A new plan published today sets out how more care will be provided in future closer to home by joined up teams of health and care professionals.
The Lincolnshire Sustainability and Transformation Plan (STP) gives a commitment to improving the quality of services in Lincolnshire, boosting the health and wellbeing of residents and bringing the healthcare system back into financial balance by 2021. Led by clinicians in Lincolnshire, the STP has been developed by all local NHS organisations with input from local government officers and discussion with patients and staff.
The plan follows on from the Lincolnshire Health and Care (LHAC) Case for Change report (published June 2016) which set out the challenges Lincolnshire health and care system faces from a rapidly ageing population, many with long term conditions like diabetes and heart disease. The details published today explain how the way healthcare is delivered in the county will need to change to meet the rise in demand for services.
The proposals set out in the plan to achieve this include:
- More investment in primary care and community services and more focus on prevention to keep people out of hospital
- A joined up health and social care service at a neighbourhood level where teams work together to support people, carers and families and care is coordinated
- Improving the effectiveness of services – reducing things like cancelled operations, delays in discharging people from hospital, waiting times for appointments and referrals
- Possible options to centralise some services where it will deliver better outcomes for patients
No final decisions have been made and any changes to hospital services will be subject to a full public consultation.
Commenting on the plan, Allan Kitt, Chief Officer of South West Lincolnshire CCG and lead for the STP, said: “This is a really exciting opportunity for Lincolnshire which we believe will transform our patients’ experience of care in the county. The big shift will be in providing fully integrated health and care services in the community that support people much earlier on, before they reach crisis point and need to go to hospital.
There is genuine agreement amongst health and care organisations about how we should be moving forward, providing much more proactive personalised care to keep people well and healthy. For the first time we have a single plan to help us do this and we’re already making progress in a number of areas. The people of Lincolnshire deserve good quality care; we have a great opportunity now to overhaul the way our outdated services operate and provide care that is seamless and effective, where every pound spent delivers real benefit to our patients.”
Lincolnshire’s healthcare system will be overspent by £182m by 2021 if there are no changes to the way in which services are delivered. The plan sets out how Lincolnshire will achieve £130m of savings by 2021. These savings, supported by an assumed additional £52m in national transformation funding, will bring the NHS in Lincolnshire back into balance within the five year timeframe.
The plan is the result of 12 months of work by health and care organisations, building on a further 2 years of conversation through the Lincolnshire Health and Care Programme about the future of services in Lincolnshire. This is the first time that one plan has been published which sets the direction for the whole county with clear goals for how care will be improved.
The plan sets out how the total spend on health services in Lincolnshire is going to increase from £1.266bn per year (2016/17) to £1.4bn per year (2020/21). The biggest percentage increase in spending will be in primary care services. Primary care is health care provided in the community for people making an initial approach to a medical practitioner or clinic for advice or treatment. It includes GP services.
The plan includes a commitment to hold a public consultation in 2017 to get the views of residents on proposals for changes to urgent and emergency care, planned care and maternity and children’s services. Many of these services struggle to meet safety standards due to the shortage of key staff and proposals are likely to include plans to centralise some services and move some other services much closer to home.
Andrew Morgan, Chief Executive of Lincolnshire Community Health Services NHS Trust and Chair of the System Executive Team, commented: “It has not been an easy process and we have had to make some difficult choices about how to prioritise spending in order to maximise the benefit to our whole population. We have looked at national best practice and we have listened to the views of our residents to come up with a high level plan. Now we want to continue that discussion and engagement as we move forward with delivering it. We are committed to being as inclusive and open as possible. We will listen to all contributions and use these contributions to influence the decisions we make”.
Notes to editors:
1. In January of this year, NHS England asked all 44 areas of the country to each produce a single five year sustainability and transformation plan (STP). The aim of the STP process was to see how, by working together, health and care organisations could improve the health and well-being of their resident population and increase the clinical and financial sustainability of local health and social care services. More information about the STP can be found here – https://www.england.nhs.uk/ourwork/futurenhs/deliver-forward-view/stp/
2. Frequently Asked Questions, a public summary of the Lincolnshire STP and the full submission document can all be viewed here: www.lincolnshirehealthandcare.org/stp
3. The work to develop the STP has been led by Lincolnshire’s seven health organisations which are:
- Lincolnshire West Clinical Commissioning Group
- Lincolnshire East Clinical Commissioning Group
- South West Lincolnshire Clinical Commissioning Group
- South Lincolnshire Clinical Commissioning Group
- United Lincolnshire Hospitals NHS Trust
- Lincolnshire Community Health Services NHS Trust
- Lincolnshire Partnership NHS Foundation Trust
There has also been input from and discussion with officers from Lincolnshire County Council in relation to prevention, public health and joining up services in the community, as well as dialogue with other partners in the voluntary, public and independent sectors who play a key role in supporting the health and wellbeing of people in Lincolnshire.
4. Lincolnshire Health and Care was started in 2013 (under the name Lincolnshire Sustainable Services Review) when health and care organisations in Lincolnshire realised that current services did not adequately meet the needs of residents, due to growing demands and financial pressures.
5. The LHAC Case for Change report can be downloaded http://lincolnshirehealthandcare.org/en/find-out-more/documents/
6. The System Executive Team is made up of the Chief Executives and Chief Officers of all seven health organisations in the county. It also includes membership from the Lincolnshire Local Medical Committee (which represents GPs in the county) and Lincolnshire County Council. It meets weekly and has oversight and responsibility for the development and implementation of the STP.
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