1. East Sussex Better Together Alliance
28/04/2017
East Sussex Better Together Alliance
East Sussex Strategic Partnership Update
6th July 2017
3 May 2017

2. and experience of patient care Improve health outcomes
28/04/2017
Background – triple aims
Personal
Enhance the quality
and experience of patient care
(the care and
quality gap)
Population
Improve health outcomes
of populations
(the health and
well being gap)
System
Reduce the
per capita
cost of care
(the funding and
efficiency gap)
3 May 2017

3. ESBT: more integrated services becoming available for local people
Crisis Response Service fully operational
Frailty Service fully operational
Recruited 41 Integrated Support Workers
15 Proactive Care Practitioners have been recruited
Falls assessors and falls prevention classes as part of Falls and Fracture Prevention Service

4. ESBT Alliance ‘Shadow Year’ Progress
28/04/2017
ESBT Alliance ‘Shadow Year’ Progress
Formal Alliance Agreement in place
Integrated governance structure
New Strategic Commissioning Board
Integrated pilot Outcomes Framework
Integrated Strategic Investment Plan for 2017/18 and system-wide financial and performance reporting
Agreed how patients, clients and citizens will be a part of the governance arrangements
Exploring what locality planning and leadership could look like
East Sussex Better Together is our bold and transformative approach to developing a fully integrated health and social care economy in East Sussex
150 week plan started in August 2014
Our shared ambition is to make sure every patient and service user receives proactive, joined up care that supports them to live as independently as possible and achieve the best possible outcomes.
It’s about making sure we use our combined £850 million annual budget to achieve the best results
3 May 2017

5. The role of localities in our ESBT Alliance
28/04/2017
The role of localities in our ESBT Alliance
Opportunity to ensure the voice of localities are at the heart of how we plan and how we act as a system
A potential change in the way professionals and partners across the system locally come together to work around the best interest of the population they serve?
This would involve the full range of relevant partners and professionals within a locality identifying priorities and collectively making best use of resources
Evolving - the aim is to get to a greater collective understanding of local need and cost effective solutions
3 May 2017

6. Integrated Outcomes Framework
28/04/2017
Integrated Outcomes Framework
3 May 2017

7. 28/04/2017
2017/18 – a learning year
Part of our longstanding objectives for integration to achieve the triple aims - we’re aren’t starting from a blank sheet
As our ESBT ‘place’ we have agreed that we need a new model of care; redesigning care pathways isn’t enough to deliver sustainability
We now need to choose the best vehicle to deliver this
Learning environment to think about the ‘how’ not the ‘what’
East Sussex Better Together is our bold and transformative approach to developing a fully integrated health and social care economy in East Sussex
150 week plan started in August 2014
Our shared ambition is to make sure every patient and service user receives proactive, joined up care that supports them to live as independently as possible and achieve the best possible outcomes.
It’s about making sure we use our combined £850 million annual budget to achieve the best results
3 May 2017

8. Our options* Prime provider/prime contractor ‘integrator’
28/04/2017
Our options*
Prime provider/prime contractor ‘integrator’
Corporate Joint Venture
Alliancing commissioners and providers
Forms of merger or new organisation
*New models of care: emerging innovations in governance and organisational form (Kings Fund, October 2016)
East Sussex Better Together is our bold and transformative approach to developing a fully integrated health and social care economy in East Sussex
150 week plan started in August 2014
Our shared ambition is to make sure every patient and service user receives proactive, joined up care that supports them to live as independently as possible and achieve the best possible outcomes.
It’s about making sure we use our combined £850 million annual budget to achieve the best results
3 May 2017

9. Options appraisal Panel process and design criteria discussed in May:
28/04/2017
Options appraisal
Panel process and design criteria discussed in May:
Arrive at a consensus view across our ESBT Alliance about the preferred direction of travel for our Alliance in the future, and;
Understand and agree the key steps and the timetable involved to get there, and;
Inform our priority actions for implementation from April 2018
Arriving at a consensus view across our ESBT Alliance about the preferred direction of travel for our Alliance, and;
Understanding and agreeing the key steps and the timetable involved in getting there, ensuring priority actions agreed for implementation from April 2018.
Need a new model of care, know that – how we organise ourselves to deliver
Four options
High level levers
Legislative context
What’s in the pack
Decision-making process and timetable
 Not a debate about the merits of Accountable Care
 High level roadmap session
September 2017
April 2018/19
April 2019/20
3 May 2017

10. Criteria Criteria Transformation (for sustainable services)
28/04/2017
Criteria
Criteria
Transformation (for sustainable services)
Governance and accountability
Quality and safety
Clinical and professional sustainability
Access and choice
Deliverability
Financial Sustainability
3 May 2017

11. Overall consideration
28/04/2017
Overall consideration
How does the option help us to improve
System-wide leadership
The levers for change we have to transform delivery for sustainable services
Collaboration and collective decision-making
Long-term sustainability - for the workforce and financially; and to support transformation for sustainable services
3 May 2017

12. East Sussex Better Together Alliance Next steps
Recommendations on the preferred model (the legal delivery vehicle) to the relevant CCG, County Council, ESHT and SPFT decision-making bodies – July 2017
Share outcomes widely July and August 2017
Further engagement to discuss and firm up implementation details August – September 2017
Quality and Safety

13. 28/04/2017
Thank you
3 May 2017