13. Lincolnshire

ICS to be developed

The NHS ten-year long-term plan published in January 2019 stated includes the development of integrated care systems (ICS) across England, in which healthcare organisations, including acute, community and primary care, and social care and public health will work closely together. These ICS are to evolve from the STP areas and be in place by April 2021.

The chief executives of NHS England and NHS Improvement had already written to all STP leaders in October 2018, instructing them to come up with new five year STP plans by autumn 2019. The new five-year plans will replace those which were previously drawn up based on the previous five year funding settlement to 2020-21.

These new STP plans will now feed into the development of the ICS.

The ICS will develop either through a number of alliance contracts or through a single provider being in charge of integration of services - an integrated service provider (ICP).

For more information on ICS see our briefing page here.

NOTE: The information on this page relates to the original STP drawn up in 2016; much of the information is still relevant, however, and is likely to be part of any ICS.

What concerns have been raised about your STP?

Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed changes

Grantham A&E may be downgraded to an urgent care centre; at present the A&E is closed at night due to staff shortages.

A reduction of the equivalent of 750 full-time healthcare posts across the county by 2021 is planned.

Closure of Lincoln Walk in Centre.

Campaigners are concerned that a merger of Louth Hospital with Skegness hospital could see closure or downgrading of Louth Hospital.

Extra Cost-savings planned

This STP contains North Lincolnshire CCG, one of the most over-spent areas in England. In documents leaked to the HSJ and reported by the Independent, cost-cutting measures for North Lincolnshire could include:

  • Longer waiting times for elective care;
  • Closure of wards and theatres;
  • Staffing cuts;
  • Ending funding for some treatments and prescriptions;
  • Delaying or avoiding funding newly approved treatments;

For more information, see below.

Changes in who organises our care

The STP contains plans to develop a new model of care within Lincolnshire, initially with a multispeciality community provider (MCP) to increase integration within health and social care.