SWOT Analysis of Lewisham and Greenwich NHS Trust in Accomplishing NSH Long Term Plan

This report analyses the performance of Lewisham and Greenwich NHS Trust in the accomplishment of NSH Long Term Plan through SWOT analysis. It evaluates the strengths, weaknesses, opportunities, and threats of the organisation in meeting the standards of the plan. The report discusses the NSH Long Term Plan and the catchment area of the trust. It also provides a detailed SWOT analysis of the organisation's performance in meeting the standards of the plan. The report concludes with recommendations for the trust to improve its performance in the context of the plan.

Healthcare
Environment

Executive summary
NSH (National health service) is the umbrella term for the publicly funded health care system
of the United kingdom. NSH England published the NSH Long term plan , this plan developed
with the objective helping and supporting the NSH sustainability over net ten years. In this report
Lewisham and Greenwich NHS Trust strength, weakness, opportunities and threats are going to
be analyse related to their performance in the accomplishment and incorporation of the NSH
long term plan. That how effectively they are meeting the standards of long term plan and how
they can improve their performance in context to that.

Table of Contents
INTRODUCTION ..........................................................................................................................1
MAIN BODY ..................................................................................................................................1
SWOT analysis .....................................................................................................................1
CONCLUSION ...............................................................................................................................7
RECOMMENDATION ..................................................................................................................8
REFERENCES ............................................................................................................................10

INTRODUCTION
Health care services and practises of the health care setting have to be effectively done or
accomplish on the basis of the different standards and framework provided by the NSH or other
health care associations. NSH (National health service) is the umbrella term for the publicly
funded health care system of the United kingdom (Gözüm and et. al., 2021). In 2019 NSH
England published the NSH Long term plan , this plan developed with the objective helping and
supporting the NSH sustainability over net ten years along with the aim of implementing
effective provision of disease prevention and reduction of the health inequities. This is
including the effective measures in context to the prevention of 150,000 heart attacks, dementia
cases and strokes, along with the services of better access to the mental health services for adults
and children. Over this focus on the improvement of patient care and health care outcomes
quality, which have to be followed by each and every NSH trust and foundation. Lewisham and
Greenwich NHS Trust is the NSH foundation which play the responsibilities of effective
hospital services management within Lewisham Hospital and Queen Elizabeth Hospital in
Greenwich. In this report performance of the selected organisation is analysed with the
application of SWOT analysis in context to the effective incorporation of NSH long term plan
with in the care services delivery practices of selected organisation.
MAIN BODY
SWOT analysis
This is one of the most important analytical tool which helps in the assessment of
organisation performance in terms of the strengths, weakness, opportunities and threat. This play
important role in the health care environment analysis and management of the health care
services practices according to the analytical results (Theocharis and et. al., 2019). This helps to
assess all external factors which are impacting the organisation performance and in context to
which organisation have manage their performance with some changes and strategies for
successful achievements of the plan. With the aid of SWOT analysis NSH foundation can
evaluate their internal and external strength along with the weakness and opportunities in context
to their long term plan achievements.
Lewisham and Greenwich NHS Trust
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This is the NSH trust stabilised on 1 October 2013, this trust is working for the different
range of the hospitals services and practices are in order to provide the high quality care for
every patient. Such as this take the responsibilities of queen Elisabeth Hospital in Greenwich,
University hospital Lewisham, community health services improver and management through
quality and equity assurance (Alonso and Andrews, 2021).
NSH long term plan (NHS England, 2019)
The NSH England chief executive launched the NHS long term plan, in context to the
incorporation of new changes and health care services improvement according to the new
developing needs of services. This plan develop with the objective of improving the health care
system for the present and future health care services and patient needs satisfaction, by drawing
front-line staff, national experts. This is incorporating the different measures of the strokes, heart
attacks and dementia cases prevention along with strategies of inequality control. The major
objectives of this plan is development of the more personalised care for the patient, enabling the
digital primary care services, NSH staff development, improvement of the public health.
The main catchment area of this NSH trust is London health care settings and
population, the need of health care services is very high and continuously increase along with the
negative impact of COVID-19 on population mental health. Below is the brief analysis of NSH
trust performance in context to the catchment area need satisfaction according to the standards
of NSH long term plan (Wheeler, 2020).
