More about Healthy Liverpool

Healthy Liverpool is a plan to make sure that the city’s health and care services meet the needs of the people who use them. The short animation below explains our thinking in more detail.

On this site you can find out more about Healthy Liverpool and make sure your voice is heard by letting us know what you think about the changes being planned.

You can get more information on the five key areas of Healthy Liverpool work by selecting one of the following:



(To turn on subtitles, start playing the video and select "Settings" on the YouTube toolbar which will appear if you hover your mouse over the video. This video is also available in Arabic, Chinese, Somali and Polish.)


Healthy Liverpool is a plan to make sure that the city’s health and care services meet the needs of the people who use them. The short animation below explains our thinking in more detail.

On this site you can find out more about Healthy Liverpool and make sure your voice is heard by letting us know what you think about the changes being planned.

You can get more information on the five key areas of Healthy Liverpool work by selecting one of the following:



(To turn on subtitles, start playing the video and select "Settings" on the YouTube toolbar which will appear if you hover your mouse over the video. This video is also available in Arabic, Chinese, Somali and Polish.)


  • Have your say on changes to cataract services in Liverpool

    4 months ago
    Optician

    The NHS in Liverpool is proposing changes to cataract services which would allow patients to get quicker access to cataract assessments and to receive more care closer to home.

    At the moment, the majority of people with suspected cataracts are referred to hospital by their optician for a cataracts assessment. If suitable, they will then have their cataract surgery and post-operative care at hospital.

    NHS Liverpool Clinical Commissioning Group (CCG), which is responsible for planning NHS services in the city, is proposing changes that would upskill opticians to carry out cataract assessments themselves, rather than sending people to hospital.

    ... Continue reading

    The NHS in Liverpool is proposing changes to cataract services which would allow patients to get quicker access to cataract assessments and to receive more care closer to home.

    At the moment, the majority of people with suspected cataracts are referred to hospital by their optician for a cataracts assessment. If suitable, they will then have their cataract surgery and post-operative care at hospital.

    NHS Liverpool Clinical Commissioning Group (CCG), which is responsible for planning NHS services in the city, is proposing changes that would upskill opticians to carry out cataract assessments themselves, rather than sending people to hospital.

    This streamlined service, which is considered best practice by the Royal College of Ophthalmologists and the Clinical Council for Eye Health Commissioning, is available in a small number of opticians already but the intention is to make it available more widely.

    Between April 2015 – March 2016, 3,806 patients had a cataract procedure but only 362 patients had their cataract assessment performed by the existing pool of trained opticians.

    The CCG is also proposing that opticians are upskilled to provide routine post-operative care after people have had their cataract surgery.

    Post-operative care is currently all provided in hospitals, and people who require more complex care would still go to hospital under the new system, but figures suggest around 80-90% of people would be able to receive their post-operative care from their optician.

    Dr Monica Khuraijam, Clinical Lead for Planned Care at NHS Liverpool CCG, said: “People always tell us that they would like to receive more care closer to home and we think these changes would make life easier for the vast majority of cataract patients by reducing the number of trips to hospital and also speeding up their initial assessment. By enabling opticians to handle more straightforward cases, it will free up hospital eye services to care for people with more complex needs.

    “It’s really important for us to understand any concerns people may have, which is why we’re asking people to share their views with us before any changes are made.”

    Opticians providing this additional service will go through a training and accreditation process provided by Cardiff University and the Local Optical Committee Support Unit as well as attending a training session on administrative procedures and protocols.

    The changes are not expected to cost any more money than the current cataract service and moving appointments from hospitals to opticians may in fact save the NHS money, which could then be re-invested in other NHS services. Based on current figures this saving could be around £70,000 per year.

    Rupesh Bagdai, Commissioning Lead at the Local Optical Committee Support Unit, which supports the development of eye services in England, said: “Feedback from patients in other areas where similar services have been commissioned shows that they are very happy with the standard of care provided by the trained opticians and also found it more convenient to have their assessment and post-operative checks at times and locations that suit them.

    “An important added benefit is that these services, when provided by community opticians, free up hospital appointments allowing people with complex eye conditions to be seen more quickly by specialists.”

    From Monday 16 January – Friday 10 February local people are being invited to share their views on the proposed changes.

    More information, including an online survey, is available here or by calling 0151 296 7537.

