Agenda item

(To receive a report by Jan Sobieraj (Chief Executive – United Lincolnshire Hospitals NHS Trust (ULHT)) which provides an update on the development of United Lincolnshire Hospitals NHS Trust's 2021 Strategy and Change Programme to deliver the strategy.  Jan Sobieraj (Chief Executive – ULHT) and Dr Suneil Kapadia (Medical Director – ULHT) will be in attendance for this item)

A report by Jan Sobieraj (Chief Executive – United Lincolnshire Hospitals NHS Trust (ULHT)) was considered which provided an update on the development of United Lincolnshire Hospitals NHS Trust's 2021 Strategy and Change Programme to deliver the strategy.

Kevin Turner (Deputy Chief Executive – United Lincolnshire Hospitals NHS Trust (ULHT)), Jan Sobieraj (Chief Executive – United Lincolnshire Hosptials NHS Trust (ULHT)) and Dr Suneil Kapadia (Medical Director – United Lincolnshire Hospitals NHS Trust (ULHT)) were in attendance for this item.

Due to the significant service and financial challenges faced by many NHS Trusts, United Lincolnshire Hospitals NHS Trust was in the process of developing a five year strategy which would align to Lincolnshire's Sustainability and Transformation Plan (STP).  It was agreed that this strategy would be managed by the 2021 Programme Board, led by the Chief Executive.

Work had been undertaken to ensure that the development of the five year strategy was in line with the STP.  Following initial consultation and engagement with key stakeholders the ambitions noted below were agreed:-

·       Our Services will:-

o   Be Centres of Excellence;

o   Be secure in Lincolnshire where possible; and

o   Get things right first time, valuing patient's time.

·       Our Patients will:-

o   Want to choose us for their care and be our advocates; and

o   Shape how our services run.

·       Our Staff will:-

o   Be proud to work at ULHT;

o   Always strive for excellence and continuous learning and improvement; and

o   Challenge convention and improve care.

It was reported that these ambitions would be realised through the delivery of key priorities which were being developed into improvement programmes.  These programmes would be managed by the 2021 Change Programme and would provide the transformational change platform to enable the organisations to achieve future sustainability.  The programmes include:-

·       Redesign of clinical services to extend future sustainability;

·       Productive Hospital to improve Market Share seeing and treating more patients currently accessing elective care outside ULHT;

·       Review of the workforce to address future gaps, design new roles and develop more flexible models of delivery;

·       Improve productivity, efficiency and Estates;

·       Improve staff engagement – delivering safer and better outcomes for patients; and

·       Targeting quality improvement.

Development and delivery of the Five Year Strategy would be underpinned by communication, engagement and consultation, plans for which were being finalised.

It was agreed that a working group be established to provide the initial views on the strategy with a view to holding one meeting in early/mid-December and it was also agreed that the Health Scrutiny Officer would seek nominations from the Committee.  It was agreed also that Healthwatch Lincolnshire would nominate a representative for the working group.

Members were invited to ask questions, during which the following points were noted:-

·       It was suggested that more positive press coverage was required to counteract the negative media currently surrounding ULHT.  Staff within the Trust worked extremely hard to provide excellent patient care but it was acknowledged that, despite good news stories being shared with the press, the focus was inevitably on the failures;

·       As patients had the right to choose where they underwent elective care, the responsibility of the Trust was to attract more patients in choosing services in Lincolnshire for elective care;

·       Over 60% of planned care patients had indicated that they would travel a considerable distance to access better service and it was accepted that it was not the principle in question but the practicalities involved in such a rural county.

RESOLVED

1.    That the report be noted; and

2.    That a working group be established to consider initial views on the Five Year Strategy.

The Committee agreed to consider Item 8 – Lincolnshire East Clinical Commissioning Group Update after the lunch break.

NOTE:   At 1.20pm, the Committee adjourned for lunch and reconvened at 2.00pm.  On return, the following Members and Officers were in attendance:-

County Councillors

Councillors Mrs C A Talbot (Chairman), R C Kirk, Mrs S Ransome, Mrs J M Renshaw, S L W Palmer and Mrs S M Wray

District Councillors

Councillors J Kirk (City of Lincoln Council), Mrs P F Watson (East Lindsey District Council), T Boston (North Kesteven District Council) and C J T H Brewis (South Holland District Council) and Mrs R Kaberry-Brown (South Kesteven District Council)

Officers in attendance

Andrea Brown (Democratic Services Officer), Dr Kakoli Choudhury (Consultant in Public Health), Simon Evans (Health Scrutiny Officer), Jane Green (NHS England), Dr Peter Holmes (Chairman – Lincolnshire East CCG), Gary James (Accountable Officer – Lincolnshire East CCG), Tracy Pilcher (Chief Nurse – Lincolnshire East CCG) and Jason Wong (Chair – Local Dental Network, NHS England)

Healthwatch

Dr B Wookey