What is an Sustainability Transformation Plan (STP)?
There are serious issues facing health and social care services across the country; people are receiving different standards of care depending on where they live, waiting times for services and health outcomes vary, and the quality of care and people’s experience of health and social services is sometimes not as good as it should be. Our community is getting older and requiring more care. More people are living with complex physical and/or mental health problems that can benefit from new treatments and services. Current funding is not meeting the increasing cost of care and demand for services.
We need to address these pressures and inequalities and this means changing the way the health and social care services in North London work, to bring them together to provide the entire local population with access to the best possible health, care and wellbeing services. That is why the health and social care organisations in North London have come together to develop a ‘Sustainability and Transformation Plan’. The aim of the STP to deliver the triple aims of 1) improved health and wellbeing for our population, 2) transformed quality of care delivery for all of our services, and 3) sustainable finances in all organisations.
We know we can do better, that we need to design and deliver care in new ways that will improve the health and wellbeing of our population. We must make changes to how local people live, access care, and how this care is delivered. This doesn’t mean doing less for patients or reducing the quality of care provided. It means more preventative care; finding new ways to meet people’s needs; and identifying ways to do things more efficiently. To do this we need to help services work together better, in both hospital and the community. We also need to support people to stay healthy and help them recover when they are unwell. Bringing health and care together in a way that is sustainable, while also making improvements to how we deliver services, is challenging but integral to our plan.
Partners in health and care
It has been over a year since we came together as a partnership of 28 health and social care organisations in North London. During this period, we have invested time, energy and resources into building strong relationships with each other and developing a shared vision for a health and care system that can deliver high quality services to our community where and when they need, while becoming more sustainable.
Our vision is for our community to be happier, healthier and to live longer in good health. To do this we must embrace the opportunities that working together can deliver. We must take a preventative approach, build strong community services and improve health and care outcomes for people. We must look to emerging technologies and finding new and better ways of working that can eliminate duplication and waste and we must develop and support a motivated, highly skilled and professional workforce to serve North London.
Working together in this way will allow us to look across the system at how services are provided and identify opportunities to add value, improve outcomes and eliminate duplication and reduce costs.
Social care plays a crucial role in our plan and is this is reflected throughout our plan. Sufficient, high quality and sustainable social care delivered directly by local authorities (e.g. via social workers) or commissioned through external providers (e.g. in residential, nursing and home care markets) can deliver excellent results for residents in North London and reduce the burden on health and care services.
Since the publication of the draft plan for North Central London in October 2016, NHS organisations and local authorities have continued to work together to ensure the plan addresses the challenges across both health and social care. Now the plan demonstrates benefits and outcomes from both a health and social care perspective. Directors of Children’s Services and Directors of Adults Services across all five North London councils have been contributing to the development of the plan where there is an opportunity to work as a system across health and social care.
Membership of North London Partners in Health and Care
- Barnet, Enfield and Haringey Mental Health NHS Trust
- Camden and Islington NHS Foundation Trust Central
- North West London NHS Foundation Trust
- Central London Community Health Care NHS Trust
- Moorfields Eye Hospital NHS Foundation Trust
- Great Ormond Street Hospital for Children NHS Foundation Trust
- North Middlesex University Hospital NHS Trust
- Royal Free London NHS Foundation Trust
- Royal National Orthopaedic Hospital NHS Trust
- Tavistock and Portman NHS Foundation Trust
- University College London NHS Foundation Trust
- Whittington Health NHS Trust
- Barnet Federated GPs CIC
- Camden Health Evolution, known as CHE GP Federation
- Haverstock Healthcare, Federation of Camden GP practices
- Enfield GP Federation
- Federated4Health (The Pan Haringey GP Federation)
- Islington GP Federation