  • Options for the future of Liverpool Women’s hospital published

    5 months ago
    Lwh pic

    Four options for the future of services provided by Liverpool Women’s Hospital have been published today (6 January 2017).

    The options have been developed as part of a review of women’s and neonatal services, which began in March 2016 and is being led by NHS Liverpool Clinical Commissioning Group (CCG) as part of its Healthy Liverpool programme.

    To have your say on these options click here and we'll let you know when public consultation launches

    The Healthy Liverpool programme is looking at hospital services across north Merseyside (covering Knowsley, Liverpool and Sefton) as part of its work.

    This review is... Continue reading

    Four options for the future of services provided by Liverpool Women’s Hospital have been published today (6 January 2017).

    The options have been developed as part of a review of women’s and neonatal services, which began in March 2016 and is being led by NHS Liverpool Clinical Commissioning Group (CCG) as part of its Healthy Liverpool programme.

    To have your say on these options click here and we'll let you know when public consultation launches

    The Healthy Liverpool programme is looking at hospital services across north Merseyside (covering Knowsley, Liverpool and Sefton) as part of its work.

    This review is being delivered in partnership with Liverpool Women’s, and Clinical Commissioning Groups in South Sefton and Knowsley, whose patients also use these services. Aintree University Hospital, Alder Hey Children’s Hospital and the Royal Liverpool and Broadgreen University Hospitals are also closely involved.

    The review is happening because the needs of patients have changed since Liverpool Women’s opened more than 20 years ago.

    Women are living longer and having babies later in life, while advances in medicine mean more premature and unwell babies are surviving when they wouldn’t have in the past.

    This means patients require more complex care which isn’t always available at the Women’s, so many women have to be transferred to other hospitals before they can receive appropriate care, including some of the most seriously ill women. There are also new standards of care which the Women’s is unable to meet in its current location.

    The review has involved staff from NHS organisations across the city, including midwives, nurses and doctors from the Women’s and other hospitals. The public were also asked for their views on the case for change at the hospital last summer, and these were used to develop the four options.

    The options are:

    - Relocate women’s and neonatal services to a new hospital building on the same site as the new Royal Liverpool Hospital
    - Relocate women’s and neonatal services to a new hospital building on the same site as Alder Hey Children’s Hospital
    - Make major improvements to Liverpool Women’s Hospital on the current Crown Street site
    - Make smaller improvements to the current Crown Street site.

    The options are included in a draft pre-consultation business case (PCBC), which was presented to the Board of Liverpool Women’s today.

    Please click here to download the draft pre-consultation business case

    Please click here to download a summary of the pre-consultation business case

    The PCBC is a detailed technical document which explains how these options have been developed and how a preferred option was chosen.

    The preferred option is to relocate women’s and neonatal services to a new hospital building on the same site as the new Royal Liverpool Hospital. This is because it offers the most benefits for patients and provides solutions to the challenges set out in the case for change, including improved safety and patient experience, reduced transfers of patients and less separation of mothers and babies. This option is judged to support long term clinical and financial sustainability and best value for money.

    Dr Fiona Lemmens, Clinical Director for the Healthy Liverpool Hospitals Programme, said: “It is really important to us that this is an open and transparent process. We hope that publishing the draft business case will help the public understand what we’re doing and see how the views they shared with us last summer are being used to shape the future of these services. We want to ensure women and newborns receive the very best care possible and we believe the preferred option will allow us to do this.”

    Andrew Loughney, Medical Director at Liverpool Women’s, said: “Midwives, nurses and doctors at Liverpool Women’s have been central to developing options for the future as part of this review. We are confident that the preferred option is best placed to enable us to address the main issues facing our patients. Moving to a new purpose built building would mean that we could provide the very best care for future generations of people in Merseyside.”

    All four options would require significant capital investment and NHS England and NHS Improvement, the regulators for the NHS, have asked that further work is now done to develop detailed funding plans. This work needs to show how capital funding could be secured and demonstrate that it represents value for money. It is recognised that this presents a challenge in the current environment of constrained NHS resources.

    At the same time, the final version of the PCBC needs to reflect the findings of a broader review of neonatal services, which is currently being undertaken by the Cheshire and Merseyside Neonatal Network and which will report in the spring of 2017.

