Governance and oversight

Lancashire and South Cumbria New Hospitals Programme is part of a wider programme of improvements in healthcare provision, and involves collaboration with all NHS organisations across our region.

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We'd like to introduce you to the core team for Lancashire and South Cumbria New Hospitals Programme

 

We have created a structure of oversight and governance from partners, boards and committees. This ensures that all decisions regarding new hospital facilities reflect the needs of local people and will deliver on the overall Lancashire and South Cumbria integrated care system core purposes to improve outcomes in population health and healthcare; tackle inequalities in outcomes, experience, and access; enhance productivity and value for money; and help the NHS support broader social and economic development.

We have developed a series of meetings and boards where representatives from partnership organisations come together to jointly review, input into and approve proposals for new hospital facilities at different stages in the programme.

On this page:

> Statutory bodies responsible for overseeing the programme within Lancashire and South Cumbria

> Provider Collaborative Board

> Strategic Oversight Group

> NHS and Government departments

Statutory bodies responsible for overseeing the programme within Lancashire and South Cumbria

NHS Trust Boards

Lancashire Teaching Hospitals NHS Foundation Trust (opens in new window) and University Hospitals of Morecambe Bay NHS Foundation Trust (opens in new window) are working together to progress investment through the national New Hospital Programme. In May 2023 the Government announced two new hospitals to replace Royal Preston Hospital and Royal Lancaster Infirmary as part of a rolling programme of national investment in capital infrastructure beyond 2030. Each of the Trusts has been granted seed funding to allow them to progress plans.

The Boards of these Trusts, along with system partners, are accountable for the success of the Programme and for ensuring that any action taken is in line with strategic health plans, including:

  • Providing assurance and approving key decisions – including the Strategic Outline Case (SOC), Outline Business Case (OBC) and Full Business Case (FBC) for proposals for new hospital facilities
  • Ensuring that effective controls are in place to manage Trust / corporate risks
  • Championing and securing support.

For more information about the Trust Boards, please visit the following websites:

Links to Board papers

Lancashire Teaching Hospitals NHS Foundation Trust Board (LTHTr) papers related to the New Hospitals Programme:

Links to agendas are provided below. Copies of Board papers are available on request by emailing company.secretary@lthtr.nhs.uk.

Requests for historical papers for public Board meetings should be directed to the company.secretary@lthtr.nhs.uk:

  • LTHTr Board of Directors (part I) meeting papers – 5 August 2021
  • LTHTr Board of Directors (part I) meeting papers – 1 April 2021 
  • LTHTr Board of Directors (part I) meeting papers – 4 February 2021 
  • LTHTr Board of Directors (part I) meeting papers – 3 December 2020 
  • LTHTr Board of Directors (part I) meeting papers – 1 October 2020 
  • LTHTr Board of Directors (part I) meeting papers – 6 August 2020 
University Hospitals of Morecambe Bay NHS Foundation Trust Board (UHMBT) papers related to the New Hospitals Programme:

 

NHS Lancashire and South Cumbria Integrated Care Board (ICB)

The Lancashire and South Integrated Care Board (ICB) was formally established as a new statutory body on 1 July 2022, replacing the eight clinical commissioning groups (CCGs) across Lancashire and South Cumbria.

The role of the Integrated Care Board is to join up health and care services, improve people’s health and wellbeing, and to make sure everyone has the same access to services and gets the same outcomes from treatment. It also oversees how money is spent and makes sure health services work well and are of high quality.

NHS Lancashire and South Cumbria Integrated Care Board (ICB) is governed by a Board of executive, non-executive and partner organisation members. Full details on Board membership is available in the members section of the ICB website (opens in new window) of this website and within the ICB constitution (opens in new window).

  • Review the service variability for proposals in terms of range and quality for the population of the whole of the region
  • Work collaboratively to ensure progress towards the ultimate delivery of the Programme
  • Provide the Pre-Consultation Business Case (PCBC), if required subject to the options taken forward, to those who need to award approvals.

Links to ICB Board Papers

Changes to local NHS organisations from 1 July 2022

Up until 30 June 2022, the Strategic Commissioning Committee and Lancashire and South Cumbria ICS Board both had roles in the oversight and governance of the New Hospitals Programme. A short description of their historic roles in the Programme and links to past meeting papers referencing the New Hospitals Programme are provided below.

Strategic Commissioning Committee (SCC)

The Strategic Commissioning Committee was responsible for health delivery and decision making for the people of Lancashire and South Cumbria, with the authority to make decisions at a regional level. This committee replaced the Joint Committee of Clinical Commissioning Groups (JCCCG) meetings, which had been held since 2017.

The purpose of the committee was to bring together the leadership of the eight Lancashire and South Cumbria Clinical Commissioning Groups (CCGs) together with Lancashire and South Cumbria Health and Care Partnership strategic commissioning leaders, who have collectively committed to improve and transform health and care services across the area, delivering the highest quality of care possible within the resources available.

The committee was held in public and chaired by David Flory CBE, Independent Chair for Lancashire and South Cumbria Health and Care Partnership.

