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NHS Health & Wellbeing Services in Lancashire & Cumbria A summary – 14 th March 2011. The need for change is driven by:. The review of NW Occupational Health Services (Ford / Kirk / Dedham) The national Kirk review (NHS Plus) The Boorman agenda Accreditation of OH services (SEQOHS)
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NHS Health & Wellbeing Services in Lancashire & CumbriaA summary – 14th March 2011
The need for change is driven by: • The review of NW Occupational Health Services (Ford / Kirk / Dedham) • The national Kirk review (NHS Plus) • The Boorman agenda • Accreditation of OH services (SEQOHS) • Financial constraints (and QUIPP) • Public Health White Paper – the opportunities for closer working on issues affecting the working age population
The local issues: • Local services, with different strengths, challenges and opportunities • Blackpool Fylde & Wyre • Lancashire Teaching • Morecambe Bay and – there may be advantages to our neighbours to be involved (North Cumbria, East Lancs)
NHS & Local Government customers: Host Trusts PCTs Local Authorities LTHTr 7800 600 + GPs 2000 BFWH 4800 2000 UHMB 5000 8000 UCLAN 2000 NWAS >1500 Total >33000
The opportunities • Early implementation of DH-driven reconfiguration • Establish one of the largest NHS-based HWWB services in the country • Provide a platform for strategic Public Health partnerships – e.g. Cumbria County Council • Compete with non-NHS providers on quality, coverage and (maybe) cost
The challenges • Ensuring the right skill-mix and flexibility • Ensuring compliance with national standards • Vulnerability of current business models to ‘NHS changes’ • e.g. the destabilising effect of losing a big NHS contract • Meeting the challenge of the wider HWWB agenda in a time of economic difficulty • i.e. developing and delivering the extended HWWB agenda without losing a grip on core activities (fitness for work etc.)
The proposition • To develop a single provider with a North Lancs & Cumbria footprint, and • use specialist expertise more efficiently and flexibly • develop specialist nurses already in post • introduce technicians • rationalise physiotherapy & counselling • rationalise administrative support • rationalise data-handling, policies and procedures • re-brand the service, including website and on-line services