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Why do we need change?
In Lancashire and South Cumbria we have poor health, we have poor health outcomes and we are investing in services that are not working whilst demand is set to far outweigh the resources we have if we don’t change. There are financial, geographical and health challenges in Lancashire and South Cumbria which are more serious and urgent than other areas in the country.
We need to change the health and the wellbeing of the population and support them in taking more responsibility for their health. Care and quality provided by our services needs to improve so that our health outcomes are not amongst the lowest in the country in too many areas and we need to make changes to the finance and efficiency of our services.
No change is not an option. NHS and Council organisations in Lancashire and South Cumbria face a collective financial challenge of £575m over five years which is almost a quarter of the budget if demand increase as expected and we continue to deliver services as we do now. We know that by working more co-operatively across organisations we can reduce repetition, waste and unnecessary cost while providing a better health experience for patients.
What does the Healthier Lancashire & South Cumbria footprint look like?
The Healthier Lancashire & South Cumbria footprint comprises nine Clinical Commissioning Groups (CCGs), more than 200 GP practices, four acute NHS hospital trusts, a health and wellbeing trust and a single specialty learning disability trust.
Social care is provided by Lancashire County Council and Cumbria County Council and the two unitary authorities of Blackburn with Darwen and Blackpool.
Additionally, there is an active third sector supporting health and care across our area. Within this community there is now a clear sense of common purpose and a sense of urgency around the need for change.
Will the STP replace other local NHS governance structures?
No. NHS organisations won’t lose their identity or autonomy and existing plans will remain in place. The STP process is about ensuring that organisations are able to work together across the region and across communities to plan for the needs of their population.
How do STP footprints fit with other health and care footprints?
The boundaries used for STPs will not cover all planning eventualities and there are layers of plans which sit above and below STPs. For example, neighbouring STP areas will need to work together when planning specialised or ambulance services or working with multiple local government authorities. Other issues will be best planned at a LDP level, others at clinical commissioning group (CCG) level.
How will we involve patients?
The Healthier Lancashire & South Cumbria STP is an ambitious, draft plan which has already been influenced by the public, local and national politicians and officials and the great workforce we have across all our health and care organisations.
Over 20 public engagement events have already been undertaken. However we know this is not enough, we need to make sure local people are involved in creating the changes and will be encouraging people to get involved with their local plans. That is why we are keen to publish the plan and get feedback from as wide a segment of our staff, patients and population as possible.
What are LDPs?
Healthier Lancashire & South Cumbria represents 33 NHS and local Council organisations, along with Third Sector partners, who have come together to form five local programmes across the region:
· In Central Lancashire organisations are delivering transformation locally with the Our Health Our Care programme.
· In Pennine Lancashire organisations are delivering transformation locally with the Together: A Healthier Future programme.
· In West Lancashire organisations are delivering transformation locally with the vision for joined up care Building for the Future.
· In Fylde Coast organisations are delivering local transformation with the Your Care, Our Priority programme
· The Bay Health & Care Partners have been delivering local transformation with the Better Care Together programme
When will you be asking local people and stakeholders for their views?
We need to make sure local people, stakeholders, politicians and councillors are involved in shaping local plans so that better plans and proposals can be developed.
In terms of any proposals to change services, where there is an impact on local people, we will ensure that these proposals are subject to local engagement and formal consultation in line with legislative requirements.
Will there be an easy read version of this document?
Yes, Healthier Lancashire and South Cumbria are currently working with local Healthwatch and groups of local people in each of the local delivery areas to test materials that will make this technical document easier to understand.
These materials will also be tested with health and social care staff to capture their views on these materials before they are finalised.