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

On 25 November 2016 the NHS, social care and public health in Sussex and East Surrey published its 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.

All NHS health organisations and local authority organisations who commission and provide health and care in Sussex and East Surrey have put aside their usual boundaries and come together to work to create an ambitious local plan to achieve a vision of a sustainable health and care system built around the needs of our local populations. 

Sussex and East Surrey is one of 44 geographical Sustainability and Transformation Plan (STP) “footprints” in England who have been asked to produce a long-term plan outlining how local health and care services will evolve, improve and continue over the next five years. 

Sustainability and Transformation Plan “footprints” are locally defined, based on natural communities, existing working relationships, patient flows and take account of the scale needed to successfully deliver all health and care services. 

STP footprints are not statutory bodies, but collective discussion forums which aim to bring together health and care leaders to support the delivery of improved health and care based on the needs of local populations. They do not replace existing local bodies, or change local accountabilities. 

Sussex and East Surrey STP chair, Michael Wilson, said: “I am sure we are all aware of the faced in providing excellent health and care services to everyone in our area.  I hope what is also clear is the commitment of everyone involved to ensure the improvement and the future of our NHS and social care services. 

“Working together as we are now will help build and strengthen local relationships, allow all organisations involved to gain a better understanding of where we are now, our ambition for the future and what we ned to get there. 

“As we go on we look forward to engaging with all of our stakeholders in this planning process and I am sure there will be many who will have a lot to say and a lot to contribute.” 


Sussex and East Surrey has set up an STP with representative from all health and care organisations – NHS trusts (providers), clinical commissioning groups and local councils. In addition, local GPs are involved and Healthwatch is represented and fully embedded in the Programme Board.  

Nine working groups have been formed covering: Acute provision (including mental health); workforce; primary and community care provision; digital improvement, estates; provider productivity improvement, communication and engagement and governance are meeting regularly to work through ideas and practicalities.

Next steps

The team working on the STP are currently analysing data about how, why and where patients are treated in our hospitals to understand in what way the NHS and social care throughout Sussex and East Surrey could work better together to meet the huge demand from a growing population living with increasingly complex health and care needs. We need to do this local analysis to ensure our proposals are based on the priorities and challenges of our local communities.

We are at a very early stage in the planning process and still establishing the clinical leadership required to drive the STP forward. When this is in place, it will be time to work alongside you – our patients, the public and NHS staff - to develop and shape our NHS. No final decisions have been made about any services and will not be made without our patients and public being given the opportunity to be involved and voice their opinions.

Don’t miss out on the latest updates from the STP, join our CCG Health Network 

Organisations involved: 

  • Brighton & Hove CCG
  • Surrey & Sussex LMCS
  • Brighton & Sussex University Hospitals NHS Trust
  • Healthwatch East Sussex (umbrella for the appropriate Healthwatch in the footprint)
  • Western Sussex Hospitals NHS Trust
  • Surrey and Borders Partnership Foundation Trust
  • High Weald Lewes Havens CCG
  • Western Sussex Hospitals NHS Trust
  • West Sussex County Council
  • Sussex Partnership Foundation NHS Trust
  • Sussex Community NHS Trust
  • Surrey County Council
  • Eastbourne Hailsham Seaford & Hastings and Rother CCGs
  • Surrey and Sussex Healthcare NHS Trust
  • Surrey and Borders Partnership Foundation Trust
  • SECAmb
  • Queen Victoria Hospitals NHS Trust
  • Horsham & Mid Sussex CCG
  • High Weald Lewes Havens CCG
  • First Community Health Care
  • East Sussex Healthcare NHS Trust
  • East Sussex County Council
  • East Surrey CCG
  • CSH Surrey
  • Crawley CCG
  • Coastal West Sussex CCG
  • Brighton & Hove City Council