Agenda item - Sussex Shared Delivery Plan (SDP) Year 2 Refresh and Brighton & Hove SDP Update

Report of the Chief Integration and Primary Care Officer, NHS Sussex; and of the Interim Executive Director (Health & Adult Social Care), Housing, Care & Wellbeing (copy attached).

43.1    This item was presented by Amy Galea, NHS Sussex Chief Integration and Primary Care officer; and by Chas Walker, Joint Programme Director, Integrated Care Transformation.

43.2    Ms Galea explained to the Board that the Sussex Integrated Care Strategy builds on local Joint Health & Wellbeing Strategies and Joint Strategic Needs Assessments. There is particular focus on multiple compound needs, on the development of Integrated Care Teams, and on community mental health services.

43.3    Mr Walker told that Board that people with multiple compound needs (MCN) have multiple health or social condition that have a compounding impact on their health and wellbeing. Brighton & Hove has high levels of people with mental health issues, substance misuse problems or homelessness and hence high rates of MCN, with between 600 and 1000 people in the city at the top end of need. A CMN needs assessment in 2020 found that there was a lack of integration and consistent care coordination in services for people with MCN. Since 2022 local work on MCN has been aligned with the national ‘Changes Futures’ programme. At any one time around 60-80 people receive targeted support in a pilot programme which is due to be rolled out across Sussex in 2024-25.

43.4    Members were shown a short film about MCN.

43.5    Stephen Lightfoot noted that there was excellent work on MCN happening in the city. However, unlike West or East Sussex, Brighton & Hove does not currently have a housing plan that identifies and supports health needs. Mr Walker agreed that housing is integral, but noted that the city council is currently developing a Housing Strategy that will address these issues. Steve Hook added that the city council had recently moved housing and adult social care into a single directorate, and also revising the Housing Allocations policy, which would help integration of care and housing services.

43.6    Cllr Grimshaw welcomed the report and asked to meet in person to learn more. Mr Walker responded that he would be happy to arrange this.

43.7    Alistair Hill welcomed the paper. However, he noted that smoking was not really mentioned. This is a city priority, and although smoking rates are falling, we could move further and faster to address this issue.

43.8    Alan Boyd welcomed the emphasis on patient voice in this work and asked whether locality learning was shared across Sussex. Ms Galea confirmed that it was, adding that there is also a drive to learn by doing rather than by developing abstract models.

43.9    In response to a question from Mr Boyd about health inequalities, Ms Galea told the Board that work is ongoing to develop plans to target health inequalities more effectively. Mr Walker added that the CHIP programme has worked with the most deprived communities, and learning from this work is informing the development of the Integrated Care Teams. Tanya Brown-Griffith stressed the importance of the Voluntary & Community Sector in all of this work.

43.10  RESOLVED – that the report be noted.