Welcome to East Lancashire Hospital NHS Trust’s Clinical Strategy.

This is the culmination of a great deal of work and has taken account of everything the Trust has already achieved, as well as our refreshed aims and objectives, learning and research and, of course, the need to restore our services following the pandemic.

The Clinical Strategy now and up to 2027 continues to focus on our aim to provider safe, personal and effective care for everyone.

This includes striving for excellence in urgent and emergency care, which continues to be a very pressure area for clinicians, as well as improving and transforming health and social care with partners across the area.

The aims of our Clinical Strategy

Our aim over the next five years is to build on our strengths and manage our challenges and thus  ensure that the fundamentals of care are right for our patients. 

  1. Ensure  a 1st class emergency service, so that patients are well cared for in a fully integrated seamless way through primary, community and social care, making clinical intervention meaningful, holistic and where possible within co-produced pathways.
  2. Within elective care we will ‘build back better’ after Covid, so that patients receive their elective treatment in a timely, clinically optimal way, clearing elective backlogs to pre-pandemic levels, transforming the delivery of outpatient services and being a recognised centre for a range of specialist services.
  3. To recognise and build on our clinical strengths and thus our ‘offer’ at a local and ICS level, as a partner in health and care, providing services increasingly via networks.
  4. As a major employer and provider of healthcare, our focus goes beyond helping people to recover from episodes of ill health or injury and seeks to play a part in addressing the health and wellbeing of our population and to reduce health inequalities.
  5. Be ‘digital by default’ and sweat our digital capabilities to help clinicians provide safer, more effective care for patients.
  6. Have a strong underpinning clinical workforce plan that supports our ambitions and be a preferred choice of employer for clinical teams across our services.
  7. Productivity, efficiency and reduction in variation are key threads of all of our clinical services.
  8. Improvement, education, research and innovation underpin and support us to be the best that we can be.

Have a read of an overview of our draft strategy

Key 5-year priorities

Elective Surgical

  • Elective care recovery post pandemic
  • Build back better – improvement in quality, productivity of care
  • Development in some specialist areas – robotic surgery, hybrid theatre/vascular arterial surgery, head and neck cancer, paediatric surgery, hepatobiliary (HPB) surgery

Elective Medical

  • Elective care recovery and clearance of backlogs
  • Build on strengths and improve care in key specialist areas – development of heart care centre, hepatology services, TB/neurology services, therapy/ACP support, haematology/chemotherapy unit, paediatric oncology and young people’s mental health/SEND services


  • Build diagnostic capacity/capability to support elective and emergency care
  • Increase capacity for radiology (BGH site development), aseptic services, ERCP/specialist endoscopy and cardio-respiratory diagnostics (diagnostic hub model)

Urgent, Emergency and Community Care

  • Ensure a 1st class emergency service when our patients are at their most vulnerable
  • Whole system improvement transferring care from in-hospital to more agile out of hospital models of emergency care
  • Improvements in acute stroke, medicine for older people/frailty, surgical assessment, same day emergency care, maternity and paediatric care
Provide your feedback here

Share your views on our draft Clinical Strategy by emailing Clinicalstrategyfeedback@elht.nhs.uk



Listen to our podcast about our draft Clinical Strategy by clicking the image above.