    Once this additional work is completed a final version of the business case will be submitted to NHS England for approval. If NHS regulators are assured there is a sound case to invest, the options will go out to formal public consultation, giving the public an opportunity to share their views on detailed proposals for the future of women’s and neonatal services.

    Dr Lemmens added: “I want to stress that this is an ongoing process and no final decisions will be made until the conclusion of any future public consultation.”


  • See what people told us about our plans for Healthy Liverpool

    6 months ago

    NHS Liverpool Clinical Commissioning Group (CCG) is responsible for planning and buying local health services. The CCG is leading a programme, called Healthy Liverpool, which aims to transform health within the city.

    In early 2016, the CCG held a series of activities to get the public’s views on the different areas of Healthy Liverpool, which include physical activity, GP and community services, life circumstances affecting health, hospital services and urgent care services.

    You can download the full report here. This includes an summary of the report at the start, or you can read the findings for each... Continue reading

    NHS Liverpool Clinical Commissioning Group (CCG) is responsible for planning and buying local health services. The CCG is leading a programme, called Healthy Liverpool, which aims to transform health within the city.

    In early 2016, the CCG held a series of activities to get the public’s views on the different areas of Healthy Liverpool, which include physical activity, GP and community services, life circumstances affecting health, hospital services and urgent care services.

    You can download the full report here. This includes an summary of the report at the start, or you can read the findings for each individual area by going to the following pages:

    • Physical activity – page 16
    • GP and community services – page 49
    • Life circumstances affecting health – page 87
    • Hospital services – page 110
    • Urgent care services – page 138
    The feedback is now being included in planning the next stages of all of these areas of health and will help us make sure any changes reflect what is important to the people we serve.

    Thank you to everyone who took the time to share your views. We will post updates on these plans on the website as they progress and, where there are proposals for changes developed, we will again ask for input from the public.

    If you would like to be informed about future opportunities to share your views with us, you can sign up by clicking here.
  • Plan provides a new vision for long-term sustainable health and care for people across Cheshire and Merseyside

    6 months ago

    The Sustainability and Transformation Plan (STP) for Cheshire and Merseyside, sets out how the health and care system can remain fit for the future and respond successfully to the growing demands that are being placed on it, alongside ambitious ideas to improve the health of people living and working in the region.

    The STP sets out a shared core purpose to ensure that the people of Merseyside and Cheshire become healthier than they are now and can continue to have access to safe, good quality and sustainable services.

    The plan represents the thoughts and ambitions of more than 30 different... Continue reading

    The Sustainability and Transformation Plan (STP) for Cheshire and Merseyside, sets out how the health and care system can remain fit for the future and respond successfully to the growing demands that are being placed on it, alongside ambitious ideas to improve the health of people living and working in the region.

    The STP sets out a shared core purpose to ensure that the people of Merseyside and Cheshire become healthier than they are now and can continue to have access to safe, good quality and sustainable services.

    The plan represents the thoughts and ambitions of more than 30 different organisations serving a population of over 2.5 million people. The next will refine the ideas further, through engagement with local communities, the NHS workforce and other stakeholders such as local councils and the voluntary sector.

    Follow our social media channels on Twitter and Facebook for further updates and look out for information about opportunities to get involved.

    To access the STP, a summary document, Frequently Asked Questions and a number of appendices, please click here.

    For any queries or comments please get in touch by emailing mlcsu.cmstp@nhs.net.


  • CCG celebrates work of engagement partners

    8 months ago

    NHS Liverpool Clinical Commissioning Group recently celebrated the work of its voluntary, community and social enterprise (VCSE) partners, who help the CCG involve a diverse range of people in conversations about the future of healthcare in the city.

    When the CCG is carrying out engagement or public consultation work – usually prior to changing the way services are delivered - it will invite bids from registered VCSE partners to support this work and ensure the views of everyone are reflected in the decisions the CCG makes.

    Almost 100 representatives from VCSE organisations across the city attended an event on 6... Continue reading

    NHS Liverpool Clinical Commissioning Group recently celebrated the work of its voluntary, community and social enterprise (VCSE) partners, who help the CCG involve a diverse range of people in conversations about the future of healthcare in the city.

    When the CCG is carrying out engagement or public consultation work – usually prior to changing the way services are delivered - it will invite bids from registered VCSE partners to support this work and ensure the views of everyone are reflected in the decisions the CCG makes.

