trust (ESHT) which is designed to help enable the integrated health and social care of ESBT.
· The CQCs have visited most GP practices – one was rated outstanding, most are rated good, but a couple require support. The CCGs are helping the GP practices with visits and other support to get them to a place where they can safely deliver services.
· The CCGs have invested over £1m on healthier lifestyles for nurseries which will provide advice on healthier eating and exercise to embed good habits at a very young age.
Sussex and East Surrey Sustainability and Transformation Plan (STP)
· An update was provided on the STP, including:
o It is published on all CCG websites
o It comprises three place-based plans
o Connecting 4 You and ESBT are the placed-based plans for East Sussex
o The ESBT programme, which is now moving from the design to delivery phase, forms the STP plan for the Eastbourne, Hailsham and Seaford and Hastings and Rother areas of East Sussex.
o The High Weald Lewes and the Havens area is part of the Central Sussex and East Surrey Alliance (CSESA) footprint of the STP, which is at a much more developmental stage. The principals and broad models of care reflect the Connecting 4 You programme model of multi speciality community providers, but placed based commissioning and integrated budgets have not yet been finalised in that footprint.