Sussex and East Surrey STP update - 02 August 2017

Wednesday 2nd August, 2017

Partners approve STP governance arrangements

The NHS STP partners have approved updated governance arrangements for the STP through the Programme Board. An agreed memorandum of understanding (MoU) is now going through all NHS governing bodies and boards. It secures on-going commitment to the development and delivery of shared plans to improve health and social care for local people. 

The four councils in the STP area have agreed to work in partnership with their NHS colleagues through place based planning arrangements and through the STP Programme Board to ensure the best possible outcomes for their local residents.

Commissioners develop plans for closer joint working

Partner CCGs are considering the STP-wide commissioning functions that could be managed on behalf of all commissioners, but done once rather than eight times. This will reduce variation in outcomes, streamline the commissioning approaches for the providers and create economies of scale through collaboration.

To support this approach, staff have been seconded to work across the eight CCGs:

  • Glynn Dodd as Programme Director for Strategic Commissioning
  • Allison Cannon as Chief Nurse
  • Sarah Valentine as Director for Contracting and Performance

Additionally, the governing bodies of the CCGs for Brighton and Hove, Crawley, High Weald Lewes Havens and Horsham and Mid Sussex will be considering the creation of a joint leadership model across these four CCGs. Discussions will continue with stakeholders and staff over the summer and into the autumn. There are no plans to merge the CCGs or governing bodies and these remain statutory entities.

Contact: Glynn Dodd - Programme Director:

Framework established for development of place based plans

East Sussex Better Together (ESBT) is already well-developed. Work to establish the framework for the development of the other place-based plans has identified a number of interventions that are likely to have the greatest benefit for local populations and the enablers that would be required to deliver greater community-based integrated care. 

This work on the high-level framework is due for completion shortly and will be presented to the Programme Board in August. It will then be shared more widely and used as a basis for the places to build upon as they develop their plans for new models of care with local stakeholders. 

In the ESBT area, the ESBT Alliance is strengthening its arrangements by April 2018, with the supporting legal framework and single leadership creating the conditions for moving towards a single health and care entity for East Sussex in the future.

Mental health workstream research published

Research carried out for the STP has quantified a range of health inequalities experienced by people with mental health problems in Sussex and East Surrey. They live up to 20 years less than the general population, and are more than three times more likely to attend A&E or be admitted to hospital as an emergency.

Mental health is one of the STP’s priorities and the workstream is undertaking a review of how mental health services are funded, planned and provided across the area. It will look at how the voluntary sector, local authorities and NHS can work better together to meet the needs of the patients, carers, families and local communities we serve. It will be completed by early Autumn 2017.

For more information visit the Sussex Partnership NHS Foundation Trust website.

Clinically effective commissioning and reducing unwarranted variation

The STP Clinical Board is continuing to oversee work, through the Clinically Effective Commissioning programme and the Rightcare and Get it Right First Time initiatives, to reduce unwarranted clinical variation.

The aim is to apply sound clinical decision making within mutually agreed policies. This will ensure equality of access, improved clinical outcomes, better patient experience and efficient demand and capacity management across the system. In addition, supporting processes are being put into place to make it easier for clinicians to work within clinical policies where they exist.

Four clinical workshops are being held in September for clinical specialists, CCG leads, GPs and lay representatives to explore the policies in ENT and eyes; obstetrics and gynaecology; general surgery and cosmetics; and musculoskeletal services. 

For more information, contact Caroline Huff - Clinical Board Programme Director:

Progress on urgent and emergency care

Coordinated work to improve urgent and emergency care services is progressing across the partnership, in line with the NHS Five Year Forward View. The work will provide both a strong basis for health and care services this winter and build a foundation for longer-term improvements to provide more integrated, seamless services for patients.

A DoS (Directory of Services) optimisation programme is underway to ensure that all services have up-to-date information on the care options available to meet the patient’s needs, including urgent and out of hours care.  

Preparatory work is also underway ahead of the procurement for a new NHS111 integrated urgent care service next year. This will see clinical assessment services (CAS) integrated with call handlers to support the Five Year Forward View aim of at least of 50% of callers speaking with a clinician, transforming NHS111 from an ‘assess and refer’ to a ‘consult and complete’ service.

For more information, contact Maggie Keating - Urgent and Emergency Care Programme Manager:

Lets Get You Home campaign supports prompt hospital discharge

Following its successful introduction in a number of areas last year, all partners have agreed to the STP-wide roll out of the ‘Lets Get You Home’ campaign in the run up to winter.

The initiative supports timely and effective discharge from both acute and community hospitals by raising awareness and changing the culture about leaving hospital. The aim is to make it clear that this is about patients’ well being and the most effective and timely discharge rather than allowing a misperception that patients are to blame for occupying beds unnecessarily. Further materials will be provided to support patients, carers, and staff, backed up with media activity, adding to those co-designed with staff and patients last year.

The campaign is underpinned by an STP-wide policy, developed by NHS and social care partners, patients and carers, that sets out the process to follow if patients or their families decline all appropriate discharge options offered to them.

For more information, contact Gary Mckenzie - Campaign Lead:

Enhancing GP access to specialist advice

The STP Clinical Board has asked the South East Clinical Senate to help identify the best mechanisms for enabling in-hours GPs to access secondary care specialist advice. This includes advice on patients being considered for urgent referral and for advice on non-urgent clinical issues.

For more information, contact Caroline Huff - Clinical Board Programme Director:   

Sussex and East Surrey STP Progress Dashboard

NHS England has published a dashboard giving an initial baseline assessment of STP areas. Sussex and East Surrey STP has been rated as ’Needs Most Improvement’.

NHS England have stated that these ratings are not a comment on the performance of STPs to date. Rather, they indicate the relative starting points on the road to better care. Sussex and East Surrey is one of the more complex STP areas, with 24 organisations involved in the partnership, including three county councils and Brighton and Hove City Council.

Recognising the challenges that the STP faces, a review and refresh of the partnership was carried out in April. Since then, rapid progress has been made under the leadership of STP chair Michael Wilson. The key development has been securing the necessary governance arrangements and processes to enable the development and delivery of better health, improved and integrated care, and sustainable services. Crucially, people are now being aligned with key roles to enable the partnership to develop and deliver joined-up plans in priority areas and to engage local communities in this work.

For more information on the dashboard visit the NHS England website to view the board paper on the STP progress dashboard. 

South region seven day service event

The seven day hospital services programme has been developed to ensure that anyone who requires urgent or emergency care can expect to receive the same quality of assessment, diagnosis, treatment and review on any day of the week.

NHS Improvement is running an event in London on 07 September to bring together those working on the programme to tackle common challenges and share practical benefits such as, improving flow, reducing pressures on emergency departments and improved staff retention by providing new opportunities and responsibilities.

Each provider has three allocated places with additional places for commissioners and STP leaders.

For more information and to register please visit the 'South region seven day service' event page on the Eventbrite website. 

STP narrative and core slides

The latest version the STP narrative and supporting slides are intended to provide a basis for partner organisations’ communications with local stakeholders and can be cut, tailored and supplemented with more specific local detail as appropriate.

The narrative will be updated and re-circulated on a regular basis. Partner organisations’ communications and engagement teams will have the latest version of the narrative and slides.

STP narrative - August 2017

STP slides - September 2017

How to contact the communications team

You can reach our communication team by:

  • Calling – 01903 707447
  • Emailing –
  • Writing to – Communications Team, NHS Coastal West Sussex CCG, 1 The Causeway, Goring-by-Sea, West Sussex, BN12 6BT