Developing Our Health and Care System in Sussex
Our population demographics in West Sussex, East Sussex, and Sussex, UK necessitate improvements in health and care services due to factors like an aging population, health inequalities, disjointed care experiences, and the impact of the pandemic. Efforts are being made to address these challenges through partnership working, system development, and the implementation of the Health and Care Act to enhance outcomes and reduce disparities in access and quality of care.
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Presentation Transcript
Better health and care for all Developing our health and care system
Our population West Sussex East Sussex Sussex UK Ageing population (66+) Health Inequalities Healthy life expectancy (HLE)
Our population Adults Children and young people Higher rates of hospital admissions for self harm aged 10-24 Activity rates Older people Dementia register Live alone
Why we need to change We know people are not always getting the support, treatment and care they need at the time they need it in the most appropriate place. This is because of a number of factors: Growing and ageing population The growth of people over-85 group is expected to increase between 32% and 42% by 2030. Health inequalities The poorest and most deprived people are more likely to be in poor health, have a lower life expectancy and have a long-term condition or disability. Disjointed experience and care Services are not always joined up, which is confusing and frustrating for people and can lead to unnecessary delays in care. Impact of the pandemic We need to reduce the waiting times that have increased over the last two years Limited resources We need to make best use of workforce, expertise, estate and funding. We need to grow, support and get the best out of our workforce
Why we need to change Many factors influence someone s health and wellbeing and these are the responsibility of many different health and care organisations
How we are responding: Our progress so far It is widely recognised that health and care organisations need to work closer together to address the challenges and make the improvements necessary for local people. Health and care organisations across Sussex have increasingly worked in partnership over the last few years and have made significant improvements: Strong partnership working across health and care Collective response to COVID Improvements in how services have been commissioned Improvements in quality and performance of organisations and services Improvements in financial management We now have an opportunity to take our system development further
How we are responding: Health and Care Act Health and Care Act became law on 28 April 2022 Fundamental shift in the way the NHS is organised Move away from organisational competition to system collaboration and partnership working Integrated Care Systems now have a statutory footing across England (from 1 July 2022) Improve long-term population health outcomes Reduce inequalities in access, experience and outcomes Enhance productivity and value for money Support social and economic growth in local communities
Our Integrated Care System from 1 July 2022 Sussex Health and Care System Our partners include: Sussex Health & Care Assembly (ICP) Strategic Direction NHS Sussex Brighton & Hove City Council East Sussex County Council West Sussex County Council NHS Sussex Integrated Care Board (ICB) Resource Allocation B&H / ES / WS Health & Care Partnerships Service Development Universities VCSE Alliance Healthwatch
Sussex Health and Care Assembly Sussex Health and Care Assembly The Assembly is the statutory joint committee between the NHS and local government. In national policy terms, this is known as the Integrated Care Partnership (ICP). Purpose to facilitate joint action across organisations to improve the outcomes, equality of access and experience of health and care services across Sussex. Specific responsibility to develop an integrated care strategy for its whole population. Meet six monthly with a broad membership: Chair, CEO & Chief Delivery Officer of NHS Sussex; Chairs of each Health & Wellbeing Board, Officer of each Local Authority, Executive Lead of each Place, Clinical Lead of each Place, Vice Chancellor of each University, VCSE member of each Place, Healthwatch and members from further education, housing and local enterprise.
NHS Sussex A new statutory NHS organisation that agrees the strategic priorities and resource allocation for all NHS organisations in Sussex. In national policy terms, this is called the Integrated Care Board (ICB). Leading the improvement and integration of high-quality health and care services for all communities. Taken on the commissioning functions previously carried out by Clinical Commissioning Groups (CCGs). Unitary Board chaired by a Non-Executive Chair and includes five Executive Directors, five Independent Non-Executive Directors and five Partner Members.
Place-based Health and Care Partnerships Health and Care Partnerships The Integration White Paper (March 2021) recognises importance of integration at place level. Three Health and Care Partnerships across Brighton & Hove, East Sussex and West Sussex. Their purpose is to involve and coordinate all local partners in delivering the health and care needs to all of the communities in each local population NHS providers work collaboratively across our places to ensure services work in a joined-up way to meet the needs of our local populations.
Accountability to the public Legal duty for NHS Sussex to involve and consult with the public on planning and delivery. The NHS Sussex Board and Sussex Health & Care Assembly meetings are held in public and papers will be published. The development of the new Sussex Integrated Health and Care Strategy is involving significant public engagement and involvement. ICSs are both accountable to local Health and Wellbeing Boards and Health Overview and Scrutiny Committees and upwardly accountable through NHS England to the Secretary of State for Health and Social Care, and in turn to parliament and the electorate. Our new Working with People and Communities Strategy sets out how we will be involving the public in our work.
How the system works Health and Wellbeing Strategies Sussex Health and Care Assembly Integrated Care Strategy West Sussex Health and Wellbeing Board Brighton & Hove Health and Wellbeing Board East Sussex Health and Wellbeing Board Delegation of NHS Functions Local Needs and Priorities West Sussex Health and Care Partnership East Sussex Health and Care Partnership Brighton & Hove Health and Care Partnership
What we are trying to achieve Build on Sussex 2025 Vision: To provide every person living in Sussex with access to the best health and care from the moment they are born and throughout their lives. By working differently as a Sussex Health and Care System, we want to: o Support people to live for longer in good health o Make sure our disadvantaged communities get the care they need o Improve people s experience of using our services o Provide better support for our health and care staff o Make the best possible use of our resources and public funding
What this looks like in practice Public Health Primary Care Urgent Care Emergency Care Community Care Mental Health Planned Care Social Care VCSE Support Joining-up services from the person s point of view
What this means for local people By working in a more joined-up way, we will: Enable everyone to access the care they need when they need it waiting less Focus on improving the health of our children and young people starting well Better support those with long-term conditions and multiple needs living well Help people to stay well and independent for as long as possible ageing well
