Place and primary care transformation

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We provide the developmental, transformational and operational support needed by ICS partners to achieve a truly integrated service offer.

We help partners at every stage of the journey from the formation of partnerships; removal of organisational boundaries, to resolving the complexities of sharing resources and accountabilities.

Our support offers have been shaped to meet the needs of your place, neighbourhood and individual health and care providers. They include:

  • System strategy transformation A shared strategy; new care pathways; improved workflow processes
  • Data & analytics Population health insights; integrated or linked data sets
  • Workforce development Leadership; sustainable and skilled workforce; positive, productive culture
  • Partnerships & integration Shared governance planning, resources and operational working
  • Digital transformation Automation; digital care and monitoring; virtual consultations; simpler information sharing
  • Clinical & pharmacy support Monitoring and oversight; medicines policy/management; pathway redesign
  • Communications & engagement Consent for change; user experience insights; patient activation
  • Business enabling services Standardisation; resilience; economies of scale; innovation

See also: Clinical redesign, integration and provider collaboration

Our key strengths

  • We’re a trusted, independent partner who can help to broker local relationships
  • We already support ICS and PCN development locally and nationally
  • As a familiar system partner, we understand the complicated landscape and have the organisation-building, relationship-brokering experience and capabilities to help
  • Along with partners, we operate with nationwide economies of scale
  • Of the NHS, for the NHS.

Key leads

Clare Thomason

Lead for services in Lancashire, Cheshire and Merseyside

Miranda Pilkington

Lead for services to NHS England and national bodies

Jonathan Horgan

Lead for Place, community and primary care transformation

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News, views and case studies

12 April 2024

New podcast: Lessons from the Clive Treacey Review

In this three-segment podcast sequence, part of our Inside MLCSU series, we discuss the lessons learnt from the Clive Treacey Review about…

5 September 2023

Join us at The Pharmacy Show 2023

Join us at The Pharmacy Show on 15-16 October 2023 to learn how NHS Commissioning Support Units (CSUs) help health systems and…

1 September 2023

LDA project shortlisted for the 2023 HSJ Awards

NHS Midlands and Lancashire is delighted to announce that our work to develop a community of practice for stopping the over medication…

2 August 2023

Inhaler prescribing errors: Identifying risks and improving patient safety

We improved patient safety and raised awareness across GPs, hospitals and community pharmacy of the risks of prescribing inhalers containing duplicate ingredients…

31 July 2023

Improving epilepsy services and reducing health inequalities

We brought together patients, experts and care system partners to identify areas of concern which contribute to premature avoidable death in people…

28 April 2023

Positive impact of physiotherapy pilot programme 

We increased the coverage of physiotherapy services from approximately 3% to 15% and improved communication and reporting, resulting in a significant positive…

14 April 2023

Risk and governance processes review and recommendations

We provided specialist support to an acute trust to accelerate improvement by developing a risk management program to reduce risks, assuring quality…

8 March 2023

Join us at the Clinical Pharmacy Congress 2023 to enhance patient care and learn from leading medicines optimisation teams

Join us at the Clinical Pharmacy Congress on 12-13 May 2023 for a face-to-face event at ExCeL London. This year, the four…

22 July 2022

Pharmacy support to Lancashire and South Cumbria COVID-19 vaccination programme

We provided insight to clinical enquiries, produced reports and worked to develop standard operating procedures to help improve patient safety and increase…

20 July 2022

Improving high-dose opioid prescribing

We helped Greater Preston and Chorley & South Ribble Clinical Commissioning Groups significantly reduce high-dose opioid prescribing, bringing it into line with…

24 May 2022

Achieving the best from primary care network pharmacy teams

We provided a tailored package of strategic and operational support to a newly formed pharmacy team at a primary care network, helping…

18 March 2022

Success in setting up community pharmacy services

We helped commissioners with medicines management expertise in setting up and maintaining community pharmacy services, freeing up capacity across primary care. Background…

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How we can help health systems

Developing health systems

Acting as an independent and trusted partner within the system to facilitate working across stakeholders and integrate elements of the provider system…

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Developing health systems

Workforce resilience and transformation

Supporting systems to build a sustainable and integrated workforce, transforming systems, organisations and the workforce experience to improve resilience.

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Workforce resilience and transformation

Communications and engagement

Supporting ICSs with approaches to design and deliver effective communication, engagement and behavioural insights as a key enabler for system change and…

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Communications and engagement

Digitally enabled transformation and IT

Digitising care and partnering with systems for the transformation of digitally enabled service delivery (and other supporting processes) across vision, planning and…

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Digitally enabled transformation and IT

PHM analytics and decision support

Applying intelligence-led understanding of the health of the population to support the redesign of care and improve patient and financial outcomes across…

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PHM analytics and decision support

Place and primary care transformation

Supporting providers to work together at a place and neighbourhood level to manage common resources, integrate community teams, improve health and reduce…

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Place and primary care transformation

Clinical redesign and provider collaboration

Redesigning how health and care works across England - placing people at the centre of their own health and care and utilising…

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Clinical redesign and provider collaboration

Personalised healthcare commissioning services

Providing end-to-end funded care services, including patients as active partners in identifying their healthcare needs and then commissioning care to meet these.…

Learn more about Personalised healthcare commissioning services
Personalised healthcare commissioning services

Business enabling services

Delivering a wide range of support functions through transactional services, business partnering and transformation that drives efficiencies and releases value and time…

Learn more about Business enabling services
Business enabling services

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