Sustainability and Transformation Talking point: Sustainability and Transformation Partnership (STP)

Central Sussex and East Surrey Alliance National to local planning NHS England and NHS Improvement STPs Sussex and East Surrey ‘Place-based plans’ Central Sussex and East Surrey Alliance Local plans Connecting 4 You

What is the STP? A new way of working together across health and social care Made up of 24 organisations - CCGs, providers and local authorities Not one, single, separate plan It is a partnership, within which we have local plans built around places and their populations Way of aligning the plans of all the partners

Why we need an STP Rising demand GPs and local hospitals struggling to cope with demand People are waiting longer then we want to be seen People are living longer – and in poor health Growing and aging population More people living with long term conditions Health and care inequalities Significant health inequalities across the area Restricted finance Funding unable to keep up with demand

Who is involved in the STP? Programme Board – made up of leaders and senior members of staff of all the partner organisations, Healthwatch, NHS England and NHS Improvement Executive – made up of Chief Executives and Accountable Officers from organisations within the Partnership Clinical Board – made up of senior professionals from all partners to oversee shape of future services Finance Group – Chief Finance Officers/Directors from CCGs, providers and local authorities Workstreams – Digital, Estates, Workforce, Communications and Engagement

What has been done so far? Developed relationships and processes for working together Started to develop local plans to transform and improve health and care at a local level Prioritised areas to improve at a large scale – e.g. urgent and emergency care; mental health; cancer care CCGs have agreed to work closer together to make it easier for services to be paid for and planned jointly Working on specific projects to avoid variation and “postcode lottery” (e.g. clinical effective commissioning)

To find out more about the STP: http://www.seshealthandcare.org.uk

Talking point: Finances

How the money flows through NHS Department of Health £100bn NHS England (also funds Public Health, primary care and specialist services) £70bn Clinical Commissioning Groups (CCGs) Hospital services, mental health services, community services, primary care, some specialist local services

We face a financial challenge Demand is increasing and funding cannot keep up Many organisations are struggling to maintain financial plans We need to work as efficiently as possible, for example reducing: Reliance on expensive agency staff Costs of ineffective treatments and wasted medicines Duplicated back-office costs Organisations working closer together gives best chance of better services within available resources

We face a financial challenge We have to make best use of the resources available Avoid waste Avoid duplication Work differently to be more efficient We may have to start prioritising how we spend money, based on clinical need and effectiveness We may have to make difficult decisions in the future No decisions have been made and all significant decisions will be made with public consultation where appropriate