The role of the Strategic Commissioning Committee in regards to the New Hospitals Programme was to:

  • Review the service variability for proposals in terms of range and quality for the population of the whole of the region
  • Work collaboratively to ensure progress towards the ultimate delivery of the Programme
  • Make collective recommendations to the CCGs on the Programme progression and what effect this will have on their area
  • Provide the Pre-Consultation Business Case (PCBC), if required subject to the options taken forward, to those who need to award approvals.
Links to Strategic Commissioning Committee (SCC) papers

Integrated Care System Board

The Integrated Care System (ICS) Board was a partnership board, constituted of a range of NHS, local government, voluntary and community sector organisations working together across Lancashire and South Cumbria.

The role of the ICS Board was to provide leadership and development of the overarching Lancashire and South Cumbria ICS strategy (opens in new window), oversight, and facilitation of delivery of sustainability, transformation and design of the future state of health and care.

The Board met monthly to consider progress and risks in the implementation of the integrated care system’s aims and objectives and approve any mitigation measures and other action required to assure success, in line with the approved programme.

The ICS Board received quarterly updates from the New Hospitals Programme.

Links to ICS Board papers

Provider Collaborative Board

The Provider Collaboration Board brings together the chairs and chief executives of all five provider NHS trusts in Lancashire and South Cumbria to make joint decisions to benefit patients and communities across the area.

The Provider Collaborative Board has an oversight role on the New Hospitals Programme, including:

  • Aligning the clinical strategy for the short, medium and long term (2030) to ensure all critical interdependencies are managed closely, and that no unintended consequences are created
  • Reducing unwarranted variation and inequality in patients’ health outcomes, access to services and experience
  • Improving resilience by, for example, providing mutual aid
  • Ensuring that specialisation and consolidation occur where this will provide better outcomes and value.

Read more about Lancashire and South Cumbria’s Provider Collaborative (opens in a new window).

Strategic Oversight Group

The New Hospitals Programme Strategic Oversight Group (SOG) has been established specifically to provide governance for the Programme and is made up of senior representatives from health system partners across the region. The group provides oversight and assurance for the Lancashire and South Cumbria New Hospitals Programme. It is accountable for:

  • Ensuring delivery of the business cases required for progressing the scheme(s)
  • Enabling any public consultation process in support of NHS Lancashire and South Cumbria Integrated Care Board
  • Securing capital for the development of new facilities in line with both Lancashire and South Cumbria health system and the Integrated Care System Clinical Strategy.

The group will ensure the coordination of the Programme by the Lancashire and South Cumbria NHS partners and the Lancashire and South Cumbria Health and Care Partnership throughout the delivery of the programme. The group also monitors and maintains oversight of the Programme’s progress and provides independent assurance to the respective Trust Boards, and the NHS Lancashire and South Cumbria ICB Board.

The Strategic Oversight Group’s objectives are to:

  • Ensure the programme is delivered successfully and effectively through agreed decision-making gateways
  • Ensure that the New Hospitals Programme objectives are aligned to the strategies of Lancashire Teaching Hospitals NHS Foundation Trust, University Hospitals of Morecambe Bay NHS Foundation Trust, NHS Lancashire and South Cumbria Integrated Care Board, Place-based partnerships, and Lancashire and South Cumbria Health and Care Partnership
  • Identify any interdependencies across the Integrated Care Board programmes and externally with wider stakeholder relationship groups, forums and other programmes
  • Ensure Programme objectives are aligned with the Provider Collaborative and primary and community care strategy.

NHS and Government departments

NHS England (NHSE)

NHS England leads the National Health Service (NHS) in England.

NHS England’s role on the New Hospitals Programme is to support NHS Lancashire and South Cumbria Integrated Care Board and its local partners, including healthcare providers, to develop clear, evidence-based proposals for service change, and to undertake assurance to ensure they can progress.

NHSE will review the Programme’s progress at key decision points during the business case development process (called ‘gateway reviews’), and provide assurance that it is ready to move to the next stage.

Find out more on the NHS England website (opens in new window).

Department for Health and Social Care (DHSC)

DHSC is a ministerial department, supported by 28 agencies and public bodies. The department supports ministers in leading the nation’s health and social care to help people live more independent, healthier lives for longer.

DHSC is responsible for the national New Hospital Programme, the Government’s commitment to build 40 new hospitals by 2030. Together with eight existing schemes, this will mean 48 hospitals built in England over the next decade, the biggest hospital building programme in a generation.

DHSC and NHS England’s joint central programme team are working closely with all NHS Trusts involved to plan how and when new hospitals will be built across the decade to make sure they meet their target with this delivery programme. The approach to building new hospitals will maximise benefits and efficiencies, ensuring the delivery of state-of-the-art healthcare facilities for local staff and patients within all new hospitals by 2030, while also representing value for money for the taxpayer.

Read more on the Department for Health and Social Care (DHSC) website (opens in new window).

Find out more about the national New Hospital Programme on the Improving NHS Infrastructure website (opens in new window).

HM Treasury

HM Treasury is the government’s economic and finance ministry, maintaining control over public spending, setting the direction of the UK’s economic policy, and working to achieve strong and sustainable economic growth. HMT is a ministerial department, supported by 15 agencies and public bodies.

HM Treasury’s role on the national New Hospital Programme is to oversee the capital business case process and the required financial approvals.

For more information, visit the HM Treasury website (opens in new window).

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Find out more on our Information hub

We have lots more details on the project in our Information hub. Read frequently asked questions, the latest news about the programme and stories from people in the region.

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