    Almost 100 representatives from VCSE organisations across the city attended an event on 6 October 2016 to hear from the CCG’s Engagement team and from other VCSE partners.

    The event included presentations from Valley Community Theatre and Moving On with Life and Learning, who spoke about their experience of working with the CCG on engagement and consultation projects (videos below).

    If you would like to learn more and find out if your organisation can become a registered VCSE partner, email involvement@liverpoolccg.nhs.uk or call 0151 296 7537.

    You can view slides from the event by clicking here.

    Moving On with Life and Learning:
    Valley Community Theatre:
  • Public supports reasons for change at Liverpool Women’s Hospital

    8 months ago
    Lwh tile

    The feedback from a public conversation about the review of services provided by Liverpool Women’s Hospital shows the majority of people who took part support the reasons why doctors, nurses and midwives believe services need to change.

    The case for considering changes to the way women’s and newborn services should be delivered was set out in a range of materials which supported this conversation (available here). In summary the case for change explains how the needs of patients have changed since the hospital opened more than 20 years ago, which has increased the clinical challenges that patients could... Continue reading

    The feedback from a public conversation about the review of services provided by Liverpool Women’s Hospital shows the majority of people who took part support the reasons why doctors, nurses and midwives believe services need to change.

    The case for considering changes to the way women’s and newborn services should be delivered was set out in a range of materials which supported this conversation (available here). In summary the case for change explains how the needs of patients have changed since the hospital opened more than 20 years ago, which has increased the clinical challenges that patients could face, including:

    - More women are having babies at a later age and more women are able to have babies despite having serious medical problems;
    - Babies that wouldn’t have survived are now routinely surviving, but require intensive care;
    - Women are living longer with increasing numbers requiring gynaecological services, including gynaecological cancers which often involve complex surgery.

    In addition, medical innovation and higher nationally-agreed clinical standards of care are driving new ways of caring for patients. The review has also made clear that the way services are currently delivered is not financially sustainable in the longer term.

    The public conversation about the case for change was conducted throughout July and August, as one of the stages of the review being led by NHS Liverpool Clinical Commissioning Group (CCG).

    People were asked for their views, which will now inform the development of specific options for the future of these services.

    More than 2,900 people responded to an online and print survey, along with feedback from face to face conversations conducted at public meetings and with groups, such as patient groups, new mothers and BME communities. Of those who responded to the survey, 72% said they supported the case for change, while 19% were unsure and 9% did not agree.

    Respondents gave a clear message that the most important factors for the review to consider in developing options for the future were patient safety and quality of services and patients having a good experience of care. It was also clear from respondents that they would want to protect the dedicated focus on women’s and newborn services and some concerns were expressed about services potentially moving from the hospital’s Crown Street site.

    Dr Fiona Lemmens, Clinical Director for the Healthy Liverpool Hospitals Programme, led by NHS Liverpool Clinical Commissioning Group, said: “It was important for us to get the public’s views on the case for change so we can be confident that people understand the issues we are trying to address. The objective of this review is to make services for women and newborns even better; this is not about cutting services.

    “The feedback from these early conversations will inform the detailed options that are being developed, which will be shared in due course with the public as part of a formal public consultation.”

    A full report of the pre-consultation engagement is available by clicking here.

  • Deadline extended: how can we provide better healthcare to people living in care homes?

    9 months ago
    Care homes 2

    As part of Healthy Liverpool, NHS Liverpool CCG is looking at how doctors, nurses, social workers and therapy staff can work together in a more joined up way to improve the healthcare provided to people living in care homes.

    You can find out more and share your views by taking a short online survey by clicking here.

    We've extended the deadline for taking part in our survey, which means you now have until 5pm on Wednesday 28 September to take part.


    As part of Healthy Liverpool, NHS Liverpool CCG is looking at how doctors, nurses, social workers and therapy staff can work together in a more joined up way to improve the healthcare provided to people living in care homes.

    You can find out more and share your views by taking a short online survey by clicking here.

    We've extended the deadline for taking part in our survey, which means you now have until 5pm on Wednesday 28 September to take part.


  • Drop in session for Knowsley residents to take part in review of services for women and newborns

    10 months ago
    Lwh ehq slide

    Healthwatch Knowsley is running a drop in session from 3-7pm on Monday 15 August at Centre 63, Old Hall Lane, Kirkby, L32 5TH.

