1. Transforming local health
services in Horsham
and Mid Sussex

2. Why we need a Big Conversation
Nationally health and care services are facing significant challenges
Rising demand
GPs and local hospitals struggling to cope
People are waiting too long to see for their treatment
People are living longer
Growing and aging population
More people living with multiple long term conditions
This is all putting extra strain on services

3. Our financial challenge
The funding available has been unable to keep up with the growing demand on services
Services currently cost more money than there is available
Gap between what we can afford and the amount services costs
We cannot carry on spending more money than we have
We can do anything, but we can’t do everything
We have to be open and honest about the fact there may be difficult decisions around some services that are not cost effective in the future

4. How are we transforming services
Working in partnership with County Council, community and voluntary sector, hospital trusts, community trust and mental health trust.
Developing local plans to bring health and social care services closer together
Working with other organisations across wider region to transform and improve services - Sussex and East Surrey Sustainability and Transformation Partnership (STP)

5. What we want to achieve
Improve health and care services and make them more affordable and sustainable for the future
Work together across organisations to address the challenges we all face
Ensure no part of the system operates in isolation
Reduce variation of services – no “postcode lottery”
Make best use of available resources

6. How today will work… Discussions of approx. 30 minutes
Time for you to have three conversations (or stay with one)
Come together at the end for a brief feedback session on key points
Your feedback will be recorded and used to help future plans for services

7. Talking points… 30 minutes for each discussion
Staying healthy and helping people maintain their independence
Using primary and urgent care services
Referral for hospital or specialist care
Caring for the frail and keeping people out of hospital
Mental wellbeing
Using medicines appropriately
Finances
Sustainability and Transformation Partnership (STP)

8. Next steps…
Please fill in your feedback forms and the “about you” form
Let us know if you have any other comments/ questions (on evaluation form or post-its)
Leave us your name with contact details if you want to be involved further in our work
All your comments, views and suggestions will be written up and will be put on our website: