4. Lancashire & South Cumbria

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.

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 does the STP mean for your area?

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

Proposed cuts

Possible downgrading or closure of Southport and Formby District General Hospital A&E department.

Closure of GP-led walk-in centre at Accrington Victoria Hospital.

Possible downgrading or closure of the A&E at Chorley hospital site. This has been denied, but rumours persist.

Lack of investment

In Lancashire and South Cumbria alone, it is estimated a staggering £264m capital is needed to deliver the STP projects. The government has promised £10m - £30m of new funding to modernise mental health facilities and improve A&E facilities at two of the area’s hospitals.

Changes in who organises our care

In June 2017, Simon Stevens announced that Blackpool and Fylde coast area is to be an Accountable Care System, with this model of care spreading to the entire Lancashire and South Cumbria STP at a later date.