Introducing Sustainability and Transformation Plans for our local communities

Introducing the Place-Based Plan for Central Sussex and East Surrey

The five CCGs of Brighton & Hove, High Weald Lewes Havens, Horsham & Mid Sussex, Crawley and East Surrey have formed a partnership known as the Central Sussex and East Surrey Alliance (CSESA) in order to transform services in line with the Five Year Forward View.

Working with partner organisations our aim is to transform our model of care from one that is reactive and often delivered in a crisis to one which promotes wellbeing, provides early detection and diagnosis of illness and helps people to manage their own health more effectively.   

Built around collaborative clusters of General Practice serving populations of approximately 50k, there are 20 ‘care hubs’ across the CSESA footprint (four in HMS and two in Crawley) currently in the process of integrating community health, mental health, social care and third sector support in order to improve the care provided to our local population, improve health outcomes and drive a greater level of efficiency across the whole system.  These care hubs will become the delivery units for a new organisational entity known as a Multi-Specialty Community Provider (MCP) which will be in place by 2020. 

The four clinical priority areas in which the hubs will redesign support and reduce demand for hospital based care are:

  • Prevention
  • Urgent care
  • Long term condition management
  • Frail and complex patients

Already, through projects like Communities of Practice, the Primary Care Home Vanguard, Social Prescribing and improvements to our Urgent Care Centre at Crawley Hospital, we are beginning to see the impact of working more proactively and co-ordinating care, albeit in a narrow cohort of patients or geographical area. 

Our challenge across Central Sussex and East Surrey is to drive a level of scale and pace for our transformation programmes in order to improve outcomes for patients and also address the underlying financial problems we face as a system.

Staff, clinicians, partners, providers, patients, carers and members of the public are all encouraged to engage with this process as we move forwards – everyone has a role to play in co-designing those services.

To learn more about what an integrated health and social care model look likes, watch the three minute video produced by The King’s Fund: ‘Sam’s Story’. For many of us Sam’s predicament will be all too familiar but the solution, while idealistic, is happening now in parts of Central Sussex and East Surrey and across the UK. The aim is to make this person-centred model of care consistent across all localities and available to all patients.

Sustainability and Transformation Plan

Today (25 November 2016) the NHS, social care and public health in Sussex and East Surrey published their Sustainability and Transformation Plan (STP).
The Plan outlines how we will all work together to transform and integrate health and social care services to meet the changing needs of all of the people who live in our area. It is the first time that we have all worked together in this way and it gives us a unique opportunity to bring about positive and genuine improvement in health and social care delivery over the next five years.

Read the Healthwatch West Sussex Quick Guide to Changes in the NHS in West Sussex