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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 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 aim to improve outcomes and care for local people, reducing pressures on services and making best use of financial resources.

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

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 request investment through the national New Hospital Programme. Each of the Trusts has been granted seed funding to allow them to progress plans, with the aim of being ready to deliver a programme of investment in hospitals between 2025-2030.

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.

Strategic Commissioning Committee (SCC)

The Strategic Commissioning Committee is 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 is 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 is 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 is 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.

NHS and Government departments

NHS England and NHS Improvement (NHSE/I)

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

NHS England and NHS Improvement’s role on the New Hospitals Programme is to support commissioners and their local partners, including healthcare providers, to develop clear, evidence-based proposals for service change, and to undertake assurance to ensure they can progress.

NHSE/I 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 and NHS Improvement 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 and NHS Improvement’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 ‘Our NHS buildings’ 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).

Integrated Care System groups

Provider Collaborative Board

Providers of health, care and support services will increasingly collaborate at all levels of the system. The duty to collaborate will apply to NHS and local authorities and will promote joint working across health and social care.

The hospital and mental health trusts in Lancashire and South Cumbria have set up a formal provider collaborative board to drive this forward, ensuring they build on the joint working which supported the pandemic response.

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.

Integrated Care System Board

The Integrated Care System (ICS) Board is 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 is 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 meets 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 receives quarterly updates from the New Hospitals Programme.

Find out more about the Integrated Care System Board (opens in new window).

Links to ICS Board papers

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 the Lancashire and South Cumbria Strategic Commissioning Committee
  • 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, the ICS Board and Strategic Commissioning Committee (SCC).

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, Integrated Care Partnerships (ICPs), Clinical Commissioning Groups and Lancashire and South Cumbria Health and Care Partnership
  • Identify any interdependencies across the Integrated Care System 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.

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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.