We work closely with other NHS organisations including NHS England, neighbouring CCGs, and hospital, mental health and community health trusts to deliver healthcare services locally and improve the health and wellbeing of local people. We also work with other partners including Public Health, local and district councils, voluntary/third sector organisations, and local health and social care patient champion Healthwatch Lincolnshire.
NHS England (NHSE) are responsible for leading the NHS nationally. The CCG works closely with NHSE, which has three roles in relation to the CCG. The first is assurance: NHSE has a responsibility to assure themselves that the CCG is fit for purpose, and are improving health outcomes. Secondly, they must help support the development of the CCG. Finally, they are also direct commissioners, responsible for highly specialised services and some primary care services, including dentists, pharmacists and opticians. In April 2015, the CCG took over from NHSE the responsibility of commissioning local GP services.
In additional to Lincolnshire West CCG, there are three other CCGs in Lincolnshire: Lincolnshire East CCG, South Lincolnshire CCG, and South West Lincolnshire CCG. Collectively we work together to buy health services, not only for our own area, but the whole of Lincolnshire. This is because residents across the county are able to use the same local hospital, mental health, and community health services. Each CCG takes a lead commissioning role, this means they are responsible for managing the contracts for certain health care services that are delivered across the whole of Lincolnshire.
United Lincolnshire Hospitals NHS Trust (ULHT) is one of the biggest acute hospital trusts in England and provides a wide range of healthcare services across Lincolnshire. It operates across four main hospitals sites: Lincoln County Hospital, Grantham and District Hospital, Pilgrim Hospital Boston, and County Hospital Louth, and also delivers care in other hospitals across the county.
Lincolnshire Partnership NHS Foundation Trust (LPFT) provides specialist health services for people with a learning disability, mental health or drug or alcohol problems. They focused on helping people towards recovery, enabling them to live well in their community as much as possible. Their services include: adult community and inpatient mental health services, specialist services such as child & adolescent mental health services (CAMHS), older adult services, and occupational therapy service.
Lincolnshire Community Health Services NHS Trust (LCHS) provides a wide range of community healthcare services across Lincolnshire. Their services enable patients and families to access care and support at, or as close to, home as possible, and help people to maintain independent lifestyles for as long as they can. These services include: general and specialist integrated community nursing and therapy healthcare services, four community hospitals, two urgent care centres, two minor injuries units, a walk in centre, and GP out of hours services. They also offer healthy lifestyle services, and children’s and young people’s services. Lincolnshire West CCG are the lead commissioners for LCHS.
East Midlands Ambulance Service NHS Trust (EMAS) provides emergency 999 care and telephone clinical assessment services across the East Midlands, including Lincolnshire. Lincolnshire West CCG are the lead commissioners for EMAS.
When the four CCGs in Lincolnshire were formed, the responsibility for public health moved over to Lincolnshire County Council. Their services include: weight management, smoking cessation, and sexual health. They also promote national campaigns delivered by Public Health England including ‘One You’. The CCG works closely with Public Health through health and wellbeing boards to achieve the best possible outcome for the local community, by developing a joint strategic needs assessment (JSNA) for improving public health.
The Health and Wellbeing Board is a forum which brings together key leaders from the NHS, public health and care systems to work together to improve the health and wellbeing of the people of Lincolnshire and reduce health inequalities. Lincolnshire Health and Wellbeing Board was established as a formal committee of Lincolnshire County Council in April 2013 as part of the Health and Social Care Act. Board members collaborate to understand communities’ needs, agree priorities and encourage commissioners to work in a more joined up way, and the Board has a duty to encourage integrated working for the purpose of advancing the health and wellbeing of the people of Lincolnshire.
Lincolnshire Prescribing and Clinical Effectiveness Forum (PACEF) is a strategic advisory network. PACEF has the responsibility for ensuring the cost-effective use of medicines and other healthcare interventions and their functional integration into healthcare delivery across Lincolnshire. Representation on the group is comprised of leading professionals from each of the Lincolnshire CCGs, ULHT, LPFT, LCHS and Lincolnshire County Council.
NHS Arden & Greater East Midlands Commissioning Support Unit help provide support and services for the CCG such as finance, HR, data management, and contracting.
Healthwatch Lincolnshire is the independent consumer champion for health and social care in Lincolnshire, putting patients at the heart of health and social care services. Their role is to give local people a voice to influence and challenge how health and social care services are provided locally. Healthwatch provide the CCG with regular feedback from patients on their experiences of accessing NHS services, and assist the CCG to carry out surveys and consultations when we are making key decisions about the services we commission.
Lincolnshire District Councils
There are 7 district Councils in Lincolnshire: Boston Borough Council, East Lindsey District Council, Lincoln City Council, North Kesteven District Council, South Holland District Council, South Kesteven District Council, and West Lindsey District Council. The CCG works closely with Lincoln City, North Kesteven, and West Lindsey as they sit within our CCG area, who support us to assess the health needs of residents living in Lincolnshire West.
Lincolnshire Research Observatory (LRO) support the CCG to access intelligence on the local population, health, the economy and many other topics.
Voluntary Centre Services (VCS) supports volunteers and voluntary and community organisations across Lincolnshire West, and will often provide assistance to the CCG to ensure the voluntary/third sector are informed about local health services, and involved in any key decisions about we make about the services we commission.