Health and care service providers and commissioners are working together across Sussex and East Surrey to develop a sustainability and transformation plan (STP).
The sustainability and transformation plan will set out how services across the region will work together over the next five years to improve our collective population’s health and wellbeing, to improve service quality and to deliver financial stability. Follow the link for a short film about STPs from NHS England.
Why do we need an STP?
As our population continues to grow and people are living longer - and often with long-term health conditions - the increasing demand being placed on our health and care services is not being matched by the available funding.
At the same time, health inequalities are widening, with certain groups of people more likely to develop certain diseases and more likely to die from them prematurely. We also know that gaps in quality exist, with some areas benefiting from better quality health services than others.
Here in Brighton and Hove, patients are facing long waits for hospital outpatient appointments and treatments in certain specialities, our local hospital had an annual funding deficit of -£37m in 2015/16 and its A&E department is often under pressure. Our city has also seen several GP practice closures, and has higher than average rates of poor mental health and poor patient outcomes for cancer compared to regional averages.
The NHS Five Year Forward View sets out how health services across the country need to change in order to improve public health and the quality of services and to ensure financial stability by 2020/21.
This doesn’t mean doing less for patients or reducing the quality of care provided. It means introducing more preventative care; finding new ways to meet people’s needs; and identifying ways that existing services and organisations can work together to do things differently.
Central funding for local transformation
In December 2015, NHS planning guidance set out a new approach to help ensure that health and care services across the country are planned by place for the people they serve – rather than solely around individual institutions – and over a period of five years, rather than just a single year. Central to this guidance is the design and delivery of STPs.
NHS England has created 44 STP areas - or 'footprints' - each of which bring together several CCGs and cover populations of between 1m and 2m people. The footprint groups incorporate all health and care systems within each area.
For the first time, local NHS planning will have significant central money attached to it via a national Sustainability and Transformation Fund - £2.9bn in 2017/18, rising to £3.4bn by 2020/21.
Sustainability and transformation plans will be the single application and approval process for local health systems to access money for transformation work from this fund, such as: improved access to GP services; diabetes prevention; support for people with learning disabilities; and improved cancer and mental health outcomes.
The Sussex and East Surrey ‘footprint’
Brighton and Hove is within the Sussex and East Surrey STP footprint which covers a population of around 2 million people and includes 23 partner organisations:
Clinical Commissioning Groups:
East Surrey CCG; Crawley CCG; Horsham and Mid Sussex CCG; Coastal West Sussex CCG; Brighton and Hove CCG; High Weald Lewes Havens CCG; Eastbourne Hailsham and Seaford CCG; Hastings and Rother CCG.
Surrey County Council; West Sussex County Council; Brighton and Hove City Council; East Sussex County Council.
First Community Health & Care; Queen Victoria Hospitals NHS Trust; Surrey and Sussex Healthcare NHS Trust; Sussex Community Foundation NHS Trust; Sussex Partnership Foundation NHS Trust; South East Coast Ambulance Service Foundation NHS Trust; Surrey and Borders Partnership Foundation Trust; Integrated Care 24; Western Sussex Hospitals NHS Foundation Trust; Brighton and Sussex University Hospitals NHS Trust; East Sussex Healthcare NHS Trust; GP providers.
Together, these organisations and providers have started to review local plans and to identify gaps and issues that would benefit from STP-wide solutions.
It is proposed that a focus on the following areas will deliver the greatest public health and wellbeing improvements, based on current deaths, years of life lost, healthcare costs and health inequalities across the Sussex and East Surrey footprint population:
- Cardiovascular conditions
- Respiratory conditions
- Mental health
Plans for improvements will be developed around six key indicators:
- Cancer outcomes
- Stroke outcomes
- Mental health service access and outcomes
- Management of long-term conditions
- Support for the frail and elderly
- Maternity and children's services
Building on existing local plans
Here in Brighton and Hove, local plans for improving sustainability in general practice, keeping vulnerable patients well outside of hospital and working more closely with Council and community partners are outlined in Brighton & Hove’s Better Care Plan and the CCG’s 2016/17 Operational Plan (you can download copies of these plans here).
The STP is an opportunity to build on these local plans over a wider geographical area and to look at what programmes could be improved if we teamed up with neighbouring CCGs, local authorities and NHS providers to deliver them together.
It will also provide an opportunity for a more joined-up approach between public health teams across the region – on issues such as smoking cessation and public awareness of NHS health checks and cancer screening programmes.
More collaborative working between hospitals in the region will also be a benefit of sustainability and transformation planning, encouraging a more systematic approach to deciding where certain clinical specialities should be developed, such as specialist stroke and cancer services, for the benefit of wider patient catchment areas.
Central Sussex and East Surrey Alliance Delivery Plan
The five CCGs of Brighton & Hove, High Weald Lewes Havens, Horsham & Mid Sussex, Crawley and East Surrey have formed a partnership known as the Central Sussex and East Surrey Alliance (CSESA) and together have developed a delivery plan that sets out the case for change for the CSESA 'central Sussex corridor' as part of the wider Sussex and Easy Surrey STP submission.
You can download the CSESA Delivery Plan from the table below.
Built around collaborative clusters of General Practice serving populations of approximately 50k, there are 20 ‘care hubs’ across the CSESA footprint currently in the process of integrating community health, mental health, social care and third sector support in order to improve the care provided to our local population, improve health outcomes and drive a greater level of efficiency across the whole system. These care hubs will become the delivery units for a new organisational entity known as a Multi-Specialty Community Provider (MCP) which will be in place by 2020.
Sussex and East Surrey STP submission
The Sustainability and Transformation Plan submitted to NHS England by the Sussex and East Surrey 'footprint', dated 22 November 2016
Local stakeholder letter - 24 November 2016
A letter from Sussex and East Surrey STP leads Michael Wilson and Wendy Carberry that outlines the region's plans for developing person-centred, integrated care.
Central Sussex and East Surrey Alliance Delivery Plan
The Central Sussex and East Surrey Alliance (CSESA) was formed in the summer of 2016 and forms one of the three geographical areas that make up the Sussex and East Surrey Sustainability and Transformation Plan (STP).
Sustainability and Transformation Plan Presentation
The Sustainability and Transformation Plan presentation is for sharing with patients and the public.
Please note: On page 13, the document gives a timescale which has been updated since the presentation was given. We are currently awaiting guidance from NHS England on the timescale for publication of discussion documents
If you have any questions about this document, please contact us.
Local Digital Roadmap
The Local Digital Roadmap describes how technology will be used to support delivery of the Stratagic Transformation plan. You can find the Local Digital Roadmap on the Coastal West Sussex CCG Website here.