Our Strategy

At Brighton & Hove Federation (B&HF), we're committed to shaping a stronger, more sustainable future for local primary care. Our priorities focus on delivering high-quality services for patients, while supporting practices and working in partership across Sussex

The board has agreed three broad strategic priorities:

1. Primary Care at scale
   • We aim to be the primary care provider of choice in Brighton and Hove, bringing together services and expertise so patients benefit from consistent, reliable, and accessible care.
2. Practical Support for Practices
   • We provide additional capacity and resources - including Enhanced Access appointments, workforce support, clinical services, and administrative support - so that practices can focus on what matters most: delivering excellent patient care
3. Building a Healthier Sussex Together
   • We plan an active role in delivering the Sussex Integrated Care Strategy, with focus on:
     1. Integrated Neighbourhood Teams - bringing services closer to communities and improving local access to care
     2. Data and Digital Innovation - using smarter technology and insights to enhance patient care and experience
     3. Workforce Development - building a resilient, skilled primary care workforce to meet future needs

Our Guiding Principles

The Board has set out the following principles to guide how we grow and deliver services:

• Sustainable Growth - B&HF should expand at a pace that ensures we can consistently deliver high-quality services
• Local Focus, Wider Impact - our priority is Brighton & Hove, while also contributing to Sussex-wide service delivery where it benefits patients and practices
• Financial Responsibility - B&HF will only take on contracts that are financially self-sufficient and sustainable.

B&HF will continue to respond to tenders for contracts, either independentally or as part of a Sussex Federation Alliance, where opportunities align with our purpose and values. We are also committed to strengthening our collaboration with other federations in Sussex and playing a full role in the Primary Care Provider Collaborative as it develops.

The future

Service opportunities

B&HF is now well positioned to contribute positively to the primary care landscape in Brighton and Hove and to collaborate with partners. As a membership organisation we are uniquely positioned to provide services that are integrated well with primary care, reduce the burden of work on practices, support primary care resilience, contribute to relieving system wide pressures, and reinvest resources into primary care locally rather than support dividends for shareholders or directors of private enterprises.

Wellbeing

Following the success of the free retreats offered to staff employed in practices in Brighton and Hove, we will continue to offer wellbeing services to staff of member practices. The offers include retreats, courses, and drop-in sessions to help staff begin or deepen a mindfulness & meditation practice.

System wide collaboration

We want to make it easy to work in Primary Care; and to help patients be better off as a result of the things we do. We also want to work with partners and build alliances on system-level issues to find effective ways of designing safe, sustainable service responses that really matter from a person’s point of view. We want to experiment with ways that teams might work differently in Primary Care, including integrated neighbourhood teams.

We also plan to join conversations about other practical collaborations and become involved in work that aligns with the broader strategic objectives of the Integrated Care System (ICS), including developing digital offers and supporting workforce development.