We are delighted to share with you a copy of Cumbria Learning and Improvement Collaborative's Fifth Annual Report.

Highlights of the Fourth LOC in the Lakes Festival, which was titled 'We're All Human: Skills for Safety'

This is year five. We have had a very busy year and this report (available to download below) will help you to glimpse into the very diverse world of the work we do to support our system priorities. The further development and establishment of key components of the North Cumbria Health and Care System remain at the heart of our support. This includes the establishment of new ways of working in the Integrated Care Communities (ICCs) against a backdrop of helping staff in all sectors to manage their intense workload – whilst staying focused on making sure the patients and service users get the care and support they need.

Three strategic choices helped us in this endeavour. Firstly we have re-structured the collaborative twice! At the beginning of the year this was a formal evolution to include the key staff in NHS Continuous Service Improvement and Organisational Development (who were part of Cumbria Partnership NHS Foundation Trust (CPFT)), merging them with CLIC NHS North Cumbria Clinical Commissioning Group (NHS North Cumbria CCG) staff to create a single system-facing team. As the year ends, further design work on the emerging ‘integrated care partnership’, of which a new combined NHS Trust will become a central part during 2019, has led to further personnel changes to prepare CLIC as a major component of the new ‘system engine’.

Secondly we have re-vamped and further developed our website (see the January section) and thirdly, as you will see across this report, we have shifted the emphasis of how we use our time and effort to support specific requests from the service and reducing the scale of our pre-planned programmes.

So the big questions arise: Is it working? What is the return on investment? Is there anything else we should be doing? Download the report below and read on...