Sustainability and Transformation Plans

How serious are the proposals?

A critical review


May 2017

Seán Boyle, John Lister, and Roger Steer

In late 2016, 44 geographical areas of England published Sustainability and Transformation Plans setting out how health and care will be delivered within their local areas by 2021, to achieve the aims of the Five Year Forward View, to restore and maintain financial balance, and to deliver core access and quality standards for patients. This report is not a commentary on whether there should be STPs but on how they are set up to deliver the level, pace and scale of change required.

This report critically reviews each of the 44 STPs in terms of how they stand as serious, coherent and achievable plans. Each was subject to the levels of rigorous appraisal you would expect for ant set of NHS planning documents. The researchers were looking for clear expert evidence, how the plans matched population needs, the resources required, the key assumptions in the overall approach, and how local accountability operates across the footprint. Overall the report finds that the STPs are not ready for implementation, with the plans lacking a secure grounding in the current situation, and a robust evidence base to the changes proposed. Significant developments in the relationship between the NHS and Local Government are required and this will take time. The emphasis on reducing acute beds and A&E attendance will require local consultation. Legislative change is also required to free health and care from the constraints of the market to provide integrated quality care for local populations. Finally there is a significant funding shortfall, and a need for clear and robust workforce plans.

Sustainability and Transformation Plans_LSBU_31_May_2017 .pdf
457-1617-SCH-HSC-STP Analysis Kent and Medway.pdf
457-1617-SCH-HSC-STP Analysis Lancashire and South Cumbria.pdf
457-1617-SCH-HSC-STP Analysis Hampshire and the Isle of Wight.pdf
457-1617-SCH-HSC-STP Analysis Durham etc.pdf
457-1617-SCH-HSC-STP Analysis Leicester, Leicestershire and Rutland.pdf
457-1617-SCH-HSC-STP Analysis The Black Country.pdf
457-1617-SCH-HSC-STP Analysis Devon.pdf
457-1617-SCH-HSC-STP Analysis Gloucestershire.pdf
457-1617-SCH-HSC-STP Analysis Hertfordshire and West Essex.pdf
457-1617-SCH-HSC-STP Analysis Cheshire and Merseyside.pdf
457-1617-SCH-HSC-STP Analysis Bristol, North Somerset and South Gloucestershire.pdf
457-1617-SCH-HSC-STP Analysis Bath Swindon and Wiltshire.pdf
457-1617-SCH-HSC-STP Analysis Cambridgeshire and Peterborough.pdf
457-1617-SCH-HSC-STP Analysis Coventry and Warwickshire.pdf
457-1617-SCH-HSC-STP Analysis Birmingham and Solihull.pdf
457-1617-SCH-HSC-STP Analysis Bedfordshire Luton & Milton Keynes.pdf
457-1617-SCH-HSC-STP Analysis Buckinghamshire, Oxfordshire and Berkshire.pdf
457-1617-SCH-HSC-STP Analysis Frimley Health.pdf
457-1617-SCH-HSC-STP Analysis Dorset.pdf
457-1617-SCH-HSC-STP Analysis Derbyshire.pdf
457-1617-SCH-HSC-STP Analysis Cornwall and Isles of Scilly.pdf
457-1617-SCH-HSC-STP Analysis Greater Manchester.pdf
457-1617-SCH-HSC-STP Analysis Herefordshire and Worcestershire.pdf
457-1617-SCH-HSC-STP Analysis Humber, Coast and Vale.pdf
457-1617-SCH-HSC-STP Analysis Somerset.pdf
457-1617-SCH-HSC-STP Analysis Surrey Heartlands.pdf
457-1617-SCH-HSC-STP Analysis Norfolk and Waveney.pdf
457-1617-SCH-HSC-STP Analysis Mid and South Essex.pdf
457-1617-SCH-HSC-STP Analysis NE London.pdf
457-1617-SCH-HSC-STP Analysis Northamptonshire.pdf
457-1617-SCH-HSC-STP Analysis SE London.pdf
457-1617-SCH-HSC-STP Analysis Shropshire and Telford & Wrekin.pdf
457-1617-SCH-HSC-STP Analysis North Central London.pdf
457-1617-SCH-HSC-STP Analysis Lincolnshire.pdf
457-1617-SCH-HSC-STP Analysis Staffordshire and Stoke-on-Trent.pdf
457-1617-SCH-HSC-STP Analysis South Yorkshire and Bassetlaw.pdf
457-1617-SCH-HSC-STP Analysis Northumberland.pdf
457-1617-SCH-HSC-STP Analysis West Yorkshire and Harrogate.pdf
457-1617-SCH-HSC-STP Analysis West, North & East Cumbria.pdf
457-1617-SCH-HSC-STP Analysis Suffolk and NE Essex.pdf
457-1617-SCH-HSC-STP Analysis Nottinghamshire.pdf
457-1617-SCH-HSC-STP Analysis NW London.pdf
457-1617-SCH-HSC-STP Analysis Sussex and East Surrey.pdf
457-1617-SCH-HSC-STP Analysis SW London.pdf