SWOT
Strength Weakness
 This trust is associated with the
promotion of equality and human
rights. According to which they
maintain the respect of patients and
employees diversity respect with in
health care settings.
 There is the effective control on the
infection.
 In context to the standards of the NSH
related to emergency department four-
our wait, trust not met the standards due
to the impact of COVID on emergency
department needs by increasing
requirements of beds and infection
control (Skuse and et. al., 2017).
 According to the NSH long term plan
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 According to the NSH planing staff
should increase with best skills and
with safety. This trust has met the
target by effective staff reviews and
development of the new nursing posts.
Organisation is continuously working
on the nurses staff development and
retention with best approaches.
 Another important standard of the
NSH long term plan is screening of the
95% patient for the admission for
VTE (venous thromboembolism ). this
trust met the standard target over the
2019/20.
 breastfeeding standard for assuring the
fully or partially Brest fed at 6-8 week
check is achieved 100%.
 childhood obesity ensure standards are
met with 93% age 6 year children
measurement.
 Cancer improvement is done by the
trust with the help of £250,000 fund
offered by the South East London
Accountable Cancer Network. Such as
the lung cancer diagnosis, achievement
of the gold standard in cancer biopsies,
development of the new breast biopsy
machine is done (Luckin and
Thorsheim 2020).
 Organisation is following the best
strategies of quality and safety
the targets of cancer treatment is not
met by the trust. Because this has not
achieved the two week wait standards
and 62 day treatment standards.
 The NSH long term planing is focus on
the reduction of waiting list size,
according to this 92% of the patient
should should referred to the hospital to
start treatment within 18 weeks. This
trust major weakness is that this did not
meet the 92% standard within 2019/20.
 In context to the standards of the NSH
related to the patient care, that their
should not be more than 62 days
waiting for the treatment from GP
referral. This should be achieve 85%
but this trust within 2019/20 not met the
standard and achieve 73% only
(Kendall, 2021).
 The 18 week target number for the open
pathway is not achieved by the trust
because the expected number was
39186 but organisation has reached
38890.
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assurance along with the best plan of
wisely investment of money.
Opportunities Threat
 The developing techniques and
innovation in the filed of health care is
the opportunity for trust such as in
context to the quality improvement
programs organisation can use digital
and innovative technology.
 In context to the patients services
performance improvement organisation
can reduce the inequity. They can work
on the 7 day model, improve the
transition services. Development of the
virtual clinics is can be achieved with
the aid of new digital techniques.
Outreach services is can be improve
for the community (Skuse, Bruce and
Dowdney, 2017).
 In context to the NSH long term plan
for the development of staff. Trust can
provide effective training. Work on the
development of new more specialist
for health care services.
 For the achievement and meeting of all
NSH goals and objectives, trust should
make more partnership approach
application. Because this can help to
generate integration of services. This
influence the collaborative working
 That is difficult to reach all area for the
accomplishment of services quality and
NHS long term plan goals achievement
actions plans. Due to the security
provision of the current pandemics
situation.
 The biggest threat is the Zero insight
and data management complications.
 Digitalization of the services can
increase the risk of legal issues which is
associated with the patient and
organisation data protection.
 Another risk for the trust in context to
the NSH long term plan
accomplishment is can be related to the
workforce management according to the
new strategies of services improvement.
Workers retention and management
with new changes is important in order
prevent conflict and risk of the action
plan issues.
 The new polices and plan governess
issues is can be the threat for trust new
strategies and planning of service
quality and equality (Confue, 2019).
 The contentious development of health
care services need and cost, force the
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and effective care of the people across
the communities.
 In context to the effective fund
management for the health care
services improvement objectives of the
NSH long term plan. Organisation can
use the new effective funding and
financial investment strategies along
with the application of partnership and
collaborative approaches because this
aid to effective decision making and
section of the most appropriate
financing strategies and actions. The
improvement of funding sources and
improvement is opportunity for the
trust to deliver effective services on the
basis of NSH England 2019.
trust to develop more cost effective
services and create pressure (Ireland
2017) .