    This is an opportunity for you to learn more about the review of services provided at Liverpool Women’s and share your views.

    At 3pm, a representative from NHS Liverpool Clinical Commissioning Group, which is leading the review of services, will be attending to present the case for change in more detail and answer any questions.

    Refreshments are provided and transport is available on request.

    If you are interested in coming along and for more information, please... Continue reading

    Healthwatch Knowsley is running a drop in session from 3-7pm on Monday 15 August at Centre 63, Old Hall Lane, Kirkby, L32 5TH.

    This is an opportunity for you to learn more about the review of services provided at Liverpool Women’s and share your views.

    At 3pm, a representative from NHS Liverpool Clinical Commissioning Group, which is leading the review of services, will be attending to present the case for change in more detail and answer any questions.

    Refreshments are provided and transport is available on request.

    If you are interested in coming along and for more information, please call Healthwatch Knowsley on 0151 449 3954, email lee-ann.danton@healthwatchknowsley.co.uk or just drop in on the 15 August.

  • SURVEY: How can we provide better care to people living in care homes?

    10 months ago
    Care homes rs

    As part of Healthy Liverpool, we are looking at how we can ensure that care outside of hospitals is really joined up around the individual needs and wishes of people and how the way care is provided can put people in control of their health care.

    We think the way care is provided to people living in care homes could be improved by doctors, nurses, social workers and therapy staff all working together in a more joined up way.

    You can learn more about what this would mean and how it would benefit people living... Continue reading

    As part of Healthy Liverpool, we are looking at how we can ensure that care outside of hospitals is really joined up around the individual needs and wishes of people and how the way care is provided can put people in control of their health care.

    We think the way care is provided to people living in care homes could be improved by doctors, nurses, social workers and therapy staff all working together in a more joined up way.

    You can learn more about what this would mean and how it would benefit people living in Liverpool care homes by clicking here.

    To inform how care is joined up and how improvements are made we would really like to understand, from your perspective, what might already be working well with the care either you or your family member receives, what you think about what is being proposed and how you think care could be improved.

    You can share your views by completing the short online survey here.

    The closing date for providing a response is Friday 9 September 2016.

  • BLOG: We need to hear from you to ensure the best future for women’s and newborns’ services

    10 months ago
    Dr fiona lemmens

    The NHS in Liverpool is looking at how services provided at Liverpool Women’s can be improved.

    The reason for doing this is simple. We want to ensure women and newborns receive the very best care possible and midwives, nurses and doctors have told us that change is needed in order for this to happen.

    We’ve set out the case for change here and I would encourage you to take a few minutes to read it. In summary.

    - The needs of patients have changed since the hospital opened more than 20 years ago
    - There are new ways of... Continue reading

    The NHS in Liverpool is looking at how services provided at Liverpool Women’s can be improved.

    The reason for doing this is simple. We want to ensure women and newborns receive the very best care possible and midwives, nurses and doctors have told us that change is needed in order for this to happen.

    We’ve set out the case for change here and I would encourage you to take a few minutes to read it. In summary.

    - The needs of patients have changed since the hospital opened more than 20 years ago
    - There are new ways of caring for patients and higher standards for how this care should be delivered
    - The way that services are currently delivered is not affordable.

    As we develop proposals for the future of services for women and newborns, we want to understand what is important to you.

    I want to stress that, despite what you may have read elsewhere, no decisions have been taken. We need to hear from you first.

    There’s an online survey which you can complete here. More than 1,000 people have already done so and you’ve got until 15 August to make sure your voice is heard.

    Or you can attend one of the events we are holding in August, where you can hear from staff, ask questions and share your views:

    - Thursday 4 August at PAL Multicultural Centre, 68a Mulgrave St, L8 2TF. Event runs 2pm – 4pm (book here)
    - Wednesday 10 August at Oakmere Community College, Cherry Lane, L4 6UG. Event runs 3pm – 5pm (book here)

    Once we’ve gathered everyone’s views, we will take some time to develop a number of options for the future.

    These will then go to a full public consultation – which is another opportunity for you to share your views – either later this year or early next year.

    If you want to keep up to date with progress, you can follow us on Facebook, Twitter or sign up to receive our updates here.

    By Dr Fiona Lemmens, GP and Healthy Liverpool's Clinical Director for Hospital Services and Urgent Care.