L&SC Locally Enhanced Service Specification for Primary Care (LES)

Guide to support Primary Care to deliver good Palliative and End of Life Care

The 10 Year Health Plan (July 2025) describes a new operating model encompassing three shifts: hospital to community, analogue to digital and sickness to prevention. To support implementation of the new operating model the Medium Term Planning Framework – delivering change together 2026/27 to 2028/29 (October 2025) describes how implementing neighbourhood health will reduce unwarranted variation, reduce unnecessary non-elective admissions and bed days from priority cohorts including those who are frail, residing in a care home and at the end of their life. This provides a significant opportunity to improve end of life for all residents of Lancashire and South Cumbria (LSC).