Discussion of SWOT analysis
Strengths
In context to the NSH long term plan objective Lewisham and Greenwich NHS Trust is
meeting objective and standards of cancer services improvement. Such as in the service area of
this trust in, Queen Elisabeth Hospital now there is the availability specialist lung cancer
diagnosis machines this means patient do not need to travel more for the diagnosis from one trust
to another. Such as EBUS Endobronchial ultrasound for lung cancer and other diseases. In
context to the standards of 14 day referral for bowel cancer diagnosis, but now this can achieve
more faster GP nurses phone assessment. Organisation is following the gold standards for the
cancer biopsies, under which they include MRI scan.
Another most important standard or objective of the NSH long therm goal is Patient care
quality and safety assurance in context to which Lewisham and Greenwich NHS Trust is very
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effectively performing. The health care services quality improvement program of the
organisation is performing good with effective results. The Quality improvement program was
lunched in 2019, this was develop with the aim of improving front-line staff service and action
performance, this helps the staff to effectively identify the needs of changes in context to the
patient care then this program support staff with appropriate tools and skills of the new changes
implementation. In context to the improvement of clinical services this organisation used the
accreditation program through which they used the app the analysis of good things and
improvement needs. On the basis of which organisation make plan for addressing the needs and
improvement (MacKay and et. al., 2020).
Weakness
One of the most important area of the NSH long term plan is effective services in
emergency department for the prevention of further health complications of delay in treatment
but the Lewisham and Greenwich NHS Trust get Failure in emergency department standards
accomplishment. Due to the negative impact of COVID on health care system with the
increasing health care and emergency services demand. The standard of emergency department
four hour wait is the national standard, according to which 95% of patient should not wait more
than two hours while attending emergency department. Organisation tried its best but the has not
achieved that national standard four hours performance in 2019/20. although they were
continuously working with partners to manage the situation, but the infection prevention
measures need due to the pandemic and higher rush prevent to manage that situation.
According to the planing of NSH health care provisions waiting list size should meet the
waiting standards, such as in context to the treatment of cancer there is the rules according to
which patient can only wait two week and after that they can get the immediate treatment but
trust has not met this standards.
Opportunities
Funding sources and technology are the best opportunities for Lewisham and Greenwich
NHS trust to work on the their NSH long term goals accomplishment through improvement of
the services and health care inequality preventions. Such as the development of new health care
settings and space through the funding of government manifesto. In context to the development
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of 40 new hospital there is the £2.8bn invested by the government which is the opportunity for
trust to improve the emergency department services. Emergency funding was made available by
government for the infection control, post treatment care, social care. That £800m for infection
control. Similar to this there are the continuous investment and funding provided by the (NICs)
for NSH foundation. This is the opportunities for trust in context to the achievement of all long
term goals through selective investment in services development.
Technological development and innovation are the opportunities for organisation services
and health care practices improvement according to the new changes and needs of the long term
plan regarding improvement of the future health care services. This aid to meet the digital health
care services development objective of NSH long term goal (Green and et. al., 2017).
Threat
At present situation of the Pandemic developing health care services need and cost are the
major factors which can be threaten for the trust performance related to the NSH long term plan.
Because the funding sources and existing resources are frequently apply to the current need of
health care services and this is preventing the management of health care services for the future
health care system improvement and sustainability.
Work force management issues within new changes and plan, the behaviour of health
care staff are the key factor of organisation goal achievement and result. The changing plan and
new modification in health care system according to the NSH long term plan may face the
challenges of staff management. Because changes may lead to the stress and complication for
staff. And if the behaviour of staff can not effectively manage with changing strategies then this
can lead to the failure of the plan (Gu,and et. al., 2019).
CONCLUSION
From the above study it has been concluded that health care services is can be effectively
manage for the well-fare of population, through implementation and accomplishment of the
health care code of conduct and health care association services framework. Such as NSH long
term plan is providing the effective structure or guidelines of the health care provisions and
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services in context to the control of disease and reduction of inequality. External environment is
full of the opportunities and threat and in order to utilizing opportunities of effective action and
services and for the mitigation of threat that is important to make organisation performance and
external environment analysis with in the aid of SWOT analysis. From the Lewisham and
Greenwich NHS Trust, NSH long term plan associated SWOT analysis it has been identified that
organisation major strength is their continuous efforts for the accomplishment of long term plan
goals. Such as they are effectively achieving the safe staffing, breastfeeding, cancer
improvement and children obesity control standards along with the effective use of funding and
services. Weakness is lack of the efficiency in emergency department standards
accomplishment, threat is the higher demand of the health care services and work force
management along with the new changes in context to the accomplishment of NSH long term
goal. Some important opportunity for trust is higher funding support, partnership, technology
and innovation. Below is the brief illustration of the effective recommendation in context to the
maximizing strength and minimizing weakness and threats.
