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Our 'Case for Change' is a document that looks at the current challenges being faced by our local hospitals. It identifies problems being faced and gives a summary of why change is required across central Lancashire. It explores how our hospitals, in particular the urgent and emergency care services, are performing. 

It looks at the challenges people face in accessing health and care services across central Lancashire and also analyses the current challenges being faced across the entire NHS. 

Additionally, this 'Case for Change' looks at how future developments within central Lancashire, such as population growth, could impact on the performance of our health and care services in the future. 

The 'Case for Change' also explores what the possibilities are for our region and explains what the future should look like in order to meet the fair expectations of local residents as taxpayers. 

What are the main problems identified in the 'Case for Change'?

The case for change highlights five key problems that summarise the current challenges our health and care system is facing:

Demographics – The number of people in central Lancashire is a growing and the population is ageing. Our local hospitals are not set up in the best way for the future to deal with these changing needs.

Lack of alternatives – Local people do not have enough options for their care. This can result in increased use of urgent and emergency care services provided by our local hospitals.

Flow – Too many people wait too long for their care and too many experience delays when they are in hospital.

Workforce – Across our health and care system, including our local hospitals, we do not have the workforce that we need in critical areas.

Effective use of resources – As a health system, we are not making best use of the resources we have.

What are we trying to achieve for local people?

We want to learn from our challenges and work as a system to improve health and care. We are working towards a future where the following happens every day:

  • The healthcare system is easy to understand and is accessible for the whole population
  • Traditional organisational barriers are broken down allowing organisations to work closely together, to ensure people receive continuous care which is joined up;
  • Through organisations working more closely together, people will experience a seamless journey, with no unnecessary delays, handoffs in services or issues when moving from one service to another
  • Care is delivered where possible as locally and as close to home as possible
  • Urgent and emergency care services are able to meet national standards for all clinical areas
  • People receive personalised care, designed around their needs. People are  be supported to make decisions about how and where they receive their care
  • Hospitals have the correct workforce, so that every person has the same access to care
  • People are seen quickly and do not have to wait for increased time periods
  • People do not experience high levels of cancellations for routine and planned procedures
  • People have the opportunity to receive routine procedures closer to home and in the community.

In essence, we hope that everybody across Central Lancashire will experience the right care, at the right time, at the right place to meet their healthcare needs.

What next?

Our Case for Change was approved on 13th December 2018 by the Joint Committee of Clinical Commissioning Groups, made up of senior clinicians, lay members and colleagues from across our local health and care system. You can read the full approved document by clicking here.

This Case for Change has helped to inform a new Model of Care which describes how services should look in the future to address the challenges. 


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