Annex 1A: Statement from Lincolnshire Clinical Commissioning Group on behalf of NHS Lincolnshire (Commissioner)

14 April 2023

Lincolnshire Integrated Care Board

Bridge House

The Point

Lions Way

Sleaford NG34 8GG

Tel: 01522 573939

Email: licb.office@nhs.net

Lucy Kent

Lincolnshire Partnership NHS Foundation Trust (LPFT)

St Georges

Lincoln LN1 1FS

Dear Lucy, NHS Lincolnshire Integrated Care Board (the commissioners) welcomes the opportunity to review and comment on Lincolnshire Partnership NHS Foundation Trust’s (the trust) Draft Annual Quality Report 2022/23. The report is a comprehensive account of the trust’s quality priorities in the past year.

The commissioners recognise the trusts resilience during Covid Recovery whilst looking forward to the 2023/24 quality priorities. The commissioners are assured that the trust’s 2022/23 four quality priorities not only demonstrated patient, family and carer qualitative improvements, but are also key to the 2023/24 patient safety, patient experience and clinical effectiveness priorities for the coming year.

The commissioner therefore supports the 2023/24 five priorities and highlights in particular the community transformation which made progress towards full countywide coverage for Integrated Place Based Teams and the Personality and Complex Trauma Service; the programme enters its final stages of development in 2023/24. The Rehabilitation Service Transformation continues to progress towards countywide coverage in 2023/24.

The Quality Report has many examples of the good work undertaken by the trust over the past year, the following being particularly noteworthy:

  • Mental Health Support Teams have been fully mobilised in Boston and Skegness. The service has also now expanded into Grantham, Sleaford and Spalding
  • Service implementation of the Transformation Team for Learning Disability and Autism Services which has been transforming care for those individuals with a Learning Disability and/or Autism
  • Older Adult Dementia Home Treatment service has been providing high quality care to people within their own home and reducing the need for hospital admission
  • Hospital Mental Health Liaison Service, The Lincoln County Hospital Team has been successfully expanded

During 2022/2023 the trust has not received a CQC core, comprehensive or focused inspection however, the trust’s overall CQC rating is ‘good’ with the well led domain being ‘outstanding’.

There is ongoing work to ensure for Early Intervention in Psychosis, people experiencing a first episode of psychosis are treated with a NICE approved care package within two weeks of referral; there is also ongoing work to address appropriate restrictive practice and supervised confinement; and lower episodes of self-injurious behavior and suicide.

Recruitment within the trust remains a high priority and the trust has ongoing resourcing plans which will help meet the workforce needs of the trust.

The trust has demonstrated re-commitment to breaking down the barriers that prevent patients accessing good physical healthcare in line with the trust’s Physical Healthcare Strategy 2020-2025.

The commissioners welcome LPFTs prioritisation of carer visibility within all trust services. Implementation of carer champions and carer leads for each division ensures carers are involved with their family member care needs. This has improved patient experience and helped carers understand the process, improving relationships between families and the trust.

Lincolnshire ICB look forward to continuing to work with the trust over the coming year and recognise the continued challenges faced over the Covid Recovery phase.

Yours sincerely

Vanessa Wort Associate Director of Nursing and Quality

NHS Lincolnshire ICB