Our review work over the past few years has been led by Lincolnshire’s senior clinicians, who have experienced working in the services being considered.
As well as benefitting from the expertise of these clinical leaders, we have undertaken significant engagement with the public across Lincolnshire. This has involved explaining the challenges, discussing the possible solutions and ensuring their views have also influenced the developing ideas for improvement. A full overview of this process and associated timeline prior to developing into the ‘Acute Services Review’ in 2017, can be found on our website, and is summarised here:
The latest engagement programme that has fed into this review was Healthy Conversation 2019. During this six-month exercise we asked the public and many other stakeholders to tell us their views on a range of NHS services, and contributory factors such as access and workforce issues. Feedback from this relating to our acute services helped us develop the review process into possible solutions that NHS Lincolnshire CCG could take to public consultation. Similarly, the public feedback helped develop our understanding of public concerns, such as the importance of 24/7 Urgent and Emergency Care services in Grantham. (An overview of options that were discounted is described on each service page later in this document).
Those who took part in Healthy Conversation 2019 will note that there are only four of the services which were discussed at that point included in this consultation. This is because we are not currently able to progress improvements to all of the eight original services discussed at that time, due to not having sufficient capital funding at the current time. This means that there is not enough ‘one-off’ funding available to, for example, adapt the buildings to accommodate all of the potential service changes we are proposing.
The reason we are focussing on the current four NHS services is either because we can take the proposed changes forward without significant capital funding, or because the service is extremely fragile in its current state, and must therefore be prioritised for improvement in order to continue caring for Lincolnshire’s population.