The Integrated Care Group (ICG)

Welcome to the Integrated Care Group (ICG) – the largest division in East Lancashire Hospitals NHS Trust, employing over 2000 friendly, dedicated, professional and high performing staff.

This division provides services across all medical wards and in our community hospitals as well as the Emergency Department and Urgent Care Centres on three sites with 496 acute beds and 134 rehab beds.

We offer the opportunity to learn, grow and develop your career in a supportive and innovative environment

Department for Emergency Medicine

Our department has:

  • New senior nurse structure
  • 2 x Matrons, 2 x Practice Educators, Nurse Consultant, ADNS
  • Numerous extended practice roles
  • Excellent career development opportunities
  • Management exposure
  • Excellent business/performance support
  • Integrated working with IHSS/Frailty/Stroke

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Acute Medical Units

Patients are referred to these units from the Emergency department or by their GP or other health professional. This 82-bedded “super ward” is based at the Royal Blackburn Teaching Hospital and brings together and coordinates acute, specialty and ambulatory medicine to provide the right care in the right place at the right time, every time.

Patients will be cared for by a multidisciplinary team led by acute physicians and will stay on the unit for up to 72 hours to complete their care. This will mean that many patients will not require any inpatient moves so improving continuity of care and the patient’s experience.

Medicine for Older People

As more people are living for longer, the care of older people and their complex needs continues to grow and here at ELHT we are no different. We have numerous wards dedicated to their needs and care with a real focus on delivering person centred care.

  • Ward C5 is our dementia friendly ward, which has achieved the quality mark status with the Royal College of Psychiatrists.
  • Our Stroke Unit has 2 new dedicated nurse consultants to strengthen the nursing team and to improve the sustainability, quality and efficiency of the service, enhance integrated services with the community and improve care pathways.
  • We have C11 a Model Ward focusing on improving the patient journey in collaboration with Multi-Disciplinary Teams.
  • We have Wards C9 and C5 looking to improve the patient journey with #endpjparalysis.
  • Ward B4 work collaboratively to improve skin damage.
  • We also have 4 community sites who cater for the care of our elderly –  Burnley General Teaching Hospital, Clitheroe Community Hospital, Accrington Victoria Hospital and Pendle Community Hospital.
  • Pendle Community are working collaboratively to reduce falls alongside the Fall Specialist Nurse
  • Our neuro rehab unit at Rakehead is undergoing an exciting service review to improve further the patient journey

We a have a strong focus on values and leadership within Medicine for Older People wards.


This specialism not only covers our ward based service but also the wider Integrated Respiratory Service, such as the Pulmonary Rehabilitation programmes and the Oxygen Service and, as from October 2017, the new Respiratory Assessment Unit.

As a nurse you will be working with a variety of patients with complex respiratory needs and so will be involved in

  • Chest drain management
  • BIPAP non-invasive ventilation management
  • Tracheostomy management
  • PEG management
  • Nebuliser and inhaler management
  • Oxygen management

Due to the complexity of the cases you will be caring for you will operate as part of a wider multidisciplinary team including speech and language therapists, physiotherapists and occupational therapists, tissue viability nurses, the Outreach Team and other specialisms such as diabetic care.

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Our department has:

  • 10 bedded Coronary Care Unit & 26 bedded cardiology ward
  • Nurse led Ambulatory Heartfailure Service
  • Nursing Echocardiographers
  • Rotational specialist nursing development opportunities
  • Practice educator to support learning and development
  • Cardiology research nursing in clinical trials
  • Excellent recruitment and retention of staff
  • Work with dynamic and innovative staff
  • Cardiac catheter Day case carries out angiograms, angioplasty, rotablation, dc cardioversions and implants Biventricular pacemakers, pacemakers, loop recorders.

Digestive Diseases

We are an acute medical and nursing team, who are committed to providing and maintaining high standards of patient care, specialising in Gastroenterology.

We have between 20-24 beds overseen by a dedicated duty coordinator/Sister, supported by an experienced Ward Manager. You will be looking after patients with predominant hepato-biliary, irritable bowel syndrome, nutritional deficiencies, and substance abuse problems.

