Agenda item

An update will be provided on the strategic development of the Integrated Care System at a local level.

46.1   Chris Clark, Assistant Director (Health Integration) supported by Alan Sinclair Director Adults and Health and Pennie Ford, Executive Managing Director NHS Sussex provided a presentation on the Integrated Care System’s (ICS) Integrated Care Strategy (copy appended to the agenda available on the website).

46.2   It was reported that the Sussex Integrated Care Strategy was approved by the Sussex Health and Care Assembly in December 2022.

NHS England had since published planning guidance for developing a five-year ‘Joint Forward Plan’ as well as NHS Operating Plan Guidance for 2023-24. Board members were provided with a summary of how the ICS and West Sussex place proposes to approach these planning processes, including the national system and local drivers for prioritisation. The Health and Wellbeing Board was then asked to consider how it wished to work with the health and care partnership, to ensure the focus of plans align with the Joint Local Health and Wellbeing Strategy.

46.3   The plans being developed were noted as:

• The Joint Forward Plan (JFP) where the Sussex Integrated Care System will describe how it will arrange and deliver services to deliver the shared system priorities set out in the Sussex Health and Care Strategy, over the next five years. The first year of the JFP will also capture the priorities of the 2023-24 NHS Operating Plan.

• The 2023-24 NHS Operating Plan (NHS OP), a one year plan for local NHS services in Sussex, describing activity volumes, service performance and quality targets and financial allocations. NHS organisations are accountable for delivery against this plan.

·       The West Sussex Place-Based Health and Care Partnership Plan. The place-based plan describes how the West Sussex Health and Care Partnership is delivering local transformation programmes driven by population health needs and priorities set out in the West Sussex Joint Local Health and Wellbeing Strategy. In addition to local transformation priorities, the place based plan also captures where activities from the JFP and the NHS OP should be delivered at Place (West Sussex).

46.4   It was noted that there was a lot to deliver within the priorities and so it should be ensured that the focus in the plans is aligned with the priorities set out in the JFP, NHS OP and the Joint Local Health and Wellbeing Strategy, and the priorities that the Health and Care Assembly have approved in the Sussex Integrated Care Strategy.

46.5   In thanking the Assistant Director (Health Integration) for his presentation the Chairman made comment that he understood this was a complex planning environment. The Chairman confirmed that his role on the NHS Sussex Care Assembly ensured that West Sussex as a place was represented in any joint delivery plans.

46.6   In receiving the presentation Board members;

·       recognised the importance of capturing place-based planning ensuring priorities are set out

·       welcomed a focus on health inequalities

·       noted that the use of real time data would assist in helping to focus work by providing useful insight

·       suggested that a collaborative, dual approach to working does need to be used to tackle issues such as workforce planning

·       agreed that the voice of the voluntary sector needed to be considered and included in planning development

·       noted that the CEO of the Aldingbourne Trust represented the workforce planning strand for West Sussex and so there was confidence this work strand would not be overlooked

·       discussed the opportunity to link in with workforce planning and refugee settlement

·       identified the need to ensure that work was not duplicated

·       acknowledged the pay gap between health and care could mean a loss of staff to the NHS

·       agreed to ensure inclusion of local authorities in the NHS ICS digital workstream as well as further conversations around the collaborative use of real time, analytical data between Board members, including NHS Sussex Integrated Care Board and District and Borough councils

·       acknowledged  that the use of real time data was in the development stages and the Board could contribute towards planning around its use

·       agreed a collective focus in planning would be more impactful than taking a wider view

·       noted the confirmation by the Director of Public Health that there was a key workstream on developing the use of real time data to assist with planning. An integrated approach was welcomed and this work would be explored further at a future meeting of the Board or Seminar.

46.7   In summing up, it was agreed that the Integrated Care System’s priorities needed to work at place level and not obscure the Joint Strategic Needs Assessment or the Joint Health and Wellbeing Strategy. It was pointed out that central government would be undertaking a review of the implementation of the ICS later in this year which would be of interest.  The Chairman proposed that this matter be revisited upon publication of this review.