2. 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.

3. The area we serve
GP Practices including branch surgeries

4. 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

5. 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

6. Recognising Patient Flows

7. 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

8. 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

9. 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

10. Economic Case for Change

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

12. 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

13. 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)

14. 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

15. Thank you
Questions