We offer all of our new nurses a structured orientation programme with the support of our dedicated Practice Development team, and the ward leadership teams.

We have great networks within the team to support your short and long-term development needs, including:

  • Advanced Practitioners
  • IBD specialist nurses
  • Nutritional specialist nurses
  • Hepatology specialist nurses
  • A dedicated patient flow facilitator
  • Specialist Dieticians
  • 10 dedicated specialist Consultants
  • The team also provides dedicated clinical teaching every Friday lunchtime with a structured programme and lunch provided.


There is also a wide variety of departments that we work alongside to support patients undergoing procedures and interventions, which provide a wide variety of clinical opportunities for your development, including:

  • Magnetic resonance cholangiopancreatography
  • Endoscopic retrograde cholangiopancreatography
  • Oesphago gastro duodenoscopy
  • Colonoscopy
  • Sigmoidoscopy
  • Percutaneous endoscopic gastrostomy
  • Radiology inserted gastrostomy
  • Liver biopsy
  • Abdominal paracentesis

Diabetes and Endocrinology

The diabetes service at East Lancashire Hospital NHS Trust provides the care for diabetics who live in this catchment area. The aim is to allow people with diabetes of all ages to live a healthy and fulfilled life and to reduce the impact diabetes has on their lives.

About our Wards:
This two 20 bedded wards are managed to support you to deliver a high standard of patient care but also gives you the chance to work towards developing your own skills in the best way for you. Having a new management team has meant there has been renewed focus on all aspects of running a safe ward and has made for an organised ward environment that allows all the staff to work well as a team.

We have also secured significant investment through recent successful bids from Pennine/Lancashire to increase the in-patient nursing team and diabetic foot team.


Why come and work with us:

  • Excellent opportunities for specialist development
  • Working alongside the diabetes specialist nurses and inpatient podiatrist teams
  • Opportunities for rotation and exposure to specialisms that include
  • Cardiology, Respiratory, Hematology, Rheumatology and Gastroenterology
  • Creating a culture of discussion and discursiveness
  • Be part of the team that creates thinking pathways
  • Allowing you to go on to roles such as Diabetic link nursing and other nursing specialities along with higher band progression


What our Diabetes and Endocrine wards offer:

  • Continuous glucose & Ketone  monitoring
  • Diabetes – Type 1 and 2
  • Insulin pump therapy
  • Motivational interviewing skills
  • Multidiscliplinary foot team
  • Structured diabetes education
  • Integrated diabetes team

Community Services

Specialised bladder and bowel assessment and care:

  • The Adult Team work as part of the nationally accredited Uro-gynaecology MDT
  • A nurse-led service within the community directorate.
  • The team won the National Continence Care Award for training in 2014.


  • Audit for patient experience for nail surgery procedures
  • Outstanding star award nomination “outstanding team”
  • Close links with University Salford and Huddersfield with practice placement facilitators
  • Independent prescribing practitioners
  • Opportunities for training MSC Biomechanics and Vascular course
  • Kings College London Clinical supervision in place
Community ELHT

District Nursing:

  • Winner of the Tell ELLIE patient nominated award for two consecutive years
  • 24 hour service provision.
  • CPD including BSc Specialist Practitioner District Nursing and non-medical prescribing.
  • Transformational working opportunities with partner organisations ( INT/CCG/Social Services)
  • Involvement in national pilot for personal health budgets

Specialist Palliative Care:

  • A hospital and community service for patients, carers and other health professionals regarding complex pain & symptom control management
  • The Specialist Palliative Care CNS’s are autonomous practitioners and provide independent assessments and develop management plans for complex palliative care issues.
  • The team also has a lead role in providing education in palliative and end of life care for core services, developing and leading on best practice, influencing the quality improvement of end of life care across the trust.

Intensive Home Support service

  • The Intensive Home Support Service (IHSS) provides high-quality nursing and therapy care delivered to patient’s in their own home.
  • It is a team of clinical staff who will assess, investigate, support and help patient’s avoid any unnecessary hospital admissions or to help patient’s return home from hospital where possible.
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Do you care to make a difference?

If you are interested in joining our Integrated Care Group then please search our vacancies here

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