RECOMMENDATION
More effective staffing approaches- In order to maximize the effectiveness of
organisation strength and minimize the weaknesses or threats of the trust one of the most
effective recommendation or strategy will be staff development and management with effective
strategies. Because staff are the key resources which aid to manage and accomplish various task
of the health care setting. Such as in context to the trust effective cancer treatment facilities this
can maximize the effective, by increasing the sufficient staff for the cancer diagnosis machine
management. Success of the organisation equality, safety and quality care program is can be
more effectively achieved with the aid of well trained staff. Major issue of the emergency
department and waiting list standards is can be effectively managed with the best qualified and
specialist staff. In context to the new plans and strategies accomplishment staffing can further
contribute in effective results. So that is important to use effective selection, training and
development criteria for health care employees (Singh and et. al., 2020).
Continuous innovation- In the health care sector innovation is the best mode of
problem solving. Such as Lewisham and Greenwich NHS trust should work on innovative
programs in order to improve their performance for the achievement of NSH long term plan
goals. Through effective management of their strength and weaknesses. In context to the
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management of higher services demand and emergency services improvement organisation have
to work on the development of innovative services and service providing criteria. Such as the
online primary care services reduce the rush on hospitals.
Improve the health care services practices- That is important for the Lewisham and
Greenwich NHS trust to improve their services effectively, by implementing the effective
clinical errors preventions strategies, development of the effective care coordination,
simplification of the administrative process. Make more research for the development of
evidence based health care approaches. All this actions and measures will help in the
management of higher services need and higher cost pressure (Annand, 2019).
Development of the effective digital health care services along with the strong data
security- Digitalization of the possible health care services will help to effectively meet the
standards of waiting list and emergency department. This can also helps to manage the higher
services demand and lower cost through the online services facilities. And in order to reduce the
risk of data related legal issues organisation have to work on their information system security
development through new techniques implementation.
Improve the size, structure and guidelines of the health care setting- The increasing
demand and time effective care services is can be effectively manage with the development and
improvement of health care setting size and facilities along with this that is important to
improve the work flow guidelines according to the changing needs and environment. Lewisham
and Greenwich NHS trust should make the effective application of funding souses in
improvement of shaping and health care setting structure. Because this will help to manage the
all health care services and emergency needs with in right time, with appropriate resources such
as beds (MacKay, 2020).
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REFERENCES
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stenosis in children and adults. European Journal of Cardio-Thoracic Surgery, 56(3),
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Wheeler, R., 2020. Clinical law for clinical practice. CRC Press.
Skuse, D., and et. al., 2017. Child Psychology and Psychiatry: Frameworks for Clinical Training
and Practice. John Wiley & Sons
Luckin, B. and Thorsheim, P. eds., 2020. A Mighty Capital Under Threat: The En
Skuse, D., Bruce, H. and Dowdney, L. eds., 2017. Child Psychology and Psychiatry: Frameworks
for Clinical Training and Practice. John Wiley & Sons.
Confue, P., 2019. Outsourcing non-clinical services in NHS organisations in England. British
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MacKay, B., and et. al., 2020. Strategy: Theory, Practice, Implementation. Oxford University
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Two Years when used to address Significant Glenoid Bone Loss In Primary and
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Elbow Surgery.
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Annand, A., 2019. Evaluating twinkles: reflections on the evaluation of a drama and
communication project in schools. Research in Drama Education: The Journal of
Applied Theatre and Performance, 24(2), pp.201-208.
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Implementation. Oxford University Press, USA.
Ireland, D., 2017. Everything Between Us. Bloomsbury Publishing.
Kendall, P., 2021. Henry VIII in 100 Objects: The Tyrant King who Had Six Wives. Frontline
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