Agenda item - Integrated Community Teams

Report of the Corporate Director, Health, Care & Wellbeing and of the Sussex Integrated Care Board (copy attached).

52 INTEGRATED COMMUNITY TEAMS

52.1 This item was introduced by Chas Walker (Programme Director, Integrated Service Transformation), Tanya Brown-Griffith (Director for Joint Commissioning and Integrated Community Teams at NHS Sussex), and Isabella Davis-Fernandez (Managing Director for Brighton and Hove at Sussex Partnership NHS Foundation Trust). Tanya Brown Giffith explained that this item is coming to the board to ensure the board is sighted on some of the recent changes in terms of the Integrated Community Team. The Integrated Community Teams are well linked to the Health and Wellbeing strategy for the city, especially as it is an all- age strategy. Integrated Community Teams will be a place for more preventative rather than reactionary care, including work with the voluntary sector. Strategic leads engage in areas that are diverse and ensure those voices are heard. In supporting Living Well, needs and bringing care into the community is what integrated Community Teams are striving for. A series of slides detailing further details to the model and work were presented to the Board by Tanya Brown- Griffith, Chas Walker, and Isabella Davis-Fernandez.

52.2 Councillor De Oliveira asked how the needs of Brighton will be fulfilled given the different priorities and population centres across the city. Isabella Davis-Fernandez responded stating that a lot of planning from population data and what resources are needed has been conducted. Neighbourhood teams across Brighton and Hove will have the ability and flexibility to have the right staffing capacity and requirements for their local population. Tanya Brown-Griffith added that the integrated teams will have a care coordinating role and will have community forums for patients, driving the scheme forward.

52.3 Stephen Lightfoot (Chair of NHS Sussex) commented that 65-70% of the offer across all the 16 teams will be the same. The remaining 30% will be tailored to local needs. They stated that, in principle, they are supportive of the move to one Integrated Community Team for the Brighton area and that they hope that this can be moved forward in a relatively straight forward way.

52.4 Stephen Lightfoot asked a question to other colleagues on the Health and Wellbeing Board on if they feel sufficiently engaged in this particular programme of work.

52.5 Steve Hook (Assistant Director of Operations) responded by stating that this arrangement works well for the city. Realigning means that the existing partnership will continue to exist in slightly different forms. A lot of the embryonic work around Integrated Care Teams is already well lead. There was some difficulty in how we interface with primary care but this engagement has been good. Overall, there is a feeling of positive engagement.

52.6 Tom Lambert (Chief Executive of the Carers Centre) commented that the feedback from the sector has been very positive so far and brings a lot of clarity. Having the 3 delivery groups maintains the respect of the different characteristics of different neighbourhoods.

52.7 Genette Laws (Corporate Director - Housing Care and Wellbeing) commented on the evaluation going forward leading to greater job satisfaction to improvements to staff retention. Tanya Brown-Griffith responded that there are benefits of face-to-face communication and there was less frustration.

52.8 Councillor Miller asked a question around maternal mental health and how this would fit in. Isabella Davis-Fernandez responded stating that a specialist service is offered through a separate service line and, as such, is not part of the core team, but rather with the aligned services. Isabella stated they recognised the need for effective referrals.

52.9 Councillor Burden raised a question on the digital infrastructure that’s being introduced and that the systems can stay connected. Tanya Brown-Griffith responded stating that a system called plexus will ensure interfacing with the other systems. The multidisciplinary team will run and interact with the primary care and pathways in all places. There is an action for Tanya to bring the information around the plexus interface back to the board in 6 months’ time.

52.10 Tom Lambert asked a question on strategic commissioning. Tanya Brown-Griffith responded stating that any commissioning work will consider the strategic needs both for the present and future. There will be a review of the data and Chas Walker will bring back data to the Board. The mental health commissioning is joined up and enable to bring in children and young people to the neighbourhood team.

52.11 RESOLVED - that the Board agree to note the report.