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Locality Model Redesign

The main driver for the organisational redesign of LSCFT is to ensure that every person using our services receives the same experience and quality of care no matter where they access services. It will enable the Trust to fully and actively participate in both ICP and ICS strategy development, improvement in population health and addressing health inequalities based on our unique position as a prominent partner at both levels, as the only provider that covers the whole ICS and in the immediate future as the commissioner of mental health and learning disability services. The structure is designed taking into consideration learning from other Trusts and is centred on the delivery of high quality and safe care through operational grip and clear accountability.

This will be achieved vertically through the management of four locality facing networks:

  • Pennine Lancashire
  • Central Lancashire (incl. West Lancashire and Southport & Formby)
  • Fylde Coast
  • The Bay (South Cumbria and North Lancashire)
  • One Specialist Services Network and horizontally through specialty strategic clinical networks to ensure appropriate standardisation of care and clinical quality.

Each network has its own triumvirate leadership team of Medical, Nurse and Operations and is supported by a professional leadership model. The leadership structure is reflective of the scope and scale (workforce and turnover) of each Network and the leadership teams are central to improving quality, ensuring patient safety and clear accountability as we develop as a learning organisation.

The structure will be operationally led with a strong clinical focus and collaborative working reinforcing multidisciplinary working and collective leadership. The triumvirate strengthens clinical leadership and in particular in developing and implementing the clinical strategy.

Clinical leads will oversee a single clinical pathway across all the localities. It is anticipated that leads will be in the following pathways; CAMHS, Adult Mental Health, Older Adults Mental Health, Physical Health.

Initially, many of the corporate services roles will be aligned to localities in a Business Partner model with the ambition of moving to a fully integrated model once standardisation has been achieved and the model has matured. This will be further developed with the planned corporate services transformation programme.