Our Health Our Care
Within our partnership, we are working together on what we call the Our Health Our Care programme, to look at how we can make improvements to the way our local health and care services are arranged and accessed.
This focuses on hospital services across Preston, Chorley and South Ribble, but also looks at how services provided away from the hospital (such as family doctors, community nursing and others) could work alongside hospital services in the future. The ultimate aim of this work is to make sure local people get the right care, at the right time, from the right team and in the right place.
A number of our local clinicians have already described why and how we need to transform services to better meet the challenges which we face across central Lancashire and improve the care they are able to provide. This has included taking on board lots of feedback from members of the public, staff and other key stakeholders across central Lancashire.
Learn more by visiting the dedicated Our Health Our Care website.
Update regarding the Our Health Our Care programme in central Lancashire
26 February 2021
We are now in a position to confirm next steps in relation to the Our Health Our Care (OHOC) programme for central Lancashire.
The NHS in Lancashire is committed to safe, convenient and high quality services for patients. In emergency departments that is especially important. That’s why over the last few years we have sought to find new ways of making hospital services better.
Following correspondence from NHS England and NHS Improvement (North West) reflecting direction from the Secretary of State for Health and Social Care we have taken the decision to stop the planned OHOC consultation.
Instead, the Lancashire and South Cumbria Integrated Care System, where all the local NHS organisations work together have decided to make hospital services better through the Government’s New Hospital Programme.
This is a sensible way forward as it reflects the new options available to the local NHS through the New Hospital Programme which were not available when the OHOC programme began.
As part of this work, we have been asked to fully consider options that provide safe, high-quality care, within Chorley Hospital’s emergency department.
The CCGs and Lancashire Teaching Hospitals NHS Foundation Trust are working together with other partners to ensure we are in the best place possible to take advantage of this significant opportunity to deliver long-term benefits for local people.
In the meantime, Lancashire Teaching Hospitals NHS Foundation Trust and the CCGs are working to restore the provision of emergency services at Chorley emergency department to the commissioned service model.
We continue to engage regularly with Lancashire County Council and its Health Scrutiny Committee.
As you would expect with these and other matters, the NHS will continue to support service models which are safe, effective, and put patients first. This isn’t just what is in our statutory obligations, it’s what’s right.
We are confident that this is the right way forward and we will keep you updated on next steps.
Important: Coronavirus (COVID-19)
Our Health Our Care programme update
We wanted to provide an update on the impact of the Covid-19 (Coronavirus) pandemic on the Our Health Our Care (OHOC) change programme in central Lancashire.
NHS Chorley and South Ribble Clinical Commissioning Group and NHS Greater Preston Clinical Commissioning Group (CCGs) are still committed to an open and transparent consultation about the changes proposed by the programme at the appropriate stage. This commitment is shared by all partners and is not affected by the emergency changes required to services to protect lives during the Coronavirus pandemic. A date for services to return to their former function cannot be set while we are managing the Coronavirus pandemic, however a thorough plan to safely de-escalate the temporary changes is being prepared.
Before the Coronavirus pandemic the OHOC programme team had been developing a draft pre-consultation business case document about the different options for changes to services in central Lancashire.
Once completed, the pre-consultation business case will provide a summary of:
- The case for change,
- The model of care, and
- The long list of options considered before explaining which options it is proposed to consult the public about and why.
The pre-consultation business case will also explain how we have considered the engagement outcomes which have taken place with staff and members of the public up to this point.
In January this year, we published the independent clinical reports which are being used to help develop the pre-consultation business case.
You can read more about these independent clinical reports.
You can read more about the full long list of the programme options.
The draft pre-consultation business case needs to be reviewed by NHS England who will assure that the information contained within it both is sufficient, and also that it meets a number of tests.
The document would then be finalised and published for consideration by the Our Health Our Care Joint Committee of the Clinical Commissioning Groups. The Joint Committee would need to approve the pre-consultation business case before a formal public consultation could be launched - which would be a minimum of twelve weeks and possibly longer.
When the pre-consultation business case is ready for consideration by the Joint Committee it will be published in the public domain, on the programme website. The programme team will also share the information with Elected Members and the membership of the Health Scrutiny Committee from Lancashire County Council. Meetings of the Joint Committee are held in public.
Recent developments linked to the Coronavirus pandemic
Our plan was to work towards a public consultation being able to take place this Summer, based on the above steps taking place. However, we have recently been advised that NHS England will be unable to consider the draft pre-consultation business case at this time because the management of the Coronavirus pandemic must understandably take priority. The CCGs and programme team wholly support the decision taken by NHS England.
We wish to be absolutely clear that the decision to delay considering the draft pre-consultation business case does not mean that this step will now not take place.
We also wish to reassure members of the public who may be concerned about the temporary creation of an urgent care centre at Chorley and South Ribble District General Hospital that this development relates only to the emergency public health requirements arising from the pandemic at this time. The impact of these changes are being appropriately monitored and considered on an ongoing basis.
As indicated above, the CCGs are still committed to an open and transparent consultation about the changes proposed by the programme at the appropriate stage. This commitment is shared by all partners and is not affected by the emergency changes required to services to protect people’s health and ultimately lives during the Coronavirus pandemic. A date for services to return to their former function cannot be set while we are managing the Coronavirus pandemic - however a thorough plan to safely de-escalate the temporary changes is being prepared.
Our new plan will be to work towards a public consultation at the earliest possible and appropriate stage. We envisage that would be from Autumn 2020. We wish to work towards a public consultation where everyone is able to have their say, in more normal circumstances, about the best long-term changes to make to health and care services in central Lancashire.
In the meantime, a number of the people involved in supporting the programme team have been temporarily reprioritised towards supporting the Coronavirus pandemic response. Therefore, at this time, responses to questions about the programme and decision-making processes and timelines may be limited to the content of this update and currently published information. We thank you for your understanding about this.
Please also be assured that any changes or developments relating to the Our Health Our Care programme will be published on the website in good time and will also be shared via our usual social media channels.
If you would like to find out more about the programme or our work, then please visit: Healthier Lancashire & South Cumbria.
You can also follow us on Facebook or Twitter at the links below:
We look forward to continuing to work with all of our partners and the public to deliver the best possible clinical outcomes for people in central Lancashire.
The Our Health Our Care Programme Team