[Andrew Bennett]:

Integrated care is just a way of saying joined up care.

I think what we are trying to do as a group of organisations is make sure that people when they are going through the healthcare system, feel like their care is joined up.

We've had a system that was invented about 30 years ago, of commissioners and providers and we talked about them being split, separated from one another.

And I think one of the effects of that has been we have ended up doing things to people, to people in the population, rather than with them.

So I think my my ambition, my vision for integrated care is that we're actually doing what people wanted us to do.

We want to work better together to join up the care that they get.

There are lots of good examples of how we are already joining care up.

We are doing a lot in our local neighbourhoods where perhaps GPs are working with the local social care department, they might be working with the police or the Ambulance Trust.

And talking to people in those communities about how we can join up the care around them.

That's prompting some really amazing results in parts of Lancashire and South Cumbria.

Inside a hospital you might ask different professionals to work together to improve a pathway for someone when they need hospital treatment.

But the other element to this is thinking about the future, planning for the future.

We know that our population is getting older, for example, so people's needs in old age are perhaps different from how they were 20 or 30 years ago and we can do a lot more for people of course.

We also have some really clear pockets of deprivation in Lancashire and South Cumbria and we need to be taking some action over a number of years to really help people to address those and be healthier in the longer run.

The take-away message from me is that we should carry on being really ambitious.

I think people come to work wanting to do their best, they often talk about making a difference.

And actually in in most people's day-to-day lives they want to do that, they want to look after their patients or they want to support citizens in the community.

So this is about building a sense of community to improve all of our population's health.

[Mr Andy Curran]:

Within Lancashire and South Cumbria it's really important we have an integrated health and care and social care partnership.

We have some incredible challenges, when you look at us compared to other parts of England.

We need to make sure that every person who is born has the best possible chance of living a healthy, productive life, where they are happy with their wellbeing, where they have achieved what they want to be.

If we just focus on people who have disease and ill-health it's too late.

We need to help people prevent themselves from becoming unhealthy and becoming unwell.

It's enabling people to make their own choices, but feeling like it's worthwhile doing that.

Co-designing the services that we deliver is really important.

Knowing what is important to our population, what they value.

The people who are getting really good satisfaction from their lives and happiness with their lives are able to create their own wellbeing.

We need to make sure as society that we are enabling people to do that.

We've heard a lot of talk before, we've heard a lot of promises but now this is about relationships, this is about sitting down in a room with people and all of us being in this together.

It's not about competition between the organisations, it's about looking each other in the eye and saying: 'We are going to do our best'.

Which might mean that my organisation isn't bigger it doesn't have more money coming in, but actually, this is all about the patient and our public and making sure we do the right thing for them.

It's a really exciting time.

[Talib Yaseen]:

We have an integrated care system in Lancashire and South Cumbria so that we can try to provide more coordinated and connected services for the patients that we serve.

Part of what we need to do is take all of the resources and say could we do things differently, could we provide more reliable, safer services but within the financial resources that we have.

So that's part of what we are trying to do.

Most of that isn't about the money, or the buildings, it's about a mindset.

What could we do differently, how do we learn from other people across England or elsewhere in the world that have got really well organised services but done in a different way to the way that we do that.

We need to balance up how do we do stuff locally, that meets local need and some of that is very place based.

It might be around six streets or a particular neighbourhood.

Some of it is saying no, the best way to do this is to put it in a specialist centre where you do lots of it, people are expert, and we can get you in and out quickly.

That's the real challenge that we have but to do that in an open and honest way.

Not everyone wants to be involved in that conversation but our job is to take that conversation to them and to at least try to inform them about what the possibilities are.

And there will be different world views and we have to accept there are different world views and not everyone will be supportive.

But we have to look at how do we make the best use of our staff and resources and how we organise care for the whole population, so ideally make the best use across the system but also make sure that that local service meets the needs of people

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