Case studies

In 2017/18 North Kesteven District Council undertook a customer-led review of parking provision that resulted in a joined-up approach to managing parking quality, quantity and cost within Sleaford town centre.

Managing transfers of care: an example of how a local area is working to implement system change. In Lincolnshire, a number of delays were occurring while waiting for care homes to visit the acute hospital to carry out assessments. Lincolnshire chose to address this through the introduction of a care home trusted assessor role, which would not only enable assessments to be carried out more quickly, but would also help to develop relationships and trust across the system.

Lincolnshire County Council was the first council to go through a pilot CQC assessment. The council's Executive Director for Adult Care and Community Wellbeing Glen Garrod said he was motivated to put Lincolnshire forward because he believes it is time for social care departments to open themselves up to a system of inspection with ratings.

The hospital avoidance response team – HART – service is delivered by members of the Lincolnshire Independent Living Partnership and takes referrals from secondary care discharge hubs, A&E in-reach teams, the ambulance service, primary care and community health providers. This example of a local initiative forms part of our managing transfers of care resource.

The hospital avoidance response team – HART – service is delivered by members of the Lincolnshire Independent Living Partnership and takes referrals from secondary care discharge hubs, A&E in-reach teams, the ambulance service, primary care and community health providers. This example of a local initiative forms part of our managing transfers of care resource.

Lincolnshire County Council have sought a different way to support their care experienced children with their mental health. Knowing that there are sometimes long waiting times for specialist support, the council identified a way to support social work staff to hold the mental health and emotional wellbeing needs of care associated children.

The NHS and county council in Lincolnshire have worked with partners to use social media and the local press to get the message out there about the importance of self care. It has helped reach thousands of local people. This forms part of our resource on self care.

Lincolnshire County Council are faced with the challenge of working across a large and dispersed county. By creating strategic alliances, they have developed provision that enables them to meet their skills and employment challenges. This case study examines the current system, and what is needed to improve outcomes for the local community.

When Lincolnshire County Council began to map the complex factors that lead to childhood obesity; from food availability and marketing, transport choices and social norms to activity levels and deprivation, the intricate diagram of causal loops was a powerful visual illustration that a whole systems approach was necessary.