Work is continuing as we look to further develop and strengthen our partnership.

As well as working on our priorities over the coming year, we are also developing our governance structure, in line with other place-based partnerships.

Place-based partnership committees

Within the Lancashire and South Cumbria system it has been agreed that each place-based partnership will have a Place Based Partnership (PBP) Committee of the Lancashire and South Cumbria Integrated Care Board (ICB). This committee will have delegated authority to make decisions about the use of NHS resources in place from the LSC Integrated Care Board.

Aligned to national guidance, discussions have been taking place for some time now about how these committees could look.

Executives of partner organisations have recently discussed areas such as proposed operating principles and core membership of the committee. These conversations have also been taking place in the four other place-based partnerships across Lancashire and South Cumbria.

Place-based partnership gateway process

Following on from the maturity matrix and peer to peer review work (detailed below) to develop our partnership, we will now take part in a 'gateway process' along with the other four place-based partnerships in Lancashire and South Cumbria.

The purpose of the gateway process is to understand from each place-based partnership:

  1. What is wants it achieve between 1 July 2022 to 31 March 2023, its plan to deliver these aspirations, and what support it requires to do this.
  2. How it intends to ensure it operates as part of a wider system of places, provider collaboratives, and the Health and Care Partnership.
  3. The key risks and issues that need to be considered and addressed, and what support it requires to do this.
  4. The main areas of development for 2022/23.
  5. Its readiness to operate in the new statutory arrangements from 1 July 2022.

We'll keep you updated on this process as the work progresses.

Place–based partnership development was an important part of our work across Lancashire and South Cumbria throughout 2021/22.

All five places worked together to develop a common strategic narrative which outlines what it means to be a place-based partnership, which was approved in December 2020. Following this a ‘maturity matrix’ was developed: a set of criteria against which each place could assess how well it was developing. For example, areas such as leadership and collaboration and population health management.

The first self-assessment exercise took place in February 2021. Using the findings from this assessment across the five places, a place-based partnership development programme for 2021/22 was approved. This has been delivered across the five places to ensure some elements of consistency in the way we work collaboratively at place.

The maturity matrix self-assessment exercise was then repeated in December 2021, allowing us to consider what impact we have had based on the work we have done together so far.

Maturity matrix insights 

People were asked to rate each domain as either: not started, emerging, developing, maturing or sustaining.

  • West Lancashire Partnership has seen significant improvement across the board compared the first data set.
  • Leadership is the area with the most “sustaining” responses, followed by governance.
  • Listening to communities, planning integrated services and improving quality of services had 100% of responses in “emerging – sustaining” with no “not yet started” responses.
  • Maximising use of resources appears to be the most significant area of development with nearly 70% of respondents scoring as “emerging” or “not yet started” followed by delivery of integrated services where 50% of answers were “emerging” or “not yet started”.
  • Decision making has seen the highest decrease in “not yet started” responses when comparing to the previous data, down from nearly 55% to just over 5%.
  • Mental health trusts were most likely to score “not yet started” followed by district councils. However, this could be due to there not being a “don’t know” option (some people said they didn’t have sufficient knowledge, so made a ‘best guess’ answer).
  • Submissions from CCGs and Lancashire County Council provided the highest ratings of “maturing” whereas CCGs alone provided most “sustaining” responses.
  • Acute trusts were most likely to vote “emerging” across the board.
  • Governance and leadership, despite being areas of strength, also provided divergence of opinion, with responses in every category.

Peer to peer review

Following this, each of the five place-based partnerships across Lancashire and South Cumbria had a peer-to-peer review session in January for each Place-based Partnership:

  • To reflect on their self-assessment and compare headline strengths/developments/areas of divergence to other (anonymised) partnerships.
  • To consider their own areas of strength to share with other partnerships.
  • To consider their own areas of development for 2022/23.
  • To identify what they consider to be common areas of development to form part of the ICP Development Programme for 2022/23.

These findings (along with the other place-based partnership findings) will be used to develop a common approach to place-based partnership development during 2022/23 for all five places.

As the West Lancashire Partnership, we will continue to work closely with the four other place-based partnerships across Lancashire and South Cumbria. Where it makes sense to do things once, then we will. It’s all about avoiding duplication and making the best of our collective resources for the benefit of people living and working in West Lancashire.

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