Appendix 1 ESHWB Terms of Reference

For decision · This went to the meeting on Tue 14 Jul 2026. What was decided is in that meeting's minutes.

This document sets out the terms of reference for the East Sussex Health and Wellbeing Board, which will be chaired by an elected Member of East Sussex County Council. p1p2

The Board's role includes providing whole system leadership for the health and wellbeing of the people of East Sussex and strategic influence over the commissioning and provision of health, public health and social care services. p2p3

Its activities include publishing and refreshing the East Sussex Joint Strategic Needs Assessment (JSNA) and reviewing and updating the Joint Local Health and Wellbeing Strategy. p6

Voting membership includes four Members of the County Council, two Members representing the five District and Borough Councils, three County Council directors, NHS representatives and one representative of Healthwatch East Sussex. p11p12p13p14p15p16

Non-voting observers with speaking rights include the Chief Executive of East Sussex County Council, voluntary sector representatives, the Sussex Police and Crime Commissioner and the Chief Fire Officer of East Sussex Fire and Rescue Service. p16p17p18p19

Show the 13 passages this is based on

• p1East Sussex Health and Wellbeing Board - Terms of Reference
• p2Constitution Terms of Reference The East Sussex Health and Wellbeing Board (the “Board”) will be chaired by an elected Member of East Sussex County Council. A Deputy Chair will be chosen from among the NHS Sussex representatives selected from among the East Sussex County Council elected Members appointed to the Board. The quorum for a Board meeting shall be half of the membership including at least one elected Member of the County Council and one representative of NHS Surrey and Sussex. In the event of equal votes the Chair will have the casting vote. All members of the Board will be entitled to vote. Role and Function · To provide whole system leadership for the health and wellbeing of the people of East Sussex and the development of sustainable and integrated health and care services.
• p3· To provide strategic influence over the commissioning and provision of health, public health and social care services in East Sussex. · To strengthen democratic legitimacy by involving democratically elected representatives and patient representatives in commissioning and provision decisions across health and social care and provide a forum for challenge, discussion, and the involvement of local people. · To bring together the NHS, the County Council and others to develop a shared understanding of the health and wellbeing needs of the community using robust and up to date evidence. · To drive local commissioning and delivery of health care, social care and public health and create a more effective and responsive local health and care system that reduces the need for health and social care in the longer term and/or prevents the need for a more expensive service.
• p6Identify needs and priorities 1. Publish and refresh the East Sussex Joint Strategic Needs Assessment (JSNA), using a variety of tools, evidence and data including user experience, to ensure that the JSNA supports commissioning and policy decisions and identification of priorities. Deliver and review the Joint Local Health and Wellbeing Strategy 2. Review and update the Joint Local Health and Wellbeing Strategy regularly to ensure the identified priorities reflect the needs of East Sussex and that it clearly explains our joint purpose to residents, communities, staff and volunteers in all organisations. 3. Ensure the County Council, NHS Surrey and Sussex and NHS providers have regard to and contribute to the delivery of the Joint Local Health and Wellbeing Strategy and integrate its agreed objectives into their respective plans. 4. Ensure the Sussex Health and Care Assembly (the Integrated Care Partnership) builds on and aligns with the priorities and goals of the Joint Local Health and Wellbeing Strategy and JSNA, including the development of the Integrated Care Strategy for Sussex. 5. Review recommendations from the East Sussex Health and Care Partnership Executive Board, or equivalent body, with regard to transforming services and the overall strategic investment patterns to meet population health needs and deliver outcomes, reflecting national policy where this is appropriate. 6. Oversee and hold partners to account for the implementation of agreed plans. Ensure achievement of outcomes 7. Communicate and engage with local people about how they can achieve the best possible quality of life and be supported to exercise choice and control over their personal health and wellbeing. 8. Have oversight of the use of relevant public sector resources across a wide spectrum of services and interventions, with greater focus and integration across the outcomes spanning healthcare, social care and public health. 9.
• p11· NHS provider Trusts. 12. Direct issues to and receive reports from the appropriate Scrutiny Committees of the County Council, and the East Sussex Strategic Partnership and the Sussex Health and Care Assembly. Membership: The East Sussex Health and Wellbeing Board (the Board) includes representation from all bodies in East Sussex with major responsibilities for commissioning and providing health services, public health and social care. It shall be comprised of: · 4 Members* of the Council chosen by the Leader of the Council;
• p12· 2 Members* representing the five District and Borough Councils;
• p13· East Sussex County Council Director of Public Health;
• p14· East Sussex County Council Director of Adult Social Care and Health;
• p15· East Sussex County Council Director of Children’s Services; · Chief Executive of East Sussex Healthcare NHS Trust**; · Three representatives of the NHS Integrated Care Board***;
• p16· One representative of Healthwatch East Sussex****. * To avoid conflict of interest Members must be different from the Health and Overview Scrutiny Committee Member. ** The Chief Executive of East Sussex Healthcare NHS Trust represents all NHS provider trusts operating in East Sussex *** The NHS representatives also provide representation on behalf of NHS England – South East ****To avoid conflict of interest Healthwatch East Sussex will not be members of the Health and Overview Scrutiny Committee Member or any Council Scrutiny Committee. Observers In addition to the Members listed above, additional non-voting observers from relevant agencies will be invited attend to assist in achieving the Board’s objectives. The invited observers with speaking rights are: · One Member* from each of the three Borough and District Councils within East Sussex that are not voting representatives;
• p17· Chief Executive of East Sussex County Council;
• p18· One Three representative s of the East Sussex Voluntary, Community and Social Enterprise Sector;
• p19· Sussex Police and Crime Commissioner; · Chief Fire Officer East Sussex Fire and Rescue Service.