Why do we need change?
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
What is Healthier Lancashire and South Cumbria?
Lancashire and South Cumbria 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
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.
integrated care system is made up of five local areas (Central Lancashire, West
Lancashire, Pennine Lancashire, Fylde Coast, and Morecambe Bay). These areas,
called integrated care partnerships, provide a way for organisations and groups
involved in health and care to join up locally. Partners include:
- 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
- Two upper tier councils
(Lancashire and Cumbria) and two unitary councils (Blackpool and Blackburn
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
Will these changes lead to privatisation?
integrated care system is not working to privatise services. A King’s Fund
report about integrated care in February 2018 stated:
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 Healthier Lancashire and South Cumbria trying to achieve?
Lancashire and South Cumbria aims to deliver better health outcomes, a better
experience for patients and the best use of NHS resources.
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
- 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?
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.
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?
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
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. Healthier Lancashire and South Cumbria
includes Workforce in its priorities.
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 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.
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.
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.
here to find out about local events
where you can find out more
How can I get in touch?
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
also follow us on Twitter @HealthierLSC
Or get in
Telephone: 01253 951630
Address: Healthier Lancashire and South
Cumbria, Second Floor, Preston Business Centre, Watling Street Road, Preston,