The Strategy, Commissioning and Integration Directorate (SCI) has been established to enable NHS Sussex to: Strengthen its approach to strategic commissioning, focusing on outcomes and joining up pathways of care across organisational boundaries. Focus on reducing unwarranted variation in healthcare and address health inequalities. Develop integrated community teams, with system partners including local authorities. Lead the strategic development of the system to enable the establishment of clinically led provider collaboratives to improve pathways, deliver service transformation and deliver best value within available resources. The following changes are key to implement new ways of working to deliver the aims above: Establish a single strategic commissioning functionacross NHS Sussex,supported by health analytics, evidence-based action and triangulation of feedback. Establish clear line of shared accountabilitybetween strategic commissioning, quality, and clinical roles. Standardise unwarranted variation in commissioning practice across the three local authority areas, including primary care commissioned services. Strengthen focus on the deliverables within contracts, including the NHS Standard contract. Strengthen the strategic leadership role of NHS Sussex. Create a stronger infrastructure for delivery, with a clear focus on delivering improvement. All staffing bands will work across Sussex to support increased strategic commissioning and a consistent approach to deliver our Improving Lives Together strategy, with a focus on Place where required to deliver local change. The directorate will work in a matrix manner across teams to ensure delivery using an MDT approach.