HWLH CCG - Who We Are & What We Do How we spend your money - £230m a year Clinically led – 20 GP practices, other clinicians, lay members and managers We serve a population of 170,000 people in East Sussex Our role is to identify health needs, engage with the local population and stakeholders and make sure NHS services are in place to meet those needs.

The area we serve GP Practices including branch surgeries

A partnership between health and social care; Connecting 4 You A partnership between health and social care; Joint programme to transform local health and social care services in the High Weald, Lewes and the Havens Population based Commissioners and providers Integrated care

The Connecting 4 You partnership High Weald Lewes Havens CCG General Practice / Primary Care East Sussex County Council (ESCC) Children’s services Adult Social Care services Public Health Sussex Community Foundation Trust Sussex Partnership NHS Foundation Trust Healthwatch East Sussex Lewes and Wealden District Councils Voluntary and independent sector partners Other NHS acute and community trusts

Recognising Patient Flows

Demographic Challenges Geography - High Weald, Lewes and the Havens is a large area without an acute hospital. Local needs - An older than average population, High levels of frailty / complex needs, Pockets of poverty and health inequalities Complexity - Often, patients struggle to understand their health and care services, as different organisations are responsible for different stages of their care

Key priorities Integrated community NHS and social care teams – ‘Communities of Practice’ Frailty – Enhanced care in nursing homes, community geriatricians Urgent Care – A&E flows, 111, GP access, urgent treatment centres Prevention – Public health, social prescribing Mental health – ‘Parity of Esteem’ Joint / integrated planning/locality planning Meeting the needs of the population within available resources – The financial challenge

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

Economic Case for Change

Different Levels of planning & delivery Sussex and East Surrey STP Central Sussex and East Surrey Alliance - South

Planning Footprints Sustainability and Transformation Partnership ‘Place-based’ plan Pan-East Sussex CCG Communities of Practice x4 Sussex and East Surrey Central Sussex and East Surrey Alliance (CSESA) South East Sussex County Council ‘footprint’ NHS High Weald Lewes Havens CCG ‘footprint’ Crowborough, Uckfield and Heathfield, Lewes, the Havens

How are we transforming services The Clinical Commissioning Group and East Sussex County Council working in partnership with the community and voluntary sector, primary care, hospital trusts, community trust and mental health trust – a system wide approach 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)

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

Thank you Questions