4. Lancashire & South Cumbria
What does the STP mean for your area?
The STP for Lancashire & South Cumbria has been widely criticised for its lack of detail. Tim Farron, MP for Westmorland and Lonsdale called it a "vague report - vaguer than most others around the country".
Downgrading or closure of the A&E at Chorley hospital site.
Closure Walk-in centre of a GP at Accrington Victoria Hospital.
Further privatisation as “non-NHS sources [of funding] will be examined carefully”.
Possible downgrading or closure of Southport and Formby District General Hospital A&E department.
What are the proposed aims of the STP
- Eliminate the projected 2020/21 deficit of £572 million;
- Development of new models of delivery for vascular; cancer; maternity; neonatology; paediatrics; critical care; end of life care; and orthopaedics;
- Transformation of primary and community services with a 20% increase in these services;
- Move away from care in hospitals to the community.
The STP notes that £160 million is required over the next two financial years to make the key changes to the services in the area.
This includes about £95 million for hospital specialties to be consolidated, and £65 million for community premises to be built or adapted to allow a transformation of primary and community services.
The STP adds that further investment would be required in subsequent years.
The STP does acknowledge that there are tight constraints on capital but says the option of “non-NHS sources [of funding] will be examined carefully”.
In Fylde coast, the STP contains a “redesign of urgent and emergency services” across Blackpool and the Fylde, and plans to “lay the foundations for the development of an accountable care system/organisation” by 2019.In East Lancashire, the document refers to a “solution design programme to develop the best possible business case for the transformation of services”, but does not offer details around this.
In West Lancashire, the STP submission refers to the “new community provider model (akin to multispecialty community provider model)” from April 2017 as “the cornerstone of [West Lancashire] CCG’s out of hospital strategy and also includes joining up out of hospital urgent care”.
In Morecambe Bay, the STP outlines the ongoing work to develop an accountable care model.