Agenda item - Sussex Integrated Care Strategy Shared Delivery Plan (SDP)

Report of the Executive Director, Health & Adult Social Care; and the Managing Director, NHS Sussex (Brighton & Hove) (copy attached).

5.1       The item was introduced by Rob Persey, BHCC Executive Director, Health & Adult Social Care; and by Lola Banjoko, NHS Sussex Managing Director (Brighton & Hove). Ms Banjoko explained the development and the purpose of the Sussex Integrated Care Strategy, Improving Lives Together. The Strategy identifies long term improvement priorities that will benefit local people and the health and care workforce.

It reflects and responds to national policy and guidance and aims to provide one single vehicle for delivery and focus for our system. This is a framework that has been informedby JSNAs and Joint Health & Wellbeing strategies for each of our respective places. The plan will be reviewed and revise before the start of each financial year or in-year if considered necessary.

The plan incorporates four delivery areas. The four delivery areas are not mutually exclusive; they support and interrelate with each other with the collective aim of making improvements over the next five years.

To support the delivery of the Shared Delivery Plan, the statutory organisations responsible for health and care will work together in a new way across four different levels – System level, NHS provider level, Place level, and Local Community Level.

A set of supporting public communications will be published alongside the publication of the full plan to ensure that the information is accessible to a wide range of audiences.

5.2       In response to a question from Cllr Galvin on multiple compound needs, Mr Persey explained that this connected to the Government funded Changing Futures programme.

5.3       Cllr West stated that he had anticipated more detail and metrics to measure outcomes in the Plan. Ms Banjoko responded that there would be much more detailed planning, including performance metrics, sitting below the Plan.

5.4       In response to a query from Cllr West on how the SDP delivers JLHWS priorities, Ms Banjoko outlined how the SDP place priorities link to the JLHWS ‘wells’.

5.5       Replying to a query from Cllr Hogan on integrated community teams, Ms Banjoko told the Board that developing teams is a long-term ambition, but that this is an evidenced model that has been delivered locally before.

5.6       In response to a query about frailty from Cllr Hogan, Ms Banjoko explained that frailty is a key element in urgent & emergency work, in discharge planning and in work on multiple long term conditions.

5.7       Alan Boyd welcomed the Plan, noting that there were restrictions on what was possible given the challenging timescale. In future iterations he would like to see the Plan be more public facing, more evidently reflective of patient voice, to have involved partners in target setting, to ensure more targets are baselined, and to see a greater prominence given to adult social care. In response, Mr Persey noted that there would be more prominence given to adult social care in future iterations. However, it needs to be born in mind that the SDP contents reflect the fact that local NHS organisations are accountable to NHS England, while adult social care is accountable to elected members of the city council.

5.8       Joanna Martindale welcomed the SDP’s ambitions for the community & voluntary sector and the Plan’s focus on children and young people. Ms Banjoko stressed the key role the sector will play in bringing services together.

5.9       In response to a query from Tom Lambert about carers, Ms Banjoko acknowledged that the importance of carers does need to be emphasised more, and that this should include reference to carers as part of the health and care workforce.

5.10    Cllr West commented that the SDP lacks sufficient detail. The Plan is also extremely optimistic and seems rather divorced from the reality of service provision and from the financial challenges the system is facing. One example of the Plan’s lack of detail is its failure to explore the challenges being faced by community pharmacies, with many branches closing in recent months. Neither does the Plan set out any real ambitions for supporting services through the enhanced use of pharmacies.

5.11    The Board resolves to:

(1)   note the Sussex Shared Delivery Plan, which is a five year plan to implement the shared ambition and priorities set out in the Sussex

Integrated Care Strategy and Joint Brighton & Hove Health and Wellbeing Strategy;

(2)  note the recommended planning milestones which also form the basis of the Brighton & Hove Place contribution to the Sussex Shared Delivery Plan (SDP), and;

(3)  agree that the SDP takes account of HWB Strategy priorities, and supports delivery of place-based objectives.

5.4       Cllr West declined to note (1) and (2) above and declined to agree (3).