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Reason for change

The Locality Model Redesign has been prompted by a number of factors including the NHS Long Term Plan (LTP), NHS Operational Planning and Contracting Guidance for 2020/2021, the King’s Fund in 2016, the Five Year Forward View for Mental Health and the review of the acute mental health pathway by Cumbria, Northumberland Tyne and Wear NHS Foundation Trust.

The NHS Long Term Plan (LTP) sets out the way Trusts need to improve care over the next 10 years to ensure that everyone gets the best start in life, delivering world class care for major health problems and supporting people to age well. It describes how we must overcome challenges such as staff shortages and growing demand for services through:

  • Doing things differently
  • Preventing illness and tackling health inequalities
  • Backing our workforce
  • Making better use of data and digital technology
  • Getting the most out of taxpayers’ investment in the NHS

The infrastructure that has been developed to support this transformation nationally describes Strategic Transformation Partnerships (STPs) and Integrated Care Systems (ICSs). Integrated Care Partnerships (ICPs) will support populations which contain the newly forming Primary Care Networks (PCNs). As an organisation we need to work collaboratively with other local NHS organisations, Local Authorities and all sectors including community and voluntary organisations if we are to deliver effective population health.

For Lancashire and South Cumbria and therefore LSCFT this equates to:

  • One Integrated Care System (ICS)
  • Four Integrated Care Partnerships (ICPs)
  • One Multispecialty Community Provider (MCP) (West Lancashire)
  • 41 Primary Care Networks (PCNs)

The five local health and care partnerships population sizes are:

  • Morecambe Bay 352,000
  • Pennine Lancashire 566,000
  • Fylde Coast 354,000
  • Central Lancashire 399,000
  • West Lancashire 114,000
  • Southport and Formby 126,000

The development of locality networks and senior leadership posts will enable relationships and partnerships to strengthen further at ICP and PCN level. This will further support the development of population health management approaches. The Trust has been an active partner in the development of the recently published ICS 5-year strategy, articulating our collective approach to supporting delivery of the LTP. Next steps include the development of a delivery plan for the ICS strategy, and the development of an ICS Clinical Strategy.