Delivery actions from Leicester, Leicestershire and Rutland’s joint forward plan

Leicester, Leicestershire and Rutland (LLR) ICB has published its five-year plan, which focuses on nine key sections: prevention; keeping people well; ensuring access to the right care; integrated teams; elective care; learning disabilities and autism; mental health; children and young people; and women’s health.

Here, we’ll take a look at some of the key delivery actions laid out in the plan.

With regards to prevention, the interventions that LLR sets out include exploring the potential benefits of developing an LLR system-wide prevention strategy; capitalising on the local research community to “maximise and embed the benefits of research into prevention”; and delivering risk factor interventions such as alcohol, smoking, obesity and diabetes programmes.

To keep people well, key interventions centre around undertaking modelling to understand the impact of delivering “more up-stream evidence-based treatments”; reducing the prevalence of long-term conditions leading to multimorbidity; and expanding self-management and self-care programmes.

On providing access to the right care, the plan highlights several interventions to be made across LLR, including maximising general practice’s capacity to ensure patients are seen in a timely manner; streamlining access processes including digital access; optimising triaging to the right services; and undertaking PCN estate reviews to better understand projects for estate development.

Embedding a “team of teams ethos” is central to the delivery plan, with community health and wellbeing hubs tailored to local needs, helping to support the delivery of effective and timely patient care. The plan looks to complete the development of community health and wellbeing plans, undertaking a “baseline assessment” of current health and care staff capacity, and developing delivery plans to roll-out all hubs by 2028.

Tackling elective care, the plan outlines interventions including building a second community diagnostic centre at Hinckley in 2024/2025; investing in the referral support service to support early triage and reduce waiting times; and implementing a range of community diagnostics in 13 PCNs along with introducing GP direct access to diagnostics.

Other interventions across the areas of learning disabilities and autism, mental health, children and young people and women’s health include efforts to strengthen local community health and social care services for people with learning disabilities and autism; re-organising mental health provision into eight neighbourhood teams across the footprint; working with regional and local networks and collaboratives to transform paediatric critical care and paediatric care pathways; and working to agree local models for the implementation of women’s health hubs across LLR.

Success of these interventions, the plan states, “will be measured not just in the traditional dashboards of inputs and outcomes, but also by looking at people’s experiences of the care that they receive”.

Towards the end of last year, LLR launched the Voluntary, Community and Social Enterprise (VCSE) Alliance, with the aim being to involve more people in decisions about the design and provision of services.

Also in November, a collaboration was launched with the aim of addressing health inequalities and supporting people with learning disabilities and/or autism across LLR.

To read the delivery plan in full, please click here.