STP Update, June 2018

Case for Change

Work is currently underway to develop a case for change for the STP, which identifies the key challenges and areas that need improvement across our local health and care system. A lot of work has taken place around case for change within local transformation plans and specific areas, such as mental health, but this is the first time a unified case for change has been developed across the STP. This involves the input of local clinicians and aims to provide clear evidence of the areas that need particular focus in order to enable people to live longer with better health that is value-focused and patient centred. This will be an important reference point for all the partnership organisations and will be a focus for engagement with the public and stakeholders.

A first draft of the case for change has been reviewed by the STP Clinical and Professional Cabinet and the STP Executive. Feedback and recommendations are being collected and will be incorporated into a penultimate draft, which will be shared with those groups for further consideration before a final draft is produced. This will be shared more widely for further input from clinicians and other stakeholders as appropriate to contribute towards the final version.

Once completed, the case for change will inform ongoing STP-wide patient and public engagement. Additionally, a public-facing version of the clinical case for change will be developed that presents the information in a clear and easy-to-understand way.


New governance arrangements for STP

A review of the STP governance has taken place and refined arrangements have been designed, developed and accepted by the STP Executive, Programme Board and Oversight Group. It has been agreed that the new arrangements should take effect immediately.

The arrangements aim to define and embed roles and responsibilities of the STP leadership, give greater clarity around accountability and provide assurances around progress and delivery of STP programmes and local plans. The arrangements are intended to compliment the accountability of individual partner organisations.

Due to the changing nature and dynamics of STP development, the new arrangements will be regularly reviewed to ensure they are working effectively and remain fit for purpose.

The refined arrangements are set out below:

STP Update, June 2018


Pathology hub business case update

An outline business case is now being written for the building of a possible new pathology unit at Princess Royal Hospital in Haywards Heath. This comes following an announcement in April by the Secretary of State around an allocation of money to the STP for the unit, subject to business case approval.

The outline business case will require detailed architect’s drawings and other site work being undertaken, and this is expected to take at least three months to complete. As the funding is coming through the Secretary of State approval capital route, the business cases will need to be approved by organisational boards, NHS Improvement, the Department of Health and Social Care and may also need Treasury approval. This is expected to be a lengthy process.

The proposed new unit will improve and speed up how pathology services are carried out and make them more sustainable for the future. The proposal makes it possible to centralise microbiology and other specialties from Brighton and Sussex University Hospitals NHS Trust and Surrey and Sussex Healthcare NHS Trust, who have been working together to provide pathology services on different sites. It will also enable the purchase of a new information management system that connects services between different healthcare sites.


Engagement around Clinically Effective Commissioning Programme

A framework for community engagement around the Clinically Effective Commissioning (CEC) programme is currently being co-produced for the STP with support from key stakeholders, including Healthwatch and the community and voluntary sector.

CEC is an STP-wide initiative which aims to improve the effectiveness and value for money of healthcare services by ensuring commissioning decisions are consistent, reflect best practice, are in-line with the latest clinical evidence and represent the most sensible use of limited resources. The aim of the programme is to bring a uniform systematic approach to policy review and implementation across all the CCGs in the STP to remove unwarranted variation, ensure equity of access, improve clinical outcomes and improve patient experience.

The STP was awarded £25,000 by NHS England last year to help produce an engagement model for the programme that could be used consistently across the partnership. Community engagement specialists, Kaizen Partnership, have been commissioned to help co-create the framework alongside key stakeholders and have held a series of workshops over recent months, with the final workshop taking place this week. The framework will be in place from August and will help ensure community engagement can be carried out in a consistent and thorough way across the STP.


NHS organisations preparing to celebrate 70th birthday

NHS organisations across the STP are preparing to celebrate the 70th anniversary of the formation of the NHS on 5 July, with a number of events and activities planned.

Celebrations are taking place nationally and NHS staff, patient groups and volunteers from across our STP have been invited to attend a celebration at Westminster Abbey on the day.

Locally, there is also a number events taking place, including:

  • Birthday parties being held for patients in our local hospital wards.
  • A short film being produced by local Clinical Commissioning Groups with former NHS staff speaking about their experiences of working in the NHS.
  • A commemorative booklet and giant birthday cards being produced at East Sussex Healthcare NHS Trust.
  • Staff at Queen Victoria Hospital talking on local media about their memories of working for the NHS.
  • Tea parties being held for staff and patients at various sites across the NHS organisations.