• 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.

Like other areas this STP plans to transfer services out of hospital and into the community. The concern is that financial pressure will mean that cuts in hospital care will be made, helping to achieve savings, but without proper investment in community health services.

This STP area has not conducted a major public consultation process on the changes, such as the new models of care, outlined in the STP document. The Healthier Lancashire website directs residents who want to "get involved" to the local Healthwatch websites. The five areas that make up this STP have each held a number of public events.

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.

In an announcement from NHS England in July 2017, as one of the more advanced STPs, this area will receive £10m - £30m to be invested across Lancashire and South Cumbria to modernise mental health facilities and improve A&E facilities at two of the area’s hospitals.

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”.

Some funding could also come from the transformation funding available to eight areas designated in mid-2017 as accountable care systems (now known as integrated care systems); Blackpool and Fylde coast are among the eight designated areas and could receive a share of £450m in transformation funding.

The ACS is designed to "break down barriers between primary, secondary and social care." The ACS model could spread to the rest of the STP at a later date.

The STP footprint is divided into four areas with differing plans, Flyde coast is of them.

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. This is a new model of care that aims to integrate hospital, community and social care. For further details see our pages on New Models of Care and Accountable Care Organisations.

The STP footprint is divided into four areas with differing plans, East Lancashire is one of them.

The STP 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. It is likely that the area will be developed with a type of new model of care that will aim to integrate hospital, community and social care. For further details see our pages on New Models of Care and Accountable Care Organisations.

The STP footprint is divided into four areas each with its own plan, West Lancashire is one of them.

The STP submission refers to the “new community provider model (akin to multispeciality 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”. This is a new model of care and for further details see our page on New Models of Care.

The STP footprint is divided into four areas each with its own plan, Morecambe Bay is one of them.

The STP outlines the ongoing work to develop an accountable care model. This is a new model of care that aims to integrate hospital, community and social care. For further details see our pages on New Models of Care and Accountable Care Organisations.

The GP-led walk in centre at Accrington Victoria hospital has had 6 stays of execution after it was originally planned to be axed in March of 2017. The community are still fighting for it to remain open as it is still set to close at the end of March.