Why do we need change?
Across Lancashire and South Cumbria, we face some real challenges which mean we can’t carry on delivering health and care services the way we do. We will be honest in explaining these challenges to the public. Limits on NHS funding and a growing and ageing population means our health and care services are struggling to address the level of illness and poor overall health we face across the region. As a consequence, people don’t always receive the quality of care they need. We need to tackle these challenges and provide a health and care system that is fit for now and the future.
Read more about the shared challenges across Lancashire and South Cumbria.
What is the Lancashire and South Cumbria Integrated Care System?
The Lancashire and South Cumbria Integrated Carse System is the partnership of NHS and Council organisations working together to help people to live longer, healthier lives. This partnership is one of the first areas in the country to work as a shadow integrated care system. Integrated care systems are responsible for planning and commissioning care for their population by working together and joining up services.
This means that in Lancashire and South Cumbria NHS providers, commissioners and local authorities will all work together to deliver the best possible health and care for the population. Integrated care in Lancashire and South Cumbria will also include partnership working with community and voluntary organisations to provide a holistic approach to care.
The Integrated Care System is made up of five local areas (Central Lancashire, West Lancashire, Pennine Lancashire, Fylde Coast, and Morecambe Bay). These areas, four integrated care partnerships and one multi-speciality community provider provide a way for organisations and groups involved in health and care to join up locally.
- CCGs: Greater Preston, Chorley and South Ribble, East Lancashire, West Lancashire, Blackpool, Fylde and Wyre, Morecambe Bay, Blackburn with Darwen
- Five acute and community trusts: Lancashire Teaching Hospitals NHS Foundation Trust, University Hospitals of Morecambe Bay NHS Foundation Trust, East Lancashire Hospitals Trust, Blackpool Teaching Hospitals NHS Foundation Trust and Lancashire Care NHS Foundation Trust
- Two upper tier councils (Lancashire and Cumbria) and two unitary councils (Blackpool and Blackburn with Darwen).
What is the difference between Sustainability and Transformation Partnerships and Integrated Care Systems?
Lancashire and South Cumbria was previously known as a Sustainability and Transformation Partnership before being identified as one of the first areas to work towards becoming an Integrated Care System.
Find out more about how Lancashire and South Cumbria has developed.
Will these changes lead to privatisation?
The Integrated Care System is not working to privatise services.
A King’s Fund report about integrated care in February 2018 stated:
“It would also be wrong to see ICSs and ICPs as a means of privatising services. They have emerged through the leadership of NHS organisations rather than via market testing and they are an example of partnership working in the public sector. Private providers may be brought in by NHS organisations where they have distinctive expertise to offer, for example in providing analytical support, but this has occurred throughout the history of the NHS and is not the result of the developments discussed in this paper.”
Read more about integrated care systems in this Kings Fund report.
What is the Integrated Care System trying to achieve?
The Lancashire and South Cumbria Integrated Care System aims to deliver better health outcomes, a better experience for patients and the best use of NHS resources.
The ICS is clinically led by Dr. Amanda Doyle with support from senior clinicians, health professionals and managers from every part of Lancashire and South Cumbria. The ICS is guided by key objectives established by partners from Lancashire and South Cumbria:
- To set out a clear direction of travel for the unified health and care system in Lancashire and South Cumbria as the Five Year Forward View has across England.
- To achieve fundamental and measurable improvements in health outcomes by improving the clinical and social effectiveness of services focused on patient outcomes, effective use of resources and value for money.
- To reduce health inequalities across Lancashire and South Cumbria.
- To achieve parity of esteem for mental health and physical health across Lancashire and South Cumbria.
- To ensure greater focus on ill-health prevention, early intervention and self-care where this improves outcomes.
- Ensure that strategy and plans are created across Lancashire and South Cumbria to ensure delivery of effective and efficient integrated care services, in line with national requirements and timescales.
- To ensure change is supported by a clear evidence base or an evaluation structure where evidence is not available.
- To remove organisational or professional boundaries that get in the way of progress; and integrate performance assessment processes across commissioners and providers in health and care services, to enable them to be held responsible for delivery of the sustainability and transformation agenda.
- To make maximum use of new technology when this will improve the quality of care provided.
What do these changes mean for patients and service users?
The ICS aims to develop proposals that include practical changes to improve patients’ lives. These include things that patients often tells the NHS they care about; like making it easier to see a GP, speeding up cancer diagnosis and offering help faster to people with mental ill-health.
The NHS is one of this country’s proudest achievements and it has always adapted to improve care for patients. The growing number of older people in England is in part a testament to its success. But with demand for NHS services rising, new technologies emerging and demand for social care increasing, the NHS needs once more to adapt to a changing world.
What do these changes mean for frontline staff?
The proposals are based on local knowledge about the priorities and challenges in different parts of Lancashire and South Cumbria and other areas of the country. Frontline staff are crucial to understanding these. Many senior leaders come from a clinical background and leadership teams often include clinical representatives.
The ICS is developing strategies to deliver long-term solutions to local workforce challenges, as well as supporting staff to develop their skills and provide the best care possible for patients.
Staff will be able to work more closely with colleagues from other organisations. This should give health and care professionals more time to spend with people who need their help by reducing any unnecessary duplication. Improved data sharing and technology will support staff in their roles. New ways of working will create new and flexible roles with development opportunities for staff. We want to ensure health and care staff in Lancashire and South Cumbria are upskilled and enabled to work at the highest level they can which will provide the highest possible level of care for patients.
When and how will we involve local people?
Lancashire and South Cumbria Integrated Care System is an ambitious partnership which has been influenced by the public, local and national politicians and the workforce we have across all our health and care organisations. However, we know this is not enough, involving local people in change is essential and we will continue to develop opportunities to involve local people.
We need to help people to understand the challenges we face, why we need change and some of the ideas we have that could make a difference. We see this as an on-going conversation and we will continue to involve local people through forums, events and online as these ideas develop.
When any significant changes to services need to be considered, there will be a formal and legal consultation process which will need to be followed to ensure that local patients, staff and communities are able to have their say. We encourage members of the public to get involved with change as much as possible.
How can I get in touch?
We want to speak to local people and ensure they are always informed and involved in developments and changes. There are many ways you can be involved, take a look at our events calendar to see future events in your local area.
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