STP Update, October 2017

 

STP prioritises winter preparations and flu campaigns

Preparing for winter is a key priority for the STP, with the coordination of plans to reduce delayed transfers of care, build local resilience and manage demand across the system. This is being underpinned by work to ensure the directory of services (DoS) is providing up-to-date information for all services on the care options available, including urgent and out of hours care.

The STP Programme Board has prioritised flu vaccination campaigns, particularly for children and health and care professionals, as a key activity that can make a significant difference this winter. Comprehensive campaigns are in place, supported by clinicians, with partners sharing intelligence and good practice through the STP.

For more information, contact Maggie Keating, Urgent and Emergency Care Programme Manager, maggie.keating@nhs.net
 

Strategic framework for mental health services

The STP mental health review has developed a strategic framework for how the voluntary sector, local authorities and NHS can work better together to meet the needs of patients, carers, families and local communities.

The work is led by Sam Allen, Chief Executive of Sussex Partnership NHS Foundation Trust, and Wendy Carberry, Accountable Officer of High Weald Lewes Havens CCG. In a joint message, they said:

“The review was carried out with the involvement of all partners and involved clinicians, patients and carers. It is the most detailed analysis of the current picture of local mental health services that we have ever undertaken, and it lays bare the scale of challenge that we face.

“The outcomes experienced by local people with mental health problems are often poor, crisis care in particular could be much better. There are strong arguments for increasing the funding available for mental health services and for using the resources that are available more effectively.

“The review has also identified a wide range of opportunities for addressing these challenges and for making real improvements to services and wellbeing for local people. Warm words about mental health are not enough. This review highlights the need for real changes in the ways that mental health services are commissioned and provided and working together in partnership through the STP offers us the best chance to achieve this.”

The strategic framework will be presented to the STP Programme Board at the end of October and will form the basis of further conversations with patients, carers, staff and partners about where investment is needed and where services need to change or be developed.

For more information contact John Child, johnchild@nhs.net
 

Central Sussex CCGs agree to establish single leadership

The governing bodies of the four Central Sussex CCGs (Crawley, Horsham and Mid Sussex, Brighton and Hove and High Weald Lewes Havens) agreed in September to establish an alliance with a single leadership team and operating model. This will strengthen and streamline the commissioning functions for the four CCGs. Recruitment is currently underway for the senior team, including one accountable officer and a managing director for each of the north and south. The four CCGs will remain statutory bodies, retaining their governing bodies and accountability for commissioning for their local populations.

The alliance expects to go live from January 2018 and to establish one single operating plan for 2018/19. Staff will be involved in working through changes to ways of working in early 2018. No redundancies are expected although some flexibility around posts and work locations may need to be considered.

The alliance will make it easier to commission services jointly, creating a stronger commissioning approach to provide greater clarity for providers and support the development of new local models of care. It builds upon arrangements already in place across all eight CCGs in the STP to work more closely together through joint appointments in quality, contracting and strategic commissioning.

For more information, contact Glynn Dodd, Programme Director, glynn.dodd1@nhs.net
 

Developing information sharing arrangements

Work is underway to develop STP-wide information sharing arrangements through the digital workstream. Current agreements and protocols are very fragmented across the STP. Consistent data sets and information sharing protocols are needed to enable the new models of integrated care that are being developed.

An audit of the existing arrangements is being carried out to identify solutions that can build on current best practice, strengthen integration with local authority information, and comply with new information governance legislation.

For more information, contact Mark Watson, Digital Programme Director, mark.watson1@nhs.net
 

STP oversees development of local maternity system

The STP is overseeing the development of the Local Maternity System (LMS) transformation plan for Sussex and East Surrey to improve services for pregnant women, babies and their families. LMSs have been set up across the country to improve safety, choice and personalisation as set out in Better Births, the Five Year Forward View for Maternity Services published by NHS England in 2016.

The work on the LMS is being led by Coastal West Sussex CCG on behalf of all the partners, chaired by the GP Clinical Lead for maternity services for East Surrey CCG, and supported by South East Clinical Networks, part of NHS England. The LMS has begun involving local service providers, commissioners and healthcare professionals and will be designing services in partnership with service users and local communities in order to ensure that co-production is at the heart of transformation.

The responsibility for commissioning maternity services remains with CCGs, local authorities and NHS England. However, by working together in this way as part of the STP, local services will be better able to offer joined-up services and make the best use of the available resources to improve care and outcomes for women and babies.

For more information, contact Caroline Huff, Clinical Board Programme Director, c.huff@nhs.net
 

Work continues to standardise referral policies

The STP Clinical Board is continuing to oversee work to reduce unwarranted clinical variation, including the implementation of standard referral policies across CCGs thorough the clinically effective commissioning programme. CCGs are currently finalising a first group of policies where there is little variation between CCGs and strong clinical evidence exists to support a common policy.

A second group of policies is being reviewed and developed. These are more complex, as CCGs have different existing policies, or there is more clinical debate required to find the appropriate standard. Key clinical areas have been agreed for focus in this phase and a series of clinical workshops has been held with primary and secondary care clinicians, other healthcare professionals and lay representatives to consider the policies in ENT and eyes; obstetrics and gynaecology; general surgery and cosmetics; and musculoskeletal disorders.

In addition, work is underway to ensure processes are in place to make it easier for clinicians to work within clinical policies where they exist.

For more information, contact Caroline Huff, Clinical Board Programme Director, c.huff@nhs.net