Agenda item

The latest version of the Sussex Integrated Care Board Shared Delivery Plan will be presented to the Board for comment.

56.1   Pennie Ford, Executive Managing Director NHS Sussex presented the latest version of the Sussex Integrated Care Board Shared Delivery Plan to the Board, with Lisa Emery, NHS Sussex, Chief Transformation, Innovation and Digital Officer (joining online) and Chris Clark, WSCC Assistant Director (Health Integration) and Joint Strategic Director of Commissioning (West Sussex) NHS Sussex Integrated Care Board. In presenting this report an update on the West Sussex Health and Care Partnership Plan was provided to demonstrate how the Integrated Care Strategy and Shared Delivery Plan inform on the Place-Based Plan priorities for transformation.

56.2   It was noted that the draft plan focused on Year 1 actions with a strategic vision and roadmap for years 2-5. The focus was to develop the draft to reflect ongoing conversations and feedback from key stakeholders. The SDP was being presented, in draft form, to the Health and Wellbeing Board for members to consider the content and provide feedback and comment.

56.3   In presenting the SDP the following key points were made;

·       The development of the first draft of the Sussex Shared Delivery Plan (SDP) was outlined. It was noted the SDP was the action plan on how the Sussex Integrated Health and Care Strategy, ‘Improving Lives Together’ would be delivered as well as responding to the NHS Operational Planning Guidance for 2023/2024.

·       Proposed governance arrangements for delivery of the SDP from 2023/24 had been included and had been designed to make best use of resources and concentrate collective effort on key priorities which would make the biggest difference to people living and working in Sussex.

·       The Sussex Health and Care Assembly approved the Sussex Integrated Health and Care Strategy, Improving Lives Together with full support and engagement from system partners at its meeting in public on 14 December 2022. It was formally launched in early January 2023.

·       In late December 2022, the Department for Health & Social Care published guidance for Integrated Care Boards to develop a five-year SDP. The SDP draft was endorsed at the NHS Sussex Integrated Care Board 29 March 2023 for further development to enable final submission to NHS England 30 June and publication in July 2023.

·       It was informed that Sussex Integrated Care System (ICS) partners have together agreed the immediate and long-term priorities for improvement to health and care services. These priorities covered the longer-term ambitions set out in our Sussex Integrated Care Strategy, and immediate priorities for this year (2023-24). This would focus work this year, alongside ongoing work that is set out in the draft Year One Shared Delivery Plan. 

·       The key delivery areas were identified under 4 areas of; Long Term Improvement priorities, Immediate Improvement Priorities, continuous Improvement Priorities and Health and Wellbeing Board Strategies and Place-based partnerships. A Crawley programme had been used as a frontrunner in leading on ‘Improving Lives Together’ as part of a health inequalities programme. Core parts of this programme were developing digital access, use of data and workforce. 

·       Care was being taken to set out milestones and measure performance on the expected impact for improved population health outcomes.

56.4   In receiving this report, board members;

·       recognised the broad Sussex arrangements, making comment that West Sussex residents’ health outcomes would need to be represented;

·       reminded that the Joint Health and Wellbeing Strategy reaches the end of its term in 2024 and this would be revised to align with broader planning;

·       noted that the SDP is a 5 year plan that would be reviewed on an annual basis;

·       identified the need to focus on short term priorities as well as the longer term ones in an ambitious plan;

·       requested a timeline be incorporated into the SDP so that expected delivery dates would be known;

·       suggested that the NHS focus of the SDP be broadened to include  the important role of Adult Social Care, to include an Adult Social Care workforce strategy as well as an NHS workforce strategy;

·       agreed that the SDP needed to broadly concentrate on improving the health and wellbeing of the population with NHS and Adult Social Care and all partners working collaboratively;

·       pleased to note that supporting children and young people was a specific focus in the SDP and is a key area for improvement across Health and Wellbeing Strategies;

·       welcomed the immediate improvement priorities including increasing capacity across GP services, improving quality of service and patient outcomes;

·       discussed how technology could aid improvement in Primary Care with the aim to increase cloud telephony coverage to improve service access;

·       pointed out the West Sussex demographic of having higher than the national average of older adults and called for a targeted response to this at a local level. It was confirmed that the digital, data agenda would be used to analyse data and respond to local needs;

·       requested that the SDP be clear on all partners involved and where place-based activity occurs so that place-based modelling can be used in any redesign of services. It was agreed that all partners needed to be reflected within the SDP. An example was given in terms of the collaborative work around Hospital Discharge between the voluntary sector, NHS and Adult Social Care as well as District and Borough support systems;

·       It was seen as important that all partner’s plans linked and worked well together for efficient integrated working;

·       cited housing as an important area of focus for Health and Wellbeing to avoid the postcode lottery on life expectancy;

·       confirmed the need to strengthen the content of the SDP to focus on health inequalities and how cross boundary services are addressed with NHS catchments going beyond the Integrated Care Systems.

56.5   In summing up, the Chairman emphasised the need for plurality of access so that systems did not become digital to the detriment of those not online. The Chairman thanked board members for their responses and confirmed that the deadline for further feedback and comment had been extended slightly to 4^th May 2023.

56.6   The Health and Wellbeing Board – Resolved that;

         i.   the information provided in relation to the development of and   engagement on the draft Shared Delivery Plan (SDP) be noted;

        ii.   the draft SDP for year 1 and roadmap for years 2-5 be considered and feedback provided for inclusion in material to inform on the final version of the plan in June 2023; and

       iii.   board members provide further feedback or comment by email to chris.clark@westsussex.gov.uk by Thursday 4^th May 2023.