STP Update, March 2018


CQC local system review finds aligned vision in East Sussex

In February the Care Quality Commission published the findings of its first 20 targeted reviews of local authority areas, looking at how health and social care services work together for patients.

Across East Sussex Better Together (ESBT) and Connecting 4 You (C4Y), the review team found system leaders had a clear and aligned vision for health and social care services. There were some good examples of shared approaches that supported local people with timely access to services that met their needs.

The review team noted that further work is required to develop a wider system vision across the STP footprint, and to develop a common framework for prioritising actions and for specifying accountabilities and shared governance arrangements.

Read the CQC report:


STP governance refresh to focus on delivery

STP governance arrangements are being reviewed as the partnership brings greater focus to supporting the delivery of shared plans.

The current arrangements, put in place in April 2017, were intended as an interim measure that would be reviewed after 12 months to ensure they remain fit for purpose as the partnership develops.

The governance review has examined existing processes and documentation and has also looked at the arrangements from other STP areas. The views of a wide range of stakeholders have been canvassed. The intention is that revised arrangements will, subject to agreement, be rolled out from April onwards.

Contact: Hannah Hartog, STP Governance Lead,


East Surrey CCG to join Central Sussex Commissioning Alliance

East Surrey CCG is to join the Central Sussex Commissioning Alliance from April 2018.

The commissioning alliance, formed initially of High Weald Lewes Havens, Brighton and Hove, Crawley and Horsham and Mid Sussex CCGs, launched in January. Working together is enabling the CCGs to commission services more effectively and efficiently across a larger area, share expertise and resources and streamline processes to focus on transforming services.

The alliance is not a formal merger of the organisations and individual CCG governing bodies remain accountable for healthcare commissioning to meet the needs of local populations. However, it does have a single management team, operating plan and delivery approach to streamline commissioning.

To accommodate the inclusion of East Surrey CCG, the alliance programme schedule was flexed by a month to enable time to engage with staff, clinicians and the governing body. Overall, the programme remains on track to be completed, with all staff operating in their new roles, by the end of September.

Contact Glynn Dodd, Programme Director of Commissioning Reform,


STP seeks to test 10,000 people for undiagnosed hypertension

A bid has been made to the British Heart Foundation Blood Pressure Award Programme for a project to assess 10,000 people for hypertension in areas with high levels of undiagnosed prevalence.

The BHF’s programme provides funding for health organisations to develop, test and implement community schemes to improve the detection and management of high blood pressure. The project is being overseen by the STP clinical board and will test different methods to determine how best to identify new patients.

Some areas would see paramedics and paramedic students inviting people to have their blood pressure tested at a range of venues such as supermarkets and fairs at targeted locations. People would then be offered clinical advice as appropriate

Other areas are planning to use community health trainers to check blood pressure and pulse, referring people on to local healthy living pharmacies for subsequent monitoring and lifestyle support as appropriate.

The idea for the project grew from the clinical board’s work to identify and examine unwarranted variations in the detection, treatment and outcomes for a variety of conditions as a way to drive improvements.

Contact: Caroline Huff, Clinical Board Programme Director,

Improving clinical communications between organisations

Work is underway to improve clinical communications across organisational boundaries. The aim is to improve patient care and support the collaboration between clinicians in different care settings that is necessary for more integrated services.

The STP clinical board asked the South East Clinical Senate to carry out a review and make recommendations. These include making telephone and video communications easier, better use of electronic records, more complete written communications, and fostering better relationships generally.

The findings of the review are being taken to each of the four ‘places’ in the STP to agree how best they should be shared with local primary and secondary care clinicians.

Contact: Caroline Huff, Clinical Board Programme Director,


STP engagement group starts work

The STP Engagement and Equalities Steering Group has been established. It brings together patient and public representatives from CCGs and providers, Healthwatch and the voluntary and community sector to help the partnership to develop and assure its engagement plans.

One of the group’s first tasks it to help shape a programme of engagement around the Clinically Effective Commissioning workstream. The project has attracted NHSE funding to strengthen engagement capability across the whole STP.

Contact: Tom Gurney, STP Communications and Engagement Lead,