Health and care service providers and commissioners are working together across Sussex and East Surrey to form a Sustainability and Transformation Partnership (STP). The STP is a new way of working to ensure that all the health and care organisations in Sussex and East Surrey are working together in a joined-up way.
The Partnership has 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
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:
Building on existing local plans
The local plan for Brighton and Hove that forms part of the wider plans to transform health and care is called Caring Together.
This plan sets out how the city can improve and transform adult and children’s services, physical and mental health, social care, public health, GPs, pharmacies, community, voluntary sector and hospital services. It is a joint programme led by Brighton and Hove CCG and Brighton & Hove City Council and builds on existing collaborative working in the city.
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.
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.
Closing the gap in our finances
Like all parts of the health and care system, demand for our services is growing much faster than the resources we have available.
If we simply carry on providing services in the way we have in the past and do nothing to change the way we work, then by 2020/21 the gap between the resources available and the money we will have spent across the STP will be close to £900m.
That is why we make take the opportunity of the partnership to work together to make the best use of the available resources.
We believe that integrated and community-based health and social care, a focus on supporting people to stay well, more joined-up specialist services and a more effective use of our hospitals will enable us to offer people better health and better services within the available resources.
In addition, we are working together to ensure that every penny of the health and care budget is well spent. For example, reducing the reliance on expensive bank and agency staff, back-office costs, and the cost of ineffective treatments and wasted medicines.
Who is involved?
The following organisations form the STP:
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.
Involvement and accountability
The STP is a partnership and a way of working. It has no powers to make decisions on behalf of the individual partner organisations. These powers continue to sit with each partner organisations’ board.
Partner organisations also remain responsible for involving their local communities, patients, the public, staff and clinicians in their plans and decision-making. The plans that make up the STP do not currently include any proposals to change clinical services that will require formal consultation. But we have a lot more work to do. In the months ahead we will be doing more to involve staff, patients, carers and others in this work.
The Programme Board sets the direction and priorities for the STP. It includes the chief officers or accountable officers of the eight CCGs, chief executives of the 12 NHS trusts and other providers, and the chief executives of the four local authorities within our partnership.
Programme board meeting agendas, papers and minutes are linked below.
STP Talking Points
Sussex and East Surrey STP Submission November 2016
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.