Case for Change

The Case for Change report was the first in a series of official documents that we needed to produce in our journey towards new hospital facilities. It explains the problems that we hope to address through funding for new hospital facilities, and how this supports ambitions to improve health and wellbeing and deliver better care for local people.

Find out more about our Case for Change

NHS Foundation Trust

NHS Foundation Trusts have some managerial and financial freedom when compared to NHS Trusts. The introduction of Foundation Trusts represented a change in the history of the National Health Service and the way in which hospital services are managed and provided.

Foundation Trust Members

Anyone who lives in the area, works for a Foundation Trust, or has been a hospital patient or service user there, can become a Member of the Trust. These Members elect the Council of Governors. Members and Governors are the centrepiece of a Trust’s accountability and governance.

Read more about becoming a Member of a local NHS Foundation Trust

Health Overview and Scrutiny Committee (HOSC)

A committee of elected councillors and voluntary sector representatives that scrutinises (carries out an independent check on) healthcare services.

Health inclusion groups (including those with protected characteristics)

Health inclusion describes action to improve health and care for people who are socially excluded, experience multiple overlapping risk factors for poor health (such as poverty, violence and complex trauma) and stigma and discrimination. They are not consistently accounted for in electronic health databases, which makes them effectively ‘invisible’ in health and care needs assessments. These experiences frequently lead to barriers in access to healthcare and extremely poor health outcomes, contributing considerably to health disparities. Inclusion health groups typically include people experiencing homelessness, including people who sleep rough, vulnerable migrants, Gypsy, Roma and Traveller communities, sex workers, victims of modern slavery, people with drug and alcohol dependency, and people in touch with the criminal justice system.

Integrated Care Board (ICB)

On 1 July 2022, NHS Lancashire and South Cumbria Integrated Care Board was established and the eight Clinical Commissioning Groups (CCGs) in Lancashire and South Cumbria closed down. The functions of the CCGs transferred to NHS Lancashire and South Cumbria. The new organisation is responsible for NHS spend and the day-to-day running of the NHS in Lancashire and South Cumbria.

Find out more about NHS Lancashire and South Cumbria Integrated Care Board (opens in new window) 

Primary Care

Health care provided by a medical professional (such as a general practitioner, GP or nurse) with whom a patient has initial contact and does not need specialist referral to visit.

Strategic Commissioning Committee (SCC)

The SCC was responsible for decision making for the people of Lancashire and South Cumbria, prior to the establishment of NHS Lancashire and South Cumbria Integrated Care Board. It brought together the leadership of eight Lancashire and South Cumbria CCGs and ICS strategic commissioning leaders to collectively improve and transform health and care services in the area.

Read more about the New Hospitals Programme's governance and oversight

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