1. Shaping Health and Care Services Dr Martin Writer Chair, Eastbourne, Hailsham and Seaford CCG

2. Agenda Welcome and introductions East Sussex Better Together – A recap on what this means for local people – sharing progress since our last event Interactive sessions: – Mental health – What should accountable care look like in East Sussex? Next steps and reflections

3. Our CCG and East Sussex County Council EHS CCG’s vision is to commission high quality, timely and accessible healthcare services for our local communities. Working in partnership with all East Sussex CCGs and East Sussex County Council East Sussex County Council commission and provide services that strengthen communities, help people help themselves and support our most vulnerable residents and they are currently consulting on budget choices at www.news.eastsussex.gov.uk/ www.news.eastsussex.gov.uk/ 18,193 Adults and Older People received an Adult Social Care service 4,408 Carers received a service 6,232 children supported by early help services

4. East Sussex Better Together Progress since we last met Amanda Philpott – CCG Chief Officer Martin Hayles – Deputy Director of Adult Social Care & Health, East Sussex County Council

5. Responding to your feedback At the last Shaping Health and Social Care events in May 2015, we asked for your ideas and feedback on: Developing integrated health and social care teams Improving local urgent care services Growing healthy communities Reducing health inequalities.

6. Integrated locality teams We were: Considering how a streamlined point of access could help people and professionals get better, faster and more coordinated advice and support for those with both health and social care needs. Talking to local people, clinicians and care professionals about how such a service could work.

7. Integrated locality teams You said: People need access to peer support and links to other local services to help their health and wellbeing Health and care budgets should be pooled Voluntary and community groups should play a key role in keeping people healthy People need a consistent point of access

8. Integrated locality teams In response to this, we have: Engaged with the voluntary sector to develop peer support options Launched a single point of access for health and social care services – Health and Social Care Connect Teams in shadow form from October 2015 and full rollout April 2016. Established a Community Resilience working group and a community sector liaison group to further develop ties with the voluntary sector

9. Improving urgent care

10. You said: People need more information about the urgent care options available to them The hub should be co- located with A&E It should be a 24/7 service Information sharing should be improved to avoid repetition

11. Improving urgent care In response to this, we have: Committed to 24/7 access to high quality urgent care as part of our hub model Developed an app to help people access appropriate local health services according to their symptoms and needs – for launch in December Introduced weekend and out-of-hours GP opening for urgent care, initially in Hastings Improved information and records sharing: – Ambulance staff can now access crisis care plans – Clinicians across the spectrum can now access patients’ summary care records

12. Growing healthy communities

13. You said: Community and voluntary groups need to work together to tackle local issues Physical spaces and buildings could be better used Services should be well signposted and promoted Information sharing should be improved

14. Growing healthy communities In response to this, we have: Brought all our Community Resilience work together in one place Agreed to recruit link workers to provide a bridge between integrated locality teams and the voluntary and community sector Used your feedback on signposting to community services to inform development of our Integrated Locality Teams Used your feedback on promoting services to inform all our work.

15. Reducing health inequality

16. You said: Do more to help people understand the range of services available Healthy lifestyle services should be positive and non-judgemental Use plain English – jargon is a turn off Take time to listen to people about the issues that affect them

17. Reducing health inequality In response to this, we are: Developing referral pathways for lifestyle services Helping GPs to develop Advanced Care Plans with people in care homes Changing how primary care is arranged so that GPs can urgently visit patients in the community, helping them to stay at home Introducing Frailty Nurses as part of the Integrated Community Teams Undertaking widespread public and stakeholder engagement in the next few months to inform how we help people to manage their own care Improving our jargon buster on the ESBT website

18. Any questions so far?

19. The impact of mental health on everyone’s well-being Jessica Britton CCG Chief Operating Officer

21. Mental health problems are more prevalent than we often think One in six people experience anxiety or depression One in three people with a long-term physical health condition also suffer from a mental health problem There is a 10-15 year life gap between people with a severe mental health problem and those that don’t.

22. Mental health and wellbeing What people are saying: We need good 24/7 urgent and crisis services for mental health Services for children and young people need to be better People need to be effectively signposted to other sources of community support We need holistic services for severe mental health need

23. Mental health – a lived experience perspective David Horne

24. Interactive session: The impact of mental health on everyone’s well-being

25. What should accountable care look like in East Sussex? Amanda Philpott CCG Chief Officer

27. How do we achieve? Better health outcomes Improved patient experience Reduced costs of care per year

28. Accountable care models Health and care providers held jointly accountable for achieving a set of outcomes for a defined population Person-centred approach that crosses organisational silos Reducing fragmentation in care Incentivising community-based prevention and pro-active care Currently considering various potential models.

29. Some examples La Ribera Salud (Spain) Virginia Mason (USA) Canterbury District Health Board (New Zealand) The Case for Cornwall (UK)

30. Some key elements we need to think about: Payment reform Sharing information Workforce Building in patient choice

31. Interactive session: Outcome based commissioning – what should accountable care look like in East Sussex?

32. Next steps and keeping involved Frances Hasler Lay member – Eastbourne, Hailsham and Seaford CCG

33. Public reference forum Broadening and expanding our engagement reach to parts of the community that we have not previously reached Forum run independently by Healthwatch. Since July: – Spoke to 576 people about ESBT – 140 people signed up to find out more and get involved – 286 surveys completed

34. People’s top areas of interest

35. Thank you for your time, energy and valuable contributions